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Your Visit · Absolute Dental West Perth

When Do Wisdom Teeth Become a Problem? Warning Signs and What to Do

A patient being examined at a dental appointment

A wisdom tooth causes trouble when it can’t come through properly. Impacted teeth sit under the gum or only partly through it, and that makes them hard to keep clean (ADA, teeth.org.au, wisdom teeth).

  • Most jaws don’t have enough room for wisdom teeth to come through easily (ADA, teeth.org.au, wisdom teeth).
  • Inflamed gum, decay and pain are the usual first signs.
  • Facial swelling with fever needs prompt care.

Why do problems start?

Bacteria collect around a tooth that’s only partly through, and the gum can become inflamed. That’s called pericoronitis (ADA, teeth.org.au, wisdom teeth).

A wisdom tooth sitting at an angle can also bump the tooth in front. Decay can then develop on the wisdom tooth or on the tooth next to it (ADA, teeth.org.au, wisdom teeth).

What signs should you watch for?

Book an assessment if you notice:

  • pain or tenderness at the back of your mouth;
  • swollen, red gum over a tooth that’s partly through;
  • a bad taste, or bad breath that keeps returning;
  • trouble opening your mouth fully;
  • food catching behind your back teeth.

When is it urgent?

Get prompt help if your face or neck swells, you have a fever, or you can’t swallow or open your mouth easily. Phone us right away. Trouble breathing or swallowing means calling 000 or heading to an emergency department.

How do we assess wisdom teeth?

We examine the area and usually take an X-ray to see the tooth’s position and roots (ADA, teeth.org.au, wisdom teeth). Pain by itself doesn’t mean a tooth has to go. Cleaning the area better, or treating an infection, sometimes settles the problem.

An antibacterial mouthwash can help when brushing is painful because the gum is inflamed, but it doesn’t replace brushing (ADA, teeth.org.au, wisdom teeth).

If removal is recommended, we explain the risks and alternatives, and whether a referral suits you. Read does everyone need their wisdom teeth removed.

Sources

Where To Read Next

Want more on this topic? This page goes further, and it lists questions to bring to your visit.

Plan Your First Visit

Frequently Asked Questions

Book a dental assessment rather than assuming you are too old for a wisdom tooth problem. Wisdom teeth can develop decay or inflammation around them, and the dentist needs to find out whether the pain is coming from that tooth or somewhere nearby (ADA, wisdom teeth).

When you call, describe where the pain is, how long it has lasted and whether there is swelling, a bad taste or difficulty opening your mouth. Mention earlier episodes even if they settled without treatment. Ask how soon you should be seen and what advice applies while you wait.

At the appointment, ask what the examination and any imaging show, whether the tooth can be managed without removal and what follow-up is needed. New pain does not establish the treatment by itself. If removal is advised, request an explanation of the risks, the setting and the full estimate before agreeing. Your age is part of planning, not a diagnosis.

Bring This To Your Visit.

Call us or request a time, and tell us what you’d like to talk through.