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If the teeth are impacted, meaning they are trapped beneath gum tissue or bone, they can be chronically painful as the gums get inflamed or infected A tooth impacted only partially can become a food trap and harbor bacteria and plaque which cause tooth decay. While having a tooth removed is a very common dental procedure, it is still surgery and it may feel scary or overwhelming for some patients. An evolutionary hangover from a time when coarse foods and poor hygiene resulted in extensive tooth loss for people by their late teens and early twenties, modern diets and hygiene routines mean patients typically keep their healthy, natural teeth well past their early twenties making a third set of molars unnecessary.