Wisdoom Tooth Extraction

Wisdom teeth often creep up unexpectedly, causing pain and discomfort. These third molars, which typically emerge in early adulthood, can lead to complications if they don’t have enough space to grow properly. In cases where complications arise repeatedly, an ideal solution will be to have these wisdom teeth removed by an oral surgeon. Here, we will explain everything you need about wisdom tooth extraction and why it’s necessary.

Why wisdom tooth removal is important?

Wisdom teeth are the last set of teeth to grow, usually in adults between the ages of 17 and 25. For many, wisdom teeth present with pain, infection, or other dental problems.

These problems occur because there isn’t enough room in the mouth for them to emerge properly. Removing wisdom teeth can resolve these issues and improve oral health in the long term.

Some common reasons for removing wisdom teeth are:

Impacted teeth: Wisdom teeth can become lodged in the jawbone or gums, which can result in infections, pain, and damage to surrounding teeth.
Infection and decay: Wisdom teeth are located far back in the corner of the mouth, making them difficult to clean properly. Unclean conditions can lead to gum disease, tooth decay, and infections.

Wisdom tooth extraction vs surgery

Wisdom tooth extraction is a straightforward process if the tooth has fully erupted. However, a surgery is necessary in cases where the wisdom teeth are trapped or have not fully emerged.

Standard extraction: If the wisdom teeth have broken through the gums and are visible, the dentist will uproot the tooth by loosening it with dental tools and gently extracting it.
Surgical extraction: Oral surgery is needed for impacted teeth that are lodged beneath the gums or embedded in the jawbone. The surgeon will make an incision in the gum and may remove some bone to extract the tooth.

Both methods aim to remove problematic wisdom teeth, but the complexity varies depending on the position and health of the teeth.

Wisdom tooth extraction and pain management

Pain management is a key aspect of wisdom tooth extraction. While the procedure is performed under local anaesthesia, sedation, or general anaesthesia, some discomfort is expected during recovery. Pain can be managed through:

Local anaesthesia: This numbs the area around the wisdom tooth, preventing any pain during the procedure.
Sedation anaesthesia: This option helps you relax during the procedure and is often combined with local anaesthesia for pain relief.
General anaesthesia: For more complicated cases, this is carried out in an operating theatre where you will be anesthetised and sleeping during the surgery.

After the procedure, over-the-counter painkillers like ibuprofen or prescribed medication can help manage discomfort. Swelling and soreness are common but should subside within a few days.

Wisdom tooth extraction procedure

Before the surgery

Before undergoing wisdom tooth extraction, your oral surgeon will evaluate the position of your wisdom tooth. You will also have a consultation to discuss the type of anaesthesia and any pre-surgery instructions.

During the surgery

The actual procedure for wisdom tooth extraction generally takes around 45 minutes to an hour. Here’s what to expect:

Anaesthesia: Depending on your case, local anaesthesia or sedation will be given to ensure your comfort during the extraction.
Tooth removal: The oral surgeon will loosen the tooth using specialised tools. An incision may be made for surgical extractions, and the tooth may be divided into smaller pieces for easier removal.
Closing the site: If necessary, the surgeon will close the gums with stitches to help it heal properly.

After the surgery

Once the procedure is complete, you will be taken to a recovery room if general anaesthesia is used. If you received local anaesthesia, you could leave shortly after the surgery. You will receive instructions for managing pain, swelling, and bleeding.

Aftercare instructions

Consistent aftercare is essential for a smooth recovery following wisdom tooth extraction. Here are some dos and don’ts to follow:

DOS:

Rest: Take it easy for the first 24 hours after surgery. Rest helps your body heal faster.
Apply ice: Press on an ice pack to reduce swelling and discomfort.
Stay hydrated: Drink plenty of water, but avoid drinking with a straw.
Soft foods: For the first few days, adhere to a diet of soft foods such as yoghurt, mashed potatoes, and soup.
Follow medication instructions: Take prescribed painkillers or antibiotics as your dentist directs.

