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wisdom teeth are the last teeth to erupt within the mound when they align properly and gum tissue is healthy wisdom teeth do not have to be removed unfortunately this does not generally happen the extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth they may grow sideways partially emerge from the gum and even remain trapped beneath the gum and bone impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully these poorly positioned impacted teeth can cause many problems when they are partially erupted the opening around the tooth allow bacteria to grow and will eventually cause an infection the result swelling stiffness pain and illness the pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of teeth removal of the offending impacted tooth or teeth usually resolves these problems early removal is recommended to