Wisdom Teeth Removal

Wisdom teeth do not always need to be removed. In fact, if your wisdom teeth are healthy and do not cause you any discomfort, you likely do not need an extraction. Cases when wisdom teeth are recommended to be removed include:

• Impacted wisdom teeth (completely hidden underneath the gum) often cause pain and gum irritation)
• Partially impacted wisdom teeth (partially hidden underneath the gumline)
• Infected or decayed wisdom teeth
• In preparation for an orthodontic treatment or to preserve the results of an orthodontic treatment

In the vast majority of cases, patients do not experience any sensations during tooth extraction or wisdom teeth removal. A local anesthetic that is administered before the procedure completely numbs the extraction area of your mouth. You might experience a slight stinging sensation when the anesthetic is injected into the gum, but it lasts only a couple of seconds. After the procedure, you are likely to experience mild soreness or swelling at the extraction site for 2 to 4 days. These symptoms can be managed with over-the-counter painkillers and gradually subside as the site heals. 

Tooth extraction costs between $300 and $650 if you pay out of pocket. The final price depends on the complexity of your procedure; simple extractions cost less than surgical extractions of impacted or broken teeth. Additionally, tooth extraction is often covered by insurance, with coverage ranging from 50% to 80% of the total cost.

The two main types of tooth extraction complications are infections and dry socket. An infection can occur if your post-procedure care is insufficient or if you do not comply with your doctor’s recommendations, such as antibiotic prescriptions or checkup visits. Additionally, smoking and eating hard and crunchy foods can provoke infections at the procedure site. A dry socket (alveolar osteitis) occurs when the blood clot that forms in the socket immediately after extraction is dislodged. Alveolar osteitis may occur if you smoke, use straws for drinking, brush aggressively, eat crunchy foods, or engage in intense physical activities. In the vast majority of cases, complications after a tooth extraction can be avoided if you follow your doctor’s post-procedure care recommendations closely.

In the majority of cases, local anesthesia is used for tooth extractions and the removal of wisdom teeth. Typically, it is sufficient to block pain and any other sensations at the procedure site. Local anesthesia is administered via injection in the gum and takes effect within a couple of minutes.

In cases of complex surgical extractions, your dentist might recommend sedation, either in addition to or instead of local anesthesia. Additionally, people who experience acute dental anxiety or find it challenging to remain in the same position for the duration of the procedure might also consider conscious sedation. Sedation types commonly used in dental offices include oral, nitrous oxide, and IV sedation. 

Many dental insurance plans cover wisdom teeth removals if they are considered a medical necessity. The amount of coverage often depends on the type of your insurance, deductibles, and yearly maximums. Additionally, we recommend that your dental office confirm coverage with your insurance company before making an appointment.

Recovery times vary depending on the complexity of the extraction and your body’s healing process. Most patients can return to work, school, and other normal activities within 24 to 48 hours after a simple extraction. Mild swelling and soreness usually improve within a few days. Complete healing of the gum tissue can take one to two weeks, while the underlying bone may take several months to fully heal. Following your dentist’s aftercare instructions can help ensure a smooth recovery.

For the first 24 hours after your extraction, it is best to stick to soft foods such as yogurt, applesauce, mashed potatoes, smoothies (without a straw), and soup that has cooled to a warm temperature. Avoid hard, crunchy, spicy, or chewy foods that may irritate the extraction site or dislodge the blood clot. As the area heals and discomfort subsides, you can gradually return to your normal diet. Your dentist will provide specific dietary recommendations based on your procedure and recovery progress.