Dental Health

Wisdom tooth pain in Argüelles, Madrid: causes and solutions

Dra. Irene de los Mozos28 February 2026

Wisdom teeth, or third molars, are the last teeth to erupt, generally between the ages of 17 and 25. In many cases their eruption is not without problems: the jaw no longer has enough space to accommodate them.

Why do wisdom teeth hurt?

Pericoronitis

The most common cause of pain. It occurs when the tooth is partially erupted and the gum tissue covering it becomes inflamed and infected. The pain is usually intense and may be accompanied by:

  • Difficulty opening the mouth
  • Swelling of the cheek
  • Difficulty swallowing
  • Fever in severe cases

Impaction or inclusion

When the tooth has no room to erupt properly, it becomes "trapped" in the bone, lying horizontally, vertically or at an angle. It can put pressure on the adjacent tooth, causing pain or root resorption.

Decay

Wisdom teeth are very difficult to clean properly. Decay can develop in the wisdom tooth itself or, worse, on the distal face of the second molar.

Do wisdom teeth always have to be removed?

Not necessarily. If a wisdom tooth has erupted in a good position, can be cleaned properly and causes no problems, it can be kept.

However, removal is recommended when:

  • There is recurrent pericoronitis
  • The tooth is in a poor position and may damage the neighbouring tooth
  • There is decay that cannot be restored adequately
  • Orthodontics is planned and the tooth may compromise the result

When should you go to an emergency dentist?

If you have intense pain, significant facial swelling, fever or difficulty swallowing, you should seek urgent dental care. An untreated periodontal infection can spread to deep spaces in the neck with serious consequences.

At Debod Dental Clinic in Argüelles, Madrid, we attend emergencies and carry out wisdom teeth removal with the technology and experience needed to ensure your comfort.

Frequently asked questions

Frequently asked questions

Frequently asked questions about this topic.

No. If they have erupted in a good position, can be cleaned properly and cause no problems, they are kept. Removal is recommended when they cause pain, recurrent infections (pericoronitis), decay or damage the neighbouring tooth.

The extraction is performed under local anaesthetic, so you feel no pain during the procedure. Afterwards there may be swelling and discomfort for a few days, managed with the prescribed instructions.

If there is intense pain, facial swelling, fever or difficulty swallowing, seek urgent dental care: we attend emergencies the same day. An untreated infection can get worse.

Reviewed by Dra. Irene de los Mozos

Endodoncia · COEM Reg. No. 28011327

Informational content reviewed by a registered professional at Debod Dental Clinic. It does not replace a personalised clinical assessment. View specialist profile.

Did this article raise questions?

Talk directly with our team of specialists. First consultation with no obligation.

Book a free consultation

We use our own and third-party cookies for measurement and marketing. You can accept or reject them. Learn more.