Wisdom Teeth: Your Treatment Plan
If one or more of your wisdom teeth are likely to cause problems, your surgeon may recommend removal. This can relieve your symptoms and protect your dental health. In some cases, you may be advised to wait or to try other treatments first.
Early removal is often recommended
Your surgeon may advise removing the wisdom teeth now, even if you have no symptoms. This is because wisdom teeth roots mature and become more firmly attached to the bone as you age. This makes removal more difficult. It also increases the risk of complications. And people heal more slowly as they grow older.
Other options may be possible
The position of wisdom teeth roots may make removal unwise. Or surgery may not be recommended because of another health problem. Other options include:
Close follow-up. Regular exams and X-rays check for signs of complications.
Medicines. These can be used to control some symptoms and treat infections.
Minor surgery. In some cases a procedure like removing the gum tissue overlapping the tooth (an operculectomy) may help.
Risks and complications of wisdom tooth removal
Any surgery has risks. The risks of wisdom teeth removal vary depending on your age and the position of the teeth. Risks include:
Sore joints and muscles. Jaw soreness, bruising, or swelling is normal after removal. You may also have problems with the jaw joint or trouble opening your mouth fully. These problems often heal in a week or 2. But sometimes they last longer and need treatment.
Dry socket. After surgery, a blood clot fills the extraction site. A clot that dissolves or dislodges too soon after surgery can cause pain and slow recovery. Dry socket is treated with a special dressing.
Infection. This is often treated with antibiotics or by draining the infection.
Side effects of anesthesia. Sedation or general anesthesia can cause nausea, sore throat, and other side effects.
Sinus problems. The maxillary sinus cavity may be entered during surgery. This can need more treatment.
Nerve injury. This can cause loss of taste or areas of numbness, tingling, or pain in the teeth, gum, tongue, or lips. In most cases, the nerve heals over time. But more treatment may be needed.
Weakening of the jaw. If bone has been removed, the jawbone may become more likely to break (fracture).
February 10, 2018
Bagheri, Shahrokh. Removal of Third Molars. Current Therapy In Oral and Maxillofacial Surgery. 2012: 1st edition, pp. 129-134., Guideline on Pediatric Oral Surgery, American Academy of Pediatric Dentistry, Wisdom Teeth Management, American Association of Oral and Maxillofacial Surgeons
Finke, Amy, RN, BSN,Images Reviewed by Staywell medical art team.,Kapner, Michael, DDS