What is Wisdom Tooth Extraction? Impacted Tooth Treatment and Aftercare
Wisdom tooth extraction is a surgical procedure typically performed by a dentist when the third molars, commonly known as wisdom teeth, erupt between ages 17 and 25 and cause problems in the mouth. These teeth are located at the very back of the mouth. Some individuals may never develop wisdom teeth, or they may remain impacted within the jawbone. When wisdom teeth erupt in the wrong position, exert pressure on the gums, or lack sufficient space in the jaw, they can cause pain, swelling, infection, and misalignment of other teeth.
How Many Wisdom Teeth Are There?
There are usually four wisdom teeth in total—two in the upper jaw (right and left) and two in the lower jaw. Because they are the last teeth to erupt, they may become impacted or cause crowding if there is not enough space in the jaw. Some people may never develop wisdom teeth at all.
Where Do Wisdom Teeth Erupt?
Wisdom teeth erupt at the very back of both the upper and lower jaws, at the end of the dental arch. Ideally, they should align with the other teeth when they emerge. However, in cases of insufficient jaw space, they may only partially emerge or remain impacted, increasing the risk of infection and pain.
Common Problems During Wisdom Tooth Eruption
- Impaction: The tooth may remain trapped within the jawbone or gums, causing pain and infections in surrounding tissues.
- Incorrect eruption angle: The tooth may erupt at a wrong angle, pressing against neighboring teeth and causing crowding or misalignment.
- Gum infections: Partially erupted teeth can lead to inflammation and abscesses, causing pain and bad odor.
- Disruption of dental alignment: Wisdom teeth can cause crowding in front teeth and affect aesthetics.
How is Wisdom Tooth Extraction Performed?
Wisdom tooth extraction is usually performed under local anesthesia. If the tooth is fully erupted, a standard extraction is done. However, impacted or partially erupted teeth often require surgical intervention. In this procedure, an incision is made in the gum to access the tooth, and bone tissue may be removed with specialized instruments if necessary. The procedure is painless during the operation, but mild pain and swelling can occur afterward.
Missing teeth can later be replaced with permanent and aesthetic options such as dental implants.
Post-Extraction Care for Wisdom Teeth
- Avoid spitting, rinsing, or using straws for the first 24 hours.
- Use painkillers and antibiotics as prescribed by your dentist.
- Eat soft and lukewarm foods; avoid very hot, cold, or hard foods.
- Do not brush the extraction area or irritate it with hard foods.
- Avoid smoking and alcohol for at least 5-7 days.
- Contact your dentist if you experience prolonged pain, bad odor, or fever (click here).
Is It Necessary to Extract All Wisdom Teeth?
Not all wisdom teeth need extraction. If they are properly aligned, not causing pain, or pressing on other teeth, they can be left in place. Regular check-ups and X-rays are important to monitor their condition. Extraction is recommended for teeth that cause problems or pose a risk.
Wisdom Tooth Extraction Costs
Costs for wisdom tooth extraction vary depending on factors such as impaction, position, difficulty of the procedure, and the dentist’s experience. Surgical extractions generally cost more than routine extractions. For pricing details, please contact our clinic.
