There are risks associated with the extraction of orthodontic wisdom teeth, such as lingual nerve damage and tooth root breakage, but the probability is relatively low. There are risks associated with tooth extraction like any other surgery, but the risks can be minimized by having the tooth extracted in a proper hospital. The risk of wisdom tooth removal is related to the position of the wisdom tooth within the jawbone, the shape of the root, and its relationship to the mandibular nerve canal. Orthodontic wisdom teeth that are located too low in the bone are considered low impaction and often require flap debridement during extraction, which may result in damage to the lingual nerve. Orthodontic wisdom teeth with curved and hypertrophied roots are difficult to remove, and are prone to the risk of root breakage and postoperative reactions. In addition, orthodontic wisdom teeth roots and lower alveolar nerve is close or connected to the risk, if the extraction process leads to lower alveolar nerve damage, there will be numbness of the lower lip and other symptoms. It is recommended to go to a regular hospital stomatology department for consultation, avoid fasting before tooth extraction, and avoid physiological period for women.