Wisdom teeth are the third molars, and they typically try to erupt between the ages of seventeen and twenty-five. Many people simply do not have room for them. When a wisdom tooth cannot emerge into a functional position it is described as impacted, and it may stay buried, erupt partially, or press against the second molar in front of it.
When removal is recommended
Not every wisdom tooth needs to come out. A tooth that is fully erupted, cleanable and in a stable bite can often be left alone and monitored. Removal is advised when there is recurrent pericoronitis — infection of the gum flap over a partially erupted tooth — when decay has developed in the wisdom tooth or the molar next to it, when a cyst forms around the crown, or when the angle of the tooth is damaging the root of its neighbour.
Your dentist at Parkway Dental will use radiographs, and sometimes a 3D scan, to assess the position and the relationship of the roots to the nerve in the lower jaw.
What to expect
Most extractions are done under local anaesthetic, with sedation available. A straightforward erupted tooth may lift out easily. An impacted tooth usually requires a small incision in the gum, sometimes removal of a little overlying bone, and the tooth may be sectioned into pieces so it can be removed through a smaller opening — sectioning is gentler on the surrounding bone, not a sign of difficulty. Sutures may be placed.
Recovery
Swelling typically peaks around day two or three and then improves. Use cold compresses for the first day, take pain relief as advised, and rest.
The key instructions all protect the blood clot in the socket. For the first 24 hours do not rinse vigorously, do not spit forcefully, do not use a straw and do not smoke. Losing that clot causes dry socket — a severe ache starting three to five days later that needs a dressing placed. From day two, gentle warm salt-water rinses help.
Contact us if you have heavy bleeding that does not settle with pressure, worsening pain after day three, fever, or difficulty swallowing or opening your mouth.