Understanding Wisdom Tooth Surgery: Surgical and Non-Surgical Extraction Explained


Wisdom tooth surgery, also known as wisdom tooth extraction, is a dental procedure performed to remove impacted wisdom teeth. Wisdom teeth are the third molars located at the back of the mouth. When these teeth do not have enough space to emerge or develop properly, they can become impacted, causing various dental problems.

There are two types of wisdom tooth extractions: surgical and non-surgical. The type of extraction depends on the position and condition of the impacted teeth. Here are some key points to understand about wisdom tooth surgery and extraction:

  • Need for removal: Wisdom teeth are typically removed if they are impacted, causing pain or dental complications. Even if they are not currently symptomatic, dentists may recommend their removal to prevent future oral health problems.
  • Problems caused by impacted wisdom teeth: Impacted wisdom teeth can lead to several dental issues, including damage to surrounding teeth, bite problems, formation of dental cysts, inflamed gums, tooth decay, and alignment issues. Removing impacted wisdom teeth can help prevent these problems.
  • Evaluation and diagnostic examination: Before the extraction, a dentist will evaluate the condition of the wisdom teeth through a thorough examination, including panoramic X-rays or RVG. This helps determine the type and severity of impaction and whether surgical or non-surgical extraction is necessary.
  • Non-surgical extraction: Non-surgical extraction is typically performed when the upper wisdom teeth are not impacted. This procedure is done under local anaesthesia to ensure the patient doesn’t feel any pain during the removal.
  • Surgical extraction: Surgical extraction is required for impacted wisdom teeth that are partially or fully erupted. The procedure can be done under local anaesthesia, sedation, or general anaesthesia. The time taken for the extraction depends on the size and position of the tooth. After extraction, dissolvable stitches may be used to close the incision.
  • Post-surgery care: After the surgery, patients may experience minor bleeding, which can be controlled by biting on gauze. Rest is important, and patients may require several days of medical leave for recovery. It is important to avoid activities like using straws, spitting, smoking, drinking carbonated beverages, and strenuous exercise to prevent dislodging the blood clot and dry socket.
  • Pain management and recovery: Pain and swelling are common after the surgery and can be managed with prescribed pain medication and the use of ice packs. Recovery typically takes about 5-8 days, during which patients should maintain good oral hygiene, follow prescribed antibiotics, and rinse with antibacterial mouthwash.
  • Cost: The cost of wisdom tooth surgery in India can vary depending on the complexity of the procedure. Non-surgical extraction may range from $50 to $250, while surgical extraction may range from $200 to $300 at the partnered dental clinic.

It’s important to consult with our partnered dentist or oral surgeon to determine the best course of action regarding wisdom tooth extraction. They will evaluate your specific case and provide personalised recommendations and guidance throughout the process.


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The decision to remove wisdom teeth before starting Invisalign or braces treatment depends on various factors and should be determined by your dentist or orthodontist. Here are some considerations:

  • Impaction and obstruction: If your wisdom teeth are impacted, meaning they are unable to fully emerge or develop properly, they can potentially cause pain and obstruct the movement of other teeth during orthodontic treatment. In such cases, your dentist may recommend removing the impacted wisdom teeth before starting Invisalign or braces.
  • Space availability: Wisdom teeth can take up space in the mouth, and if there is insufficient space for all the teeth to align properly, their removal might be recommended to create room for the other teeth to move into proper alignment. This decision depends on the specific case and treatment plan.
  • Position and health of wisdom teeth: If your wisdom teeth have fully erupted, are well-positioned, and are in good oral health, they may not necessarily need to be removed for orthodontic treatment. In fact, they might even serve as anchor teeth to aid in the alignment of other teeth.
  • Individual treatment plan: Each orthodontic case is unique, and your dentist or orthodontist will evaluate your specific situation to determine the best course of action. They will consider factors such as the alignment of your teeth, the condition of your wisdom teeth, and the overall treatment goals.

