Wisdom Teeth Removal Explained

Wisdom Teeth Removal Explained By Dr. Jon ( Junyi ) Ho | November 16, 2023

The desire for a bright and healthy smile resonates with many of us. It’s a symbol of confidence and well-being and often the first thing people notice when they meet you. However, the growth of wisdom teeth can sometimes hinder the journey to that radiant smile. These third molars, usually emerging in late adolescence or early adulthood, can cause discomfort, teeth misalignment, and even health issues if not addressed properly.

Gaining a clear understanding of the wisdom teeth extraction procedure is crucial, especially for individuals dealing with dental issues related to their wisdom teeth. Key questions often arise about this dental process, including how to prepare for oral surgery, wisdom teeth removal cost, and the post-operative care instructions to promote a comfortable and swift recovery.

To confidently navigate the process of wisdom teeth removal, it’s essential to manage expectations and equip yourself with comprehensive knowledge. This guide is designed to offer an in-depth understanding of wisdom teeth removal. Its goal is to provide you with the critical information needed for a well-informed and smooth experience.

Summary of the Content:

  • Wisdom teeth removal is a common dental procedure, and understanding the process can alleviate concerns.
  • Common reasons for wisdom teeth extractions include impaction, decay, and potential damage to other teeth.
  • Oral surgery preparation involves dietary restrictions, medication planning, and appropriate attire.
  • The extraction process includes the administration of anaesthesia, surgical techniques, and post-operative dental care.
  • Factors influencing wisdom teeth removal cost include case complexity, dentist experience and location.
  • For post-op dental care, your dentist will provide detailed instructions for pain management, oral hygiene maintenance, and prevention of potential complications.
  • Dietary recommendations include avoiding chewy and spicy foods and having a soft diet.
  • Medications play a role in pain management and healing. Your dentist may provide you with a prescription for pain medications, or you can choose to take over-the-counter painkillers.
  • Regular check-ups with the dental clinic are vital for monitoring recovery and addressing any concerns.

Understanding Wisdom Teeth: Why Do They Need Removal?

Wisdom teeth, or third molars, are the last set of teeth seen at the back of the mouth. They usually erupt between the ages of 17 and 25. While these teeth were once essential for our ancestors who had a more abrasive diet, modern diets and dental care have rendered them largely unnecessary. Often, they cause more problems than they solve.

Here’s a brief overview of wisdom teeth and common reasons for extraction:

  • Lack of space:
    Many people’s jaws are too small to accommodate these additional molars, causing crowding and misalignment of other teeth.
  • Impacted wisdom teeth:
    When wisdom teeth are unable to emerge through the gums fully, they become impacted. Impaction is problematic wisdom teeth development, which can cause pain, swelling, and even jaw cyst formation.
  • Infection and gum disease:
    Partially emerged wisdom teeth create pockets where food debris and bacteria can accumulate, resulting in a decayed wisdom tooth or periodontal disease.
  • Decay and risk of damage to nearby teeth:
    Wisdom teeth can be hard to clean and may result in tooth decay. They may also cause decay on adjacent teeth.
  • Potential for future problems:
    Some dentists recommend removal as a preventive measure against pain, tooth decay and gum disease.
  • Difficulty in cleaning:
    Due to their location, thorough cleaning of wisdom teeth can be difficult, increasing the risk of decay and gum infection.


Wisdom teeth extraction is not to be taken lightly. It requires a thorough wisdom tooth assessment to check the position, health, and potential risks associated with your wisdom tooth. A professional dentist will consider factors such as age, the health of the wisdom teeth, and specific needs to determine the suitable course of action.

Preparing for Your Oral Surgery: Steps to Take

Darch Dental Centre

Oral surgery preparation is a crucial part of the wisdom teeth removal process. Proper preparation contributes to a smooth procedure and recovery.

Here’s a step-by-step guide to help you get ready for your oral surgery:

