Do You Really Have to Get Your Wisdom Teeth Removed?

June 10, 2025

Dentist pointing at wisdom tooth on x-ray

The idea of getting a tooth removed can seem unpleasant, particularly when it comes to the wisdom teeth. After all, perhaps your wisdom teeth are not currently causing any pain, or maybe you have heard that the removal surgery can be somewhat intensive. In any case, you might wonder if you really have to get your wisdom teeth removed. The answer is maybe! In this blog post, you will learn some key points about when wisdom tooth removal is really necessary.

Not Everyone Needs Wisdom Tooth Extractions

It is a common misconception that everyone will, at some point, have to undergo wisdom tooth extractions. In reality, the experience varies significantly from person to person. Some individuals have wisdom teeth that erupt perfectly straight and align well with the rest of their teeth, causing no pain, crowding, or other dental issues. In such cases, these teeth can remain in the mouth without any negative impact on oral health.

The need for wisdom tooth removal depends on several factors, including the position of the teeth, the space available in the jaw, and the overall health of the mouth. Dentists typically assess these elements through regular checkups and X-rays. Some adults live their entire lives with all their wisdom teeth intact and never experience problems.

When Is Wisdom Tooth Removal Truly Necessary?

While some people never have issues with their wisdom teeth, others may encounter significant complications. Wisdom tooth removal may become necessary under certain circumstances, including:

  • Impaction: Wisdom teeth that get stuck fully or partially beneath the gumline are considered impacted. Impacted teeth can cause pain, swelling, and infection.
  • Crowding: When there is insufficient space in the jaw, wisdom teeth can push against neighboring teeth, causing misalignment and crowding.
  • Decay and Gum Disease: Wisdom teeth are located at the very back of the mouth, making them difficult to clean properly. As a result, they are more susceptible to cavities and gum disease, both of which can pose risks to overall oral health.
  • Cyst or Tumor Formation: In rare cases, cysts or tumors can develop around impacted wisdom teeth. These growths may damage the surrounding tissues, necessitating removal.

Fortunately, getting your wisdom teeth removed in a timely manner can allow you to avoid or minimize the consequences of such issues.

Wisdom Tooth Removal as a Precaution

There are situations when a dentist may recommend the removal of wisdom teeth even if they are not currently causing pain or other symptoms. This proactive approach is taken as a precaution against potential problems that may arise later.

Reasons for precautionary removal include:

  • Anticipated Impaction: X-rays may reveal that wisdom teeth are likely to become impacted as they continue to grow.
  • Preventing Future Dental Issues: Removing wisdom teeth before they cause crowding, decay, or gum disease can be less complicated, especially in younger patients whose wisdom tooth roots are not fully developed.
  • Simpler Recovery: Younger patients often recover more quickly from oral surgery, making early extraction preferable when it is likely that issues will develop.

There are several factors that play into whether wisdom tooth extractions are really necessary! Talk to your dentist to get their opinion on your unique situation.

Meet the Practice

Dr. Robert Saphner is a highly skilled dentist in La Crosse, WI. He and our team proudly provide wisdom tooth extractions and a broad range of other services. Sedation is available to make procedures as comfortable as possible. To learn more about us or to request a consultation, contact All Smiles Implants and Family Dental at 608-668-6415.