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Friday, December 1, 2023

Ask the Dentist: Why do I need to remove my wisdom teeth?


Wisdom teeth, also known as the third molars, start to develop around the ages of 10 to 12, and start to erupt at ages of 18 to 21. Typically, the removal of a wisdom tooth is unnecessary when it erupts normally, functions properly, and doesn’t present any problems. However, as wisdom teeth are the last permanent teeth to erupt, there is usually insufficient space in the mouth for normal teeth growth, leading to partially erupted wisdom teeth. 

That being said, partially erupted wisdom teeth can contribute to cyst formation. As the growth process of a wisdom tooth may involve remnant cells around the crown of the tooth, these cells can proliferate by some form of stimulation and form a cyst growth. The most common cyst associated with impacted wisdom teeth is the dentigerous cyst, which develops around the crown of an unerupted or partially erupted tooth.

A partially erupted wisdom tooth may also result in:

    • tooth decay

    • pericoronitis (inflammation of the tissue around the crown of the wisdom tooth)

    • abscess (pus around the wisdom tooth due to bacterial infection)

    • gum disease

If any of the mentioned scenarios occur, you may experience pain and swelling, serving as indicators for the need of removal. It is advisable to that you visit an oral surgeon/dentist for a thorough assessment, and he/she will advise accordingly. 

While the idea of wisdom tooth extraction or surgery might be daunting for some, it is essential to understand that it is a routine and safe procedure. When performed early, it can effectively prevent more severe dental issues in the future.


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Dr Ho Kok Sen is an Oral & Maxillofacial Surgeon with Specialist Dental Group®. Dr Ho is a mentor, lecturer, and examiner to students in the Graduate Diploma in Dental Implantology course at the National University of Singapore.  Dr Ho is a fellow of the Royal Australasian College of Dental Surgeons and the Academy of Medicine Singapore. He has a special interest in dental implants, jaw surgery, bone grafting, and complex extractions. http://www.specialistdentalgroup.com | (65) 6733 7883

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