At Orthodontic Gallery, we often encounter questions about the relationship between wisdom teeth and orthodontics (teeth straightening treatments). A prevalent concern is whether emerging wisdom teeth can undo the alignment achieved through braces or other orthodontic interventions. Let’s explore this topic to provide clarity.
Understanding Wisdom Teeth
Wisdom teeth, or third molars, typically emerge between the ages of 17 and 25. They are the last set of molars to develop and are located at the back of the mouth. Due to evolutionary changes and dietary habits, many individuals find that their jaws do not have sufficient space to accommodate these additional teeth comfortably.
The Myth: Wisdom Teeth Cause Crowding
A common belief is that the eruption of wisdom teeth exerts pressure on existing teeth, leading to crowding or shifting, especially after orthodontic treatment. However, research has shown that this isn’t the case. Studies indicate that teeth naturally tend to shift over time due to various factors, and this movement occurs regardless of the presence or absence of wisdom teeth. Therefore, wisdom teeth are not the primary culprits for post-orthodontic crowding. (Source: Top Modern Orthodontist)
Although it may seem like a logical correlation, the wisdom teeth and orthodontics are now treated as separate parts of patients’ dental and orthodontic care.
Wisdom Teeth and Orthodontics
It’s not necessary to wait for wisdom teeth to emerge before starting orthodontic treatment. Most patients complete their orthodontic journey before their wisdom teeth develop, and these late-developing molars typically do not jeopardise the new alignment of the teeth. Regular dental check-ups allow for monitoring the progress of wisdom teeth, and any potential issues can be addressed promptly. (Source: Orthodontic Associates)
The position of the wisdom teeth is definitely taken into consideration when drafting out an orthodontic treatment plan but they may not be included in the predicted movement of the teeth at all. At the same time, they may be considered if the wisdom teeth are presenting benefits to the overall orthodontic health of the patient.
When is Wisdom Teeth Removal Necessary?
While routine removal of wisdom teeth solely to prevent crowding isn’t supported by evidence, there are specific situations where extraction is advisable:
- Impaction: When a wisdom tooth doesn’t fully emerge and remains trapped within the jawbone or gums, leading to pain or potential infection.
- Partial Eruption: Partially erupted wisdom teeth can create a pathway for bacteria, increasing the risk of gum disease and infection.
- Alignment Issues: If wisdom teeth grow at an angle that affects neighbouring teeth or the bite, removal might be recommended.
It’s essential to consult with your orthodontist or dentist to determine the best course of action based on individual circumstances and to determine the correct correlation between the wisdom teeth and orthodontics.
Bottom Line:
To preserve the results of your orthodontic treatment, it’s crucial to adhere to the recommended use of retainers. Teeth can shift over time due to various factors, and retainers help maintain their proper alignment. Regular dental visits ensure that any concerns, including those related to wisdom teeth, are addressed promptly, keeping your smile straight and healthy.
There are 2 main types of orthodontic retainers, namely fixed and removable retainers:
The fixed (or permanent) retainers are fitted with dental material to the back surface of the front teeth, usually on both the upper and lower arches. These act as an added insurance that the front teeth (which are the most prone to relapse) do not move out of alignment once the active part of the orthodontic treatment is completed. They are meant for lifetime.
The removable retainers are usually made of a rigid plastic material moulded onto the patients teeth as they are positioned once their braces or aligners are removed. These can be removed for eating and drinking and are worn to ensure all of the teeth stabilise and remain in their correct final position. Your orthodontist will decide on the frequency of wear for these retainers.
At Orthodontic Gallery, we’re committed to providing you with accurate information and personalised care. If you have concerns about wisdom teeth or any aspect of your orthodontic treatment, don’t hesitate to reach out to us.