Do wisdom teeth always need to be removed?
No. Wisdom teeth that have come through properly, can be cleaned and cause no problems may not need to be removed. The decision is made after an examination and X-rays, taking into account the position of the tooth and its effect on the surrounding area.
Wisdom teeth that cause no problems are monitored at regular check-ups, and removal is only planned if a need arises. Reasons for removal can include:
- Recurring pain, swelling or gum inflammation (pericoronitis)
- Decay or root damage in the neighbouring tooth
- A cyst or other abnormality in the bone
- Constant food trapping because the area cannot be cleaned
How is an impacted wisdom tooth removed?
Fully erupted teeth can usually be removed with a simple extraction. For impacted or tilted teeth, the gum is opened, the tooth is removed in a controlled way (divided into sections if necessary) and the area is closed with stitches.
The procedure is carried out under local anaesthetic. For teeth close to the nerve, additional imaging may be requested. In our surgical procedures we work with sterile, certified materials and a careful technique that protects the tissues.
Recovery after removal
Swelling, mild pain and some difficulty opening the mouth are normal for the first 2–3 days, and usually ease noticeably within a week. If stitches were placed, in most cases they are removed at a check-up after 7–10 days.
You can continue to brush your teeth with a soft toothbrush during this time; just take care not to touch the extraction site in the first few days.
What to do after the extraction
Following these tips in the first few days after the extraction helps support healing:
- Bite down on the gauze for the first 30–45 minutes.
- On the first day, apply a cold compress to the outside of your face at intervals.
- For the first 24 hours, do not rinse your mouth vigorously, spit or use a straw.
- Avoid smoking and alcohol for at least a few days.
- Eat lukewarm, soft foods and do not chew on the extraction side.
- Take the medication your dentist recommends regularly; call us if you have increasing pain, a bad smell or a fever.
How does the treatment work?
- Examination and X-rayThe position of the tooth, its root structure and its relationship to the nerve are assessed.
- PlanningWe explain whether removal is needed and how it will be done, and answer your questions.
- ExtractionThe tooth is removed under local anaesthetic, and stitches are placed if needed.
- Check-upHealing is monitored and any stitches are removed.
Frequently asked questions
What should I do after a wisdom tooth extraction?
Bite down on the gauze for the first 30–45 minutes, apply a cold compress to the outside of your face at intervals on the first day, and eat lukewarm, soft foods. For the first 24 hours, do not rinse your mouth vigorously, do not use a straw and avoid smoking.
Is wisdom tooth removal painful?
Because the extraction is carried out under local anaesthetic, you feel only pressure during the procedure, not pain. In most cases, pain and swelling in the following days are controlled with the medication recommended by your dentist.
How long does impacted wisdom tooth removal take?
It depends on the position of the tooth; simple extractions take a few minutes, while impacted teeth usually take longer. You will be given an approximate time after the examination.
When can I go back to work or school after the extraction?
Most people can return to their daily routine after 1–2 days of rest. It is advisable to postpone strenuous physical activity for the first few days.
