Do Wisdom Teeth Always Need Removal?

Wisdom teeth, also known as third molars, are the last set of teeth to emerge—usually between the ages of 17 and 25. For many people, the first thought that comes to mind is “Do they all need to be taken out?”

The truth is: not every wisdom tooth requires removal. Whether you need surgery depends on how the teeth grow, their position, and whether they cause problems.

When Wisdom Teeth Can Stay

If your wisdom teeth grow in properly, they may not cause any issues at all. They can usually stay if:

• They erupt fully and are straight.

• They don’t trap food or plaque.

• They aren’t causing pain or crowding.

• They’re easy to brush and floss like your other teeth.

In these cases, your dentist will simply monitor them with regular check-ups and X-rays to ensure they remain healthy.

When Removal is Recommended

Unfortunately, wisdom teeth are often more troublesome than helpful. Removal may be advised if they are:

• Impacted – trapped under the gum or bone.

• Partially erupted – making it hard to clean, leading to decay or gum infections.

• Causing pain or swelling – often from pressure or infection.

• Crowding other teeth – especially if you’ve had braces before.

• Developing cavities – when they are difficult to restore.

Left untreated, problematic wisdom teeth can lead to repeated infections, damage to nearby teeth, or cysts.

The Bottom Line

Not all wisdom teeth need to be removed. Some people keep them for life without problems, while others benefit from early removal to avoid future complications. The best way to know is through a professional dental examination and X-ray.

At Chew Dental, we take a conservative approach: we only recommend wisdom tooth removal if it’s truly necessary. During your visit, we’ll assess your teeth carefully, explain your options, and make sure you’re comfortable every step of the way.