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Wisdom Teeth Extraction | Surgery Procedure, Side Effects & Recovery

Wisdom teeth extraction is a standard dental procedure that involves the removal of one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom. 

This article aims to provide comprehensive insights into the surgery procedure, the ideal age for removal, potential side effects, and practical recovery tips. Wisdom teeth often emerge during late adolescence or early adulthood and can cause dental issues if not appropriately managed. Understanding this procedure can alleviate anxiety and help individuals prepare for a successful recovery.

What Are Wisdom Teeth?

wisdom teeth

Wisdom teeth, also known as third molars, are the last to develop and typically emerge in your late teens or early twenties. These teeth can be a healthy part of your dentition if they are correctly aligned and fully erupted. 

However, in many cases, wisdom teeth are misaligned, partially emerge, or remain entirely impacted within the jawbone or gum tissue. Misaligned wisdom teeth can cause crowding and affect the alignment of other teeth. Impacted wisdom teeth can lead to pain, infection, and other dental problems, necessitating removal.

Wisdom Teeth Removal Age

Dentists usually recommend the extraction of wisdom teeth in the late teens to early twenties. This age range is optimal because the roots of the wisdom teeth are not yet fully developed, and the jawbone is more flexible, making the extraction process more straightforward and less risky. Younger patients typically experience quicker and more comfortable recovery periods. 

Early removal is also preventive, as it can help avoid potential problems such as impaction, misalignment, and the complexities associated with removing fully developed wisdom teeth.

Decayed Wisdom Tooth Extraction

A decayed wisdom tooth presents a significant risk to oral health and requires prompt attention. Decay in these teeth can be challenging due to their location in the mouth. In many cases, a decayed wisdom tooth is difficult to clean and treat effectively, leading to further deterioration and the risk of infection. 

If a wisdom tooth becomes decayed, extraction is often the most practical solution to prevent the spread of decay and disease to adjacent teeth or the surrounding bone. Left untreated, decayed wisdom teeth can lead to the formation of cysts, abscesses, and even systemic infections, which can have severe implications for overall health. 

The extraction of decayed wisdom teeth is a proactive measure to maintain oral hygiene and prevent more severe health issues.

The Surgery Procedure

1. Preparation for Surgery

Proper preparation is critical to a successful wisdom teeth extraction procedure. Initially, a comprehensive dental examination, often including X-rays or even 3D imaging, is conducted to evaluate the position and condition of the wisdom teeth. This assessment helps in planning the best approach for extraction. 

Patients should discuss their complete medical history and any medications they are currently taking with their dentist or oral surgeon. This information is crucial to avoid potential complications during or after the surgery, especially if the patient has specific health conditions or allergies. 

Suppose general anesthesia is to be used, which is common in cases where multiple wisdom teeth are removed at once. In that case, patients will be instructed to fast—usually no food or drink after midnight on the night before the surgery. This is done to reduce the risk of aspiration during the procedure.

2. During the Surgery

On the day of the surgery, the procedure begins with administering anesthesia. The type of anesthesia used—local, sedation, or general—depends on the complexity of the extraction and the patient’s comfort level. 

Once the anesthesia takes effect, the oral surgeon incurs the gum to expose the tooth and bone. If the wisdom tooth is impacted or embedded in the jawbone, removing some of the bone may be necessary. The tooth may also be divided into smaller sections for more accessible and less invasive removal. 

The oral surgeon carefully maneuvers throughout the procedure to minimize the impact on surrounding tissues. After the tooth is extracted, the site is thoroughly cleaned to remove debris. The surgeon may stitch the wounds closed to promote healing, although not all extractions require stitches. The area is often packed with gauze to control bleeding and assist in forming a blood clot, which is essential for healing.

Dos and Don’ts After Wisdom Tooth Extraction

If you are wondering how to speed up wisdom teeth recovery, there are things you can’t do after wisdom teeth removal. Following the surgery, adherence to specific post-operative instructions is crucial for a smooth recovery. 

  • Apply ice packs outside your face to minimize swelling and bruising, typically in 15-20 minute intervals.
  • Don’t rinse your mouth vigorously or spit forcefully for the first 24 hours, as these actions can dislodge the blood clot that forms in the socket.
  • Take prescribed medications, including painkillers and antibiotics, as your oral surgeon directs to manage discomfort and prevent infection.
  • Don’t consume hard, sticky, or chewy foods for the first few days, as they can irritate or get lodged in the extraction site.
  • Do practice gentle oral hygiene. While you should avoid brushing the extraction site directly for a day or so, keeping your mouth clean is essential for preventing infection.
  • Don’t smoke or use tobacco products for at least 72 hours after surgery, as they can hinder the healing process and increase the risk of complications.

Knowing some of these wisdom teeth removal recovery tips helps a quicker recovery with fewer complications. Patients are usually scheduled for a follow-up visit to check on the healing progress and to remove any stitches, if necessary. 

