facebook

Wisdom Teeth: When to Remove Them and What to Expect

2025.03.26
pantelis

That nagging pain in the back of your mouth, the slight swelling, or the feeling that something just isn’t quite right – these could be your wisdom teeth making their grand, and often unwelcome, entrance. Wisdom teeth, or third molars, are the last set of teeth to erupt, typically appearing in late adolescence or early adulthood. While some individuals experience a smooth eruption with no complications, many others face a variety of issues that necessitate their removal. 

At Beach Grove Dental in Tsawwassen, Dr. Beeram and our dedicated team understand the challenges and anxieties that can come with wisdom teeth. We are committed to providing comprehensive care, from thorough evaluations to gentle and effective extractions, ensuring your oral health remains a top priority. If you’re in Tsawwassen or the South Delta area and are experiencing wisdom teeth problems, you’ve come to the right place for expert guidance and treatment.

What Exactly Are Wisdom Teeth?

Wisdom teeth are essentially a relic from our evolutionary past. Our ancestors had larger jaws and a coarser diet that required the extra chewing power provided by these third molars. However, over time, human jaws have become smaller, often leaving insufficient space for wisdom teeth to erupt properly. 

Typically, there are four wisdom teeth, located at the very back of both the upper and lower jaws. Unlike your other molars that usually emerge gradually throughout childhood and adolescence, wisdom teeth often make their appearance between the ages of 17 and 25. For some, they erupt fully and align correctly, posing no threat to their oral health. However, for a significant portion of the population, their arrival can lead to a host of dental problems, making their removal a necessary step in maintaining a healthy smile. The timing and manner in which wisdom teeth attempt to emerge are highly variable, contributing to the range of issues associated with them.

Why Wisdom Teeth Often Need Removal: The Lack of Space

One of the most common reasons for wisdom teeth extraction is lack of adequate space in the jaw. When the jaw is too small to accommodate these additional molars, they can become impacted. Impaction means that the tooth is blocked from fully erupting through the gum line.

This blockage can be caused by other teeth, bone, or soft tissue. Impacted wisdom teeth can grow in various directions: they might remain entirely beneath the gums, partially emerge, or even grow sideways towards the adjacent second molar. According to experts, 90% of individuals experience some form of wisdom teeth impaction. This impaction can lead to pain, pressure on surrounding teeth, and make proper cleaning in the area extremely difficult, increasing the risk of decay and gum disease. The confined space also makes it challenging for a toothbrush or floss to reach the back of the mouth effectively, allowing bacteria and food particles to accumulate.

an image of an impacted wisdom tooth pressing against other teeth

Preventing Damage to Adjacent Teeth

Even if a wisdom tooth partially erupts or remains impacted, it can exert pressure on the adjacent second molar. This pressure can lead to several problems, including damage to the enamel of the second molar, potentially causing cavities. In some cases, the pressure can even cause root resorption of the neighboring tooth, where the root structure begins to break down. This process can weaken the second molar and, in severe situations, may even lead to its loss. 

The positioning of impacted wisdom teeth can make it difficult for dentists to detect and treat these issues early on through regular examinations and X-rays. Dr. Beeram at Beach Grove Dental utilizes thorough evaluation techniques, including X-rays and potentially 3D imaging, to assess the position and potential impact of your wisdom teeth on the surrounding dental structures. Early detection of such issues is crucial in preventing more significant dental problems down the line and preserving the health and integrity of your existing teeth.

Avoiding Infection and Gum Disease

Partially erupted wisdom teeth create a trap for bacteria and food debris. The gum tissue surrounding a partially emerged wisdom tooth can form a flap, known as the operculum. This area is notoriously difficult to clean, leading to the accumulation of plaque and bacteria. This can result in a localized gum infection called pericoronitis, characterized by pain, swelling, redness, and sometimes even difficulty opening the mouth. Recurring episodes of pericoronitis can damage the surrounding gum and bone tissue. 

Furthermore, the chronic inflammation associated with impacted or partially erupted wisdom teeth has been linked to a higher risk of developing more generalized gum disease (periodontitis), which can eventually lead to tooth loss. Maintaining proper oral hygiene is challenging enough without the added complexity of poorly positioned wisdom teeth. By opting for timely removal, you can eliminate these hard-to-clean areas and significantly reduce your risk of developing these painful and potentially damaging infections and gum diseases.

