Wisdom Teeth

A Dentist’s Guide to When They Cause Problems

As a dentist, wisdom teeth are one of the most common reasons patients come in with pain, swelling, or sudden jaw discomfort. Many people assume wisdom teeth only need attention when they hurt—but from a dental perspective, problems often begin much earlier than pain.

At Amelia Street Dental, we assess wisdom teeth not just based on symptoms, but on their position, impact on surrounding teeth, and long-term oral health risks.

What Are Wisdom Teeth?

Wisdom teeth, also known as third molars, are the last teeth to erupt, usually between the ... ages of 17 and 25. Most people have four wisdom teeth, two on the top and two on the bottom, though some may have fewer or none at all.

Due to limited jaw space in modern humans, wisdom teeth often do not erupt fully or correctly.

Why Do Wisdom Teeth Cause Problems?

From a clinical point of view, wisdom teeth can cause issues when they are:...

Impacted (trapped under the gum or bone)
Partially erupted, creating a pocket for food and bacteria
Erupting at an angle, pressing against neighbouring teeth
Difficult to clean, increasing the risk of decay and gum infection

These conditions can lead to pain, swelling, infection, jaw stiffness, and damage to adjacent teeth, even if the wisdom tooth itself doesn’t hurt initially.

Common Symptoms of Problematic Wisdom Teeth

You should seek a dental evaluation if you notice: ...

• Pain or pressure at the back of the jaw
• Swelling of gums or face
• Difficulty opening the mouth
• Bad breath or unpleasant taste
• Recurrent gum infections around the wisdom tooth
• Headache or ear pain linked to jaw discomfort

Importantly, lack of pain does not always mean absence of disease.

Do All Wisdom Teeth Need to Be Removed?

No. From a dentist’s perspective, not all wisdom teeth require removal.... Wisdom teeth may be retained if they are:

• Fully erupted
• Properly aligned
• Easy to clean
• Not affecting adjacent teeth or gums

However, removal is commonly advised when wisdom teeth pose a risk of infection, damage, or long-term complications.

When Is Wisdom Tooth Removal Recommended?

Removal may be recommended if the wisdom tooth is: ...

• Impacted or partially erupted
• Causing repeated infections (pericoronitis)
• Leading to decay in nearby teeth
• Associated with cysts or bone damage
• Causing crowding or bite problems

Early assessment allows for simpler procedures and faster recovery.

What to Expect During Wisdom Tooth Removal

Clinical Assessment ...
Your dentist will evaluate your teeth using clinical examination and dental X-rays to determine position, root structure, and proximity to nerves.

The Procedure
• Performed under local anaesthesia (or sedation if required)
• Duration varies depending on complexity
• Carefully planned to minimise trauma

Recovery
• Mild swelling and discomfort are normal
• Most patients return to routine activities within a few days
• Post-operative instructions are provided to support healing

Is Wisdom Tooth Removal Safe?

Yes, when performed by trained dental professionals. Like all procedures, it carries some risks,... but careful planning significantly reduces complications. At Amelia Street Dental, wisdom tooth extractions are performed with attention to patient comfort, safety, and healing.

When Should You See a Dentist About Wisdom Teeth?

From a preventative standpoint, wisdom teeth should be assessed: ...

• In late teenage years or early adulthood
• Even if there are no symptoms
• Before complications arise

Early evaluation helps avoid emergencies and complex surgical extractions later.

Book a Wisdom Tooth Assessment at Amelia Street Dental

If you’re experiencing discomfort, or even if you’re not, an assessment can help determine whether your wisdom teeth require monitoring or removal.

We assess and treat wisdom teeth at Amelia Street Dental, with a focus on clinical judgement and patient wellbeing.

👉 You can always book an appointment with us to evaluate your wisdom teeth and plan the right course of care.

To schedule your consult now