Smile Dental Arts Centre

Family & Preventive Dentistry

Wisdom Teeth Removal: When It's Necessary and What to Expect

Wisdom teeth — the third molars at the very back of your mouth — often arrive in the late teens or early twenties. Sometimes they come in without any trouble, and sometimes they cause pain, crowding, or infection that means they need to be removed.

This article explains when wisdom teeth removal is necessary, what the procedure involves, and what recovery is like. If you or your teen are facing wisdom teeth removal in Markham, here is a straightforward guide.

Do wisdom teeth always need to come out?

No. If wisdom teeth come in fully, are healthy, positioned correctly, and can be cleaned properly, they can often stay. Removal is recommended when they cause problems or are likely to in the future.

The challenge is that many mouths simply do not have room for them, which leads to the issues that make removal the sensible choice.

When is removal necessary?

Your dentist looks for specific signs, often using X-rays to see teeth that have not fully emerged.

  • Impaction: The tooth is stuck under the gum or bone and cannot come in properly.
  • Crowding: Not enough space, risking damage to neighbouring teeth.
  • Recurring infection or pain: Partially erupted teeth can trap food and bacteria.
  • Decay or gum problems: Hard-to-clean wisdom teeth are prone to cavities and gum inflammation.

Because wisdom tooth pain can sometimes flare up suddenly, it helps to know the difference between routine discomfort and a dental emergency.

What is the procedure like?

Wisdom teeth removal is a common procedure done under local anesthetic, sometimes with sedation for comfort. Simple extractions are quick; impacted teeth may require a minor surgical approach. Your dentist will explain exactly what your case involves beforehand.

For nervous patients, comfort options make a real difference — our guide on sedation dentistry covers what is available. The extraction itself is similar in principle to other tooth extractions.

What does recovery involve?

Most people recover within a few days to a week. Expect some swelling and mild discomfort at first, managed with ice, rest, soft foods, and the pain relief your dentist recommends. Avoiding straws, smoking, and vigorous rinsing early on helps prevent complications.

Following your aftercare instructions closely is the key to smooth healing. A dentist in Markham will give you clear guidance and check on your recovery as needed.

Frequently asked questions

Do all wisdom teeth need to be removed?

No. Healthy, well-positioned wisdom teeth that can be cleaned properly can often stay. Removal is recommended when they are impacted, crowding, decayed, or causing infection.

How long is recovery after wisdom teeth removal?

Most people recover within a few days to about a week. Swelling and mild discomfort are normal early on and are managed with ice, rest, soft foods, and recommended pain relief.

Is wisdom teeth removal painful?

The procedure is done under local anesthetic, sometimes with sedation, so you should not feel pain during it. Some soreness afterward is normal and manageable with aftercare in Markham.

This article is for general educational purposes only and is not a substitute for professional dental advice, diagnosis or treatment. Treatment suitability, procedures, risks and costs vary by individual. Always consult a licensed dentist about your specific situation.

Explore care at our Markham clinic

Ready to restore your smile?

Book a dental implant consultation with Dr. Neda Kadivar at our Markham clinic.