Wisdom Teeth Extractions: What You Need to Know
Wisdom teeth extraction is a common dental procedure, but not all wisdom teeth need removal. In many cases, wisdom teeth can stay in place if they are healthy, fully erupted, correctly positioned, and easy to clean. 2 3 5
What are wisdom teeth?
Wisdom teeth are the third molars at the very back of the mouth. They usually appear in the late teens or early twenties, although some people never develop problems with them. 3 5
When do wisdom teeth need removal?
A dentist or oral surgeon may recommend removal if a wisdom tooth is impacted, painful, infected, or damaging nearby teeth. 2 3 5
Common reasons include:
- Pain or swelling near the back of the mouth. 2 3 5
- Impaction, where the tooth does not have enough space to come through properly. 2 3 5
- Repeated infection or gum inflammation around the tooth. 2 3 5
- Tooth decay in a partially erupted wisdom tooth. 2 3 5
- Cysts or damage to nearby teeth or bone. 2 3 5
To make a correct diagnosis, a large X-ray called an OPG (Orthopantomogram) is required. This type of X-ray provides a comprehensive view of the entire mouth, helping dentists assess the position of the wisdom teeth and any potential issues.
When can wisdom teeth be left alone?
Wisdom teeth may not need removal if they are:
If they are not causing problems, they are often monitored during routine check-ups instead of being removed immediately. 3
Why early assessment matters
Dentists often use X-rays to check the position of wisdom teeth and decide whether removal is necessary. 3 5 In some cases, treatment is easier and recovery is quicker when wisdom teeth are removed in the late teens or early twenties rather than later in life. 2 7
What to expect after removal
Recovery instructions vary, but common post-operative advice includes:
- Rest and avoid vigorous activity for the first few days. 9 15
- Use ice packs during the first 24 to 48 hours. 9 13
- Eat soft foods at first. 9 13
- Avoid smoking, vaping, and straws soon after surgery to reduce the risk of dry socket. 1 9 15
- Follow the dentist’s aftercare instructions carefully. 9 13
Why choose professional advice
Every mouth is different, so the decision to remove wisdom teeth should be made after a dental examination, often with X-rays. 2 3 5 Some people need removal, while others can safely keep their wisdom teeth under observation. 2 3 8
Contact Us
If you are concerned about your wisdom teeth or need a consultation, contact us on our landline 02 9899 8686 or send an online enquiry by visiting www.castlehillsmiles.com.au—
Castle Hill Smiles
Tel: (02) 9899 8686
Email: castlehillsmiles@gmail.com
Web: www.castlehillsmiles.com.au







