Blog

In general, dentists recommend removing wisdom teeth when they’re impacted (stuck), partially erupted, or positioned in a way that makes them hard to clean. That’s when we tend to see recurring gum infections, swelling, jaw stiffness, cavities on the wisdom tooth itself, or damage to the tooth in front of it. Those are strong “yes” signals because the tooth is actively putting your oral health at risk.

On the other hand, some wisdom teeth can stay—especially if they’re fully erupted, biting normally, and you can keep the area clean without inflammation flaring up. Many dental systems (including the NHS) don’t recommend removing wisdom teeth just because they exist—they recommend it when there’s a clear reason like infection, decay, or other complications. That’s why an honest exam matters more than a one-size-fits-all rule.

So how do you get a clear answer? You look at three things: symptoms (pain, swelling, bad taste), hygiene access (can you actually brush and floss back there?), and imaging (what are the roots doing, and how close are they to nerves/sinuses?). A quick visit can tell you whether you’re dealing with a “watch it” situation or something that will keep surprising you at the worst possible times.

If you’re already uncomfortable, don’t wait for it to “settle down.” Wisdom-tooth flare-ups often calm temporarily and then return when the gum gets irritated again. If you need fast relief or you’re dealing with swelling, start with Emergency Dental Care so you can get the pain under control and a plan in place.

When extraction is the right call, the goal is a smooth, predictable experience—clear instructions, the right anesthesia for your comfort, and good follow-up. If you’re weighing options, explore Teeth Extractions to see what the process typically looks like, and if cost is part of the hesitation, it’s worth reviewing Insurance & Financing or the Membership Plan for patients without traditional coverage.