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Encyclopedia > Wisdom teeth
Wisdom teeth
Latin dens =
Dorlands/Elsevier t_13/12812963

Wisdom teeth are the third molars that usually appear between the ages of 16 and 24. They are commonly extracted when they affect other teeth—this impaction is colloquially known as "coming in sideways."[1] Most people have four wisdom teeth, but it is possible to have more or fewer. Absence of one or more wisdom teeth is an example of hypodontia. Any extra teeth are referred to as supernumerary teeth.[2][3] For other uses, see Latins and Latin (disambiguation). ... Elseviers logo. ... Molars are the rearmost and most complicated kind of tooth in most mammals. ... Surgical extraction of an impacted molar. ... Types of teeth Molars are used for grinding up foods Carnassials are used for slicing food. ... In dentistry, hypodontia is the condition of naturally having fewer than the regular number of teeth. ... In dentistry, hyperdontia is the condition of having supernumerary teeth, teeth which appear in addition to the regular number of teeth. ...

Contents

Etymology

They are generally thought to be called wisdom teeth because they appear so late—much later than the other teeth, at an age where people are wiser than as a child, when the other teeth erupt. The English wisdom tooth is derived from Latin dens sapientiae. The same root is shared by the following languages: Image File history File links Question_book-3. ...

  • German Weisheitszahn
  • Dutch verstandskies
  • Afrikaans verstandtand
  • Belgian-Dutch wijsheidstand
  • Norwegian visdomstann
  • Danish and Swedish visdomstand
  • Finnish viisaudenhammas
  • French dent de sagesse
  • Portuguese dente siso or dente do juízo
  • Spanish muela del juicio or muela cordal
  • Italian dente del giudizio
  • Romanian mǎsea de minte
  • Slovenian modrostni zob
  • Croatian and Serbian umnjaci
  • Hungarian bölcsességfog
  • Czech zuby moudrosti
  • Polish zęby mądrości
  • Russian зубы мудрости
  • Bulgarian мъдрец (meaning wise man)
  • Estonian tarkusehammas
  • Lithuanian protiniai dantys
  • Hebrew שן בינה (shen bina)
  • Greek φρονιμίτες (fronheemeetes)
  • Marathi akkal daad

There exists an interesting Dutch folk etymology that the Dutch word verstandskies is derived from "far-standing" (ver-staand) molar, and that mistranslations of the Dutch word (in which verstand translates to wisdom) are the root for corresponding words in other European languages. Folk etymology is a term used in two distinct ways: A commonly held misunderstanding of the origin of a particular word, a false etymology. ...


Turkish refers directly to the age at which wisdom teeth appear and calls it 20 yaş dişi (20th year tooth). In Arabic, its name is Ders-al-a'qel (ضرس العقل), literally meaning "The tooth of the mind" and hence similar to occidental names. In Korean, its name is Sa-rang-nee (사랑니, love teeth) referring to the young age and the pain of the first love. In Japanese, its name is Oyashirazu (親知らず), literally meaning "unknown to the parents," from the idea that they erupt after a child has moved away. The Indonesian term gigi bungsu for the latest teeth a person cuts refers to bungsu "youngest child". In Thailand the wisdom tooth is described fan-khut (ฟันคุด) "huddling tooth" due to its shortage of place.


Impactions

The upper left (picture right) and upper right (picture left) wisdom tooth are distoangularly impacted. The lower left wisdom tooth is horizontally impacted. The lower right wisdom tooth is vertically impacted (unidentifiable in orthopantomogram).
The upper left (picture right) and upper right (picture left) wisdom tooth are distoangularly impacted. The lower left wisdom tooth is horizontally impacted. The lower right wisdom tooth is vertically impacted (unidentifiable in orthopantomogram).

