Wisdom Teeth Extractions

Wisdom Teeth Removal

  1. After the elected method of sedation has taken effect, the oral surgeon will start the procedure by numbing the tooth and tissues in the area of the mouth where the wisdom teeth are located, with a local anesthetic.
  2. Once the patient is completely numb from the local anesthetic and the required x-rays have been taken, the surgeon will begin the surgical part of the procedure by removing the gum tissue that is covering the area where the wisdom tooth is located. If the wisdom tooth is impacted, an incision is made in the gum tissue, in order to access the tooth. The gum tissue is then pushed out of the way with a surgical instrument until the tooth is visible. There is a good chance that an impacted wisdom tooth could be fully or partially covered in bone. If there is bone covering the wisdom teeth, a high-speed handpiece is used to drill through and remove the bone covering the tooth. If the wisdom tooth has already erupted into your mouth, the dentist will loosen the connective tissue from around the wisdom tooth.
  3. Once the impacted wisdom teeth are visible, various surgical instruments are used to gently loosen the wisdom tooth from any connective tissue in the tooth’s socket. The high-speed handpiece may be used on and off throughout the extraction. The same procedure applies for a wisdom tooth that was already erupted. It may be necessary to cut the tooth into sections before it is removed. This is done because the tooth is at risk for breaking while it is being removed from the socket.
  4. Once the wisdom tooth is loose, or it has been completely sectioned, it is ready to be removed. The wisdom tooth will be removed with a selection of surgical instruments that are designed to remove the tooth from the tooth’s socket.
  5. With the wisdom teeth gone, it may be necessary for stitches to close the area where the teeth were. This is done for surgically removed impacted wisdom teeth and in cases where the dentist feels the patient will heal better with stitches in place.

Dr. Cho and his staff are great! They make you feel calm which isn’t always easy at the oral surgeon’s office


~ Fran Kersey Woodward

How Long Does It Take to Recover from Wisdom Teeth Removal Surgery?

Most people fully recover from wisdom teeth surgery in three to four days. If your teeth were impacted or came in at an awkward angle, it could take a full week to recover.

The wound left behind after surgery won’t be completely healed for months, so you can still develop an infection weeks after surgery. Take care of yourself and pay attention to any signs of trouble.

You can resume normal, daily activities the day after surgery, but avoid any activity that could dislodge stitches or the blood clot over your wound. This includes, but isn’t limited to:

  • strenuous exercise
  • smoking
  • spitting
  • drinking from a straw

Some swelling, pain, and bleeding is normal after wisdom teeth removal. Call immediately if the pain or bleeding is excessive and unbearable. Your symptoms should be greatly improved by the third day after surgery. All pain and bleeding should be gone within a week of surgery.

Some complications could be a sign of infection or nerve damage. Seek help if you experience any of these symptoms:

  • trouble swallowing or breathing
  • fever
  • medication not effective at dulling the pain
  • swelling that gets worse over time
  • numbness
  • blood or pus coming out of your nose
  • bleeding that doesn’t stop when you hold gauze to it and apply pressure