Many patients often wonder when it is appropriate to go for wisdom tooth extraction. The information provided in this article will help patients decide the right time to have their wisdom teeth removed.
The timing of wisdom teeth extraction depends on three factors: the age of the patient, the position of the tooth and root formation. When it comes to the patient’s age, the younger the better. Younger patients handle the surgery well with minimal cases of complications. For root formation, the best time to remove the tooth is when only one-third of the root has formed. When there are over two-thirds of root formation, then the risk associated with wisdom teeth removal increases, especially damage to the inferior alveolar nerve.
One of the elements to consider with wisdom teeth is if they will erupt into a position that will allow easy removal. With root formation, the tooth comes to the surface. However, if there is not enough space on the jaw for the tooth to emerge, eruption will be impossible, regardless of root formation. Also, root formation can increase the risk of nerve injury and sinus complications. As the person ages, the roots become more solidified in the jawbone, making removal difficult.
In some cases, the patient may not have root formation but partly formed crowns. The wisdom teeth should be removed early if they are blocking the second molars. Thus, if the patient is to have an unrelated surgery that entails getting IV sedation, it is advisable to extract the partly formed crowns during the surgery to make access easy.
Wisdom teeth are highly variable in terms of eruption time and root formation compared to other teeth. There are cases where the dentist has removed wisdom teeth with preferred root formation (one-third or two-thirds of root formation) in patients as young as 11 years. Also, some patients are 25 and still have only two-thirds of the root formed. More often than not, the wisdom teeth are in the one-third or two-thirds root formation when the person is 16 years old.
Patients are advised to go for a panoramic x-ray scan at 15 years old and be prepared to have their wisdom teeth removed at 16. This is the most common age for wisdom teeth removal. Although patients should undergo the procedure before they reach 25, older patients can still undergo removal surgery. They will need to work with the oral surgeon to limit the risks of complications and prepare for a more extended period of recovery.
You may be tempted to postpone wisdom teeth extraction if no symptoms occur, and there is a chance that you may not have a problem, even if the teeth fail to erupt. Patients between ages 15 and 16 can have their teeth extracted, and dentists typically recommend that those in their mid-20s and above book an appointment with the oral surgeon to discuss their option.
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