Should I Have My Wisdom Teeth Taken Out?

Wisdom teeth, or third molars, are often a topic of concern for many people, especially during their late teens and early twenties. The decision to have them removed can be daunting, and understanding the reasons behind this common dental procedure is essential. In this blog post, we will explore the historical context, the potential issues associated with wisdom teeth, and the importance of patient autonomy in making this decision.

A Brief History of Wisdom Teeth

Interestingly, our ancestors had larger jaws and bigger faces, which allowed for the proper emergence of wisdom teeth. Over the last 150 years, changes in diet and lifestyle have led to smaller jaw sizes, resulting in a higher incidence of impacted third molars. Archaeological findings show that bodies from 150 to 200 years ago rarely exhibited issues with impacted wisdom teeth, highlighting how our modern lifestyle has influenced dental health.

When Do Problems Arise?

Problems with wisdom teeth typically manifest either in younger individuals or later in life. For many, there is a significant gap of three to four decades where wisdom teeth may not cause any issues. However, if complications arise in older age, they can lead to severe problems, including conditions like amiloblastomas, which are cancerous and destructive. Although the percentage of individuals facing such severe complications is relatively small, the potential consequences make it a serious consideration.

The Prophylactic Approach

Due to the potential risks associated with wisdom teeth, many dentists advocate for their removal, especially if they are not coming in correctly. This approach is often seen as a prophylactic treatment, aimed at preventing future complications. For instance, if a young patient, around 16 to 18 years old, presents with pain in the lower jaw, the recommendation is usually to remove the wisdom teeth to alleviate discomfort and prevent further issues.

Patient Autonomy in Decision-Making

However, not all cases are straightforward. If a patient comes in with impacted wisdom teeth but is not experiencing any pain, the decision becomes more nuanced. In such situations, it is crucial to respect patient autonomy. Dentists should provide patients with statistics and probabilities regarding potential risks, allowing them to make an informed decision about their treatment. This philosophy emphasizes the importance of patient involvement in their own healthcare decisions.

Conclusion

The decision to have wisdom teeth removed is not one-size-fits-all. While there are valid reasons for extraction, particularly in younger patients experiencing pain, it is essential to consider each individual's circumstances. By understanding the historical context, potential complications, and the importance of patient autonomy, individuals can make informed choices about their dental health. If you're facing this decision, consult with your dentist to discuss your options and determine the best course of action for your unique situation.