Impacted wisdom teeth fall into one of several categories. Mesioangular impaction is the most common form (44%), and means the tooth is angled forward, towards the front of the mouth. Vertical impaction (38%) occurs when the formed tooth does not erupt fully through the gum line. Distoangular impaction (6%) means the tooth is angled backward, towards the rear of the mouth. And finally, Horizontal impaction (3%) is the least common form, which occurs when the tooth is angled fully ninety degrees forward, growing into the roots of the second molar. Image File history File links Question_book-3. ... Image File history File links Download high resolution version (2617x1244, 139 KB) Summary The upper left (picture right) and upper right (picture left) wisdom tooth are distoangularly impacted. ... Image File history File links Download high resolution version (2617x1244, 139 KB) Summary The upper left (picture right) and upper right (picture left) wisdom tooth are distoangularly impacted. ... This x-ray scan illustrates the maxilla and mandible, all the teeth including the wisdom teeth, the frontal, nasal and maxillary sinus air spaces and the temporomandibular joint complex or TMJ. An Orthopantomogram(OPG) also known as an orthopantogram or panorex, is a panoramic scanning dental X-ray of the... The gingiva (sing. ...


Typically distoangular impactions are the easiest to extract in the maxilla and most difficult to extract in the mandible, while mesioangular impactions are the most difficult to extract in the maxilla and easiest to extract in the mandible. The maxilla (plural: maxillae) is a fusion of two bones along the palatal fissure that form the upper jaw. ... The mandible (from Latin mandibÅ­la, jawbone) or inferior maxillary bone is, together with the maxilla, the largest and strongest bone of the face. ...


Impacted wisdom teeth may also be categorized on whether they are still completely encased in the jawbone. If it is completely encased in the jawbone, it is a bony impaction. If the wisdom tooth has erupted out of the jawbone but not through the gumline, it is called a soft tissue impaction. In medicine, the term soft tissue refers to tissues that connect, support, or surround other structures and organs of the body. ...


Sometimes the wisdom tooth fails to erupt completely through the gum bed and the gum at the back of the wisdom tooth extends over the biting surface, forming a soft tissue flap or lid around the tooth called an operculum. Teeth covered by an operculum can be difficult to clean with a toothbrush. Additional cleaning techniques can include using a needle-less plastic syringe to vigorously wash the tooth with moderately pressured water or to softly wash it with hydrogen peroxide. Three toothbrushes The toothbrush is an instrument used to clean teeth, consisting of a small brush on a handle. ... A syringe nowadays nearly always means a medical syringe, but it can mean any of these: A simple hand-powered piston pump consisting of a plunger that can be pulled and pushed along inside a cylindrical tube (the barrel), which has a small hole on one end, so it can... Hydrogen peroxide (H2O2) is a very pale blue liquid which appears colorless in a dilute solution, slightly more viscous than water. ...


However, debris and bacteria can easily accumulate under an operculum, which may cause pericoronitis, a common infection problem in young adults with partial impactions that is often exacerbated by occlusion with opposing 3rd or 2nd molars. Common symptoms include a swelling and redness of the gum around the eruption site, difficulty in opening the mouth, a bad odor or taste in the mouth, and pain in the general area which may also run down the entire lower jaw or possibly the neck. Untreated pericoronitis can progress to a much more severe infection. Phyla Actinobacteria Aquificae Chlamydiae Bacteroidetes/Chlorobi Chloroflexi Chrysiogenetes Cyanobacteria Deferribacteres Deinococcus-Thermus Dictyoglomi Fibrobacteres/Acidobacteria Firmicutes Fusobacteria Gemmatimonadetes Lentisphaerae Nitrospirae Planctomycetes Proteobacteria Spirochaetes Thermodesulfobacteria Thermomicrobia Thermotogae Verrucomicrobia Bacteria (singular: bacterium) are unicellular microorganisms. ... Pericoronitis is a common problem in young adults with partial tooth impactions. ... An infection is the detrimental colonization of a host organism by a foreign species. ... A term indicating that the state of something, which is normally open, is now totally closed. ... Eruption can refer to: Volcanic eruption The eruption of teeth through the gum Eruption (band) This is a disambiguation page — a navigational aid which lists other pages that might otherwise share the same title. ... Human jaw front view Human jaw left view Human jaw top view The jaw is either of the two opposable structures forming, or near the entrance to, the mouth. ... For other uses, see Neck (disambiguation). ...


If the operculum does not disappear, recommended treatment is extraction of the wisdom tooth. An alternative treatment involving removal of the operculum, called operculectomy, has been advocated. There is a high risk of permanent or temporary numbness of the tongue due to damage of the nerve with this treatment and it is no longer recommended as a standard treatment in oral surgery.


