I have one wisdom tooth that is fully grown sideways underneath my gums on the bottom left. I have some crowding on the bottom center. I would like to find out how the impacted tooth will affect the treatment.
If I decide to have the wisdom tooth removed after the Invisalign treatment, will there be any shifting of teeth to its original position?
Impacted wisdom teeth can be removed before or after treatment with Invisalign. If, however, any of the wisdom teeth have erupted or come through the gum, they could in some cases adversely affect your bite or treatment with Invisalign. In this situation it may be prudent to have these wisdom teeth removed.
If the teeth are completely impacted (not coming through the gums at all), you may wait. If they are growing in at all, I prefer my patients have them out first. They could cause the teeth to move more slowly, and, more importantly, the gums around them could get infected during treatment, thereby causing you pain. It's not absolutely necessary, though.
The wisdom tooth or 3rd molar can be removed before or after treatment. It is really your choice. As far as any affect from removing the 3rd molar after invisalign treatment there will be none. The only shifting you may have will be a direct result from not following the retention guidelines your orthodontist prescribes after treatment is completed.
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