What point do these wisdom teeth lead to problems as a patient comes in to see you when do you evaluate and say we have to do something about this well first of all the patient can have some symptoms pain discomfort bad breath some people have pus in these areas difficulty opening your mouth difficulty swallowing pain in the ear all sorts of you know symptoms sometimes patient has no symptoms but we still have to check them right and see if they need to come out sometimes even the orthodontist that sends them over because they’re gonna straighten the teeth and there’s no room and this wisdom teeth are gonna make things even harder they don’t have space to begin with so is that the most common the lack of space lack of space yes it’s associated with all the other problems because then if they get stuck they didn’t retain food they can cause damage to their neighboring teeth it’s another and cost now what about if they grow crooked does this happen yes it happens and then they they’re not gonna be functional ever so if they are associated with other problems causing problems to the other neighboring teeth or if they’re trapping food and then they need to be removed sometimes even if they’re not communicating with the mouth we still have to see them because they tend to also grow some cysts or a little too much and we have to be you know careful very visually identify them because some some of these entities don’t even give you symptoms so you don’t know that they’re there until it’s too late you