Extraction

A dental officer and his assistant remove the wisdom tooth of a patient.
A dental officer and his assistant remove the wisdom tooth of a patient.
An extracted wisdom tooth that was horizontally impacted.
An extracted wisdom tooth that was horizontally impacted.
An upper and lower right wisdom tooth extracted during the same session under local anaesthetics.
An upper and lower right wisdom tooth extracted during the same session under local anaesthetics.
Main article: Extraction (dental)

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Wisdom teeth are extracted for two general reasons: either the wisdom teeth have already become impacted, or the wisdom teeth could potentially become problematic if not extracted. Potential problems caused by the presence of properly grown-in wisdom teeth include infections caused by food particles easily trapped in the jaw area behind the wisdom teeth where regular brushing and flossing is difficult and ineffective. Such infections may be frequent, and cause considerable pain and medical danger. Another reason to have a wisdom tooth removed is if the tooth has grown in improperly, causing the tongue to brush up against it. The tongue can tolerate it for a limited time, until it causes a painful sensation, to the point where the sheer pain can numb the tongue affected, and the area around it (part of the lips, and the cheek). The numbness feels similar to the feeling of anesthesia, possibly meaning a nerve can be affected by the wisdom tooth improperly growing in. Also, it is a wise choice to have them removed if undergoing extensive orthodontic work because once the teeth have come in they could inflict some damage on expensive straightening. Image File history File links Download high resolution version (1880x2810, 1796 KB) File links The following pages on the English Wikipedia link to this file (pages on other projects are not listed): Dentistry Dental surgery ... Image File history File links Download high resolution version (1880x2810, 1796 KB) File links The following pages on the English Wikipedia link to this file (pages on other projects are not listed): Dentistry Dental surgery ... Image File history File links Extracted_Wisdom_Tooth. ... Image File history File links Extracted_Wisdom_Tooth. ... Image File history File linksMetadata Size of this preview: 800 × 532 pixelsFull resolution (3008 × 2000 pixel, file size: 3. ... Image File history File linksMetadata Size of this preview: 800 × 532 pixelsFull resolution (3008 × 2000 pixel, file size: 3. ... Surgical extraction of an impacted molar. ... Infection is also the title of an episode of the television series Babylon 5; see Infection (Babylon 5). ... For other uses, see Tongue (disambiguation). ... Anesthesia or anaesthesia (see spelling differences) has traditionally meant the condition of having the perception of pain and other sensations blocked. ...


The extraction of wisdom teeth should only be performed by dental professionals with proper training and experience performing such extractions. The precise reasons why an individual’s wisdom teeth need to be extracted should be explained to them by their dentist, after an examination which almost certainly will need to include x-rays. A panoramic x-ray (aka "panorex") is the best x-ray to view wisdom teeth and diagnose their problems. An X-ray picture (radiograph), taken by Wilhelm Röntgen in 1896, of his wife, Anna Bertha Ludwigs[1] hand X-rays (or Röntgen rays) are a form of electromagnetic radiation with a wavelength in the range of 10 to 0. ...


Post-extraction problems

There are several problems that can manifest themselves after the extraction(s) have been completed. Some of these problems are unavoidable and natural, while others are under the control of the patient. The suggestions contained in the sections below are general guidelines that a patient will be expected to abide by, but the patient should follow all directions that are given by the surgeon in addition to the following guidelines. Above all, the patient must not disregard the given instructions; doing so is extremely dangerous and could result in any number of problems ranging in severity from being merely inconvenient (dry socket) to potentially life-threatening (serious infection of the extraction sites).


Bleeding and oozing

Cyst around right lower wisdom tooth.
Cyst around right lower wisdom tooth.
Cyst shown in blue.

