Hello dear sir, you need or not need extraction of wisdom tooth its all depends on the clinical condition of patient , if not having any pain then you can delay for few months but as I am seeing in your opg you not having the tooth buds (proceeding tooth) for wisdom in both your upper rt and left side so there is no more worth if lower wisdom tooth si its better to thing for extraction of lower wisdom tooth one by one
Next Steps
1.Take and maintain proper oral hygyeine
2.Do warm saline water gargling to avoid the food lordgdmdnt
3. Do not use tooth picks or else
Thanks and regards
Dr Rajput pune