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What Should You Do About a Wisdom Tooth Cavity?

If you’re like a lot of people, you’ve probably had a cavity or two in your lifetime. You can get cavities on any part of your tooth and on any one of your teeth — even your wisdom teeth (if you have them). Here’s what you need to know about a wisdom tooth cavity.

Wait — You Can Get Cavities in Your Wisdom Teeth?

Many people don’t think about their wisdom teeth, aka the third molars. A study in the Dental Press Journal of Orthodontics revealed that dentists recommend wisdom tooth extraction for about 59% of patients. The extraction of the third molars is one of the most frequently performed oral surgeries in the U.S.

One of the main reasons dentists recommend taking out wisdom teeth is because they often cause trouble. The third molars are the last teeth to arrive on the scene. As the National Institutes of Health (NIH) notes, they typically erupt between the ages of 17 and 21. In many cases, there’s no room for the wisdom teeth, so they get stuck in the gum tissue or bone and become impacted.

An impacted wisdom tooth can be more likely to get a cavity as food is more likely to become trapped near the tooth, which then creates an ideal environment for decay-causing bacteria, as the American Dental Association points out.

Another reason why wisdom teeth might develop cavities is that it can be more difficult to clean them. It can be tricky to reach all the way to the back of the mouth with a toothbrush or piece of floss.

What to Do If You Have a Wisdom Tooth Cavity

If you get a cavity on any other tooth, your dentist will most likely recommend filling the cavity to restore the tooth. Depending on the extent of the decay, you might even need a root canal to restore the tooth, as the Mayo Clinic explains.

However, with a wisdom tooth cavity, it’s a slightly different story. If the tooth is impacted and causing problems, your dentist will likely recommend extracting it, as the NIH explains. If it isn’t, they may still recommend extraction, depending on the condition and placement of the tooth. According to a report in the Journal of the American Dental Association, cavities are the reason behind 15% of third molar extractions.

If your wisdom teeth have fully erupted in your mouth and aren’t stuck in the gums, it’s possible that your dentist may be able to fill and restore the tooth just like any other. That’s why it’s important to see them for regular checkups, so they can assess the health of all your teeth and detect any cavities.

Should You Keep Your Wisdom Teeth?

What if you’re not dealing with any cavities in your wisdom teeth and your dentist hasn’t recommended extracting them? Is it worth keeping your third molars then?

If you still have your wisdom teeth and this concerns you, bring it up to your dentist at your next checkup. Your dentist might recommend leaving the teeth alone if they aren’t causing you any issues. Your dentist will continue to closely monitor your wisdom teeth during your dental visits, as cavities or other problems could come up later.

If your wisdom teeth haven’t come in properly, your dentist might recommend removing them. They’ll discuss your options for wisdom tooth removal with you and let you know what to expect during the procedure. And if you develop a wisdom tooth cavity, rest assured that your dentist will help you find the right solution to keep your mouth healthy in that scenario, too.