- Wisdom tooth removal is a surgical procedure involving an incision in the gum to expose the tooth and bone, followed by the tooth’s extraction, often in pieces. The site is then cleaned, and the gum is stitched closed (though not always necessary) before gauze is applied to control bleeding. Anesthesia, such as local, IV sedation, or general, is given beforehand to manage pain during the procedure.
The procedure
- Anesthesia: A local anesthetic is injected to numb the area. You may also receive nitrous oxide (“laughing gas”) to help you relax, or IV sedation for more complex cases.
- Incision and access: The surgeon makes a cut in the gum tissue to expose the wisdom tooth and the bone around it.
- Bone removal: Any bone blocking access to the tooth’s root is removed.
- Tooth removal: The tooth may be divided into smaller pieces for easier removal. The tooth is then carefully loosened and extracted from its socket.
- Cleaning and closing: The extraction site is cleaned of any debris. Stitches are often placed to help the wound heal, though they aren’t always necessary. Gauze is placed over the site to control bleeding.
After the procedure
- Pain and swelling: Expect swelling and discomfort for the first few days, which may last for up to two weeks.
- Bleeding: Some bleeding is normal. Apply pressure with a clean cloth or gauze to control it.
- Eating: Stick to soft or liquid foods and avoid hard, crunchy foods or those with small seeds that can get stuck in the wound.
- Oral hygiene: Gently rinse with salt water or a mouthwash, being careful to avoid the surgical area when brushing.
- Smoking and alcohol: Do not smoke, drink alcohol, or consume very hot drinks, as this can increase the risk of infection and delayed healing.
- Medication: Take any pain medication as prescribed by your dentist. A responsible adult should stay with you for 24 hours if you were given sedation.
