The inability of wisdom teeth to fully erupt, their tendency to decay, and the discomfort they cause—often severe enough to disrupt sleep—make them one of the most problematic teeth for many individuals. Because wisdom teeth structurally pose more challenges than others, they must be evaluated with extra care.
If you are experiencing wisdom tooth pain or similar problems, you may also find our “Oral and Maxillofacial Surgery” page helpful.
There is a common belief that wisdom teeth should always be removed. Many assume these teeth inevitably decay, disrupt the dental arch, cause severe pain, and are no longer functional—therefore concluding that extraction is necessary.
However, if a wisdom tooth erupts in harmony with the jaw structure, does not disturb neighboring teeth, and can be cleaned effectively, it can serve as a functional chewing tooth. When properly maintained, without causing pain or crowding, there is no medical necessity to extract a healthy and well-positioned wisdom tooth.
If you are experiencing wisdom tooth problems, contact Milim Dental to receive information and book an appointment with our specialist dentists.
Wisdom tooth eruption varies depending on age and physical development. Although commonly referred to as “20-year teeth,” they typically erupt anytime between ages 18 and 30, and sometimes even later.
Wisdom tooth eruption depends on the individual’s jaw anatomy. If the back of the jaw is narrow or if adjacent teeth block the eruption path, the wisdom tooth may struggle to find space and become impacted. Without sufficient space, the tooth cannot erupt in the correct direction and remains partially or fully embedded in the jawbone.
If there are no structural obstacles—or if previous orthodontic treatment has created space—the wisdom tooth can erupt normally.
Partially erupted wisdom teeth often create a pocket between the tooth and gum. This space easily traps food debris and bacteria, increasing the risk of decay. Since toothbrushes cannot reach this area well, plaque accumulates, leading to:
If not treated promptly, impacted wisdom teeth may develop:
Wisdom tooth pain can radiate depending on where the tooth is erupting:
If you experience these symptoms, contact Milim Dental for a professional evaluation.
Before deciding on extraction, a dentist must examine the tooth. Only a qualified dental professional should determine whether removal is needed. Extraction may be recommended if:
If a wisdom tooth remains in the jaw and cannot erupt, bacteria may accumulate around it, leading to decay or a fluid-filled cyst. This can progress into a serious infection requiring urgent care.
Extraction is recommended when:
If the tooth is not covered by bone and has erupted enough to be grasped, extraction is similar to a standard tooth removal.
However, if the tooth is partially or fully impacted, a minor surgical procedure may be required.
Surgical extraction is necessary when:
A specialist dentist will evaluate X-rays and determine whether surgery is required.
To ensure proper healing, patients should:
Good oral hygiene habits formed from childhood help ensure healthy wisdom tooth eruption and reduce complications.
For consultations and appointments: Milim Dental — 0224 242 30 33
Oral, Dental, Maxillofacial Diseases and Surgery Specialist
Tooth extraction is one of the most frequently asked topics in oral and dental health. It is considered a last resort in dentistry. Dentists always aim to preserve the natural tooth structure, and all possible treatments are applied before extraction is recommended. However, in certain situations, removing the tooth becomes necessary to protect surrounding teeth and oral structures.
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