Wisdom Teeth Extraction: Procedure, Risks and Aftercare

Wisdom teeth are the last set of molars to develop, usually appearing in the late teens or early twenties. For some people they come through without drama, but for many others they cause pain, crowding, or infection, leading to a search for wisdom teeth removal near me. Understanding why these teeth can become a problem — and what happens if they need to be removed — can help you feel more confident and prepared.

Why Wisdom Teeth Often Need to Be Removed

Wisdom teeth, also known as third molars, sit right at the back of the mouth. Because they erupt later than other teeth, there often isn’t enough room for them to come through properly.

Common Problems Caused by Wisdom Teeth

• Impaction – The tooth may get stuck under the gum or against another tooth

• Crowding – Nearby teeth can shift, affecting alignment

• Infection – Partially erupted teeth can trap food and bacteria

• Pain and swelling – Pressure in the jaw or inflamed gums

• Tooth decay – Hard-to-reach areas make cleaning difficult

Not everyone needs their wisdom teeth removed, but when they cause repeated issues, extraction is often the most practical solution.

The Wisdom Tooth Extraction Procedure

The procedure itself is very common and considered routine in dental care. The exact approach depends on whether the tooth is fully erupted or impacted.

Step 1: Examination and Imaging

Before the procedure, X-rays are taken to see the position of the teeth and their roots. This helps plan the safest way to remove them and avoid nearby nerves or sinuses.

Step 2: Anaesthesia

You’ll receive either local anaesthetic (numbing just the area), sedation, or sometimes general anaesthesia, depending on the complexity of the case and your comfort level.

Step 3: Removing the Tooth

If the tooth has come through the gum, it may simply be loosened and removed. Impacted teeth usually require a small incision in the gum. In some cases, the tooth is divided into sections to make removal easier and reduce pressure on the jaw.

Step 4: Closing the Area

Stitches may be placed to help healing. Gauze is applied to control bleeding, and you’ll be given instructions to follow at home.

The entire process can take anywhere from 20 minutes to over an hour, depending on how many teeth are being removed and their position.

Risks and Possible Complications

While wisdom tooth removal is generally safe, like any surgical procedure it does carry some risks.

Common (Temporary) Side Effects

• Swelling around the cheeks or jaw

• Mild bleeding for the first 24 hours

• Bruising or stiffness in the jaw

• Discomfort while chewing

These usually settle within a few days.

Less Common Complications

• Dry socket – When the blood clot protecting the area is dislodged

• Infection – Marked by increased pain, swelling, or fever

• Nerve irritation – Temporary numbness in the lip, chin, or tongue

• Sinus issues – Occasionally with upper wisdom teeth

Most complications are manageable if addressed early, which is why following aftercare instructions is so important.

Aftercare: Helping Your Mouth Heal

Proper aftercare makes a big difference in recovery and comfort.

First 24 Hours

• Bite gently on gauze to control bleeding

• Avoid rinsing, spitting forcefully, or using straws

• Stick to soft, cool foods like yoghurt or soup

• Rest and keep your head elevated

Managing Swelling and Pain

Applying an ice pack to the outside of your cheek in short intervals can help reduce swelling. Over-the-counter or prescribed pain relief should be taken as directed.

Oral Hygiene

You can brush your other teeth as normal but avoid the extraction area at first. After the first day, gentle saltwater rinses can help keep the area clean.

Foods to Eat (and Avoid)

Good choices:
Mashed vegetables, scrambled eggs, smoothies (without a straw), pasta, soft fruits

Avoid:
Hard, crunchy, spicy, or very hot foods that may irritate the site

Returning to Normal Activities

Most people return to normal routines within a few days, though strenuous exercise should be avoided for about a week. Full healing of the gum can take a few weeks.

When to Seek Help

Contact a dental professional if you notice:

• Severe pain that worsens after a few days

• Persistent bleeding

• Swelling that increases instead of improving

• Fever or pus discharge

These may be signs of infection or dry socket and should be checked promptly.

Final Thoughts

Wisdom teeth extraction might sound daunting, but it’s a common and well-managed procedure. Knowing what to expect before, during, and after removal can make the experience far less stressful. With proper care and attention during recovery, most people heal smoothly and quickly, often feeling relieved once the source of discomfort is gone.

FAQs About Wisdom Teeth Extraction

1. How long does it take to recover from wisdom teeth removal?
Most swelling and discomfort improve within 3–5 days, but full gum healing may take a few weeks.

2. Is wisdom tooth extraction painful?
The procedure itself isn’t painful due to anaesthesia, but some soreness and swelling afterwards are normal.

3. Can I go to work or school the next day?
Many people need at least one or two days of rest, especially if multiple teeth were removed.

4. What is a dry socket?
It’s a painful condition where the protective blood clot comes out too early, exposing bone and nerves.

5. Do all wisdom teeth need to be removed?
No. If they’re healthy, fully erupted, and easy to clean, removal may not be necessary.