It’s important to have a thorough consultation with your dentist or orthodontist to discuss your specific needs and determine whether wisdom tooth removal is necessary before starting Invisalign or braces treatment. They will consider your oral health, treatment goals, and the potential impact of the wisdom teeth on the overall outcome of the orthodontic treatment.

The decision to remove wisdom teeth depends on various factors and should be made in consultation with your dentist or oral surgeon.

Here are some common reasons why wisdom teeth may need to be removed:

  • Impaction: Wisdom teeth often don’t have enough space to properly emerge, leading to impaction. Impacted wisdom teeth can cause pain, infection, and damage to adjacent teeth. In such cases, removal is typically recommended.
  • Decay and gum disease: Wisdom teeth are located at the back of the mouth, making them harder to clean properly. As a result, they are more susceptible to decay and gum disease. If your wisdom teeth have significant decay or are contributing to gum problems, extraction may be necessary.
  • Crowding and misalignment: Wisdom teeth can exert pressure on existing teeth as they try to erupt, leading to crowding and misalignment. Removing wisdom teeth can prevent these issues and maintain the alignment achieved through orthodontic treatment.
  • Cysts and tumours: In some cases, cysts or tumours can develop around impacted wisdom teeth. These growths can cause bone damage and other complications, making extraction necessary.
  • Preemptive removal: Some dentists recommend preemptive removal of wisdom teeth even if they are not currently causing problems. This approach aims to prevent potential future issues, such as impaction or damage to adjacent teeth.

Ultimately, the decision to remove wisdom teeth depends on your specific situation, including the condition of your wisdom teeth, their impact on oral health, and the recommendation of your dentist or oral surgeon. They will conduct a thorough examination, consider your symptoms and risks, and provide you with their professional advice on whether or not wisdom tooth removal is necessary in your case.

The duration of a wisdom tooth removal procedure can vary depending on several factors, including the complexity of the case, the position of the tooth, and the individual patient’s circumstances. In general, here’s a rough estimate of the time it may take:

  • Non-surgical extraction: Non-surgical wisdom tooth extraction refers to the removal of fully erupted wisdom teeth that do not require any surgical intervention. This procedure typically takes around 30 minutes per tooth. The dentist will numb the area with local anaesthesia, loosen the tooth with specialised dental instruments, and gently extract it.
  • Surgical extraction: Surgical wisdom tooth extraction is necessary when the teeth are impacted, partially erupted, or in a more complex position. The surgical procedure may involve making an incision in the gum tissue, removing bone if necessary, and sometimes sectioning the tooth into smaller pieces for easier extraction. Surgical extractions can take between 30 to 60 minutes per tooth, depending on the difficulty of the case.

It’s important to note that these time estimates are general guidelines and can vary depending on individual circumstances. Your dentist or oral surgeon will evaluate your specific situation and provide a more accurate estimate based on the complexity of your wisdom tooth extraction.

The duration of post-surgery pain following wisdom tooth removal can vary from person to person. While most individuals experience pain and discomfort for about 24 to 72 hours after the surgery, it’s important to note that each person’s healing process is unique. 

During the first few days after the surgery, it’s common to experience some degree of pain, swelling, and discomfort in the area where the wisdom teeth were extracted. The intensity of the pain can vary depending on factors such as the complexity of the extraction, individual pain tolerance, and adherence to post-operative care instructions. 

To manage the pain effectively, your dentist or oral surgeon will typically prescribe pain medication. It’s important to take the medication as prescribed, even if you’re not currently experiencing severe pain, as it can help control inflammation and discomfort during the initial healing period. 

In addition to pain medication, you can also apply ice packs to the outside of your face in the first 24 hours after surgery to help reduce swelling and alleviate pain. It’s important to follow your dentist’s instructions for post-operative care, which may include avoiding certain foods, maintaining oral hygiene, and avoiding activities that could disrupt the healing process. 

If you experience severe or prolonged pain, swelling, or any other concerning symptoms after your wisdom tooth surgery, it’s essential to contact your dentist or oral surgeon for further guidance and evaluation. They will be able to provide specific advice and address any concerns you may have during the healing process.

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