Wisdom teeth used to just be a problem that either killed you, or you lived with lots of pain from, or you paid a guy to try and do something about them.
I don't know why people are so big on "we used to not need X in the distant past" tropes: yes we did, but we also just let lots of people die from it, or live a life of agony or being shunned as ugly/unclean/unable.