I have a huge dilemma. I found out I have 3 impacted wisdom teeth. 1 upper jaw and 2 lower jaw and I am 30 years old. They are all asymptomatic and not giving me any issues. Dentist said not to worry about removing because one is sitting on top of the nerve in lower jaw and removing might cause nerve damage. I need a 2nd opinion because I have heard wisdom teeth should be removed even if they are asymptomatic.
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HELP - Dilemma should i remove lower impacted wisdom teeth
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Featured Answer
4 UpVoted this answer
Have the dentist refer you to an oral surgeon to answer your questions. Oral surgeons are best qualified to consult with you and to remove the wisdom teeth if necessary. Some wisdom teeth are best left alone and some should be removed even if not symptomatic because the problems they could cause are worse than the removals. There is no set rule about all wisdom teeth.
3 UpVoted this answer
"Asymptomatic" does not mean not pathologic. That said, at age 30, with chance of nerve damage, it may be prudent to do no treatment. If the impacted wisdom teeth show signs of being cystic, if they are causing damage to the roots of the 12 year molars, if there is communication of bacteria from the oral cavity into the bone/gum tissues, all of which may be asymptomatic, removal should be considered. Please seek consultation with a wisdom tooth specialist, an Oral and Maxillofacial Surgeon.. It's the Oral Surgeon that has the training and experience to best weigh the risk:benefit ratio as it pertains to your individual circumstance.
1 UpVoted this answer
Not every wisdom tooth/teeth needs or should be removed. If yours are asymptomatic and present no future risk for problems, they most likely don't need to be removed. At your age, I'm sure your dentist has discussed with you the risks and benefits of removing the wisdom teeth vs just leaving them alone. Sometimes it's better to leave "sleeping dogs" lie.
1 UpVoted this answer
THE key word is asymptomatic. At 30 years of age I would not worry about any issues since the are impacted. Just make sure you continue regular check ups to keep up with any changes. You may even want to get a ct scan to know exactly where the teeth are in relation to your mandibular nerve.
1 UpVoted this answer
I would get another opinion where another dentist/oral surgeon can view the position of the wisdom teeth in relation to the nerve in the lower arch. If your first opinion said it was close to the nerve, would hesitate to have them removed unless you are ok with permanent numbness. Best bet is to have a 3D scan to show you the position of the roots and the nerve.
1 UpVoted this answer
If you are 30 with no symptoms with a chance for nerve damage, I would keep a watch, but not get them out unless there is a very specific reason. Not all wisdom teeth need to be removed,and if the situation arises down the road, you will heal then as well as you would heal today. Good Luck.
1 UpVoted this answer
At your age it is likely that your wisdom teeth will not be a concern. However they should be monitored from time to time with an x-ray. If there is communication between the oral cavity and the wisdom teeth (usually behind the 2nd molar) then it is possible for decay to develop and they should be removed. It is also possible for a cyst to develop around the impacted tooth. Cysts can displace teeth, damage roots and erode jaw bone internally. If so, they should be removed. Remember that it is easier to extract and healing is better with a healthy, non- infected tooth.
1 UpVoted this answer
I am an orthodontist, however come from a family of surgeons. It is not mandatory that all wisdom teeth be removed. Teeth without surrounding pathology which are asymptomatic and no sign of impingement of adjacent teeth can be observed. If completely impacted you typically have little decay risk. I would seek a second opinion so you can make an informed decision you are comfortable with. There doesn't appear to be any immediacy.