Wisdom teeth are a rite of passage — but they do not always come in without problems. We are here to help.
Wisdom teeth, also known as third molars, are the last set of permanent teeth to emerge. They typically appear between the ages of 17 and 25, though they can erupt earlier or later. For many people, wisdom teeth cause no issues at all. For many others, there simply is not enough room in the jaw for them to erupt properly — leading to pain, crowding, infection, and damage to neighboring teeth.
At Irving Family Dentistry, we monitor wisdom tooth development through regular X-rays beginning in early adolescence. When wisdom teeth show signs of becoming a problem, we discuss your options clearly and help you make the best decision for your child’s long-term oral health.
When Do Wisdom Teeth Cause Problems?
Impaction
An impacted wisdom tooth is one that is blocked from fully erupting through the gumline. This can happen because the tooth is growing at an angle, because there is not enough space in the jaw, or because the tooth simply does not have a clear path to emerge. Impacted wisdom teeth can cause significant pain and, if left untreated, can lead to infection, cyst formation, and damage to neighboring teeth.
Partial Eruption
When a wisdom tooth only partially breaks through the gum, it creates an opening that is extremely difficult to clean. Bacteria accumulate in this space, leading to a condition called pericoronitis — an infection of the tissue surrounding the wisdom tooth that causes swelling, pain, and sometimes difficulty opening the mouth.
Crowding
Even when wisdom teeth erupt fully, they can push against neighboring teeth and cause crowding that disrupts a smile — including shifting teeth that were previously straightened by braces. In these cases, proactive removal is often recommended.
Decay
Wisdom teeth are located so far back in the mouth that they are difficult to brush and floss thoroughly. As a result, they are highly susceptible to decay. When a wisdom tooth develops significant cavities, removal is typically the most practical option.
Wisdom Tooth Evaluation
Dr. Ashithey will use panoramic or individual X-rays to evaluate the position of your teenager’s wisdom teeth, their relationship to neighboring teeth and nerves, and whether or not they appear likely to cause problems. We typically begin monitoring wisdom teeth at around age 14–16 so that if removal is recommended, it can be done at the ideal time — when roots are not yet fully formed and recovery is typically smoother.
The Wisdom Tooth Removal Process
Wisdom tooth extraction is one of the most common dental procedures performed. Dr. Ashithey will make sure you and your teen are fully informed and comfortable before the procedure begins.
- Pre-operative consultation: We review X-rays, discuss the procedure, answer all questions, and confirm sedation or anesthesia preferences.
- Anesthesia: We use local anesthesia (numbing) to ensure the area is completely comfortable. Nitrous oxide or IV sedation may be available for patients who need extra relaxation.
- Extraction: The tooth is carefully loosened and removed. Stitches are placed if needed.
- Recovery: You will receive detailed written aftercare instructions. Most patients recover comfortably at home within a few days.
Recovery & Aftercare
We provide complete, written aftercare instructions after every wisdom tooth extraction. Key points include:
- Rest for the first 24–48 hours and avoid strenuous activity
- Keep gauze in place and bite down gently to control bleeding
- Use ice packs during the first 24 hours to minimize swelling
- Eat soft foods for the first few days (soup, yogurt, mashed potatoes)
- Avoid drinking through a straw, smoking, or spitting forcefully (these can dislodge the blood clot)
- Take prescribed or recommended medications as directed
- Call us right away if you experience severe pain, fever, or unusual symptoms
Our team is available to answer questions and address any concerns during your recovery. We follow up with every patient after extraction to make sure healing is progressing well.
Early Evaluation Is Key
The best time to address wisdom teeth is before they cause serious problems. If your teenager is between 14 and 17, ask us about a wisdom tooth evaluation at their next checkup.