Do You Need Wisdom Teeth Removal? From Causes to Surgery Explained
Are you wondering whether you need wisdom teeth removal? Wisdom teeth are a common dental concern that many people face in adulthood. This guide will provide an in-depth overview of wisdom teeth, including their causes, symptoms, situations requiring removal, surgical procedures, post-operative care. We’ll also share practical advice to help you manage discomfort and seek professional dental assistance when necessary.
Table of Contents
What Are Wisdom Teeth?
Wisdom teeth, or third molars, are the last set of molars to develop at the very back of your mouth, typically appearing between the ages of 18 and 25. They are called “wisdom teeth” as they emerge during early adulthood, often associated with maturity and “wisdom”.
Key Characteristics of Wisdom Teeth
Quantity
Most people have up to four wisdom teeth (two in the upper jaw and two in the lower jaw), but not everyone develops all four, and some may not develop any.
Growth Angle and Position
Due to modern human jaw evolution, there may be insufficient space for wisdom teeth, causing them to grow at awkward angles or become impacted.
Differences from Other Teeth
Wisdom teeth are located at the farthest point in the mouth, making them challenging to clean and prone to decay or gum inflammation.
Common Problems Caused by Wisdom Teeth
While wisdom teeth growth is a natural process, they are often regarded as “troublesome teeth” due to their potential to cause problems.
Typical Wisdom Teeth Issues
Impaction
When a wisdom tooth is partially or entirely trapped under the gum or bone, it can lead to pain and gum infection.
Tooth Decay
The hard-to-reach position of wisdom teeth makes cleaning difficult, allowing bacteria to accumulate and cause cavities.
Pericoronitis
The surrounding gums of a partially erupted wisdom tooth can become inflamed, swollen, or infected.
Damage to Adjacent Teeth
An impacted wisdom tooth can press against neighbouring molars, potentially leading to root resorption or decay.
Signs of Wisdom Teeth Problems
- Persistent or intermittent toothache
- Difficulty biting or limited jaw movement
- Swelling in the face or gums
- Bad breath or pus discharge in the mouth
When Should Wisdom Teeth Be Removed?
The decision to remove wisdom teeth is a frequently debated topic. Wisdom teeth management typically falls into two categories: therapeutic extraction and preventative extraction.
Situations Requiring Therapeutic Extraction
- Severe tooth decay in a wisdom tooth that cannot be restored
- Impacted wisdom teeth causing gum inflammation or infection
- Formation of cysts near wisdom teeth, exerting pressure on adjacent teeth
Preventative Extraction
- High Risk of Decay: Wisdom teeth are in hard-to-clean areas, posing a long-term risk of cavities.
- Orthodontic Concerns: Wisdom teeth may cause crowding or displacement of teeth during braces treatment.
When Extraction is Not Advised?
- Fully erupted, healthy wisdom teeth with no signs of decay or gum disease
- Patients with medical conditions unsuitable for surgery, such as clotting disorders
The Wisdom Teeth Removal Process
1. Initial Assessment
A dentist will examine your mouth and recommend an X-ray (panoramic scan) to evaluate the position of your wisdom teeth and their proximity to nerves. If the wisdom teeth are close to or overlap with the nerves, a 3D CT scan may be required for a clearer view and to minimise the risk of nerve injury during surgery.
2. Treatment Plan
- Low-Risk Cases: A general dentist can often perform straightforward wisdom teeth removals.
- High-Risk Cases: Complex extractions are typically referred to an oral and maxillofacial surgeon.
3. Pre-Surgery Preparation
Your dentist will explain the procedure, potential risks, and post-operative care. You’ll need to sign a consent form before the surgery begins, which will be carried out under local anaesthesia.
4. Post-Surgery Care
- Follow your dentist’s instructions for medication and wound care.
- Return for a follow-up appointment 7–14 days after surgery for wound assessment and suture removal.
Estimated Costs and Duration for Wisdom Tooth Removal Surgery
The cost and duration of wisdom tooth removal depend on various factors, including the position of the tooth, its growth condition, and the complexity of the procedure. We recommend choosing a reputable dental clinic where professional dentists can perform a thorough pre-surgical evaluation. This not only provides a clearer understanding of the tooth’s condition but also enhances the safety and success rate of the procedure.
Estimated Duration of the Procedure
Pre-surgical Assessment
Before extraction, the dentist will arrange for X-rays and discuss the treatment plan with you. This process typically takes about 30 minutes.
Tooth Removal Procedure
Simple extractions usually take 15–30 minutes. If the wisdom tooth is impacted or requires bone cutting, the procedure may exceed an hour.
