If wisdom teeth become an issue later, extraction will be more difficult and prone to complications. An impacted tooth is one that hasn’t fully grown in and is unable to break through the gums due to a lack of space. In some cases a cyst can grow adjacent to the wisdom teeth, which can also lead to more serious issues as it hollows down the jaw and affects nearby nerves, teeth and other parts of the mouth. A panoramic radiograph needs to be taken prior to the surgery. If any of the wisdom teeth are impacted or close to the nerve then a 3D radiograph needs to be done to mitigate potential adverse surgical outcomes, including permanent nerve damage or sinus issues.