Wisdom Teeth Third molars ("wisdom teeth") are the last permanent teeth to develop and are often unable to completely erupt ("impacted") into the oral cavity. Those that do partially or fully erupt are often nonfunctional and difficult to clean which can lead to a multitude of problems including the following: Painful and Swollen Gums - "pericoronitis" is an uncomfortable condition that can occur as the wisdom tooth attempts to enter the oral cavity. "Acute pericoronitis is the most common clinical problem affecting third molars and must be included in the clinical differential diagnosis of sharp or throbbing pain, redness, and swelling."1 The symptoms may progress to facial swelling, enlarged lymph nodes, difficulty opening the mouth, and fever. Cysts - can develop around an impacted tooth causing damage to the bone and adjacent teeth (see photo below). Hygiene Problems - can result in decay and loss of supporting bone (see photo below). Root Resorption - of the tooth next to the impacted third molar is seen occasionally. This usually results in the loss of both teeth. The majority of wisdom teeth are removed as a result of the above symptoms. Not all wisdom teeth require removal. Dr. Rodgers will evaluate your wisdom teeth and then discuss your options as well as the risks, benefits, and expectations of those options. You may then make an informed decision on your oral surgery care. 1Alling, C. III, Helfrick, J., & Alling, R. (1993). Impacted Teeth. Philadelphia: WB Saunders Co., pg 2.