Addressing Cysts and Tumors

In less frequent scenarios, cysts or tumors can develop around impacted wisdom teeth. These pathological entities can cause significant damage to the jawbone, surrounding teeth, and nerves if left untreated. A dentigerous cyst is the most common type of cyst associated with impacted teeth. It forms around the crown of the unerupted tooth and can grow quite large, leading to bone resorption and displacement of adjacent teeth. While the occurrence of tumors related to impacted wisdom teeth is rarer, they can also present serious health risks. Regular dental check-ups and X-rays are essential for detecting these potential complications early. 

Dr. Beeram and the team at Beach Grove Dental are trained to identify any signs of cyst or tumor development during comprehensive oral examinations and radiographic assessments. Prompt intervention, which usually involves the removal of the wisdom tooth and the associated cyst or tumor, is crucial to prevent further damage and ensure your long-term oral health.

Wisdom Teeth and Orthodontic Treatment

The relationship between wisdom teeth and the alignment of other teeth has been a subject of debate. While some older theories suggested that erupting wisdom teeth could cause crowding of the front teeth, current research indicates that late crowding is more likely due to other factors, such as natural jaw growth and genetics. However, in some cases, the presence of impacted wisdom teeth can still interfere with orthodontic treatment. 

Wisdom teeth might exert pressure that affects the movement of teeth being guided by braces or clear aligners. Additionally, if wisdom teeth erupt after orthodontic treatment, there’s a theoretical possibility they could disrupt the achieved alignment, although this is not always the case and depends on individual factors like available space. 

Orthodontists often recommend the removal of wisdom teeth before, during, or after orthodontic treatment to eliminate any potential interference and ensure the long-term stability of the newly aligned smile. Dr. Beeram can work closely with your orthodontist to determine the optimal timing for wisdom teeth removal in relation to your orthodontic care plan.

The Wisdom Teeth Extraction Process at Beach Grove Dental

At Beach Grove Dental, the process for addressing wisdom teeth begins with a comprehensive consultation. Dr. Beeram will conduct a thorough oral examination, review your dental history, and take necessary X-rays, which might include panoramic or 3D imaging, to gain a clear understanding of the position and condition of your wisdom teeth and their relationship to surrounding structures. 

During this consultation, Dr. Beeram will discuss your specific situation, explain the potential risks and benefits of extraction, and answer any questions you may have. If extraction is deemed necessary, a personalized treatment plan will be developed, outlining the procedure and any sedation options available to ensure your comfort. Beach Grove Dental prioritizes a comfortable and welcoming environment for all patients. Our team will ensure you are fully informed and at ease before proceeding with any treatment. We understand that the thought of wisdom teeth removal can be daunting for some, and we are dedicated to providing a stress-free experience.

What to Expect During Your Wisdom Teeth Removal

The wisdom teeth removal procedure at Beach Grove Dental is typically performed under local anesthesia to numb the area, ensuring you feel minimal discomfort during the surgery. In cases of dental anxiety or more complex extractions, oral sedation options are available to help you relax throughout the process. 

Dr. Beeram is experienced in using oral sedation to create a comfortable experience, with many patients remembering very little about their dental procedure. The complexity of the extraction depends on factors such as the position of the teeth (impacted or erupted) and the number of teeth being removed. In some cases, a small incision in the gum tissue may be needed, and the tooth might be divided into smaller sections for easier removal. Once the tooth (or teeth) is removed, the extraction site is cleaned, and sutures may be placed to aid healing. The entire procedure usually takes between 30 minutes to an hour, depending on the individual case. Our team will continuously monitor your comfort throughout the surgery.

Post-Extraction Care for a Smooth Recovery

Following your wisdom teeth extraction, it’s crucial to follow the post-operative instructions provided by Beach Grove Dental to promote healing and prevent complications. Some bleeding is normal in the first 24 hours; apply firm pressure by biting on a gauze pad for the recommended time. Avoid spitting or using straws, as these actions can dislodge the blood clot that forms in the extraction site, potentially leading to a painful condition called dry socket. Stick to a soft diet for the first few days and avoid hot or hard foods. Gentle rinsing with warm salt water is usually recommended after the first 24 hours to keep the area clean. Avoid smoking and alcohol consumption for at least 24 hours post-surgery, as they can impede healing. Some swelling and mild discomfort are expected; you can manage these with ice packs and over-the-counter or prescription pain medication as directed. 

