Aug 08
wisdom teeth removal

Complete Guide to Wisdom Tooth Extraction: Procedure, Recovery, and Complications

If you remember the dental formula from your science class, you must know that a person over the age of 18 should possess 32 teeth. This is mostly the case if there has not been a tooth extraction activity performed on the person. However, the mouth is an organ with minimal space. With 28 teeth, the space is already congested. As you grow older, the third molars grow at the edge of the dental line. These are the wisdom teeth. They grow at the edges of your lower and upper jaws. Despite the fact they complete the dental formula, they don’t serve a specific purpose.

You will grow wisdom teeth at around the age of 18. If not, they will be there by the age of 25. It is during this time that you experience some very uncomfortable feelings. You will probably experience some pain when the teeth are growing. Wisdom teeth grow at odd shapes and directions. When they are growing, you will have problems chewing hard food.

Why You May Need a Wisdom Teeth Extraction

You can grow wisdom teeth without having to experience pain. Some people can’t tell when their wisdom teeth grew. This is because they did not experience discomfort during the growth of the wisdom teeth.

However, if you experience the following problems during your wisdom teeth’ growth, you will need to visit a dentist for the removal.

  • Wisdom teeth are growing in the wrong direction
  • There is little or no space for the teeth
  • The growth of wisdom teeth causes crowding
  • Infected gum
  • Impacted wisdom teeth

Statistics indicate that about 85% of the wisdom teeth have to need removal eventually. The worrying part is that you don’t have much to do most of the time. This is especially the case when the discomfort gets into your nerves, and you can’t contain it anymore. As the age advances, the difficulty of pulling the teeth goes up. This is because the roots will have become stronger and deeper. It is therefore important to go for removal as early as possible to avoid complications.

Failing to remove them in time will cause you some discomfort that can be extensive as the tooth problem. For instance, you will probably experience following dental problems.

  • Pain, tenderness, and some considerable swelling
  • Bad taste in the mouth and bad breath
  • Cysts that may come with impacted wisdom teeth
  • Damages caused to bone, teeth, and gums.

See Also: Tooth Extraction in Houston, Texas 

Impaction, What It Means

Impaction is a state where the tooth has grown but cannot show up in the mouth. It will mostly get covered under the gum and will also keep growing. Impaction is a pretty painful condition that will cause you a lot of discomforts.

To better understand impaction, we will outline the different states in wisdom teeth.

  • Erupted: This is not an impaction. The wisdom teeth break through the gums and are completely visible. These cases are very straightforward and easier to handle.
  • Soft-tissue impaction: In this impaction, the tooth gets covered under that gum and cannot be visible. This tears the gum’s soft tissue to allow the tooth to grow out.
  • Partial bony impaction: In this condition, the tooth is stuck under the gum and also the bone. However, the cover by the jaw-bone is partial. The gum has to be cut open, and then someone has to undergo extraction to allow the tooth to grow.
  • Full bony impaction: In this state, the tooth is fully covered under the jaw bone. This is a very complicated condition that also requires a complex procedure. However, the removal of the tooth is very critical. If you don’t consider removal, you will experience extended painful moments for a very long time.

It is the state of the tooth condition’s invasiveness that determines how extensive the procedure will be. The extensiveness of the procedure also determines how much you will have to spend. You will find that dealing with impaction is pretty expensive compared to simple tooth extraction. When the tooth is in an erupted state, removal is as simple as a normal extraction procedure. However, an impacted tooth will need a surgical procedure for removal.

How to Prepare Yourself for the Removal

Teeth removal is not the best experience. You will need to make arrangements in advance before and after the procedure.

There are a few things that you can do to ensure that nothing gets you off-guard. First of all, you will need to ensure that you make adequate arrangements for your travel to and from the hospital. Getting back home can be pretty difficult. This is especially if your dentist used the kind of anesthesia that could get you tired. In a state of drowsiness, it is not advisable to drive yourself home.

To ensure that you are also ready for the procedure, you can enquire from your dentist about the type of sedation they could be planning to use. You can also get a close friend or relative to help you with the driving.

Another thing you might have to do is engaging yourself in a period of fasting. This is especially important since some procedures might make you experience nausea. You might have to stop eating before you undergo the procedure.

Undergoing a dental extraction procedure means that you will be under medication. If you are already on a medication schedule, you should confirm with your doctor if you should keep taking it.

The Wisdom Teeth Removal Procedure

To remove your problematic wisdom tooth, you will undergo a five steps procedure. Each of these steps will take less than 45 minutes. The procedure is also dependent on where you have it. This is because the procedure at a dentist’s clinic is very different from that at a surgeon’s office.

