What Are Wisdom Teeth?

Wisdom teeth are the last adult molars to erupt, usually between ages 18 and 25. They often lack space to come in properly and can become ‘impacted’-stuck or misaligned.

Why Might They Be Removed?

Repeated infections (pericoronitis) – Tooth decay (in wisdom or adjacent tooth) – Cysts or abscesses – Preparation for orthodontic or jaw surgery – Failed antibiotic treatments – Persistent pain T

Treatment Options –

– Local Anaesthetic (LA): Awake with numbing injections.

– Intravenous Sedation/General Anaesthetic (GA): Asleep; used for complex/multiple extractions.

– Coronectomy: Crown only is removed if roots are too close to nerves.

Procedure Overview

A gum incision may be made, bone might be removed, and the tooth sectioned for easier extraction. Dissolving stitches are used to close the site.

Risks and Complications

– Temporary or rarely permanent numbness (nerve damage)

– Dry socket (loss of clot)

– Infection or swelling

– Bleeding

– Jaw stiffness or soreness

– Sinus issues (upper molars)

– Rare jaw fracture

Recovery and Aftercare

First 24 Hours:

– No smoking, spitting, or rinsing

– Avoid hot foods, alcohol, and physical exertion

– Use prescribed painkillers (avoid aspirin unless prescribed)

Day 2-14:

– Rinse gently with warm salty water (3x/day)

– Continue pain relief and finish antibiotics

– Eat soft foods and avoid the extraction site

– No strenuous activity or flying without medical clearance

When to Seek Help

– Bleeding that doesn’t stop

– Swelling that worsens after 3 days

– Pain not controlled by medication

– Numbness lasting over 2 weeks

– Difficulty breathing or swallowing

Going Back to Normal

– Most people return to work in 2-7 days

– Avoid driving for 24 hrs after general anaesthetic

– Resume normal activity once you’re comfortable