As you may know, wisdom teeth - also known as third molars - are the last set of teeth to develop in the human mouth. They typically erupt or begin to emerge between the ages of 17 and early 20s. These teeth often become a topic of concern in orthodontics due to their unpredictable nature and potential to cause orthodontic and other dental complications.

Why are Wisdom Teeth a Concern in Orthodontics?

• Lack of Space: In most people, the jaw size is too small to accommodate the third molars (wisdom teeth). This can lead to impaction of the wisdom teeth or teeth being stuck under the gums or in the jaw bone. As the wisdom teeth try to erupt they can lead to crowding of the adjacent teeth or other teeth in front of them.
• Orthodontic Relapse: The research is mixed on this topic. However, it is believed by many that wisdom teeth (particularly impacted wisdom teeth that are in tilted forward position) can cause orthodontic relapse - or dental shifting after the completion of orthodontic treatment. One consideration is that orthodontic retainers are typically only worn at nights while wisdom teeth are always present and hence can be a constant force on the teeth in front of them.
• Risk to Other Teeth: Since wisdom teeth are commonly submerged, the pressure on the adjacent teeth can lead to pain or swelling or even decay or loss of adjacent second molar roots (resorption).
• Oral and Dental Challenges: Partially erupted wisdom teeth can trap food and bacteria under the gumline leading to infection around the gumline, inflammation and bad breath. Even if fully erupted, wisdom teeth can lead to restorative challenges for dentists as they are typically not easy to reach.

Orthodontic Monitoring and Management

Orthodontists typically monitor wisdom teeth radiographically with Panoramic x-rays or Cone Beam CT scans. The decision pertaining to whether to remove wisdom teeth is individualized and made on a case by case basis. Typically, indications for removal of wisdom teeth include impaction, cyst or other growth formation, potential for damage of adjacent teeth and pain or discomfort. If wisdom teeth extractions are indicated, we recommend removal between 15-19 years old when the teeth are well formed but the roots are still partially formed (hence reducing surgical complications and recovery time). Summertime is a popular time for wisdom tooth extractions due to downtime with summer vacation and more relaxed routines to allow for an easier recovery.

At Orchard of Smiles Orthodontics we believe that early monitoring, patient education, and timely management are key to preventing potential issues with wisdom teeth. Our practice specializes in comprehensive orthodontic care including wisdom tooth management. If you have any questions about wisdom teeth or would like to schedule a complimentary orthodontic consultation please call or schedule 24/7 from our website. We wish you a summer full of smiles!