It's a perpetual dilemma for our patients, but unfortunately there is no straightforward answer. The difficulty or ease of surgical extraction of wisdom teeth is influenced by numerous factors:
the shape of the roots of the wisdom teeth - the more curved or divergent the roots are, the harder it is to extract the tooth
density of the surrounding bone - the bone in the upper jaw is generally softer, making it easier to surgically extract upper wisdom teeth in most cases
accessibility of the region - both upper and lower wisdom teeth can sometimes have difficult access, making the procedure more complicated
during the surgical extraction of upper wisdom teeth, there may be a risk of "sinus perforation" due to the close proximity or contact with the sinus. This complication can be relatively easily resolved during the procedure.
lower wisdom teeth may be close to the inferior alveolar nerve, which requires special attention and can significantly slow down the surgical extraction of the tooth.