A crooked wisdom tooth does not necessarily need to be extracted, depending on the circumstances. In most cases, wisdom teeth need to be extracted, but if they do not affect the surrounding teeth and tissues, they may not be extracted in the first place. If the crooked wisdom tooth causes surrounding inflammation or affects the growth of neighboring teeth, it is generally recommended that it be extracted.1. No need to extract: If the wisdom tooth is at a certain distance from the neighboring teeth, does not affect the neighboring teeth, and is never inflamed or swollen, such a wisdom tooth can be considered for observation and does not need to be extracted. In addition, if the wisdom tooth is close to the lower alveolar nerve, forcible extraction may easily cause nerve damage and affect the sense of taste and oral and maxillofacial position sensation, so it can also be observed first; 2, need to be extracted: If the wisdom tooth that grows crooked is close to the neighboring teeth, it is easy to occur food residue embedding, and it is not easy to clean up, which may cause caries of the neighboring teeth as well as the wisdom tooth. If the wisdom tooth is tilted toward the throat, it is easy to cause pericoronitis and oral and maxillofacial interstitial infection, recurrent inflammation, pain, and serious mouth opening difficulties. If the wisdom tooth is tilted toward the cheek, it is easy to bite the oral mucosa causing damage and forming traumatic ulcers, and all the above cases need to remove the wisdom tooth.