Wisdom Tooth Removal (Third Molar Extraction)

A Comprehensive Guide to Understanding Your Procedure

Oral Surgery

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Last updated: Mar 24, 2025

What Are Wisdom Teeth?

Wisdom teeth are the third and final set of molars that typically emerge between ages 17-25. While some people never develop wisdom teeth, most have four – one in each corner of the mouth.

Why Remove Wisdom Teeth?

Common Reasons for Extraction:

  • Impaction: Teeth trapped beneath gum or bone
  • Crowding: Insufficient space in jaw for proper emergence
  • Infection Risk: Partially emerged teeth prone to infection
  • Damage: Risk to adjacent teeth or bone structure

The Extraction Procedure

Before Surgery

  1. Consultation: X-rays and treatment planning
  2. Pre-operative Instructions:
    • Fasting requirements
    • Medication adjustments
    • Transportation arrangements

During Surgery

  • Anesthesia Options:
    • Local anesthesia
    • Sedation
    • General anesthesia
  • Procedure Duration: 30-60 minutes typically

Recovery Process

Immediate Post-Surgery (24-48 hours)

  • Gauze pressure on extraction sites
  • Ice pack application
  • Rest and limited activity

First Week

  • Soft food diet
  • Gentle salt water rinses
  • Prescribed pain management
  • Avoid smoking and straws

Potential Complications

  • Dry socket (alveolar osteitis)
  • Temporary numbness
  • Infection
  • Bleeding

When to Contact Your Dentist

  • Severe pain not managed by medication
  • Excessive bleeding
  • Fever above 101°F (38.3°C)
  • Difficulty swallowing/breathing

Long-term Outlook

Most patients fully recover within 1-2 weeks, with complete healing occurring over several months.

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