I have a question about my wisdom teeth. I am 26 years old and have three wisdom teeth that are impacted. Two of them are on top and I have one on the bottom. The top two are already scheduled to be removed, but I’m wondering if I should just have the bottom one taken out at the same time? I’ve been told that the roots for the bottom wisdom tooth are past the nerve which means there is a possibility of nerve damage with the tooth extraction. He said I could just leave it alone until it begins to cause problems, have it removed, or just remove a portion of the tooth and leave the roots in place. But the last option means that there is a possibility for infection which they would then have to go back and get the roots later.
I’m trying to weigh out the pros and cons. I’m not sure if it’s just in my mind or not, but I feel like I’m starting to feel some pressure in that area. Or maybe it is just the general pain I’ve been experiencing from the top one. I really don’t want to have to endure two surgeries either. Any insight you may have would be awesome.
– Karie in California
The older you get, it becomes more difficult to remove the wisdom teeth. It is pretty standard practice to have any impacted wisdom teeth taken out while you are young, as it only becomes more complicated when you move into your adult years.
For example, you are still young enough that the risk for complication is minimal, whereas if you waited until you are 30 the risk will double and then at 35 the risk may double again, and so forth. Since it sounds like they are impacted, they will eventually give you trouble if they are left in place. The bone becomes harder and the roots can thicken which makes this procedure increasingly difficult the older you get.
Therefore, it is probably worth considering to go ahead and have them all taken care of as soon as possible. You don’t wait to wait until you are in more pain and have a dental emergency situation.
In regard to the suggestion to leave the root in place, that may be worth considering. That said, only the root tip should be left behind and not the whole root. The smaller the root, the body shouldn’t have complications. Although, it is very difficult to give specific recommendations without having seen your particular case. If you trust your dentist and are comfortable with his recommendations, it may be a judgement call on his part. Sometimes you don’t really know what you are dealing with until you are in there and a decision can be made during the surgery.
This post is sponsored by Cleveland dentist Hylan Dental Care.