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What Are Wisdom Teeth and Why Do We Have Them?
Sep 10, 2025

What Are Wisdom Teeth and Why Do We Have Them?

Supriyo Khan-author-image Supriyo Khan
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When it comes to oral health, few topics spark as much curiosity (and sometimes anxiety) as wisdom teeth. These late-arriving molars usually appear in early adulthood, and while some people barely notice them, others experience discomfort, swelling, or even surgical removal. So, what exactly are wisdom teeth, and why do we have them in the first place?

Read on to understand the role of wisdom teeth in adulthood and how they can affect your dental health.

What Are Wisdom Teeth?

Wisdom teeth are the third set of molars located at the back of the mouth. Most people develop up to four of them—two on the top and two on the bottom. They generally erupt between the ages of 17 and 25, which is how they earned their name. Historically, this age range was associated with entering adulthood, a stage when individuals were thought to have gained greater wisdom.

Not everyone develops all four. Some people may have only one or two, while others may not have any at all. Dental X-rays can reveal whether these teeth are present beneath the gums long before they attempt to emerge.


Why Do We Have Wisdom Teeth?

Anthropologists believe that wisdom teeth played a crucial role thousands of years ago. Early humans consumed coarse, fibrous foods such as roots, nuts, seeds, and also raw meat. Extra molars were useful for grinding and breaking down these tough foods.

As diets evolved with modern cooking and agriculture, food became softer and easier to chew. At the same time, human jaws gradually became smaller. Today, many people lack the space to accommodate wisdom teeth comfortably. This mismatch between jaw size and tooth development is why problems often occur when these molars begin to erupt.


Common Issues with Wisdom Teeth

Because space in the jaw is often limited, wisdom teeth are known for erupting at odd angles or only partially breaking through the gums. Sometimes they remain completely trapped under the gum line, a condition known as impaction. These situations can lead to several problems, including:

  • Pain and swelling in the gums or jaw.

  • Infections caused by bacteria entering through partially erupted teeth.

  • Crowding, which may shift neighbouring teeth out of alignment.

  • Cysts or other complications around impacted teeth.


Although not everyone experiences these issues, the potential risks mean that dental professionals often monitor wisdom teeth closely during routine check-ups.


When Is Removal Necessary?

Not all wisdom teeth need to be removed. If they erupt fully, align properly with surrounding teeth, and can be kept clean, they may function much like any other molars. However, removal is usually recommended when they cause complications such as pain, crowding, or repeated infections.

Signs that removal may be necessary include persistent discomfort, swelling in the gums, difficulty opening the mouth, or recurring gum infections near the back molars. Dentists often use X-rays to track the position and condition of these teeth over time, allowing them to make proactive recommendations.


What Happens If You Keep Them?

Some people keep their wisdom teeth into adulthood without ever experiencing problems. When they grow in straight and are easy to clean, they can remain a functional part of the bite.

The main challenge is their location at the far end of the mouth. Because they are difficult to reach, maintaining proper hygiene can be tricky. If plaque and bacteria accumulate, these teeth may be more vulnerable to cavities and gum disease. For this reason, dentists recommend paying extra attention to brushing and flossing in these areas, along with scheduling regular check-ups to catch any potential issues early.

Caring for Wisdom Teeth

Whether your wisdom teeth have erupted or are still developing, good oral hygiene and professional monitoring are key. Here are a few practical steps to keep them healthy:

  • Brush and floss thoroughly, focusing on the back of the mouth.

  • Use an antibacterial mouthwash to help reduce bacteria.

  • Visit your dentist regularly for check-ups and X-rays.

  • Pay attention to discomfort, swelling, or jaw stiffness, and seek treatment promptly.


Taking a proactive approach reduces the risk of long-term complications and ensures your overall oral health is protected.


Conclusion

Wisdom teeth are a fascinating part of human evolution, once essential for survival but now often the source of dental challenges. Some people never encounter problems, while others may need extraction to protect their oral health. The key lies in awareness and consistent care.

By understanding wisdom teeth and their potential impact, you can approach this stage of dental development with greater confidence. Regular monitoring and proactive dental care will help you manage your wisdom teeth effectively, ensuring they either remain an asset or are addressed before they cause harm.

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