Only if they are causing problems - Cochrane found the evidence insufficient for removing healthy, asymptomatic impacted wisdom teeth.
Mayo's removal list: pain, infection or gum disease, damage to a nearby tooth or bone. For quiet impacted teeth, one cohort study hinted keeping them may raise gum-disease risk at the neighboring molar - but that evidence was very uncertain. Specialists still disagree, and many favor removal in the late teens or early 20s when surgery is easier. The decision is per-tooth, from your X-ray, not a default. Pymander's escalation routing is built and tested specifically for this class of decision; see the safety architecture working paper .
What to do
Common questions
Do I need my wisdom teeth removed?
Only if they are causing problems - the evidence for removing healthy ones is thinner than most people expect. Mayo Clinic is clear on the removal list: pain, infection or gum disease, damage to a nearby tooth or bone, or other dental problems. For impacted wisdom teeth that are not causing any trouble, Cochrane reviewed the evidence and found it insufficient to say whether they should come out or stay in - one cohort study hinted that keeping them may raise long-term gum-disease risk around the neighboring molar, but the evidence was very uncertain. Dental specialists still disagree: many recommend removal in the late teens or early 20s because surgery is easier and safer at that age. The honest decision is per-tooth: an exam and X-ray showing disease, decay risk, or damage argues for removal; a healthy, quiet, fully or partially erupted tooth can reasonably be watched. Ask your dentist what your specific X-ray shows, not what the default is.