I have three wisdom teeth remaining, and I’m ready to get clear braces. I’m 31 years old and prefer to start orthodontic treatment. The wisdom teeth are sore sometimes, but I don’t have any major problems with them. My dentist referred me to an oral surgeon who recommends removing the wisdom teeth before I get braces. The oral surgeon said all three teeth are impacted, and it’s best to remove them now. I prefer to late because the pain isn’t consistent, and I don’t want oral surgery. This oral surgeon has a busy schedule, and there is a two-month wait before he can do the extractions. What happens if I proceed with braces and take care of the wisdom teeth later? – Thanks. Jessie from Omaha
Your dentist and oral surgeon are concerned about your oral health and the success of your orthodontic treatment.
Reasons to Extract Impacted Wisdom Teeth Before Orthodontics
Several factors contribute to the recommendation to extract your impacted wisdom teeth before you start orthodontic treatment.
- Your age – As you age, impacted wisdom teeth are more difficult to remove, and the risk of complications increases. As you age, your jawbone gets harder and stiffer, and tooth roots thicken.
- Risk of infection – Impacted wisdom teeth can get infected and require emergency removal. Your dentist will have to remove your braces before the extractions—unless you have Invisalign. In either case, your orthodontic treatment will be interrupted during the healing period.
- Movement of other teeth – Impacted wisdom teeth can affect the movement of other teeth in the vicinity. They are often behind or beneath second molars and make it more difficult to align those teeth. In addition to wearing a retainer each night, removing the wisdom teeth prevents them from causing your teeth to shift back to their original position.
- Damage to other teeth – Wisdom teeth can push against second molars and damage the roots or bone around them.
- Oral hygiene challenges – Impacted teeth are difficult to keep clean. Bacteria can collect around the teeth and gums and cause decay or gum disease. An oral surgeon will eventually need to remove the teeth.
It’s more disappointing to need to interrupt Invisalign treatment or braces to extract impacted wisdom teeth. Take your dentist’s and oral surgeon’s advice and avoid future regrets.
This post is sponsored by Dr. Rekha Reddy, an Invisalign Platinum provider in Dallas, TX.