Services: Oral Surgery: Wisdom Tooth Extraction

The Wisdom Tooth

Wisdom teeth are third molars. Normally people have three permanent molars that develop in each quadrant of the mouth. The third molars usually will try to grow in at around age 18 to 20 years.

Wisdom teeth are actually no different than any other tooth except that they are the last teeth to erupt. They are just as useful as any other tooth if they grow in properly, have a proper bite relationship, and have healthy gum tissue around them. Unfortunately, this does not always happen.

When wisdom teeth are prevented from erupting into the mouth properly, they are referred to as impacted. A dentist must examine a patient's mouth and corresponding x-rays to determine if the teeth are impacted or will not grow in properly. Impacted teeth may cause problems. Impacted teeth can result in infection, decay of adjacent teeth, gum disease or formation of a cyst or tumor from the follicle, which is the tissue which formed the crown of the tooth. Many dentists recommend removal of impacted wisdom teeth to prevent potential problems.

Erupted wisdom teeth may also need to be removed. The dentist may recommend this if the tooth is non-functional, interfering with the bite, badly decayed, involved with or at risk for periodontal disease, or interfering with restoration of an adjacent tooth. Once again, every case is different and only your dentist can determine if there is a reason for you to have a tooth removed.

Bangkok Oral Surgery, Wisdom Tooth Extraction

When the Wisdom Tooth should be removed


  • pain
  • infection in the mouth
  • facial swelling
  • swelling of the gumline in the back of the mouth

Many oral health specialists will recommend removal of the wisdom teeth, (when the roots are approximately formed, or three-fourths developed, usually in the adolescent years),as early removal will help to eliminate problems, such as an impacted tooth that destroys the second molar. Third molar impaction is the most prevalent medical developmental disorder.

Problems often Associated with Impacted Third Molars

Here are several common problems that occurs when the impacted wisdom teeth are not removed:

  • bacteria and plaque build-up
  • cysts development (a fluid- filled sac)
  • tumor development
  • infection
  • jaw and gum disease

Wisdom Tooth Extraction Procedure

Wisdom tooth extraction involves accessing the tooth through the soft and hard tissue, gently detaching the connective tissue between the tooth and the bone and removing the tooth.