When Wisdom Teeth Cause Problems

Wisdom teeth are considered remnants of evolution and often cause issues for many people. Nicola Blidschun, dental expert at ERGO Health Insurance, explains when surgery is necessary, the associated risks, and what is important after the procedure.

When There’s No Room in the Jaw

Wisdom teeth typically emerge between the ages of 17 and 25 and are among the last teeth to develop. However, there is often insufficient space in the jaw. As a result, they may grow in crooked or may not fully break through the jawbone. “These so-called retained or partially retained teeth can lead to inflammation, pain, and swelling,” explains Nicola Blidschun, dental expert at ERGO Health Insurance.

When a Procedure is Justified

Not every wisdom tooth requires immediate action; a radiograph usually provides clarity. “If the tooth is growing straight and remains unobtrusive, it can often be left in the mouth without issue,” explains the ERGO dental expert. However, the situation changes if recurrent inflammation of the gums occurs in the back of the jaw, or if there is pain. “In these cases, surgical intervention is advisable for those affected,” recommends Blidschun.

Consultation Aids Decision-Making

Those unsure whether a procedure is necessary should seek the opinion of a dentist or oral surgeon. A second opinion can help weigh the pros and cons, including potential long-term consequences. “Not every wisdom tooth needs to be removed. However, if complications are imminent, a prompt decision is sensible,” states the dental expert. Particularly in young individuals, removal often proceeds smoothly as the tooth roots are not yet fully developed.

Typical Complaints and Healing Process

The procedure can be uncomfortable: in addition to typical complaints such as swelling or pain, there may also be issues with wound healing, infections, or nerve irritation. Those opting for surgery should actively support the healing process. “Rest, a soft diet, and regular icing can help alleviate discomfort. It is also important to avoid physical exertion, alcohol, and nicotine,” advises the ERGO expert. Furthermore, hygiene is paramount in the days following the operation. “It’s best to leave the wound undisturbed, as direct brushing can interfere with the healing process. Regular follow-up appointments also help detect complications early. If all goes according to plan, the wound should be well healed after about two weeks.