Young patients often count down the days until they get to see their straight, beautiful smile after braces. But what happens a few years later when wisdom teeth begin to erupt? Do they really push the others out of alignment?
There are numerous myths surrounding wisdom teeth. Years ago, they were routinely pulled, especially for orthodontic patients, whether they were causing problems or not. Today, orthodontists take a more personalized approach to treatment.
So, when should wisdom teeth be removed? Do they really affect your orthodontic results? Is it normal to have fewer than four? Let’s explore the facts.
What Are Wisdom Teeth, Anyway?
“Wisdom teeth” is the name for your third set of molars, which usually erupt between ages 17 and 22, right around the time people transition into adulthood. Most people have four: one in each of the back corners of the mouth (top left, top right, bottom left, and bottom right).
But not everyone gets the full set. About 25 percent of the world’s population has fewer than four, and around 35 percent have none at all.
This often comes down to genetics. If your parents were missing wisdom teeth, you might be too. The good news is that it’s perfectly normal and nothing to worry about.
Wisdom teeth had a questionable reputation in the past. For a long time, they were removed automatically, especially for people who had braces, based on the belief that they would push other teeth out of alignment.
But newer studies show that teeth are more likely to shift if you do not wear your retainer than from pressure caused by wisdom teeth. Jaw growth and natural aging also contribute to changes in your bite over time.
Still, there are situations when it makes sense to remove them. Let’s take a look.
5 Reasons to Remove Wisdom Teeth
1. They’re Impacted (Stuck Beneath the Surface)
Wisdom teeth are considered impacted when they do not fully emerge or remain trapped beneath the gums or jawbone. Impacted teeth can cause pain, swelling, and irritation, and may trap food and bacteria, increasing the risk of infection.
In most cases, the best solution is to have them removed before they cause further discomfort or complications.
2. They’re Growing at the Wrong Angle
Sometimes wisdom teeth grow in crooked, tilting toward or away from the neighboring molars. In some cases, they come in nearly sideways due to limited space at the back of the jaw.
If there is room and the teeth are upright, they may be incorporated into your orthodontic treatment. But if they are coming in at extreme angles, extraction is usually the safest and most effective option.
3. They’re Irritating Gums or Surrounding Tissue
When wisdom teeth come in too close to the second molars, they can pinch or irritate the gum tissue in between. This makes it more difficult to brush and floss effectively, and may increase the risk of gum inflammation or infection.
Occasionally, a fluid-filled cyst may form around the tooth. This can make chewing painful and may lead to more serious gum issues if left untreated. If there is not enough room to safely reposition the teeth, removal is often the best course of action.
4. They Could Complicate Braces or Invisalign
Wisdom teeth rarely shift your front teeth on their own, but they can make it harder to place bands around the molars or interfere with detailed adjustments. This is especially true for teens or adults starting orthodontic treatment later.
If they are impacted or likely to cause treatment delays or discomfort, your orthodontist may recommend removing them before or during your braces or Invisalign plan.
5. It’s Easier to Treat Problems Early
As we age, our jaws change shape, and recovery from surgery can be prolonged. While wisdom teeth may not be causing issues now, they can lead to pain, swelling, or infection later, when it is less convenient to address them.
That is why, in many cases, orthodontists recommend removing them early while healing is easier and complications are less likely.
Wisdom Teeth Care in Topeka, KS
Wondering if your wisdom teeth are coming in correctly or if you even have them at all? Concerned they might affect your smile or treatment plan?
At Wilson & Hendrickson Orthodontics in Topeka, KS, we evaluate wisdom teeth as part of your initial consultation. Whether you are in braces, using Invisalign, or just keeping an eye on things, we will help you decide the smartest path forward.
Schedule your appointment today and let us take the guesswork out of wisdom teeth.
Do wisdom teeth always need to be removed?
No. If they are healthy, positioned correctly, and not causing problems, you may be able to keep them.
Can wisdom teeth shift my teeth after braces?
They might create some pressure, but your teeth are far more likely to shift if you do not wear your retainer.
Is it normal to have fewer than four wisdom teeth?
Yes. It is often genetic. Many people have one, two, or none at all, and that is perfectly fine.
Is recovery easier at a younger age?
Typically, yes. Younger patients tend to heal faster, which is why early removal is sometimes recommended.
