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Wisdom Teeth: What You Need to Know

Wisdom teeth (also called third molars) are the last teeth to develop, usually appearing between the ages of 15- 25. While some people have no issues with them, many experience problems because there often isn't enough space in the mouth for these teeth to fully erupt and function properly.


Wisdom teeth sit at the very back of your mouth - two on the top and two on the bottom. In an ideal situation, they grow in straight, align with your other teeth, and are easy to clean. However, this doesn't always happen.

1. Impaction

A wisdom tooth is impacted when it cannot fully erupt into the mouth. It may:

    • Grow sideways (horizontal impaction)
    • Partially erupt through the gum
    • Remain completely buried in bone.

Impacted teeth can trap food and bacteria, increasing the risk of infection


2. Crowding

Wisdom teeth can push up against neighbouring teeth, potentially contributing to crowding or discomfort.


3. Tooth Decay & Gum Disease

Because wisdom teeth are hard to reach, wisdom teeth are more prone to cavities and gum inflammation.

Pericoronitis is a common condition associated with a partially erupted wisdom tooth. It occurs when the gum tissue around the tooth becomes inflamed or infected, often due to bacteria and food getting trapped uner a flap of gum (called an operculum).


Signs and symptoms:

  • Pain or tenderness at back of your mouth
  • Swollen, red gums around the wisdom tooth
  • Difficulty opening your mouth (trismus)
  • Bad taste or bad breath
  • Pus or discharge in more severe cases
  • Swelling in cheek or jaw.


If the infection spreads, you may also feel unwell or develop sweeling under the jaw - this requires urgent attention.

Mild Cases

  • Gentle cleaning around the area
  • Warm saltwater rinses
  • Improved oral hygiene


Moderate Cases

  • Professional cleaning by your dentist
  • Antibacterial mouth rinses
  • Pain relief
  • Removal of operculum


Severe Cases

  • Antibiotics (if infection is spreading)
  • Drainage of any abscesses
  • Possible removal of wisdom tooth

Not always.


Your dentist will assess:

  • Position of the tooth
  • Risk of future problems
  • Your symptoms and oral hygiene


Removal is often recommended if:

  • Recurrent pericoronitis occurs
  • The tooth is impacted and problematic
  • There is decay or risk of damage to the adjacent tooth

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