Follow-up Appointment
After the surgery, the dentist will usually recommend a follow-up visit within a week to monitor wound healing.
Factors Affecting Costs
The cost of wisdom tooth removal can vary depending on the following:
Growth Condition of the Tooth
For example, whether it is fully erupted or impacted.
Complexity of the Surgery
This includes whether bone cutting or special techniques are required.
Clinic Facilities and Aftercare Services
Clinics with advanced equipment and comprehensive post-surgical care may charge more.
Preparing for Wisdom Tooth Surgery: Tips and Psychological Readiness
Wisdom tooth removal is a minor surgical procedure, but proper preparation can ensure a smooth process.
Pre-surgical Preparations
- Dental Examination: A full-mouth X-ray is required to evaluate the angle of the wisdom tooth and the surrounding bone structure.
- Communicate with Your Dentist: Inform them of your medical history and current medications, including any allergies or blood clotting issues.
- Diet Adjustments: On the day of the surgery, avoid consuming spicy or greasy foods and maintain an empty stomach if general anaesthesia is required.
Psychological Readiness
The procedure is usually painless as local anaesthesia will be administered. For particularly anxious patients, sedation anaesthesia can be considered to help them relax.
Post-operative Care: Reducing Discomfort and Promoting Recovery
Proper care after wisdom tooth removal is essential for wound healing.
Advise: If there is slight bleeding present even after few after of extraction put pressure pack on extraction socket and call us.
Within 24 Hours
- Avoid Physical Activity: Rest and avoid strenuous activities.
- Diet Recommendations: Options for lukewarm, liquid foods such as porridge or soup, and avoid chewing vigorously. (soft/liquid food should be in room temperature)
- Cannot use straw to drink .
- No smoking and drinking for 3 days at least as it may cause dislodgement of clots in the socket (DRY SOCKET)
- No negative pressure (no forceful spitting after mouth rinse)
- Avoid using mask on the day of extraction.
Within the First Week
- Oral Hygiene: You can gently brush your teeth 24 hours after surgery, but avoid the wound area.
- Pain Relief and Anti-inflammatory Medications: Take medicines as prescribed by your dentist to reduce swelling and the risk of infection.
Professional Wisdom Tooth Removal Services
Experienced Dental Team
Our dentists have extensive experience, ensuring every patient receives safe and efficient treatment.
Advanced Equipment
Our clinic is equipped with modern technology for accurate assessment of wisdom tooth growth, improving treatment efficiency.
Flexible Appointments
We offer flexible scheduling, including emergency wisdom tooth extractions, to alleviate discomfort promptly.
*If you have any questions or need further consultation regarding wisdom tooth removal, feel free to contact our professional dental team. We are committed to providing you with a comfortable and reassuring treatment experience.
Conclusion
Wisdom teeth can be a common concern in adulthood. Through regular dental check-ups and professional advice, patients can better determine whether wisdom tooth removal is necessary and take the appropriate action.
If you are considering wisdom tooth removal, contact our professional team for an evaluation. Our clinic provides comprehensive wisdom tooth removal services and is dedicated to ensuring patients have a comfortable surgical experience.
Frequently Asked Questions
Will wisdom tooth removal be painful?
The procedure involves local anaesthesia, so patients will not feel pain during the surgery. However, mild discomfort or swelling may occur post-surgery. Dentists typically prescribe painkillers to alleviate symptoms.
How soon can I eat normally after surgery?
In the first 24 hours, it is recommended to consume liquid or semi-liquid foods such as soup, congee, or smoothies. Normal eating habits can usually resume after 3–5 days, but hard or spicy foods should be avoided.
Is general anaesthesia necessary?
Most wisdom tooth extractions only require local anaesthesia. However, for patients who are extremely anxious or if the tooth is severely impacted, general anaesthesia can be considered.
How long should I rest after wisdom tooth removal?
Simple extractions typically do not disrupt daily activities. However, for more complex procedures, it is advisable to rest for 1–2 days and avoid strenuous activities.
Disclaimer
This article is for informational purposes only and does not constitute professional dental advice. If you require dental treatment or related information, we recommend consulting a professional dentist registered with the Dental Council of Hong Kong to obtain advice and diagnosis tailored to your individual needs.
While we strive to provide accurate and reliable information, we do not guarantee the completeness or timeliness of the content. The information provided should not be considered a substitute for professional dental advice, diagnosis, or treatment. If you have any concerns, please consult your dentist or other qualified healthcare professional and follow their recommendations.
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