Wisdom Teeth Removal

Wisdom Teeth Removal | Expert Surgical Extractions

Planning Wisdom Teeth Removal?

Early assessment of wisdom teeth is recommended between ages 16-20. Not all wisdom teeth require removal, but timely evaluation prevents complications and allows for easier extraction if needed.

Book your assessment: 0733 332 735

Understanding Wisdom Teeth

Wisdom teeth, or third molars, are the last teeth to develop, typically emerging between ages 17 and 25. Most adults have four wisdom teeth—one in each corner of the mouth. However, evolution has rendered them largely unnecessary, and many people's jaws lack sufficient space for their proper eruption.

When wisdom teeth don't have adequate room to grow normally, they become impacted—trapped beneath the gum line or growing at awkward angles. This can lead to various complications, making removal necessary for long-term oral health.

When Removal is Necessary

Current Problems

  • Pain, swelling, or infection around the wisdom tooth
  • Damage to adjacent teeth or crowding
  • Cyst or tumour development around impacted tooth
  • Extensive decay that cannot be adequately restored
  • Gum disease affecting the wisdom tooth area

Preventative Removal

  • Impacted teeth with high risk of future complications
  • Partial eruption creating cleaning difficulties
  • Insufficient space for proper eruption
  • Before orthodontic treatment to prevent shifting
  • Younger age for easier recovery and fewer complications

Types of Wisdom Tooth Impaction

Soft Tissue Impaction

The tooth has partially erupted through the bone but remains covered by gum tissue. This creates a flap of tissue that can trap food and bacteria, leading to infection (pericoronitis).

Partial Bony Impaction

The tooth has partially erupted, but a portion remains embedded in the jawbone. This position makes cleaning extremely difficult and increases risk of decay and gum disease.

Complete Bony Impaction

The tooth is completely encased in jawbone and hasn't erupted through the gum. This may require surgical removal with bone removal for access. Often these teeth are angled horizontally.

The Removal Procedure

Wisdom tooth extraction is performed under local anaesthetic as a day procedure. For anxious patients or complex cases, sedation options are available.

1

Consultation & Planning

Comprehensive examination including digital X-rays or 3D imaging to assess tooth position, proximity to nerves, and plan the safest extraction approach.

2

Anaesthesia Administration

Local anaesthetic is administered to completely numb the area. Sedation options (oral, IV, or general anaesthesia) can be arranged for patient comfort.

3

Surgical Access

For impacted teeth, an incision is made in the gum tissue and any bone covering the tooth is carefully removed to expose the wisdom tooth.

4

Tooth Removal

The tooth may be divided into sections for easier removal. Each section is carefully extracted to minimise trauma to surrounding tissue.

5

Closure & Recovery

The site is cleaned thoroughly and stitches may be placed to aid healing. Gauze is applied to control bleeding, and detailed aftercare instructions are provided.

What to Expect During Recovery

First 24 Hours

  • Rest and avoid strenuous activity
  • Apply ice packs to reduce swelling
  • Bite on gauze to control bleeding
  • Stick to soft, cold foods
  • Take prescribed pain medication

Days 2-7

  • Swelling peaks around day 2-3
  • Begin gentle salt water rinses
  • Gradually introduce soft foods
  • Continue avoiding smoking/straws
  • Stitches may dissolve or be removed

Week 2+

  • Most discomfort should subside
  • Return to normal diet gradually
  • Resume normal oral hygiene
  • Complete healing takes 3-4 weeks
  • Bone fills in over several months

Essential Aftercare Instructions

Do

  • Rest for 24-48 hours after surgery
  • Use ice packs for first 24 hours (20 min on/off)
  • Sleep with head elevated on pillows
  • Take all prescribed medications as directed
  • Maintain gentle oral hygiene (avoid extraction site)
  • Start warm salt water rinses after 24 hours

Don't

  • Use straws or create suction (risk of dry socket)
  • Smoke or use tobacco products for 72 hours minimum
  • Consume alcohol while taking pain medication
  • Eat hard, crunchy, or spicy foods initially
  • Engage in strenuous exercise for 3-5 days
  • Spit forcefully or disturb the blood clot

Potential Complications to Watch For

Dry Socket (Alveolar Osteitis)

Occurs when the blood clot dislodges or dissolves prematurely, exposing bone and nerves. Symptoms include severe pain 3-4 days post-extraction and bad breath. Requires professional treatment with medicated dressing.

Prevention: Avoid smoking, straws, and follow all aftercare instructions carefully

Infection

Signs include increasing pain, swelling, fever, and discharge. Most infections respond well to antibiotics if caught early. Contact us immediately if you suspect infection.

Prevention: Take prescribed antibiotics, maintain oral hygiene, follow post-op instructions

Nerve Sensitivity

Temporary numbness or tingling in the lip, tongue, or chin may occur if nerves are near the extraction site. This is usually temporary and resolves within weeks to months. Permanent damage is rare.

Risk assessment: 3D imaging helps identify nerve proximity before surgery

Expert Wisdom Tooth Removal

Our experienced team provides comfortable, professional wisdom tooth extractions with comprehensive aftercare support. Book your consultation to discuss your specific needs.