Should Wisdom Teeth be Removed Before Braces? Debunking the Myths

The removal of wisdom teeth before undergoing orthodontic treatment for braces is a topic that often generates confusion and debate among patients and dentists alike. Many orthodontists and dentists recommend removing wisdom teeth for various reasons, including orthodontic necessity and the difficulty in maintaining oral hygiene. However, many experts argue that such actions are unnecessary in most cases.

Orthodontic Necessity

One primary reason given for the removal of wisdom teeth before braces is to create more space in the dental arches, particularly when it involves the need to distalize or pull back the dental arches or second molars. This scenario, however, justifies the removal of only the upper two or the bottom two wisdom teeth, not all four.

It is important to understand that there are no other valid orthodontic reasons to remove wisdom teeth solely to prevent tooth damage to the second molars or to preemptively address potential crowding issues. Modern dental recommendations discourage such removals, with “risk of damage to the second molar” and “prevention of crowding” no longer justifiable solely on orthodontic grounds.

Challenging Common Myths

Several common myths surrounding wisdom teeth and orthodontic treatment have been consistently debunked over time. For instance, the idea that wisdom teeth contribute to overcrowding is a long-debunked urban legend. Scientific research and studies have shown that wisdom teeth, whether impacted or not, do not significantly impact the alignment of other teeth.

Elite oral health care providers emphasize that wisdom teeth, when healthy and properly positioned, can be beneficial rather than detrimental. A study has even shown that wisdom teeth can protect against head injuries by preventing concussions. This demonstrates the value that healthy wisdom teeth can bring to an individual's overall oral health.

Practical Considerations

While orthodontic treatment is not directly related to the management of wisdom teeth, practical challenges do exist. Orthodontists often find it difficult to place brackets on wisdom teeth due to their location and accessibility. This difficulty can make the treatment process more complicated and less effective.

Additionally, dentists frequently recommend the removal of wisdom teeth because they are difficult to clean, which can lead to cavities and other oral health issues. These teeth are often neglected due to their location and the challenges they bring to routine dental care.

Real-World Experiences

Personal experiences often provide valuable insights into whether early wisdom tooth removal is necessary. For instance, the author of this article underwent orthodontic treatment during their teenage years but did not experience any complications with their wisdom teeth until their early 30s. In these cases, wisdom teeth were only removed when they began causing problems, reinforcing the idea that removal is not always an emergency.

In summary, the question of whether wisdom teeth should be removed before braces should be carefully considered. While some scenarios may necessitate removal, many orthodontists agree that wisdom teeth can remain in the mouth, especially if they are healthy and well-positioned. Regular dental check-ups can help monitor their health and ensure any potential issues are addressed in a timely and effective manner.

Key Takeaways:

The removal of wisdom teeth before braces is not always necessary and may not be justified on orthodontic grounds alone. Wisdom teeth, when healthy and well-placed, do not significantly impact the alignment of other teeth. Practical considerations like difficulty in cleaning and placement during orthodontic treatment are important factors to consider. Regular dental check-ups and monitoring can help manage wisdom teeth effectively.

Always consult with a skilled orthodontist and dentist to determine the best course of action for your specific dental needs.