A frequent question that I get a lot is when is the best time for removal of third molars? First of all it needs to be assessed if the third molars indeed need to be removed.

The main reasons for removal of wisdom teeth is:

• Lack of space for proper eruption and function
• Decay
• Infection
• Damage to adjacent teeth
• Cyst and tumor association

Most people will not accommodate 32 teeth in their mouth. This will not stop the wisdom teeth or the third molars from trying to come into the mouth.

When there is limited space for these teeth, they will get stuck underneath the bone and gums. This will put the tooth in a position that is difficult to properly maintain and clean.

If the crown of the tooth is not completely out of the gums, the tooth is labeled as impacted. This can vary in degree and angulation from partially impacted to completely submerged in bone.

Back to the original question. When is the best time to take out third molars?

Usually when the root of the tooth is developed about 1/3 to ½ of it length. This will avoid the roots getting close to vital structures such as lower jaw nerve and sinus cavity.

This varies from individual to individual and also is generally different between sexes. Girls mature faster than boys. A good age to be evaluated is around 15 for girls and 16 for boys.

Every patient  should be examined by an experienced oral surgeon. At the time, x-rays will also be needed to evaluate the position and the development of the third molars. At that time the oral surgeon can determine if the third molars need to be removed and when is the optimal time for that.

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Tags: Angulation, Best Time, Cyst, Decay, Frequent Question, Girls Boys, Good Time, Gums, Lower Jaw, Nerve, Optimal Time, Oral Surgeon, Removal Of Wisdom Teeth, Roots, Sexes, Sinus Cavity, Third Molars, Tumor, Vital Structures, X Rays