The third molars, commonly called wisdom teeth , should be treated with great prudence and attention, because in many cases they have caused serious pathologies.
Currently, due to the change in our diet, increasingly crushed, the development of the jaws is being affected.
In 98% of the population malpositions occur in these molars, which can cause multiple disorders throughout its eruption.
In my opinion, they must all be, except for rare exceptions , always in expert hands and after having made the opportune radiological diagnosis; not only in 2D, but in many occasions it is necessary in 3D, given the relation of neighborhood with the nervous nerve bundle of the inferior dentary.
What complications can wisdom teeth develop?
All surgeons have a saying: "all tooth retained is a potential cyst" and in my long professional experience, I have had multiple occasions to check it, being often necessary to have to perform a bone filling on the area of osteolysis (space empty) caused by the cyst, in its attempt the molar eruption.
Rarely the wisdom tooth creates a total eruption, but that only happens when the size of the jaw allows it, and in its programming to leave, it causes various inflammatory conditions that cause great morbidity in the patient. These processes are known clinically as pericoronaritis and treated with antibiotic and anti-inflammatory treatment, although sometimes it is very rebellious to "cool down".
So, it is recommended to remove the wisdom tooth to prevent all this type of pathology, even from the phase called "germ" that is, with only the crown formed, to prevent future complications.
It is an exciting surgery, which with a correct diagnosis and a good subsequent treatment, avoids many complications to the patient, always in the hands of a surgeon with enough experience to solve the possible complications.