Bleeding and oozing is inevitable and should be expected to last up to three days (although by day three it should be less noticeable). Rinsing out one's mouth during this period is counter-productive, as the bleeding stops when the blood forms clots at the extraction sites, and rinsing out the mouth will most likely dislodge the clots. The end result will be a delay in healing time and a prolonged period of bleeding. However, after about 24 hours post-surgery, it is best to rinse with lukewarm saltwater to promote healing. This should be done every 2 hours until the swelling goes down and every 4-6 hours after that for at least a week. Gauze pads should be placed at the extraction sites, and then should be bitten down on with firm and even pressure. This will help to stop the bleeding, but should not be overdone as it is possible to irritate the extraction sites and prolong the bleeding. The bleeding should decrease gradually and noticeably upon changing the gauze. If the bleeding lasts for more than a day without decreasing despite having followed the surgeon's directions, the surgeon should be contacted as soon as possible. This is not supposed to happen under normal circumstances and signals that a serious problem is present. A wet tea bag can replace the gauze pads. Tannic acid contained in tea can help reduce the bleeding. Image File history File linksMetadata Download high resolution version (1537x861, 257 KB) File links The following pages link to this file: Wisdom teeth Metadata This file contains additional information, probably added from the digital camera or scanner used to create or digitize it. ... Image File history File linksMetadata Download high resolution version (1537x861, 257 KB) File links The following pages link to this file: Wisdom teeth Metadata This file contains additional information, probably added from the digital camera or scanner used to create or digitize it. ... This is a bottle of tannic acid. ...


Due to the blood clots that form in the exposed sockets as well as the abundant bacterial flora in the mouth, an offensive smell may be noticeable a short time after surgery. The persistent odour often is accompanied by an equally rancid-tasting fluid seeping from the wounds. These symptoms will diminish over an indefinite amount of time, although one to two weeks is normal. While not a cause for great concern, a post-operative appointment with your surgeon seven to ten days after surgery is highly recommended to make sure that the healing process has no complications and that the wounds are relatively clean. If infection does enter the socket, a qualified dental professional can gently plunge a plastic syringe (without the hypodermic needle) full of a mixture of equal parts hydrogen peroxide and water or chlorohexidine gluconate into the sockets to remove any food or bacteria that may collect in the back of the mouth. This is less likely if the person has his wisdom teeth removed at an early age. Chlorhexidine Gluconate is a chemical antiseptic, to combat both gram positive and gram negative microbes. ...


Dry socket

Main article: Alveolar osteitis

A dry socket is not an infection; it is the event where the blood clot at an extraction site is dislodged, falls out prematurely, or fails to form. It is still not known how they form or why they form. In some cases, this is beyond the control of the patient. However, in other cases this happens because the patient has disregarded the instructions given by the surgeon. Smoking, spitting, or drinking with a straw in disregard to the surgeon's instructions can cause this, along with other activities that change the pressure inside of the mouth, such as playing a musical instrument. The risk of developing a dry socket is greater in smokers, if the patient has had a previous dry socket, in the lower jaw, and following complicated extractions. The extraction site will become irritated and pain is due to the bone lining the tooth socket becoming inflamed (osteitis). The symptoms are made worse when food debris is trapped in the tooth socket. The patient should contact his/her surgeon if they suspect that they have a case of dry socket; the surgeon may elect to clean the socket under local anesthetic so another blood clot forms or prescribe medication in topical form to apply to the affected site. A non-steroidal anti-inflammatory drug (NSAID) such as ibuprofen may be prescribed by the surgeon for pain relief. Generally dry sockets are self limiting and heal in a couple of weeks without treatment. In dentistry, a dry socket is a laypersons term for alveolar osteitis, a disruption to the healing of the alveolar bone following extraction of the tooth. ... A thrombus is the final product of blood coagulation, through the aggregation of platelets and the activation of the humoral coagulation system. ... Non-steroidal anti-inflammatory drugs, usually abbreviated to NSAIDs, are drugs with analgesic, antipyretic and anti-inflammatory effects - they reduce pain, fever and inflammation. ... Ibuprofen (INN) (IPA: ) (from the earlier nomenclature iso-butyl-propanoic-phenolic acid) is a non-steroidal anti-inflammatory drug (NSAID) originally marketed as Nurofen and since under various trademarks, including Act-3, Advil, Brufen, Dorival, Herron Blue, Panafen, Motrin, Nuprin and Burana (Finland), Ipren or Ibumetin (Denmark and Sweden), Ibuprom...