The following are the steps for tooth extraction.

Step 1: Sedation or Anesthesia

Sedation involves numbing your mouth. Impacted wisdom tooth will be a cause of sedation too. The methods of sedation are also different regarding the depth required to apply the anesthesia. If the sedation will probably take you out, let an anesthesiologist perform this step.

Step 2: Incision

This step will be necessary if your tooth has not erupted. A dental professional performs this procedure to expose your tooth for extraction. If also the bone has trapped the wisdom teeth, the jaw bone will be carved out to allow the removal.

Step 3: Tooth Disintegration

If the tooth is in a non-common position, your dentist will probably have to break your tooth into smaller parts. This will decrease the size of the hole in the gum.

Step 4: Extraction

After disintegration, the tooth and or the disintegrated parts will need removal. During this procedure, you will experience some pressure when the tooth gets rocked around in its socket. The tooth is then removed.

Step 5: Stitching

After the removal, the dentist stitches the gum back. The doctor will also give you a gauze pad to press on to the swollen area. You will also experience some light bleeding.

Risks and Complications

Wisdom teeth extraction can be a very complicated procedure. There are times that the procedure can get wrong. The following are some of the complications that you might experience after the tooth extraction.

1. Alveolar Osteitis Also Referred to as a Dry Socket

People who are at the age of twenty-five and above are at risk of developing this problem. Smokers also at a bigger risk of contracting the dry socket problem. A complicated procedure may also result in this condition. For instance, the issue may occur if the blood clot supposed to cover the vacated space that gets dislodged. Due to this condition, the bone may become exposed, which would put you in danger.

Symptoms of this condition include a dull feeling and a pain that throbs in the jaw. You will also experience some bad taste in your mouth, accompanied by a bad smell. Other symptoms include numbness on the side of the extracted tooth and some slight pain in the jaw. After the extraction, you will probably not feel the pain. The condition takes about 3-5 days to develop into a problem. If you encounter this problem, it is advisable to visit the dentist for help.

2. Infection

If some bacteria get into the exposed wound, it might develop some infection. It is a rare condition though it can happen. It is advisable to minimize drinking, eating, and talking for some time after the procedure to avoid getting infected. When your dentists suspect a possible infection, he or she will probably recommend antibiotics.

3. Nerve Damage or Paresthesia

This is a condition that could be temporary or permanent. It mostly occurs to patients who are well over 35 years. Paresthesia is most prevalent where the wisdom teeth are at very close proximity to the nerve. If your nerve gets damaged during the extraction procedure, you will probably experience some significant numbness. This condition will probably not affect your speech but affects the lip, jaw, and tongue. Your mortar functions will not be affected in any way. It will probably last a very few days but could extend into weeks or months. If the condition is worse, it could be permanent. However, surgery can repair paresthesia.

4. Heavy Bleeding

After extraction, you will probably experience some light bleeding. However, this bleeding should not continue beyond two days. If it does, the bleeding calls for action. You can prevent this by sitting upright during the extraction procedure. It is also advisable to avoid physical activity on that day. To reduce the bleeding, you can put a moistened tea bag on the site. The tannic acid on the tea bag will constrict the blood vessels.

The usage of straw after the procedure is also going to be a probable cause of the problem. Suction can cause slight bleeding to worsen. Smoking causes extra bleeding. Therefore, it is a good idea to avoid smoking after the procedure. If you experience the extended bleeding, you will need to go back to your dentist since ripped stitches could also cause it.

5. Perforation Of The Sinus Cavity

A sinus is a hollow space in your sinus. There are two sinuses right above your upper jaw. After the tooth extraction, you mind find a hole in that space. If you find yourself feeling like the fluids are going into your nose during a drink, you have it.

Recovery after Wisdom Teeth Extraction

To ensure that you recover correctly and don’t get complications, you should follow your dentist’s or surgeon’s directions. You should also ensure that you eat soft foods. If your gums get swollen, you can use ice. To stop the bleeding, you can bite a teabag. Also, rinse your mouth with an antiseptic mouth wash to avoid infections.

See: What to Expect after Wisdom Tooth Removal 


Wisdom teeth extraction costs range at about $300-$500 for each tooth. The price will typically consist of all the procedures and follow up visits. If you want all of the wisdom teeth gone, you might have to part with about $1400-$1500. You can get these services from a clinic in multiple places. If you live in Houston, Texas, you can visit Omega Dental specialists who will help you in your teeth removal. Omega dental specialists are experts who will offer you help for a tooth removal. The clinic is located on the W Gray St. Houston Texas.

See: Cost of Wisdom Teeth Extraction