Don'ts:

Avoid strenuous activity: Heavy physical activity can increase bleeding and delay healing.
Don’t use a straw: Suction from a straw can accidentally remove the blood clot Avoid smoking and alcohol: Smoking and drinking alcohol can disrupt the healing process and heighten the risk of complications.
Don’t brush near the extraction site: Avoid disturbing the area for at least 24 hours to prevent irritation.

What is the cost of wisdom tooth extraction?

For wisdom tooth extraction costs, please refer to this price list. The cost may vary depending on the type of extraction. Simple extractions are usually less expensive than surgical extractions.

Dental insurance may cover some of the cost, especially if the extraction is medically necessary. Please check with your insurance agent. In Singapore, wisdom tooth extraction requiring surgery can be partially claimed through the Medisave scheme.

Wisdom tooth extraction in Singapore

Wisdom tooth extraction can prevent significant dental issues down the road. Extraction, particularly for impacted teeth, is a complex procedure that requires expertise to minimise risks and ensure a smooth recovery. Consult an Oral Surgeon to determine the best course of action for your wisdom teeth.

At Specialist Oral Surgeons, we specialise in wisdom tooth extractions. Our trained Oral Surgeons in Singapore will ensure your procedure is safe, efficient, and comfortable.

Book an appointment for wisdom tooth extraction today.

Frequently Asked Questions

How long is the wisdom tooth extraction procedure?

The procedure itself usually takes 45 minutes to an hour. However, the time may vary slightly for more complicated surgical extractions due to factors like the position of the tooth or whether bone needs to be removed.

What happens when the wisdom tooth gets impacted?

Impacted wisdom teeth can become trapped under the gum or jawbone, leading to pain, infections, and potential damage to surrounding teeth. Surgery is often required to remove impacted teeth, and if not treated, the condition can worsen over time, increasing the risk of complications.

Do I need to have my wisdom tooth removed?

Not all wisdom teeth need to be removed. Removal may be unnecessary if they are healthy, fully erupted, and properly aligned. However, regular dental checkups are essential to monitor changes, as issues can develop even after years of seemingly trouble-free wisdom teeth.

What happens if I don't get my wisdom tooth removed?

If you choose not to remove problematic wisdom teeth, you may face complications like infections, tooth decay, gum disease, and affect surrounding teeth. Prolonged, impacted wisdom teeth can cause more severe issues like cysts or abscesses, which may require more extensive treatment.

What type of anaesthesia will be used during the surgery?

Depending on the complexity of the extraction and your level of comfort, local anaesthesia, sedation anaesthesia, or general anaesthesia may be used. Your or oral surgeon will recommend the best option based on your medical history and the nature of the procedure.

How much pain can I expect after the wisdom tooth surgery?

Some discomfort is expected after the procedure, but pain is usually manageable with over-the-counter medications or prescribed painkillers. Swelling and soreness typically peak around the second day and should begin to decrease by the third or fourth day.

How long will it take to recover from wisdom tooth extraction?

Recovery time varies but generally takes one to two weeks. Most people can return to normal activities within a few days, but complete healing takes longer, especially if stitches are required, or multiple teeth are removed.

What can I eat after wisdom tooth removal?

For the first few days, stick to soft foods like yoghurt, mashed potatoes, and soup. It is advisable to stay away from hot, spicy, or crunchy foods that could possibly irritate the extraction site, and gradually introduce more solid foods as your mouth heals.

Can I smoke or drink through a straw after surgery?

We recommend not smoking and not using a straw for at least a week after wisdom tooth surgery, as doing these can dislodge the blood clot and cause bleeding. Heat from smoking may reduce the blood supply to the wound, increasing the risk of infection.

How soon can I brush my teeth after wisdom tooth extraction?

Starting the day after surgery, you can gently brush your teeth, avoiding the extraction area. Be careful not to touch the blood clot or apply too much pressure to the surgical site, which could slow healing or cause complications. An antiseptic mouthwash will be issued for soaking.

Is there anything I can do to prevent complications after wisdom tooth surgery?

To prevent complications:

Follow your oral surgeon’s aftercare instructions carefully.
During recovery, avoid smoking, using straws, and eating hard or crunchy foods.
Keep the area clean with gentle rinsing and rest as needed.

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