  1. Consultation with your dentist:
    • Discuss your medical and dental history, including allergies or chronic health conditions, with your dentist.
    • Discuss the wisdom tooth removal procedure, including the type of anaesthesia to be used.
    • Ask questions about the surgery, recovery, and wisdom tooth extraction cost.
  2. Pre-operative instructions:
    • Dietary restrictions:
      • Night Before Surgery:
        you’ll be required to fast (not eat or drink anything) starting from midnight the night before your surgery. This is especially important if sedation will be used.
      • Day of Surgery:
        If your surgery is scheduled later in the day and you’re allowed to eat, opt for light meals and avoid heavy, greasy, or spicy foods.
      • Hydration:
        Stay well-hydrated leading up to your surgery, but remember to follow the specific instructions about when to stop drinking fluids if you’re going to be under sedation.
    • Medication guidelines:
      • Prescribed Medications:
        Continue taking any prescribed medications as normal unless your oral medical doctor advises otherwise. Make sure to inform your dentist of all medications you’re taking.
      • Blood Thinners:
        If you’re on blood thinners or medications that affect bleeding, your medical doctor might give specific instructions about how to manage these before surgery.
      • Pain Relievers:
        Avoid taking medications that can increase bleeding, like aspirin or ibuprofen, for a few days before your surgery unless they are prescribed.
    • Smoking and alcohol:
      • Smoking:
        It’s advised to stop smoking at least 24 hours before the surgery. Smoking causes constriction of blood vessels and reduces blood flow, which can interfere with the healing process and increase the risk of complications.
      • Alcohol:
        Avoid alcohol for at least 24-48 hours before your surgery, as it can increase bleeding and interact with anesthesia
  3. What to wear:
    Choose comfortable, loose-fitting clothing.
    Avoid wearing jewellery, contact lenses, or other accessories that may interfere with the procedure.
  4. Arrange transportation:
    Since you may be under the effects of anaesthesia, ask someone to drive you home after the surgery.
  5. Prepare for recovery:
    Stock up on soft foods and necessary supplies for post-operative care.
    Set up a comfortable recovery area at home with necessary items like pillows, blankets, and entertainment.
  6. Dental care appointments:
    Follow any specific dental care instructions your dentist provides, such as a special cleaning regimen before the surgery.
  7. Coordination with a registered health care professional:
    If you have other medical conditions, coordinate with a healthcare professional to consider all aspects of your health in preparation for the surgery.
  8. Understand the costs:
    Discuss the cost of wisdom teeth removal with your dentist. Inquire about health fund cover and payment plans as well.

Remember, proper preparation helps alleviate anxiety during wisdom teeth removal and sets the stage for a smoother recovery.

The Extraction Process: What to Expect

Wisdom teeth removal is a common surgical procedure performed by dentists. Understanding what to expect during wisdom tooth extraction can help ease apprehensions, making patients well-prepared for the experience. Here’s a step-by-step guide to the surgical procedure:

  1. Upon arrival at the dental clinic:
    • Arrive early to complete any necessary paperwork.
    • Confirm the procedure details, including the wisdom teeth removal cost if not previously discussed.
  2. Preparation for surgery:
    • You’ll be escorted to the dental chair, where the team will prepare you for surgery.
    • Vital signs will be monitored, and any last-minute questions will be addressed.
  3. Administration of anaesthesia:
    The type of anaesthesia to be used will depend on the complexity of the case, your medical history, and your dentist’s recommendation.

    • Local anaesthesia: Numbs the area around the wisdom teeth.
    • Sedation anaesthesia: Administered through an IV, it helps you relax but remain awake.
    • General anaesthesia: Puts you into a deep sleep during the procedure.
  4. Extraction of wisdom teeth:
    • An incision is made in the gum to expose the tooth and bone.
    • Any bone blocking access to the tooth root may be removed.
    • The wisdom tooth may be cut into pieces for easier removal.
    • The tooth is extracted, and the area is cleaned to remove debris.
    • The gum tissue is stitched closed, and gauze is placed to control bleeding.
  5. Recovery in the clinic:
    • You’ll be monitored in a recovery area until the effects of the anaesthesia wear off.
    • Instructions for recovery, including pain management and oral hygiene maintenance, will be provided.
  6. Discharge and transportation home:
    • You’ll be discharged once alertness after anaesthesia is confirmed.
    • Your arranged transportation must be ready, as driving yourself is not advisable.
  7. Post-operative care instructions:
    • Follow the detailed post-operative dental care instructions provided by your dentist.
    • Schedule follow-up care appointments to monitor your recovery.

Having a good understanding of the extraction process can help patients approach the procedure with confidence.

Pricing Breakdown: How Much Does It Cost?

Understanding the cost of wisdom teeth removal is essential to preparing for the procedure. The cost can vary widely depending on several factors, but it generally starts at $400 per wisdom tooth. Here’s an overview of the elements that influence the pricing:

  1. Location of the dental clinic:
    • Urban areas may have higher fees compared to rural locations.
    • The cost of living in the area can also affect the pricing.
  2. Dentist’s experience and qualifications:
    • Experienced dentists or those with additional qualifications may charge higher fees.
  3. The complexity of the extraction:
    • More complex procedures cost more. An example of this is the removal of impacted wisdom teeth, whether upper or lower, which requires more intricate techniques, affecting the cost.
  4. Types of anaesthesia:
    • Choosing between local anesthesia, sedation, or general anaesthesia can influence the cost.
  5. Additional services:
    • Pre-operative exams, dental X-rays, and other diagnostic services may add to the cost.
  6. Health fund cover:
    • Depending on your health fund, the partial or full cost of the dental treatment may be covered.
  7. Post-operative care:
    • Follow-up visits, medications, and other post-operative care may influence the cost.

