Causes of Wisdom Tooth Pain
Impaction: Wisdom teeth often do not have enough room to fully erupt, leading to impaction. An impacted tooth can be partially or completely trapped beneath the gums, causing pain and swelling.

Infection: As wisdom teeth partially emerge, they can create an opening for bacteria, leading to infection and inflammation of the surrounding gums (pericoronitis).

Crowding: If there isn't enough space in the mouth, the emerging wisdom teeth can push against other teeth, causing pain and alignment issues.

Decay: Partially erupted wisdom teeth are difficult to clean, making them more susceptible to decay and gum disease, which can be painful.

If you don't get a tooth extraction when recommended by your dentist, several potential consequences could arise depending on the specific reason for the recommendation:

Infection: If the tooth is severely decayed or infected, delaying extraction can lead to the spread of infection. This can cause abscesses, which are painful collections of pus, and potentially more serious systemic infections that can affect overall health.

Pain: An unresolved issue with a tooth, such as decay, infection, or impaction, can cause ongoing or worsening pain. This discomfort can interfere with daily activities, eating, and even sleeping.

Damage to Surrounding Teeth: An infected or problematic tooth can affect neighboring teeth. For example, an impacted wisdom tooth can push against adjacent teeth, leading to misalignment, decay, or damage to those teeth.