Oral and Maxillofacial Surgeon Questions General Dentistry

Does a wisdom tooth need to be removed?

I have a wisdom tooth that is just emerging. I have no pain and it doesn't bother me. Do I need it extracted?

28 Answers

It should be checked with a radiograph. It does not necessarily need to come out.
Yes, eventually it will cause a gum abcess. Waiting until it hurts may make the situation worse
Not in all cases. If you have sufficient room for the wisdom tooth and it is healthy, it won’t need to be removed.
Check with your dentist to see if you have adequate room in your mouth for the wisdom tooth to come through and erupt. If you have adequate room for the entire tooth to erupt and you can keep it clean, an extraction is not necessarily recommended. However, if the tooth will only have room to partially erupt, it will be more at risk of infection and decay. This is because of more likelihood of food trapping under the gum, difficulty in cleaning or risk of decay. Your dentist will do a clinical exam and also likely take a panoramic X-ray to check for the eruption of your wisdom teeth and give you advice based on the findings. Often the best age for extraction of wisdom teeth is ages 18-25 as the body generally heals the quickest at this younger ages, but this can vary based on your needs.
Not if they are healthy and functional. This means that there is room for them in the mouth and they are not causing issues with the other teeth.
Go to your dentist to get this answered correctly.
Just because there is no discomfort doesn’t mean it shouldn’t be removed. There are other issues that can arise so you should consult a professional and have it evaluated.
Your wisdom tooth needs to be x-ray to see if it's going to erupt fully and it needs to be evaluated as to the position it's likely to take in order to determine if you can keep it or not. A partially erupted wisdom tooth is going to be a real problem at some point in time and it's better to know early on whether or not they should be removed
Wisdom teeth do not always need to be removed. A dentist can tell you if there is enough room for the tooth and if it is erupting upright. From his x-rays he should be able to answer your question.
Sometimes not. Wait to see. If it erupts with room for it and if it is a functional tooth, WT extraction is not an automatic.
Once the wisdom teeth are partially erupted, they're more likely to become infected. The risk of developing a problem is more probable.
The short answer is it depends. Not all wisdom teeth need to be removed. Keep it if you have room for the tooth to erupt and you are able to keep it clean. That said, it is always best to consult a Dentist familiar with your unique needs.
Not all wisdom teeth need to come out. If they are coming straight and you have easy access to clean them, there is no need to remove them.
Great question! Yes for many, no for some. If you have room, no gingivitis and no history of decay it may be fine. If you have a history of any of those, then you should have it looked at by a dentist for evaluation.


Tyler Williams, D.D.S.
If it doesn’t bother you and is not causing problems, then leave it alone.
It depends on where it is in your jaw. If positioned poorly, it could lead to bone or tooth loss. It is best to have it radiographicly evaluated by a dental professional.
It depends on its position in the mouth. A dentist would be able to tell you.
Even though you may not be experiencing pain, depending on the eruption of your wisdom teeth, they can affect your neighboring teeth. Generally, if they erupted into position correctly, and it’s not damaging your tissue or your other teeth AND you can keep it clean, they don’t need to be removed. However, research is showing the bacteria on the back of your wisdom teeth is the same as the ones causing heart disease. Take as you may, but if your dentist recommended taking them out, I would listen to them.
Good day,

It depends on the position of the tooth, if it erupt upward in a correct position, then it is fine to leave it. However, if it erupts at an angle (causing the impaction with front tooth), then my advice is to remove it. So, the best thing to do is to visit your dentist and have a proper check-up and consultation, then decide the treatment.

Kind regards,

Dr. Chun-I Lee
Not all wisdom teeth need to be extracted. If wisdom teeth are healthy, fully erupted (fully grown) in good position, have good occlusion with the opposing tooth/teeth, and are able to be cleaned properly, then they don’t need to be removed. However, if you experience any of the following symptoms and/or changes around the area of wisdom teeth, such as pain, discomfort, extensive decay, crowding of other teeth, damages to nearby teeth, gum disease, infection, cyst, tumors, then you may need to consider removal of the wisdom teeth. A dental check-up may be necessary to address any further concerns.
It depends! We highly recommend removing the wisdom teeth because of several reasons. If it's not straight, if there is a pocket that causes food get caught between the wisdom tooth and the adjacent, or if there is a piece of gum on top of it, etc! Please check it out with your dentist and good luck!
Not unless they bother or create problems with other teeth, TMJ or surrounding structures. I still have all my wisdom teeth!
Not all WT need to be extracted. If there is room for the tooth and it is coming into the correct position everything is fine. However if you don't have pain it does not mean you won't have a problem in the future. Just ask your dentist on your next check up
Not necessarily. However, an X-ray needs to be taken to see if everything is okay.

Thanks for asking, hope this helps.
No, not all wisdom teeth need to be removed. Removal or keeping depends on many factors that need to be evaluated intraoraly and with special X-rays. These can usually be done  at your local dentist. 
There are many factors to consider:

1) Does your wisdom tooth have enough room to erupt completely or will it remain partially impacted? Many people do not have enough room for a wisdom tooth to fully erupt.
2) Is there an eruption cyst involved?
3) Will it be easy to keep clean?
4) Is there decay present?
5) Once erupted, will it occlude with a tooth in the opposing arch? If the opposing tooth is completely missing, then you risk over-eruption of the existing wisdom tooth.
6) If you are dealing with a lower wisdom tooth, are it’s roots wrapped around the inferior dental nerve?

You can see by the answer that an X-ray or at least a physical exam is required to determine the need for extraction. Please see a dentist to have an X-ray taken to determine the need for an extraction.


Carrol Fenn, DDS
If a wisdom tooth is not causing pain and there is nothing bad on the X-ray and it has a tooth to contact in the opposite arch. It's fine to leave it in.

Usually, wisdom teeth don’t have to be removed if there’s no pathology associated with their eruption. However, to give you a proper answer you would first have to be assessed by a doctor during your regular exam and check up.

All the best.