The third molar teeth, usually referred to as the wisdom teeth, are the maxillary and mandibular third molars. They are located all the way back in the jaw, and tend to come in some time between the ages of 16 and 25, if they come in at all. For many people their wisdom teeth coming in impacts other teeth, requiring surgery to remove the wisdom teeth to allow their jaw to remain healthy. Wisdom teeth are so named because of the time they appear, generally in the late teens or early twenties, when people are supposed to be gaining some bit of wisdom in life.

There are two main theories as to why wisdom teeth exist at all, since in most cases in the modern world they cause problems and have to be removed or else mess up the jaw line. One theory of evolution and wisdom teeth is that in ancient times tooth loss was much more common, because of rot or trauma, and so most people by the time they were in their early twenties had already lost a tooth or two. The wisdom teeth, then, would help fill the empty space that the lost tooth left, making for a more complete bite. Another theory holds that in the past the human jaw was significantly larger, so that there was room for the wisdom teeth to grow in. As our diet shifted, our jaws shrank, but wisdom teeth continued to form.

In fact, wisdom teeth form to varying degrees in different segments of the population. Nearly all Mexican Indians, for example, form wisdom teeth during their life, while less than one in five-hundred Bantu speakers in Angola form wisdom teeth. This is related to the PAX9 gene, and may also be influenced by other genes as well.

Because wisdom teeth are so obviously different from their appearance than other teeth, it makes sense that most cultures have come up with their own way to describe them. Generally infants form a first set of teeth, commonly called baby teeth, which eventually fall out and give way to the adult teeth, that will remain until old age. Wisdom teeth are, except in rare circumstances, the only other set of teeth that appear, and they come quite a bit after the full set of adult teeth have grown in for most people.

In fact, the association of these teeth with wisdom in terms of age dates back to antiquity. Hippocrates refers to these teeth as sophronisteres, from the Greek sophron, meaning prudent. So in Classical Greece they were the prudent teeth. Later, in Rome, they were given the name dentes sapientiae, which literally translates as teeth of wisdom. This was the term first used in English, around the mid-17th century, and continued to be used until the mid-19th century, when the current name of wisdom teeth was adopted.

Other languages have other takes on similar themes. For example, in Arabic the teeth are called Ders-al-a’qel, or teeth of the mind. In Dutch they are known as verstandskies, which can be glossed as teeth of wisdom. And in a number of Spanish-speaking countries the teeth are referred to as muela de juicio, or the teeth of judgment, referring to the fact that they appear around the same time people in theory begin to develop good judgment.