Do painful wisdom teeth necessarily need to be extracted? Is there any other solution?

Wisdom teeth are extracted when there is no other solution for the problem they cause: a crown destroyed by caries, associated root caries, periapical processes that cannot be treated with root canal therapy, periapical cysts, resorption of root dentin on neighboring second molars because of an improper position, constant accumulation of food around the crowns because of improper position...
In the wisdom-tooth region, the periodontal tissue often becomes inflamed as a result of food debris collecting around or behind the tooth crown. The inflammation can be severe and can even cause enlarged and painful local lymph nodes, elevated body temperature and inability to open the mouth (trismus). If such inflammation recurs, this is likewise a sufficient indication for extraction. Removal of the gum tissue around the tooth crowns (decapsulation) as an auxiliary solution is usually not sufficient.
It is a misconception that eruption of wisdom teeth causes crowding of the front teeth or tight dental alignment; until recently this was still considered a sufficient reason for removal. For an exact decision we need a panoramic X-ray and clinical examination.

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