Wisdom Tooth Extraction: What to Expect Before, During, and After Removal

If you’re between the ages of 17 and 25, there’s a good chance you are aware your wisdom teeth are starting to erupt or at least trying to, especially if they are causing discomfort. Wisdom teeth (third molars) are the last teeth to come in, and for many people, they don’t arrive quietly.

Wisdom tooth extraction is one of the most common dental procedures, with millions performed each year. This guide will explain what you should know about when, and why, wisdom teeth may need to come out.

Why Do Wisdom Teeth Need to Be Removed?

Sometimes wisdom teeth come in just fine. But in many cases, there’s simply not enough room in your jaw to fit them in. This can lead to a number of issues:

• Impaction: When a tooth gets stuck beneath the gums and can’t fully emerge, it can press on nearby teeth or bone.
  
• Crowding: A small jaw might not have space for extra molars, leading to shifting or misalignment.
  
• Eruption at the wrong angle: Crooked growth can damage neighboring teeth or affect your bite.
  
• Infection risk: Partially erupted teeth can trap food and bacteria, increasing the chance of gum infection.
  
• Cysts or damage: A fluid-filled sac (a cyst) can form around the unerupted tooth and potentially harm nearby bone or nerves.
  

Whether your dentist recommends removal to prevent future issues or treat an existing condition, the goal is always to protect your overall oral health.

What Happens During the Procedure?

Wisdom tooth removal is usually done right in the dental office. Here’s what to expect:

• Anesthesia options: You may receive a local anesthetic (numbing shot), or, if you’re having multiple teeth removed or feel anxious, your dentist or oral surgeon might recommend sedation or general anesthesia. This will be discussed with you in advance.
  
• Tooth removal: If your tooth is impacted, a small incision in the gums may be necessary. Once visible, the tooth is gently removed. In some cases, dissolvable stitches are placed to help with healing.
  
• Post-op care begins immediately: After the procedure, you’ll rest briefly before heading home. If you had sedation or general anesthesia, you’ll need someone to drive you.

After the Extraction: Recovery and Care

Healing from a wisdom tooth extraction usually takes just a few days. Here’s how to keep recovery smooth and comfortable:

• Control bleeding: Gently bite on gauze and keep your head elevated when resting.
  
• Manage swelling: Use an ice pack on your cheek for 5–10 minute intervals the first day.
  
• Ease discomfort: Take prescribed or over-the-counter pain medications as directed.
  
• Rinse gently: Warm salt water rinses (starting on day two) can help soothe your mouth.
  
• Stick to soft foods: Think yogurt, soup, mashed potatoes, anything that doesn’t require chewing.
  
• Avoid straws and smoking: Suction can disrupt healing and increase your risk for dry socket.
  
• Brush carefully: Keep up oral hygiene, but be extra gentle near the extraction site.
  

Your dental team will give you specific instructions based on your procedure, so be sure to follow them closely.

When to Contact a Dentist

While mild pain and swelling are normal, reach out if you experience:

• Persistent bleeding
  
• Severe pain not managed by medication
  
• Signs of infection like fever or pus
  
• Trouble opening your mouth
  

If you’re experiencing symptoms or have questions, schedule a visit with a Dentistry.One dentist today. Our team is here to guide you through every step of your wisdom tooth extraction and recovery.