Swelling

Swelling should not be confused with dry socket, although painful swelling should be expected and is a sign that the healing process is progressing normally. There is no general duration for this problem; the severity and duration of the swelling vary from case to case. The instructions the surgeon gives the patient will tell the patient for how long they should expect swelling to last, including when to expect the swelling to peak and when the swelling will start to subside. If the swelling does not begin to subside when it is supposed to, the patient should contact his or her surgeon immediately. While the swelling will generally not disappear completely for several days after it peaks, swelling that does not begin to subside or gets worse may be an indication of infection. Swelling that re-appears after a few weeks is an indication of infection caused by a bone or tooth fragment still in the wound and should be treated immediately.


Nerve injury

Mandibular division of trifacial nerve, seen from the middle line.
Mandibular division of trifacial nerve, seen from the middle line.

This is primarily an issue with extraction of third molars, but can occur with the extraction of any tooth should the nerve be in close proximity to the surgical site. Two nerves are typically of concern and are found in duplicate (on the left and right side): Image File history File links No higher resolution available. ... Image File history File links No higher resolution available. ... For other uses, see Nerve (disambiguation). ...

  • The inferior alveolar nerve, which enters the mandible at the mandibular foramen and exits the mandible at the sides of the chin from the mental foramen. This nerve supplies sensation to the lower teeth on the right or left half of the dental arch, as well as sense of touch to the right or left half of the chin and lower lip.
  • The lingual nerve, which branches off the mandibular branches of the trigeminal nerve and courses just inside the jaw bone, entering the tongue and supplying sense of touch and taste to the right and left half of the anterior 2/3 of the tongue as well as the lingual gingiva (i.e. the gums on the inside surface of the dental arch).

Such injuries can occur while lifting teeth (typically the inferior alveolar) but are most commonly caused by inadvertent damage with a surgical drill. Such injuries are rare[citation needed] and are usually temporary. Depending on the type of injury (i.e. Seddon classification: neuropraxia, axonotmesis, and neurotmesis) they can be prolonged or permanent. The inferior alveolar nerve is a branch of the mandibular nerve, which is itself the third branch (V3) of the fifth cranial nerve, the trigeminal nerve (cranial nerve V). ... The Lingual Nerve is a branch of the mandibular nerve from the fifth cranial nerve, the trigeminal nerve (CN V3), that supplies the mucous membrane of the anterior two-thirds of the tongue. ... The trigeminal nerve is the fifth (V) cranial nerve, and carries sensory information from most of the face, as well as motor supply to the muscles of mastication (the muscles enabling chewing), tensor tympani (in the middle ear), and other muscles in the floor of the mouth, such as the... Seddons classification is a scheme for describing nerve injury. ... Neurapraxia is part of Seddons classification scheme used to classify nerve damage. ... Axonotmesis is part of Seddons classification scheme used to classify nerve damage. ... Neurotmesis is part of Seddons classification scheme used to classify nerve damage. ...


Treatment controversy

Preventive removal of the third molars is a common practice in developed countries despite the lack of scientific data to support this practice. In 2006, the Cochrane Collaboration published a systematic review of randomized controlled trials in order to evaluate the effect of preventative removal of asymptomatic wisdom teeth.[4] The authors found no evidence to either support or refute this practice. There was reliable evidence showing that preventative removal did not reduce or prevent late incisor crowding. The authors of the review suggested that the number of surgical procedures could be reduced by 60% or more. The Cochrane Collaboration developed in response to Archie Cochranes call for systematic, up-to-date reviews (currently known as systematic reviews) of all relevant randomized clinical trials of health care. ... Systematic reviews are named as the highest level of medical evidence, by evidence based medicine professionals. ... A randomized controlled trial (RCT) is a form of clinical trial, or scientific procedure used in the testing of the efficacy of medicine, used because of its record of reliability. ...


Likewise, ClinicalEvidence published a summary,[5] largely based on the Cochrane review, that concluded prophylactic extraction is "likely to be ineffective or harmful." The website offered the following details:

While it is clear that symptomatic impacted wisdom teeth should be surgically removed, it appears that extracting asymptomatic, disease-free wisdom teeth is not advisable due to the risk of damage to the inferior alveolar nerve.

