Evidence Before Extraction
Wisdom Teeth Removal in Scarborough
Some wisdom teeth need to come out. Many can stay right where they are. The X-ray — not a sales pitch — decides which is true for you.
Wisdom teeth arrive last and often awkwardly, but awkward is not the same as doomed. At Midland Dental Center in Scarborough, at Midland and Eglinton, we start with imaging and an honest read of what your third molars are actually doing. Teeth causing real trouble get a removal plan; teeth behaving themselves get left alone and monitored. And when a case is complex enough to belong with an oral surgeon, we say so and arrange it.
New patients welcome — weekday and weekend availability.

The case against removing every wisdom tooth
For decades, wisdom tooth removal was treated as a rite of passage — four teeth out in one appointment, symptoms or not. Dentistry has since moved toward a more individualized standard: a third molar that has fully erupted, sits upright with room to function, and can be reached with a toothbrush is often best left exactly where it is, checked at routine exams like any other tooth.
The calculation flips when a wisdom tooth is causing genuine harm. An impacted tooth wedged against its neighbour, a partially erupted tooth with a gum flap that traps food and flares into infection, or a far-back molar collecting cavities because no brush can reach it — these are teeth doing damage, and removing them protects everything around them.
Our commitment is to tell you which category each of your wisdom teeth falls into, based on imaging and your actual symptoms. No reflexive removals, no blanket rules — just an honest reading of the evidence, tooth by tooth.
Red flags that point toward removal
Removal moves onto the table when a wisdom tooth shows signs like these:
- Wedged against the next molar or trapped in bone, unable to erupt properly
- A cycle of gum swelling and infection flaring up around a partially erupted tooth
- Exerting pressure that threatens or crowds the neighbouring teeth
- Sitting where no toothbrush or floss can reach, and collecting decay as a result
- Producing pain, jaw stiffness, or swelling you can feel
Have questions about wisdom teeth removal? Talk to us — our team is happy to walk you through it.
Request AppointmentHow we assess, and how removal works when needed
Imaging tells the story
X-rays reveal each wisdom tooth's angle, depth, root shape, and distance from nerves and neighbouring teeth — the facts that determine both whether removal is justified and how involved it would be.
A recommendation you can trust
If your wisdom teeth are healthy and positioned well, we tell you exactly that and simply keep watch at future checkups. Removal gets recommended when the evidence supports it, not by default.
In-office removal for accessible teeth
A wisdom tooth in a favourable position can usually be removed here under local anaesthetic, in an appointment not much different from a standard extraction.
Specialist hands for the difficult ones
Deep impactions or roots wrapped near a nerve belong with an oral surgeon, and we refer those cases without hesitation — coordinating your care and staying your home clinic throughout.
Weighing removal honestly
Benefits
- Ends the pain, pressure, and repeat infections a problem wisdom tooth generates
- Protects the healthy second molar next door from decay and root damage
- Eliminates an uncleanable trouble spot before it can spawn bigger problems
Honest limits
- Expect several days to a week of swelling and tenderness while the site heals
- Deeply impacted lower teeth sit near a nerve, which is precisely why those cases go to a specialist
- A symptom-free, well-positioned wisdom tooth gains nothing from removal — surgery without benefit is not conservative care
Frequently asked questions
Related treatments

Tooth Extractions
Removing a tooth is never our first idea — but when it is genuinely the right one, we make the experience calm and the recovery well-planned.
Learn more
Sedation Dentistry
However long it has been, and whatever made you avoid the chair — you will not have to explain yourself to us.
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Emergency Dentist
A dental emergency feels chaotic — your care should not. One phone call gets you triaged, guided, and into the chair, with same-day emergency visits when the schedule allows.
Learn moreReady to talk about wisdom teeth removal?
Some wisdom teeth need to come out. Many can stay right where they are. The X-ray — not a sales pitch — decides which is true for you.
