Is Wisdom Tooth Extraction Always Necessary Before Orthodontic Treatment at a Garak-dong Dental Clinic? - The Process Explained Through an Immature Impacted Case

Hello.

This is Dr. Seo Hoyeon from Yonsei Dagam Dental Clinic in Garak-dong.

2026.01.06

Orthodontic treatment is a procedure that adjusts the position and alignment of the teeth to improve aesthetic and functional issues.

This process is not completed in a short period of time.

Depending on the case, it may take anywhere from several months to several years.

To carry out this process smoothly, several conditions need to be reviewed.

Among them, the presence of wisdom teeth can act as a risk factor in various ways, so there are cases where extraction is necessary.

Today, we will look into such situations in detail through an example case.

1. Why wisdom teeth can be a problem in orthodontic treatment

Wisdom teeth are located at the very back of the dental arch.

In many cases, their eruption direction is incorrect.

If the crown is facing forward, it can exert force that pushes the premolars forward and cause the entire dental arch to become misaligned.

Also, since orthodontic treatment requires movement in a certain direction, it is necessary to determine whether anything is obstructing that path.

In addition, if the protrusion of the mouth or irregularity of the teeth is severe, securing space becomes an important step.

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As shown at the Garak-dong dental clinic, if an impacted wisdom tooth takes up space in the back, it can limit the movement itself.

In such cases, extraction is essential.

2. The importance of detailed diagnosis for immature impacted wisdom teeth

In particular, with immature wisdom teeth,

most are impacted within the gums and

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as shown in the photo, they are not visible to the naked eye,

but they are often positioned abnormally.

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In the case explained at the Garak-dong dental clinic,

the occlusal surface is directed toward the tongue.

For access to treatment, it is determined that gum incision and bone removal will be necessary.

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In addition, in the case of lower impacted molars,

they are often close to the inferior alveolar nerve canal below the root apex, so the exact distance relationship is identified in advance.

Otherwise, stimulation may occur during treatment,

which can leave temporary aftereffects such as numbness,

and in rare cases, it may remain permanently.

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Therefore, establishing a treatment plan that sufficiently considers a safe angle and approach path is essential.

3. Crown sectioning extraction and consideration of dental follicle tissue

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However, even within the previously established plan,

if the crown is excessively large or hard,

the risk of alveolar bone damage or root fracture increases.

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In such cases, for safety,

a method of sectioning the crown can be considered.

The method explained at the Garak-dong dental clinic

avoids excessive bone removal

and can minimize stimulation transmitted to the surrounding soft tissues and nerve canal.

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In particular, for cases such as lower wisdom teeth that may have unnecessary effects on surrounding tissues,

this can be a preventive strategy.

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If dental follicle tissue is identified during this process,

it is also advisable to remove it when possible and request a pathological examination at the same time.

The dental follicle is mostly one of the physiological tissues,

but in rare cases it can become an odontogenic cyst or a malignant tumor,

so if any suspicious findings are present, performing analysis in parallel can be considered a safe and responsible treatment process.

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After checking at the Garak-dong dental clinic,

the conclusion was that it was a hyperplastic dental follicle.

With disinfection of the area and follow-up observation,

orthodontic treatment can proceed smoothly.

4. Pre-treatment preparation according to the treatment plan

During orthodontic treatment, it is necessary to secure the movement path

and remove any structures that interfere with maintaining overall dental balance.

Even if they do not themselves cause discomfort,

if they are impacted or have an abnormal eruption direction,

preemptive extraction may be necessary.

Finally, I will close by noting that

even immature teeth with roots that are not yet fully formed can be extracted depending on the treatment plan.

This was Garak-dong dental clinic.

Thank you.

2026.01.06 ~ 2026.01.27