Does Everybody Have to Get Wisdom Teeth Removed

Wisdom teeth, also known as third molars, are the final set of teeth to erupt in the mouth. They usually appear between the ages of 17 and 25, a time in life when a person is said to have gained wisdom. However, wisdom teeth often cause problems and may require extraction. In this article, we will explore whether everybody needs to get their wisdom teeth removed from various aspects.

1. Evolutionary Perspective

From an evolutionary standpoint, our ancestors had larger jaws that accommodated the growth of wisdom teeth. However, with changes in diet and the size of our jaws, wisdom teeth are more likely to become impacted or cause crowding of surrounding teeth in the modern population. Extraction can help prevent complications associated with impacted wisdom teeth.

Moreover, studies have shown that the percentage of people who develop wisdom teeth varies between populations. For example, some studies suggest that individuals of Asian descent are less likely to develop wisdom teeth, decreasing the necessity for extraction in this group.

2. Impacted Wisdom Teeth

Impacted wisdom teeth occur when there is not enough space in the mouth for them to fully emerge or grow normally. This can lead to various problems, including pain, infection, damage to adjacent teeth, and the development of cysts or tumors.

The extraction procedure for impacted wisdom teeth can vary depending on the position and alignment of the tooth. The cost of extraction may range from $225 to $600 per tooth, depending on factors such as the complexity of the case and geographical location.

3. Decay and Gum Disease

Wisdom teeth, especially those that have partially erupted, are more difficult to clean properly. They are often located at the back of the mouth, making it challenging to reach them with regular brushing and flossing. As a result, wisdom teeth are more prone to decay and gum disease.

If decay or gum disease affects the wisdom teeth, extraction might be necessary to prevent further complications. The cost of a simple extraction can range from $75 to $200 per tooth.

4. Crowding and Shifting of Teeth

Even if wisdom teeth do not cause immediate pain or problems, they can lead to gradual shifting of the existing teeth. This is due to the pressure exerted by the erupting wisdom teeth, potentially causing crowding and misalignment.

In cases where crowding and shifting are anticipated, orthodontic treatment may be recommended alongside wisdom tooth extraction. Orthodontic treatment costs can vary widely, ranging from $3,000 to $7,000.

5. Age and Timing

Many dental professionals suggest that it is best to remove wisdom teeth during the late teenage years or early twenties. At this age, the roots of the wisdom teeth are not fully formed, making the extraction process easier and reducing the risk of complications.

However, the timing of extraction may vary depending on the individual's oral health, the development of the teeth, and the presence of symptoms. It is crucial to consult with a dentist or oral surgeon to determine the appropriate timing for wisdom tooth extraction.

6. Anesthesia and Pain Management

During wisdom tooth extraction, local anesthesia is commonly used to numb the area. Additionally, options such as conscious sedation or general anesthesia may be available for patients who experience anxiety or have complex cases.

Post-operative pain can vary from mild discomfort to more significant pain, depending on the extent of the extraction and individual pain tolerance. Over-the-counter pain relievers are often sufficient for managing the pain. However, if needed, prescribed pain medications can be more effective.

7. Post-Extraction Complications

While complications from wisdom tooth extraction are relatively rare, they can occur. These complications may include bleeding, infection, dry socket (a condition where the blood clot in the extraction site dislodges or dissolves), or nerve damage.

Proper post-operative care, including following the dentist's instructions, can significantly reduce the risk of complications. It is essential to maintain good oral hygiene and avoid activities that may disrupt the healing process.

8. Alternatives to Extraction

In some cases, if the wisdom teeth are fully erupted, properly aligned, and easy to clean, extraction may not be necessary. Regular monitoring by a dentist and maintaining good oral hygiene can help ensure the long-term health of the wisdom teeth.

However, regular dental check-ups are crucial to detect any potential problems with wisdom teeth early on. X-rays may be taken periodically to assess the position and condition of the wisdom teeth.

9. Personal Factors and Consultation

It is important to consider personal factors when deciding whether to extract wisdom teeth. Dentists or oral surgeons can provide a professional evaluation based on individual circumstances, including the condition of the teeth, oral health, and the potential risks and benefits of extraction.

Factors such as the shape of the mouth, the size of the jaw, and the position of the wisdom teeth can significantly influence the need for extraction. Therefore, seeking advice from a dental professional is crucial in making an informed decision.

10. Conclusion

In conclusion, not everybody needs to get their wisdom teeth removed. However, for many individuals, extraction becomes necessary due to factors such as impaction, decay, gum disease, crowding, and shifting of teeth. The decision to extract wisdom teeth should be made in consultation with a dental professional, considering individual circumstances and potential risks and benefits.

Frequently Asked Questions

1. How much does wisdom tooth extraction cost?

The cost of wisdom tooth extraction can vary depending on factors such as the complexity of the case and geographical location. On average, the cost ranges from $225 to $600 per tooth.

2. Does wisdom tooth extraction hurt?

During the procedure, local anesthesia is used to numb the area, so you should not feel any pain. However, some post-operative discomfort is normal, which can be managed with over-the-counter pain relievers or prescribed medication, if necessary.

3. What are the risks of wisdom tooth extraction?

The risks of wisdom tooth extraction are generally low. However, potential complications can include bleeding, infection, dry socket, and nerve damage. These risks can be minimized by following proper post-operative care and the instructions provided by the dentist.