Understanding Wisdom Teeth and Orthodontic Treatment

Clearing Up Common Misconceptions

When it comes to orthodontic treatment, many people harbor misconceptions about the role and impact of wisdom teeth. If you or a loved one are considering braces or Invisalign in Austin, it’s essential to have a clear understanding of how wisdom teeth fit into the bigger picture. While these misconceptions may cause unnecessary concern, gaining clarity on the facts can help you make informed decisions about your orthodontic care. In this article, we will debunk several myths, provide insights into what wisdom teeth really are, and explain how they affect orthodontic treatment. If you have any questions or would like to discuss your options, feel free to reach out to us at Rise + Smile Orthodontics in Austin for a free consultation.

What Are Wisdom Teeth?

Wisdom teeth, or third molars, are the last set of molars located at the very back of your mouth. They typically emerge between the ages of 17 and 25 if there is enough space, but they start developing in the mouth in children as young as 7 years old. While these teeth were once necessary for our ancestors to grind down tough plant matter, they are often considered vestigial in modern humans due to dietary changes and evolutionary changes in jaw size. Understanding their development can provide insight into why they may or may not need to be extracted, and how they fit into orthodontic planning.

Debunking Common Myths About Wisdom Teeth and Orthodontic Treatment

Myth 1: Wisdom Teeth Need to Be Fully Developed Before Starting Orthodontic Treatment

    One common misconception is that wisdom teeth must be fully erupted or developed before beginning orthodontic treatment. This is not the case. Many orthodontic treatments, including braces and clear aligners, can be initiated without waiting for wisdom teeth to fully emerge. A board-certified orthodontist will assess the overall dental and skeletal development before determining the appropriate time to start treatment. They will use diagnostic tools such as X-rays to evaluate the position and development of the teeth and jaw, ensuring that the timing of orthodontic intervention is optimal.

    In many cases, wisdom teeth are still in the developmental stages when orthodontic work begins. The focus of orthodontic treatment is on aligning the existing teeth and correcting bite issues, regardless of the status of the wisdom teeth.

    Myth 2: Wisdom Teeth Will Push Teeth Out of Alignment After Orthodontic Treatment

    Another widespread myth is that wisdom teeth will inevitably push the other teeth out of alignment after orthodontic treatment. In reality, while wisdom teeth can exert pressure on adjacent teeth, this pressure is usually not enough to significantly affect the results of orthodontic work. The most common reason for post-treatment shifting is natural changes that occur as we age. Factors such as bone density changes and the gradual eruption of other teeth can contribute to this shifting, which is a normal part of aging.

    Teeth naturally shift over time due to various factors, including changes in bone density and the ongoing eruption of the remaining teeth. This natural shifting is a normal part of the aging process and can be managed with retainer use as part of a comprehensive orthodontic plan.

    Myth 3: Wisdom Teeth Extraction Will Disrupt Orthodontic Treatment

      A frequently asked question is whether extracting wisdom teeth during orthodontic treatment will interrupt the process. The good news is that, generally speaking, wisdom teeth can be extracted without affecting ongoing orthodontic treatment. Orthodontists are skilled at coordinating with oral surgeons and monitoring the development of wisdom teeth to ensure that any necessary extractions are performed at the optimal time, minimizing any potential impact on your orthodontic progress. This collaborative approach ensures that your orthodontic treatment can continue smoothly while addressing any issues related to wisdom teeth.

      Monitoring and Managing Wisdom Teeth

      Board-certified orthodontists are trained to monitor the development of wisdom teeth and assess their potential impact on orthodontic treatment. If there are concerns about the positioning or health of the wisdom teeth, the orthodontist will refer you to an oral surgeon for further evaluation and treatment. This collaborative approach ensures that any potential issues are addressed promptly, maintaining the effectiveness of your orthodontic care.

      The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7.  While wisdom teeth may not even be developing at this age, this early evaluation helps identify other potential issues with the alignment of teeth and jaw growth.  Early visits can set the stage for timely interventions and a clear treatment plan.

      When choosing an orthodontist, consider the following :

      • Experience and Credentials: Look for an orthodontist with a proven track record and relevant certifications such as board-certification.
      • Treatment Options: Ensure the orthodontist offers a range of treatment options that align with your needs and preferences.
      • Patient Reviews: Read reviews from previous patients to gauge the quality of care and patient satisfaction.

      Why Extract Wisdom Teeth Early?

      Dental professionals often recommend removing wisdom teeth during the mid to late teen years for several reasons:

      • Reduced Risk of Complications: Younger patients generally have fewer complications and faster recovery times. The roots of wisdom teeth are not fully developed in younger individuals, making extraction easier and less traumatic.
      • Eliminate Potential Future Problems: When left on their own, wisdom teeth can be associated with significant issues such as dental infections, decay, or damage to adjacent teeth.  While wisdom teeth do not always cause problems, when issues do arise, they are often severe and painful. Removing them early can help prevent these complications.
      • Avoiding Impaction: Wisdom teeth that do not have enough room to emerge properly can become impacted, leading to pain and potential damage to neighboring teeth. Removing them early reduces this risk.

      Understanding Wisdom Teeth and Orthodontic Treatment
      Dentist pulling tooth with forceps out of jaw model. Wisdom teeth extraction or poor oral hygiene, injury consequences. Dental surgeon in lab coat and gloves sitting at table. High quality photo

      Wisdom teeth should not significantly alter the approach to orthodontic treatment. While they play a role in overall dental health, their presence or absence generally does not dictate the timing or effectiveness of orthodontic care. If you are considering orthodontic treatment in Austin or have concerns about your wisdom teeth, consulting with a board-certified orthodontist is the best course of action.

      At Rise + Smile Orthodontics in Austin, Texas, we are committed to providing comprehensive care and personalized treatment plans. If you have questions about orthodontics or wisdom teeth, or if you’re interested in starting your orthodontic journey, please reach out to us for a free consultation. We look forward to helping you achieve a beautiful, healthy smile.