Oral health is one of my favorite topics to research. I find it fascinating that nutrition plays such an important part in oral health (and conventional dentistry doesn’t mention this!). Wisdom tooth removal is an unfortunate necessity because of the poor diet we have eaten for the last couple of generations and the smaller mouths that result. Or is it? It turns out that wisdom tooth removal may not be as universally necessary as we think.
Wisdom teeth, also known as third molars, are the molars in the back of your mouth that erupt around the age of 18. With so many people getting wisdom teeth removed, many wonder why we have them to begin with. Anthropologists believe that the wisdom tooth’s role is in helping chew the rough foods our ancestors ate (raw vegetables, nuts, meat, etc). They aren’t as essential today with the ability to cook foods before eating (not to mention the large amounts of processed, soft foods in the modern diet), but they are still a living organ of the body.
If you had your wisdom teeth removed in your late teens or early twenties you may not have thought twice about it. Many dentists look at x-rays and recommend wisdom tooth extraction as a preventative treatment for most people. Here are the reasons that many dentists and oral surgeons recommend removal:
Additionally, wisdom teeth aren’t essential (we can live without them), so many dentists see no drawback to extraction on a routine basis. With general and local anesthesia available, the procedure seems fairly benign.
So you knew I was getting to this, right?
Any surgery, including wisdom tooth extraction, should be taken very seriously. General anesthesia, though used often without incident, is still not risk-free. Even local anesthetic has some risks.
Surgery should only be performed when the risks of not doing it are higher than the risk of doing it. Unnecessary medical procedures subject the body to unnecessary trauma.
Here are some of the risks associated with routine wisdom tooth extraction:
A cavitation is a hole in the jaw bone surrounded by dead or decaying tissue. It’s a breeding ground for bacteria, especially if the surgeon didn’t properly clean the socket or completely remove the periodontal ligament that attaches the tooth to the underlying bone. Cavitation can happen from other dental procedures but happens most often from extraction.
Cavitation isn’t a rare occurrence with wisdom tooth extraction. According to Amalgam.org, one study found that 88 percent of patients who had a wisdom tooth extracted ended up with cavitation.
When a cavitation forms, the risk of infection is much greater. Toxins, the byproducts of the metabolic process of the bacteria, enter the bloodstream and make their way to other parts of the body. Even mainstream medical and dental professionals are taking the connection between oral health and overall health very seriously. According to WebMD, poor oral health can lead to issues such as
Additionally, dry socket is another concern. Dry socket happens when the blood clot over the extraction site loosens and falls off early. Then bacteria can enter the site and cause pain and infection. A second surgery may be necessary to deal with dry socket.
Paresthesia (permanent numbness of the lips or tongue) is a very real concern with wisdom tooth extraction. The chances of paresthesia vary based on the positioning of the tooth. But the worst case scenario (a tooth in the worst position) the risk of paresthesia is 6.8 percent. Other teeth in less severe positions obviously cause a lower rate of paresthesia from anesthesia.
Paresthesia can range from mild (general numbness/tingling) to severe (shooting pain). The possibility of paresthesia is even more concerning when you consider that 95 percent of extracted teeth did not pose a problem in the first place, as Dr. Jay Friedman argues in a 2007 American Journal of Public Health article.
Now that we’ve talked about the risks of surgery, what are the risks of keeping your third molars? Here are some considerations to weigh:
Dr. Friedman (cited above) continues to say in the same medical journal article that there is no evidence that removal of wisdom teeth reduces pathology. Most wisdom teeth (impacted or not) do not become infected.
As mentioned earlier, our modern diets of low nutrient foods make crowding in the mouth a concern for many people. So, it seems to make sense not to allow more teeth to enter an already crowded space. But science doesn’t support this idea. Wisdom teeth do not cause other teeth to crowd according to a 1992 study in the Journal of the American Dental Association.
The author argues that by the time they grow in, wisdom teeth are simply not forceful enough to move a whole row of teeth that are already strongly rooted. So whether there is enough room for wisdom teeth shouldn’t play a big part in the decision to take them out.
Conventional wisdom says that the chances of complications from wisdom tooth extraction gets higher with age. This is true to a certain extent (complications are lower in 12 to 24-year-olds than 24 to 34-year-olds).
In other words, many people are being subjected to moderate risk of complications to avoid the high risk of complication in a few that need the surgery between ages 24 and 35. What is not being considered in this school of thought is that the risk of complication is zero for those who don’t have the surgery.
While unnecessary wisdom tooth extraction is not safe, there are times when removal is the best and safest option. Here are some of the reasons wisdom tooth extraction may become necessary:
The best way to know if you or your child are in need of wisdom tooth extraction is to discuss with a biological dentist, who will help you decide if extraction is necessary.
Dr. Weston A. Price, a dentist known for his work in studying the effects of nutrition on dental health, has a protocol for extraction that reduces the risk of complications and helps boost healing. A biological dentist should be knowledgeable in Dr. Price’s protocol (or may have his own similar protocol) but you can ask questions to make sure when at the interview.
To get the best outcome from oral surgery, Dr. Price recommends the following before the surgery:
After surgery, Dr. Price recommends patients do the following:
Your biological dentist/oral surgeon may have a different protocol than this one that may include ice packs, salt water rinses, and pain medications. But the important part is to take very close care of the surgical site to reduce complications.
If you or your child have been told you need wisdom teeth removal it may be worthwhile to get a second opinion. A biological dentist or oral surgeon can help you navigate the risks and benefits of your specific situation.
Did you have your wisdom teeth out? What was your experience?