Wisdom tooth removal is the most common dental procedure performed across Australia. While many people feel nervous about it, knowing exactly what to expect before, during, and after surgery can make the experience less daunting.

This step-by-step overview will equip you with the knowledge needed to approach the procedure confidently and make informed decisions about your oral health.

Why Wisdom Teeth Often Need Removal

Wisdom teeth, also known as third molars, erupt between the ages of 17 and 25. For many people, these teeth can grow in without causing problems. Due to limited space in the jaw, they become impacted, grow at an angle, or only partially erupt.

This can lead to:

• Severe pain and discomfort
• Infection or gum inflammation
• Damage to neighbouring teeth
• Cysts or jaw problems
• Increased risk of tooth decay

Because of these risks, dentists recommend surgical removal before complications escalate.

Preparing for Wisdom Tooth Extraction

Before undergoing surgery, your dentist or oral surgeon will conduct a thorough assessment. This involves:

• X-rays to determine the exact position of your wisdom teeth.
• A detailed consultation about your medical history and current medications.
• A discussion of anaesthesia options(local, sedation, or general).

For those considering wisdom tooth removal in Melbourne, it’s best to choose an experienced dental clinic that provides modern equipment and a personalised treatment plan. This ensures your procedure is as safe and comfortable as possible.

The Step-by-Step Procedure

Understanding the process helps reduce anxiety. Here’s what happens during wisdom tooth removal:

1. Administration of Anaesthesia

Depending on the complexity of the surgery and your comfort level, the dentist may use:

• Local anaesthesia– numbs only the extraction area.
• Sedation anaesthesia– administered through an IV for deeper relaxation.
• General anaesthesia– used in more complex cases where full unconsciousness is required.

2. Incision and Access

If your tooth is impacted, a small incision will be made in the gum to expose the tooth and surrounding bone. In some cases, a portion of the bone may need to be removed.

3. Sectioning the Tooth

To make extraction easier, if the tooth is angled or lodged in the jawbone, the surgeon may cut the tooth into smaller sections.

4. Tooth Removal

Once loosened, the tooth is carefully extracted. The dentist ensures the surrounding tissues and neighbouring teeth are not damaged.

5. Cleaning the Site

After removal, the site is cleaned thoroughly to prevent infection. Any remaining debris of tooth or bone fragments is cleared away.

6. Stitching the Incision

If necessary, dissolvable stitches may be used to close the wound. These disappear within a week or two.

7. Gauze Placement

A piece of sterile gauze is placed over the site to control bleeding and promote clot formation.

Recovery After Wisdom Tooth Removal

Healing is a gradual process and varies depending on the complexity of the extraction. Here’s what you can expect:

First 24 Hours

• Mild bleeding and swelling are normal.
• Bite gently on the gauze pad to encourage clotting.
• Avoid rinsing your mouth vigorously.
• Apply an ice pack intermittently to reduce swelling.

Days 2 to 3

• Swelling may peak around this time before subsiding.
• Soft foods such as yoghurt, mashed potatoes, and soups are recommended.
• Over-the-counter pain medication, or prescribed medication, helps with discomfort.

Days 4 to 7

• Stitches may begin to dissolve.
• Bruising and swelling start to fade.
• Gentle saltwater rinses can now be used to keep the area clean.

Week 2 and Beyond

• Most people return to normal routines.
• Full healing of the gum and bone may take several weeks.
• Any persistent pain or unusual symptoms should be checked by your dentist.

Tips for a Smooth Recovery

• Follow all post-surgery instructions provided by your dentist.
• Avoid smoking and alcohol, as they slow down healing.
• Stick to soft foods until chewing feels comfortable again.
• Keep the mouth cleanbut avoid brushing directly over the wound in the first few days.
• Stay hydratedbut avoid using straws, as the suction can dislodge the blood clot.

Potential Risks and Complications

Although wisdom tooth removal is a routine procedure, there are some risks:

• Dry socket– When the protective blood clot dislodges, exposing bone and causing severe pain.
• Infection– If bacteria enter the extraction site.
• Nerve damage– Rare but possible if nerves near the lower jaw are affected.
• Sinus issues in cases where upper wisdom teeth are closely positioned to the sinus cavities.

Prompt follow-up care with your dentist helps prevent complications.

When to Contact Your Dentist

Seek professional help immediately if you experience:

• Excessive bleeding that doesn’t stop
• Severe pain that doesn’t improve with medication
• Signs of infection (swelling, pus, fever)
• Difficulty swallowing or breathing

Final Thoughts

Wisdom tooth removal is a common and safe procedure when performed by an experienced dentist or oral surgeon. By understanding each step from preparation to recovery, you can feel more at ease and ensure the smoothest possible healing process.

If you have concerns or need professional advice, consult a trusted dental clinic near you. Taking proactive steps now can save you from discomfort and oral health problems later on.

• Country: Australia