Knowing When Wisdom Tooth Removal Isn't Advisable: Safeguarding Your Dental Health

Wisdom teeth, the third set of molars at the back of the mouth, often pose challenges that may necessitate their removal. Very typically when there is any form of orthodontic treatment including Invisalign, Clear Aligners and similar or when there is a history of persistent infections related to partially erupted wisdom teeth. However, there are circumstances when wisdom tooth extraction may not be advisable, prioritising the preservation of dental health.

When assessing the suitability of wisdom tooth extraction, several factors are carefully considered. For instance, the position of the wisdom teeth plays a crucial role. If the wisdom teeth are fully erupted and properly aligned, removal may not be necessary, as they can function like any other tooth in the mouth. However, if the wisdom teeth are impacted or partially erupted, their removal may be warranted to prevent potential complications such as infection, crowding, or damage to neighbouring teeth. 

Furthermore, the overall dental health and medical history of the patient are taken into account. Patients with underlying medical conditions or compromised immune systems may be at higher risk of complications from surgery, making wisdom tooth removal less advisable. Additionally, individuals with anatomical variations, such as proximity of the wisdom teeth to nerves or sinuses, may require assessment to determine the safest course of action. In some instances, a Coronectomy procedure may need to be done so that a symptomatic wisdom tooth can be treated without causing any effect to the nerves suppling the lower chin and lip on that side.

While wisdom tooth removal is a common dental procedure, it may not always the best option for every patient. By carefully assessing factors such as tooth position, overall health, and individual risk factors, dental professionals like myself can make informed decisions to safeguard patients' dental health and well-being.