Wisdom teeth removal is a common dental procedure many people undergo in their late teens or early twenties. These third molars, located at the back of the mouth, often cause issues that necessitate their removal. Understanding the process and timeline of wisdom teeth extraction can help ease any apprehensions associated with the procedure.

We’ll review why wisdom teeth are removed, the duration of the procedure, what to expect during recovery, and the types of anesthesia commonly used.

Why Do People Remove Their Wisdom Teeth?

Wisdom teeth typically emerge between the ages of 17 and 25. For some, these teeth come in without issues, while for others, they cause various dental problems. Common reasons for opting to have wisdom teeth removed include:

1. Impaction: Often, there isn’t enough space in the mouth for wisdom teeth to fully erupt, causing them to become impacted. This means the teeth are trapped under the gum or bone, leading to pain, infection, or damage to neighboring teeth.

2. Crowding: The emergence of wisdom teeth can push other teeth out of alignment, leading to crowding and affecting the overall bite. This can negate the effects of previous orthodontic work.

3. Decay and Gum Disease: Wisdom teeth are difficult to clean due to their position at the back of the mouth, increasing the risk of cavities and gum disease, which can affect overall oral health.

4. Cysts: Occasionally, wisdom teeth can develop a sac within the jawbone, which could fill with fluid and form a cyst. This can damage the jawbone, teeth, and nerves if not treated.

Dentists often recommend the removal of wisdom teeth as a preventative measure, even if they aren’t causing any immediate issues, due to these potential complications.

How Long Will Wisdom Teeth Removal Take?

The duration of a wisdom teeth removal procedure can vary based on factors such as the number of teeth being extracted, whether the teeth are impacted, and the complexity of the case. Here’s what you can generally expect:

1. Simple Extraction: If the wisdom tooth has erupted through the gum and is straightforward to remove, the procedure can take about 20 to 40 minutes per tooth.

2. Surgical Extraction: For impacted teeth or those requiring more intricate surgical techniques, such as cutting through the gum or bone, the procedure could take longer, usually ranging from 45 minutes to an hour for one tooth.

When multiple wisdom teeth are removed simultaneously, the entire procedure may last between 1 to 3 hours. The oral surgeon will provide a more accurate estimate during the pre-surgical consultation based on your specific situation.

How Soon After Wisdom Teeth Removal Can You Go Home?

One frequent concern patients have is how soon they can leave the clinic or hospital after the procedure. Wisdom teeth removal is typically an outpatient procedure, meaning patients can go home the same day. Here’s what usually happens:

1. Recovery from Anesthesia: Post-procedure, you will be moved to a recovery area where medical staff will monitor you as the anesthesia wears off. This usually takes 30 minutes to an hour.

2. Discharge Instructions: Once you are alert and vital signs are stable, you will receive post-operative care instructions, including guidelines for managing pain, maintaining oral hygiene, and dietary restrictions.

3. Transportation: Since sedation is commonly used, patients will need someone to drive them home and stay with them for a few hours, as lingering effects of the anesthesia may include grogginess and impaired coordination.

Most patients are recovering comfortably at home by mid-afternoon.

What Type of Anesthesia is Used for Wisdom Teeth Removal?

The type of anesthesia used during wisdom teeth removal depends on the complexity of the procedure and the patient’s comfort level. Several options are available:

1. Local Anesthesia: This involves numbing the gums around the extraction area with an injected anesthetic. Patients remain awake and conscious but do not experience pain in the targeted area. This is usually sufficient for simple extractions.

2. Sedation Anesthesia: Administered through an intravenous (IV) line, this type of anesthesia makes patients less aware of the procedure and often causes amnesia regarding the procedure. Patients remain conscious but in a relaxed and drowsy state.

3. General Anesthesia: Used for more complicated extractions, this method puts the patient completely to sleep. They will be entirely unconscious and unaware of the procedure. An anesthesiologist will monitor the patient’s vital signs throughout the surgery.

The choice of anesthesia should be discussed with the oral surgeon, considering the patient’s medical history, anxiety level, and the complexity of the extraction.

Conclusion

Removing wisdom teeth is often a preventative step to maintain oral health and avoid potential complications. Understanding the reasons for extraction, the duration of the procedure, recovery expectations, and anesthesia options can help demystify the process and alleviate patient anxiety. Always consult with a qualified oral surgeon to determine the best approach tailored to your individual needs.