Side Effects of Wisdom Tooth Extraction

Common Side Effects

Experiencing specific side effects after wisdom tooth extraction is standard and typically not a cause for concern. The most frequent side effects include:

  • Swelling around the mouth, cheeks, and sides of the face is normal. This is the body’s natural response to surgery and part of the healing process.
  • Some degree of pain and discomfort is expected after the anesthesia wears off. The intensity of pain can vary depending on the complexity of the extraction.
  • Bruising on the skin and in the mouth, especially along the cheek, might occur.
  • Some bleeding is expected during the first 24 hours post-surgery. It usually subsides but can persist in a mild form for a few days.
  • Numbness or tingling in the mouth or lips can occur, resulting from the local anesthesia or the pressure and trauma of the surgery on nearby nerves. This sensation usually dissipates within a few hours to days.

Managing Side Effects

Effective management of these side effects can promote a more comfortable and quicker recovery:

  • Apply cold packs or ice wrapped in a towel to the external cheek near the extraction site to reduce swelling and bruising. Apply for 15-20 minutes during the first 24-48 hours.
  • After the first 24 hours, gently rinse with warm salt water several times a day, especially after meals, to keep the area clean and aid in healing.
  • Rest is essential after surgery. Avoid vigorous physical activities for a few days as it can increase bleeding and prolong healing.
  • Eat soft foods like yogurt, pudding, soup, and applesauce for the first few days. Gradually reintroduce solid foods into your diet as healing progresses.
  • Take any prescribed pain medication or antibiotics as directed. Over-the-counter pain relievers can also be used as recommended by your dentist.

When to Seek Help

While most side effects are expected and subside within a few days to a week, specific symptoms warrant immediate medical attention:

  • Severe Pain: If pain intensifies and becomes unbearable despite medication.
  • Excessive Swelling or Bruising: Especially if it worsens after the first two days.
  • Fever: A fever can indicate an infection.
  • Pus or Severe Bleeding: Pus from the extraction site or persistent, heavy bleeding are signs of complications.
  • Difficulty Swallowing or Breathing: These could be signs of a severe reaction or complication.

Promptly contact the Wellness Dental Studio if you experience these symptoms. Sometimes, a follow-up visit may be necessary to address complications and ensure proper healing.

Recovery Phase

Wisdom Tooth Removal Recovery

The recovery phase after wisdom tooth removal is crucial and varies from person to person. The initial recovery period, where the most noticeable symptoms like swelling and discomfort are present, typically lasts a few days. 

However, complete healing of the gums may take up to a few weeks, and the bone where the tooth was extracted can take several months to heal fully. It’s important to closely follow your dentist’s or oral surgeon’s post-operative instructions to ensure a smooth recovery. 

This includes taking prescribed medications as directed, adequate rest, and attending any scheduled follow-up appointments.

Activities to Avoid

Certain activities should be avoided post-surgery as they can hinder the healing process:

  • Avoid Using Straws and Smoking: Using straws and smoking can create suction in the mouth, leading to the dislodgment of the blood clot in the socket, a condition known as dry socket. A dry socket can be painful and delay healing.
  • Refrain from Intense Exercise: High-intensity physical activities can increase blood pressure and may cause more bleeding in the extraction site. It’s advisable to avoid strenuous exercise for at least a week.
  • Dietary Precautions: Avoid foods that are too hot, cold, or spicy. Extreme temperatures and spicy foods can irritate the extraction site. Also, avoid hard or crunchy foods that might injure the healing gums.
  • Speeding Up Recovery

To promote faster healing

  • Stay Hydrated and Eat Nutritious Foods: Keeping hydrated helps with overall health and recovery. Focus on a diet rich in vitamins and minerals, which can aid in the healing process. Soft foods like smoothies, soups, and mashed potatoes are good options.
  • Maintain Oral Hygiene: Keeping your mouth clean is crucial for preventing infections. Brush your teeth gently and avoid the surgical area for the first few days. Use saltwater rinses to cleanse the mouth gently after meals.
  • Rest and Recovery: Ensure you get plenty of rest. Elevate your head with pillows during sleep to help reduce swelling.
  • Cold Compress: Using a cold compress on the outside of your cheek can help reduce swelling and relieve pain.

By carefully following these guidelines, most people can expect to recover from wisdom tooth removal without complications, resuming normal activities within a week or two. Remember, everyone’s healing process is different, and giving your body the time it needs to recover is essential.


Undergoing wisdom teeth extraction is a significant step toward maintaining oral health and preventing future dental complications. 

Being informed about the surgery procedure, potential side effects, and recovery process can make this experience less daunting. Adhering to the post-operative instructions and tips can ensure a swift and uncomplicated recovery. Remember, while this procedure is standard, it is a crucial intervention for long-term dental wellness.

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