Wisdom Teeth: When Should You Remove Them?

Wisdom teeth—also known as third molars—usually make their appearance between the ages of 17 and 25. While some people never face issues with their wisdom teeth, many experience pain, infection, crowding, or damage to nearby teeth. The critical question is not if wisdom teeth should be removed, but when.

This blog explains when wisdom teeth removal is necessary, the warning signs to watch for, and why timely treatment can prevent long-term dental complications.

What are wisdom teeth?

Wisdom teeth are the last set of molars located at the back of the mouth—two on the top and two on the bottom. Due to evolutionary changes and smaller jaw sizes, many people do not have enough space for these teeth to erupt properly.

As a result, wisdom teeth often become:

• Impacted (stuck under the gums or bone)

• Partially erupted

• Misaligned or tilted

  
  

When should wisdom teeth be removed?

1. Persistent pain or swelling

Pain at the back of the jaw, gum swelling, or facial discomfort often indicates pressure, infection, or impaction.

2. Recurrent infection (Pericoronitis)

Partially erupted wisdom teeth trap food and bacteria, leading to repeated gum infections, bad breath, and pus discharge.

3. Damage to adjacent teeth

Impacted wisdom teeth can press against the second molars, causing:

• Tooth decay

• Bone loss

• Root resorption

  
  

4. Cysts or jaw complications

Untreated impacted wisdom teeth may form cysts that damage the jawbone, nerves, or surrounding teeth.

5. Orthodontic or smile alignment concerns

Wisdom teeth can contribute to crowding, especially after braces or aligner treatment, compromising orthodontic results.

Is it better to remove wisdom teeth early?

Yes. Dentists and oral surgeons often recommend preventive removal in the late teens or early twenties because:

• Roots are not fully formed

• Bone is less dense

• Healing is faster

• Surgical risks are lower

Delaying removal can make the procedure more complex and recovery longer.

When can wisdom teeth be left alone?

Wisdom teeth may not need removal if they are:

• Fully erupted

• Properly aligned

• Easy to clean

• Free from pain, infection, or decay

However, regular dental checkups and X-rays are essential to monitor them over time.

What happens during wisdom teeth removal?

Wisdom tooth extraction is a safe and routine dental procedure. Depending on the case, it may be performed by a general dentist or an oral surgeon under:

• Local anesthesia

• Sedation

• General anesthesia (for complex cases)

Most patients resume normal activities within 2–3 days, with complete healing over a few weeks.

Warning signs you should not ignore

• Jaw stiffness or difficulty opening the mouth

• Red, swollen, or bleeding gums near the back teeth

• Headaches or ear pain

• Bad taste or persistent bad breath

If you experience any of these, consult a dentist promptly.

Final Thoughts

Wisdom teeth do not always cause problems—but when they do, early diagnosis and timely removal can save you from pain, infection, and costly treatments later. If you are experiencing discomfort or are unsure about your wisdom teeth, a dental examination with X-rays is the best next step.