Wisdom teeth are often a source of confusion and concern when it comes to maintaining good oral health. These third molars, which typically appear between the ages of 17 and 25, may not always fit comfortably in the mouth, leading to complications. Many people wonder whether they should keep them or opt for wisdom tooth removal to avoid potential problems.
This article explores how these molars affect your teeth and gums, why they may need to be removed, and how to care for them if they don’t cause issues.
What Are Wisdom Teeth and Why Do We Have Them?
Third molars, commonly called wisdom teeth, are located at the back of the mouth and were once useful for chewing tough foods like raw meat and roots. However, as human diets evolved and jaws became smaller, these extra molars became less necessary. In many cases, they struggle to fit properly in the modern mouth, leading to tooth decay and gum disease, infections, and alignment issues.
When Do Wisdom Teeth Become a Problem?
Not everyone experiences problems with their third molars, but they can often become an issue when they:
- Grow at an angle, pushing against other teeth.
- Get trapped under the gums, leading to an impacted wisdom tooth.
- Partially emerge, creating a space where bacteria can accumulate.
- Cause crowding, affecting the alignment of other teeth.
These issues can contribute to poor oral health, increasing the risk of cavities, infections, and gum inflammation.

Signs That You May Need Wisdom Tooth Removal
While some people can keep their third molars without any trouble, others develop symptoms that indicate a need for wisdom tooth removal. You should see a dentist or oral surgeon if you experience:
- Persistent pain in the back of the mouth.
- Swelling or redness around the gums.
- Difficulty opening your mouth fully.
- Bad breath or a foul taste due to trapped food and bacteria.
- Signs of infection, such as pus or fever.
These symptoms could indicate an impacted wisdom tooth, which can lead to complications if not treated promptly.
Wisdom Tooth Removal: What to Expect
If your oral and maxillofacial surgeon or dentist or oral surgeon recommends extraction, the procedure is typically straightforward. Depending on the complexity, it may be performed under local anesthesia, sedation, or general anesthesia.
The Procedure
- Numbing the Area – The surgeon administers anesthesia to prevent discomfort.
- Removing the Tooth – The molar is extracted, sometimes in pieces if it is impacted.
- Closing the Site – Stitches may be placed to promote healing.
Recovery Tips
After extraction, proper care is essential for healing and maintaining good oral health. Here are some key post-surgery tips:
- Avoid hard foods for a few days to prevent irritation.
- Use an ice pack to reduce swelling.
- Take prescribed pain medication as directed.
- Keep the area clean but avoid aggressive brushing and flossing near the site.
- Rest and avoid strenuous activities for at least 24 hours.

Keeping Wisdom Teeth: How to Maintain Good Oral Health
If your third molars don’t cause problems, they can remain in place. However, since they are located at the back of the mouth, they require extra care to prevent tooth decay and gum disease.
- Brush your teeth thoroughly, ensuring you reach the back molars.
- Use fluoride toothpaste to protect against cavities.
- Floss daily to remove trapped food and bacteria.
- Schedule regular checkups with your dentist or oral surgeon to monitor any changes.
Wisdom Teeth and Overall Health
Beyond oral concerns, problematic third molars can impact your overall health. Infections in the gums can spread to other parts of the body, leading to serious complications, especially for those with underlying health conditions. If you suspect issues with your molars, consulting an oral surgeon early can help prevent long-term health risks.
Final Thoughts
Deciding whether to keep or remove your third molars depends on their impact on your teeth and gums. Regular dental checkups and good hygiene practices like brushing and flossing are essential to maintaining good oral health. If you experience pain, swelling, or infection, don’t wait—seek advice from a dentist or oral surgeon to determine the best course of action.
At Comfodent Dental Group, we provide expert guidance on wisdom tooth removal and overall dental care. Contact us today to schedule an appointment and keep your oral health in top condition!