Wisdom Teeth Problems: How to Know When They Need to Be Removed

Wisdom teeth—also called third molars—typically appear between ages 17 and 25. For many patients, they erupt without issue; for others, they can cause pain, infection, or crowding. In this post, we’ll help you understand common wisdom tooth problems and recognize the signs that it’s time for extraction.

What Are Wisdom Teeth?

• Location & Purpose: Wisdom teeth are the last set of molars at the very back of your mouth. Evolutionary changes in human jaws mean they’re no longer strictly necessary for chewing.

• Eruption Timeline: Most people’s wisdom teeth begin to emerge in their late teens or early twenties.

Common Problems with Wisdom Teeth

1. Impaction: When there isn’t enough space, wisdom teeth can become “impacted,” meaning they get stuck under the gum or grow at an angle. Impacted teeth can lead to:

   • Pain and swelling

   • Infection or gum disease (pericoronitis)

   • Cysts or damage to adjacent teeth

2. Crowding & Alignment Issues: As wisdom teeth push through, they may nudge neighboring teeth out of alignment, undoing orthodontic work or causing bite changes.

3. Decay & Gum DiseaseTheir hard-to-reach location makes wisdom teeth more prone to cavities and gum inflammation.

   
   

Signs Your Wisdom Teeth May Need Removal

Watch for these warning signs—if you experience any of the following, schedule an evaluation with your dental team:

• Persistent Pain or Discomfort: Ongoing dull aches or sharp pains at the back of your mouth, even when not chewing.

• Red, Swollen, or Bleeding Gums: Tenderness around the wisdom tooth area can indicate infection.

• Jaw Stiffness or Swelling: Difficulty opening your mouth fully, or noticeable swelling along your jawline.

• Bad Taste or Odor: Chronic bad breath or a foul taste may signal trapped food debris and infection.

• Headaches or Earaches: Referred pain from impaction can manifest as headaches, neck aches, or ear pain.

• Shifting Teeth or Changes in Your Bite: If you notice gaps forming or pressure on adjacent teeth, your wisdom teeth may be pushing others out of place.

  
  

What to Expect During an Evaluation

1. Clinical Exam: Your hygienist or dentist will check for swelling, redness, and tender spots.

2. Digital X‑rays: Imaging helps assess tooth position, root shape, and whether nearby structures (like nerves) might be affected.

3. Treatment Plan Discussion: We’ll review whether simple monitoring, minor soft‑tissue surgery, or full extraction best suits your needs.

   
   

Aftercare & Recovery

• Rest & Ice Packs: Apply cold compresses for 24–48 hours to minimize swelling.

• Soft Foods & Hydration: Stick to smoothies, soups, and soft proteins for the first few days.

• Oral Hygiene: Gently rinse with warm salt water starting 24 hours after surgery; avoid vigorous swishing.

• Follow‑Up Visits: Attend all scheduled check‑ups to ensure proper healing and to remove any dissolvable sutures if used.

  
  

When in Doubt, Ask Us!

If you’re experiencing any of the symptoms above—or simply want peace of mind—book an appointment. Early evaluation can prevent complications and keep your smile healthy for years to come.