Contact Beach Grove Dental if you experience increasing pain, excessive bleeding, swelling that worsens after three days, or fever. Proper aftercare is vital for a comfortable and speedy recovery.

Maintaining Your Oral Health After Wisdom Teeth Extraction

While wisdom teeth removal can alleviate existing problems, maintaining good oral hygiene remains crucial for your overall dental health. Continue to brush twice daily with fluoride toothpaste and floss daily to remove plaque and food particles from all surfaces of your remaining teeth. 

Even after the extraction sites have fully healed, it’s important to maintain regular dental check-ups and cleanings at Beach Grove Dental. These regular visits allow Dr. Beeram and our dental hygienist to monitor your oral health, detect any potential issues early, and provide professional cleaning to remove tartar buildup that brushing and flossing alone cannot address.

By maintaining consistent oral hygiene practices and attending regular dental appointments, you can ensure a healthy and happy smile for years to come. If you have any concerns about your healing process or your ongoing oral health after wisdom teeth removal, don’t hesitate to contact Beach Grove Dental for guidance and support.

Why Choose Dr. Beeram at Beach Grove Dental for Your Wisdom Teeth Needs?

Choosing the right dental professional for your wisdom teeth extraction is essential for a positive experience and optimal outcome. Dr. Beeram at Beach Grove Dental in Tsawwassen is a highly skilled and experienced general dentist committed to providing gentle, compassionate care. He has garnered a reputation for putting patients at ease and addressing dental anxieties effectively. 

Our clinic utilizes up-to-date dental techniques and technology, including thorough diagnostic imaging, to ensure accurate assessment and precise treatment. We offer oral sedation dentistry as an option for patients who experience fear or anxiety about dental procedures, ensuring a more relaxed and comfortable experience. 

Dr Beeram and his assistant working on the teeth of a male patient at Beach Grove Dental in Tsawwassen

Beach Grove Dental is conveniently located in Tsawwassen, serving patients from Ladner, Boundary Bay, Point Roberts, and other South Delta communities. Our dedicated team provides comprehensive support from the initial consultation through post-operative care, ensuring a smooth and successful experience. We prioritize personalized care, tailoring treatment plans to meet your individual needs and goals.

Ready to address your wisdom teeth concerns? Contact Dr. Beeram at Beach Grove Dental in Tsawwassen today for a comprehensive consultation! Call us at (604) 330 – 1163 or visit our office at 5686 12 Ave, Delta, BC V4L 1C4. We are here to help you maintain a healthy and comfortable smile!

Frequently Asked Questions About Wisdom Teeth

Q1. Do all wisdom teeth need to be removed?

Not necessarily. If wisdom teeth erupt fully, are properly aligned, and can be cleaned effectively, they may not need to be removed. However, this is often not the case.

Q2. Is wisdom teeth removal painful?

During the procedure, you will be under local anesthesia (and potentially sedation), so you should feel minimal pain. Some discomfort, swelling, and bruising are common after the surgery, but these can be managed with medication and ice packs.

Q3. How long does it take to recover from wisdom teeth removal?

Most people experience significant improvement within a few days, and complete healing usually takes a few weeks. The exact timeline depends on the complexity of the extraction.

Q4. What are the risks of not removing problematic wisdom teeth?

Ignoring problematic wisdom teeth can lead to pain, infection, damage to adjacent teeth, gum disease, cysts, and potential complications with orthodontic treatment.

Q5. When is the best time to have wisdom teeth removed?

It’s often recommended to remove problematic wisdom teeth in late adolescence or early adulthood, as the roots are not yet fully developed, and the bone is less dense, making the extraction easier and recovery faster.

Q6. How much does wisdom teeth removal cost?

The cost of wisdom teeth removal can vary depending on factors such as the number of teeth being removed, the complexity of the impaction, and the type of anesthesia used. Beach Grove Dental can provide you with a detailed estimate during your consultation.