Wisdom Teeth in Teens:
What Parents and Teens Need to Know

As part of our commitment at Face Focused Orthodontics, we prioritize understanding how wisdom teeth can affect your teen’s overall health, dental alignment, and airway function.

What are Wisdom Teeth?

Wisdom teeth, or third molars, typically begin to develop in the teenage years and may erupt in late teens to early twenties. Due to evolutionary changes in jaw size, many people today lack the necessary space in their mouths to accommodate these teeth comfortably. This can lead to wisdom teeth becoming impacted or misaligned, which in turn may contribute to overcrowding, bite issues, and sometimes even airway restriction.

Why Do Wisdom Teeth Cause Problems?

Many teenagers experience complications with their wisdom teeth because our jaws today are often too small to accommodate them. When there isn’t enough space, wisdom teeth may become “impacted,” meaning they grow at odd angles or fail to fully emerge through the gum line. This can cause pain, swelling, infections, and damage to nearby teeth.

Warning Signs of Problematic Wisdom Teeth

  • Pain or swelling at the back of the mouth
  • Red, swollen gums
  • Persistent bad breath or bad taste in the mouth
  • Difficulty opening the mouth or chewing

Common Issues with Wisdom Teeth

Every individual is different, and not all wisdom teeth need to be removed. However, regular dental check-ups can help monitor their development. Here are signs that may indicate a problem:

Impaction: When a tooth cannot fully emerge, it remains trapped under the gums or grows at an angle.

Crowding: Wisdom teeth can press against other teeth, causing alignment issues.

Cysts and Infections: Impacted wisdom teeth can form cysts, which may damage the surrounding bone and tissue.

Decay and Gum Disease: Wisdom teeth are harder to clean due to their position at the back of the mouth, increasing the risk of cavities and gum disease.

Do Wisdom Teeth Affect Breathing?

For airway-focused orthodontics, we look beyond just teeth alignment and consider how each part of the dental structure influences breathing and jaw function. In some cases, impacted or poorly positioned wisdom teeth can push other teeth out of alignment, leading to crowding. This crowding can affect the position and development of the jaw, potentially narrowing airway passages and contributing to issues such as mouth breathing or restricted airflow during sleep.

Should Wisdom Teeth Be Removed?

Not all wisdom teeth need to be extracted. Some wisdom teeth emerge without issue and can stay if they are healthy, fully erupted, and positioned correctly. A personalized assessment is essential in determining the best approach for each individual.

Early Evaluation Matters: Addressing wisdom teeth early helps teens avoid the discomfort and potential complications of delayed treatment. With early intervention, we can ensure the healthiest path forward, whether that involves monitoring their development or planning for extraction.

Deciding whether to remove wisdom teeth depends on a few key factors unique to each teen’s dental health and development:

Space in the Jaw: If there’s limited space in the dental arch, wisdom teeth can push against other teeth as they emerge. This pressure can disrupt alignment and potentially undo orthodontic work or crowd the dental arch, impacting overall bite and stability.

Airway Health: For some teens, a smaller jaw or crowded teeth can already contribute to a restricted airway, which may affect breathing during sleep. In these cases, removing wisdom teeth can prevent additional crowding and help preserve airway space, promoting better breathing and sleep quality.

Impact on Orthodontic Treatment: If your teen is currently undergoing orthodontic treatment, wisdom teeth can interfere with progress. Their movement or pressure on surrounding teeth may affect the long-term success of braces or aligners, so preemptive removal can often support optimal treatment outcomes.

Ultimately, regular assessments and discussions with your orthodontist or dentist are essential to determine whether wisdom teeth removal is the right choice for maintaining a healthy, stable smile and airway.

How We Can Help

At Face Focused Orthodontics, we take a comprehensive approach to ensure your teen’s dental health supports proper airway function. Our team collaborates with other specialists, including oral surgeons and ENT doctors, to create a personalized plan that considers both dental alignment and airway health. By addressing wisdom teeth within the broader context of jaw development and breathing, we work to give your teen the best foundation for a lifetime of healthy breathing, sleep, and growth.

For more information or to schedule a consultation, feel free to contact our office. We’re here to help guide you through each stage of your teen’s dental and airway development.