It’s essential to discuss the cost of wisdom teeth removal with your dental clinic upfront. Request a detailed breakdown of the costs, including possible additional fees, to avoid surprises.

Aftercare Tips: Going Towards a Smooth Recovery

After wisdom teeth removal, proper aftercare is crucial for a smooth recovery and for minimising potential complications. Following your dentist’s post-operative care instructions is essential to promote healing and manage discomfort. Here are detailed post-operative care instructions to guide you:

  1. Managing pain and swelling:
    • Put ice packs in the affected area to reduce swelling.
    • Take prescribed medications or over-the-counter options as directed for pain management.
  2. Oral hygiene:
    • Refrain from rinsing your mouth for the first 24 hours.
    • Afterwards, a warm salt water rinse may be used to keep the mouth healthy and clean.
    • Continue regular dental care, avoiding the surgical site.
  3. Dietary recommendations:
    • Eat soft foods initially, gradually reintroducing chewier foods as healing progresses.
    • Avoid hot foods, sharp foods, and spicy foods that may irritate the surgical site.
  4. Activity restrictions:
    • Rest for the first few days and avoid any form of strenuous activities.
    • Avoid sucking actions (like using a straw) that may dislodge the dark-coloured blood clot in the tooth sockets.
  5. Avoiding dry socket:
    • A dry socket occurs when the blood clot is dislodged from the extraction site, exposing the bone underneath it.
    • Follow your dentist’s instructions carefully to prevent dry socket.
  6. Monitoring for infections:
    • Be mindful of signs of infection, such as increased swelling, redness, or fever.
    • Contact your dental clinic if you notice any signs of infection.
  7. Regular check-ups:
    • Attend all scheduled care appointments with your dentist to monitor your recovery.
    • Following these aftercare tips will contribute to a successful recovery after wisdom teeth removal. Adhering to your dentist’s instructions and being mindful of your oral hygiene, diet, and activities can significantly affect your healing process.

Potential Complications: Signs to Watch Out For

While wisdom teeth removal is a common procedure, it is important to be aware of potential complications that may arise. Recognising the signs early and knowing how to address them can prevent further issues and promote a smoother recovery. Here’s a detailed look at common post-operative complications:

ComplicationDescriptionSymptomsHow to Address
Dry SocketA painful condition where the blood clot protecting the extraction site is dislodgedIntense pain, visible bone in the socketContact your dental clinic for appropriate care.
InfectionsBacterial infections can occur at the extraction siteSwelling, redness, fever, and bad taste in the mouthSeek immediate care from your dentist
Nerve DamageRare but serious complication  affecting the nerves in the jawNumbness, tingling in the lower lip, chin, or tongueNotify your dentist; most cases resolve with time
Gum Tissue DamageDamage to the surrounding gum tissue.Bleeding, swellingFollow post-operative care instructions; contact your dentist if symptoms persist.
Delayed HealingSlow healing of the surgical extraction site.Persistent discomfort, swellingContinue following aftercare and recovery instructions; consult your dentist if concerned.
Cysts FormationFormation of cysts in the jaw.Swelling, discomfortContact your dental clinic for evaluation and possible treatment.

Knowing how to respond to these potential complications is integral to your recovery process. While complications are uncommon, being proactive and attentive to unusual symptoms can significantly impact your healing journey.

Dietary Recommendations: Foods to Eat and Avoid

Good nutrition plays an important role in the recovery after wisdom teeth removal. Your diet can either promote healing or potentially cause discomfort and complications. Understanding what foods to eat and avoid is essential for a smooth recovery. Here’s a comprehensive guide to dietary recommendations:

Foods to Eat:

CategoryFoods to EatPurpose/Notes
Soft FoodsMashed potatoes, applesauce, yogurt.Ideal for the initial days post-surgery.
Protein-Rich FoodsSoft tofu, scrambled eggs, smoothies with protein powder.Supports healing and recovery.
Hydrating LiquidsWater, herbal tea, broth.Keeps the mouth moist and supports overall hydration.
Non-Citrus FruitsBananas, melons, avocados.Gentle on the surgical site.

