When Should I Remove Both Wisdom Teeth Causing Me Pain?

Deciding whether to remove both wisdom teeth causing pain, especially when only one is problematic, is a common scenario for many dental patients. Your dentist might suggest removing both for several reasons. Understanding these reasons will help you make an informed decision.

Understanding the Problematic Wisdom Tooth

Typically, the lower wisdom teeth are more challenging to remove, taking up to a minute or two in the hands of an experienced dentist, such as one with 45 years of experience. This tooth extraction process can be straightforward and quick, whereas upper wisdom tooth removal might be somewhat more involved.

There are several reasons why your dentist might recommend removing the upper wisdom tooth as well, even if only the lower one is causing you pain:

Tooth Biomechanics and Bite Alignment

Tooth bite occurs in pairs. When one wisdom tooth is removed, the opposing tooth may migrate or undergo supra eruption, moving upwards to fill the gap. This movement can cause the upper wisdom tooth to press against the soft tissues behind the lower wisdom tooth, leading to trauma, ulcers, and discomfort.

Prevention of Future Problems

Doctors often advise removing opposing teeth to avoid future issues. If the upper wisdom tooth migrates and causes trauma to the soft tissues, removing it can prevent complications. Additionally, removing the upper tooth can prevent future tissue damage and ensure a more stable bite.

Other Reasons for Removal

Facilitating Healing of Opposing Socket: Removing the opposing tooth can ensure proper healing of the socket after extraction. If the upper wisdom tooth is causing irritation or discomfort, removing it can speed up the recovery process. Protecting Adjacent Teeth: In cases where the wisdom tooth is horizontal and touches the root of the adjacent tooth, removing it can prevent the healthy tooth from becoming compromised and potentially falling out. Avoiding Crowding: Removing the upper wisdom tooth can prevent potential crowding or misalignment of teeth, maintaining a more aesthetic and healthy smile. Preventing Infection: If the wisdom tooth is infected or decaying, it can cause infection in the surrounding area. Removing it can eliminate this risk. Future Harm: Your dentist may determine that the presence of an upper wisdom tooth could cause harm in the future, leading to unnecessary complications.

Should I Remove Both Teeth?

If either one of the wisdom teeth is more outwardly placed or decayed, removing them can prevent future issues. These teeth might cause cheek biting or pain, leading to discomfort. Always ask your dentist for detailed explanations regarding their recommended treatment plans. They can provide insights into why they suggest removing both or just one of the teeth.

Your dentist aims to provide the best care, but the ultimate decision is yours. Ensure you have all the necessary information before making any decisions. The best approach is usually to address the problematic tooth and monitor the other for any emerging issues.

Conclusion

Wisdom teeth are extraneous but do not always need removal unless they cause issues. If a single wisdom tooth is causing pain or other problems, it's often best to address that one first. Don't opt for removal solely based on your dentist's recommendation.

Thanks for your question. I hope this information helps you make an informed decision about your dental care.