Dental Services : Oral Surgery : Wisdom Tooth Extraction

Wisdom Tooth Surgical Teeth Extraction

What are wisdom teeth?

Wisdom teeth are third molars. Normally people have three permanent molars that develop in each quadrant of the mouth. The third molars usually will try to grow in at around age 18 to 20 years. An evaluation for wisdom teeth is typically done when a patient is between 15 to 19 years old. Your dentist checks on its positioning presence, disease status before recommending any suggested treatment options.

Wisdom teeth are actually no different than any other tooth except that they are the last teeth to erupt. They are just as useful as any other tooth if they grow in properly, have a proper bite relationship, and have healthy gum tissue around them. Unfortunately, this does not always happen.

When wisdom teeth are prevented from erupting into the mouth properly, they are referred to as impacted. A dentist must examine a patient’s mouth and corresponding x-rays to determine if the teeth are impacted or will not grow in properly. Impacted teeth may cause problems.

Not all wisdom tooth may require surgical teeth extraction. If you wisdom tooth are erupted and grown out all the way, normal tooth extraction without stitches may be done. 

wisdom tooth

Do you need Surgical Teeth Extraction?

How do you know if you need a normal tooth removal or a surgical teeth extraction? Get an x-ray taken and free consultation with our dentist today. BIDC offers pain-free sedation dentistry for oral surgery treatments at our alliance hospital.

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Effects of Impacted Wisdom Teeth

Erupted wisdom teeth may or may not need to be removed. The dentist may recommend wisdom tooth removal only if wisdom tooth creates issues :

  • The tooth interferes with your bite
  • It is non-functional
  • The wisdom tooth is badly decayed and is at risk of periodontal disease
  • It interferes with dental restorations of an adjacent tooth

Every case is different. Only your dentist can determine if there is a reason for you to have a tooth removed. Several common problems that occurs when the impacted wisdom teeth are not removed:

  • Bacteria and plaque build-up
  • Decay of adjacent teeth formation of cysts (a fluid- filled sac) or tumors from follicle
  • Tumor development
  • Tooth and root infection
  • Jaw and gum disease

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Symptons of Wisdom Tooth Eruption

The following symptoms may indicate that the wisdom teeth have erupted and surfaced. However, each individual may experience symptoms differently. Some  symptoms include:

  • Pain
  • Infection in mouth
  • Facial swelling
  • Swelling of the gumline in the back of the mouth

Many oral health specialists recommends the removal of the wisdom teeth as early as possible to eliminate potential problems such as an impacted tooth that destroys the second molar. Third molar impaction is the most prevalent medical developmental disorder. The wisdom tooth roots are approximately formed, or three-fourths developed, usually in adolescent years. This is a common age when surgical teeth extraction of wisdom teeth are done. 

Procedure for Surgicalsurgical Teeth Extraction

  1. First Evaluation and diagnosis
    • An oral examination to determine if a tooth extraction is really warranted
    • X-ray(s) may be taken of the tooth to evaluate both the internal aspects of the tooth, the tooth root and bone
    • Relevant medical history are recorded. Do ensure that you report to your dentist any problems with any previous tooth extractions, bleeding problems, medical conditions or allergies to medicationsand supplements
  2. Site tooth preparation
    • Local anesthetize is given to “numb up” the tooth, jawbone and surrounding gums
  3. Wisdom tooth removal
    • Connective tissue between the tooth and the bone are removed
    • Wisdom Tooth is removed
    • Stitch up to close surgical site
  4. Instructions on post care directions given

Step 1 & 2

X-rays tooth extraction


Check on tooth position for surgical tooth extraction 

Step 3

Surgical tooth extraction

Surgical Teeth Extraction

If teeth is embedded or too large, it may be removed in pieces.

Step 4

surgical teeth extraction

Stitch up

Surgical site is closed and left to heal

Benefits of Surgical surgical Teeth Extraction

  • Removes impacted wisdom teeth that may cause potential issues.
  • Relieves you from pain and toothache that an infected tooth may be causing
  • The removal of infected teeth get rids of the problem itself and can help save other neighbouring teeth from any infection spreading.
wisdom tooth

Recovery Expectations

For surgical tooth extraction, there may be some bleeding after surgery that should stop after the first few hours. You are able to return home normally after treatment and follow your regular daily activities. Avoiding any excessive exertion typed of activities such as exercising or sunbathing.

Cases with deep impacted teeth or if the tooth was near nerve endings, some swelling may occur over the first few days. Apply cold compress and take pain relieve medications as instructed. 

Postcare Instructions after Wisdom Tooth Extractions

  • Use cold compress for 30 minutes right after the surgery
  • Bite the gauze firmly for a full half hour to stop bleeding. If bleeding persists, change to new gauze and continue biting firmly until the bleeding stops
  • Do not use mouthwash for six hours after oral surgery
  • If mild bleeding occurs, hold cold salt water in the mouth until it warms to body temperature
  • Do not rinse for 12 hours
  • After 12 hours you may rinse with a solution of teaspoonful of salt in a glass of warm water
  • Brush your teeth as usual, but do not brush the wound
  • Take only soft, non-spicy and cold foods, if possible, for 2- 3 days
  • Avoid smoking and alcohol
  • Mild pain can be controlled with pain relieve medications as directed by your dentist
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