Some non-RCT evidence suggests that extraction of the asymptomatic tooth may be beneficial if caries are present in the adjacent second molar, or if periodontal pockets are present distal to the second molar.

Vestigiality and variation

Wisdom teeth are vestigial third molars. In earlier times, when tooth loss in early adulthood was common, an additional molar had the potential to fill in a gap left by the loss of another tooth. It has also been postulated that the skulls of human ancestors had larger jaws with more teeth, which were possibly used to help chew down foliage to compensate for a lack of ability to efficiently digest the cellulose that makes up a plant cell wall. As human diet changed, a smaller jaw was selected by evolution, yet the third molars, or "wisdom teeth", still commonly develop in human mouths.[6] A vestigial organ is an organ whose original function has been lost during evolution. ... Missing tooth - process of tooth loss. ... Cellulose as polymer of β-D-glucose Cellulose in 3D Cellulose (C6H10O5)n is a polysaccharide of beta-glucose. ... For other uses, see Selection (disambiguation). ...


Other findings suggest that a given culture's diet is a larger factor than genetics in the development of jaw size during human development (and, consequently, the space available for wisdom teeth).[7]


Different human populations differ greatly in the percentage of the population which form wisdom teeth, ranging from 99.8% in Bantu speakers to nearly 0% in Mexican Indians.[8] The difference is related to the PAX9 gene (and perhaps other genes).[8] Map showing the approximate distribution of Bantu (light brown) vs. ... Mexico, in the second article of its Constitution, is defined as a pluricultural nation in recognition of the diverse ethnic groups that constitute it, and in which the indigenous peoples[1] are the original foundation. ...


See also

Oral and Maxillofacial Surgery is surgery to correct a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. ...

References

  1. ^ To Keep or Not to Keep: Wisdom Teeth, hosted on the University of Manitoba: School of Dental Hygiene website. Page accessed January 17, 2007.
  2. ^ M. Thérèse Garvey; Hugh J. Barry; and Marielle Blake (1999). Supernumerary Teeth — An Overview of Classification, Diagnosis and Management (pdf). Journal of the Canadian Dental Association. Journal of the Canadian Dental Association. Retrieved on 2006-11-30.
  3. ^ Medstar. Tooth Development — Wisdom Teeth (html). WSOC. Retrieved on 2006-11-30.
  4. ^ The Cochrane Collaboration (2005). "Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults" (html). John Wiley and Sons, Ltd. doi:10.1002/14651858.CD003879.pub2. PMID 15846686. Retrieved on 2006-11-30. 
  5. ^ Esposito M. "Impacted wisdom teeth". Clin Evid: 1868-70. PMID 16973068. 
  6. ^ Johnson, Dr. George B.. "Evidence for Evolution (Page 12)." Txtwriter Inc.. 8 Jun 2006 <http://www.txtwriter.com/backgrounders/Evolution/EVpage12.html>.
  7. ^ "Facial dwarfing and dental crowding in relation to diet." Lucas, Peter W. ScienceDirect - International Congress Series 27 August 2007.
  8. ^ a b Tiago V. Pereira, Francisco M. Salzano, Adrianna Mostowska, Wieslaw H. Trzeciak, Andrés Ruiz-Linares, José A. B. Chies, Carmen Saavedra, Cleusa Nagamachi, Ana M. Hurtado, Kim Hill, Dinorah Castro-de-Guerra, Wilson A. Silva-Júnior,§and Maria-Cátira Bortolini (April 2006). "Natural selection and molecular evolution in primate PAX9 gene, a major determinant of tooth development". Proc Natl Acad Sci U S A. 103 (15): 5676–5681. doi:10.1073/pnas.0509562103. 

Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 334th day of the year (335th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 334th day of the year (335th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 334th day of the year (335th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ...

External links

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  Results from FactBites:
 
Wisdom teeth - Wikipedia, the free encyclopedia (1825 words)
Wisdom teeth are third molars that usually appear between the ages of 17 and 24 (although they may appear when older, younger, or may not appear at all).
Wisdom teeth are an example of a vestigial structure.
Wisdom teeth are extracted for two general reasons: either the wisdom teeth have already become impacted, or the wisdom teeth could potentially become problematic if not extracted.
  More results at FactBites »

 
 

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