Experts say teeth should be removed when they cause health problems. But they debate whether it’s good medicine to extract them preemptively when such issues don’t exist.
Unfortunately, things didn’t go as planned. Leavey developed a post-surgical infection, which was treated, but that cost her additional time off from school. Even so, her mother was glad she had it done.Many parents opt to have their teenagers’ wisdom teeth removed, frequently before they go off to college, and often even before the teeth start to cause trouble — and while the child is still covered by parental health insurance.
“The oral surgeon needs to survey the territory and make an educated decision based on a clinical exam and X-rays,” says Dena Fischer, director of the Center for Clinical Research at the National Institute of Dental and Craniofacial Research. “There may be dentists who make their decisions differently, but hopefully most are making them based on the clinical clues.”
Wisdom teeth, also known as third molars, are the four teeth that come in last — usually in a child’s late teens — and are farthest back in the mouth, one each in the upper and lower jaw behind the second molars.
“Think of a tree,” says Louis Rafetto, a spokesman for the American Dental Association. “It’s better to remove or uproot the tree before the roots are fully formed. Roots grow into things — nerves, the sinuses. You want to take the teeth out before the roots reach full maturity,” usually by the mid-20s.
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