Foods to Avoid:

CategoryFoods to AvoidPurpose/Notes
Chewy FoodsMeats, bread, and chewier foods.Can irritate the surgical site.
Hot FoodsHot soups, coffee.May cause discomfort.
Sharp FoodsChips, crackers.Can scratch or irritate the surgical site.
Spicy FoodsSpicy dishes.Must be avoided in the initial recovery phase.
Food Particles that Can LodgePopcorn, seeds.Can become trapped and cause irritation or painful infection.

These dietary recommendations can significantly impact your comfort and recovery after a wisdom teeth removal procedure. You can support your body’s healing process by choosing soft, nourishing foods and avoiding those that may irritate or harm the surgical site.

The Role of Medications: Pain Management and Healing

After removing wisdom teeth, managing discomfort and supporting healing is crucial to recovery. Medications, both prescribed and over-the-counter, play a vital role in this phase. Here’s a comprehensive guide to understanding the role of medications in pain management and healing:

Type of MedicationPurposeGuidelines
Prescribed Pain RelieversModerate to severe painFollow the prescribed dosage.
Over-the-Counter Pain RelieversMild painFollow the packaging instructions.
AntibioticsPrevent/manage infectionsComplete the entire course as prescribed by your dentist
Anti-Inflammatory MedicationsReduce swelling/inflammationFollow the prescribed dosage.

Tips for Safe Medication Use:

  • Understand the instructions:
    Know the dosage, timing, and specific instructions.
  • Communicate with your dentist:
    If you have any questions or concerns regarding medications or pain relief, don’t hesitate to ask your dentist.
  • Avoid alcohol:
    Alcohol can interact with medications, so avoiding it during recovery is advised.
  • Alertness after anaesthesia:
    Be cautious with medications if you still feel the effects of sedation.

Understanding and following the guidelines for medication use after wisdom teeth removal is essential for a comfortable and smooth recovery. Whether it’s managing pain with prescribed or over-the-counter pain medication or using antibiotics to prevent infections, these medications are integral to your healing process.

Regular Check-ups: Monitoring Your Recovery

The process of wisdom teeth removal doesn’t end with the surgery itself. Regular check-ups with your dentist are essential to a smooth and successful recovery. These appointments aid your dentist in monitoring your recovery, addressing concerns, and providing guidance tailored to your situation. Here’s what you need to know about regular check-ups after wisdom teeth removal:

Importance of Regular Check-ups:

  • Monitoring the healing process:
    The post-operative check-up includes a careful assessment of the surgical site to aid proper healing. A visual examination is conducted to identify any signs of complications, which helps reduce the risk of additional problems.
  • Addressing concerns and questions:
    During the check-up, patients can discuss any discomfort, concerns, or questions. The dentist provides personalised guidance and support, helping patients feel informed and comfortable during their recovery process.
  • Adjusting post-operative care instructions:
    As healing progresses, it may be necessary to modify post-operative care instructions. The dentist will evaluate the recovery progress and tailor the treatment plan to the patient’s unique needs and recovery status.


What to Expect During Check-ups:

  • Visual examination:
    The post-operative check-up begins with a visual examination of the surgical site. This examination is crucial for assessing signs of proper healing and identifying any complications that may have developed. It allows the dentist to keep the recovery process on track and to take action if any issues are detected.
  • Discussion of symptoms:
    During the check-up, patients can talk about any pain, discomfort, or unusual symptoms they may be experiencing. Effective communication with the dentist is important for understanding the patient’s condition and addressing concerns in a timely manner. Thus keeping the patient’s comfort and well-being prioritised throughout recovery.
  • Review of care instructions:
    Revisiting post-operative care instructions is necessary during the check-up. The dentist may make necessary adjustments to the treatment plan based on the patient’s healing progress. This review provides guidance on the recommended practices for optimal healing and recovery.
  • Potential additional treatments:
    If needed, the check-up may include discussions about additional treatments, medications or interventions to support healing. The goal is to provide comprehensive care that supports the patient’s recovery and addresses any unique challenges they may face.


Tips for Successful Check-ups:

  • Keep scheduled appointments: Don’t skip appointments, even if you feel well.
  • Prepare questions in advance: Write down any questions or concerns.
  • Follow post-operative care instructions: Continue to follow care instructions between appointments.
  • Communicate openly with your dentist: Share any symptoms or concerns, no matter how minor they may seem.


Regular check-ups are more than a routine part of recovery. By maintaining open communication with your dentist, following post-operative instructions, and attending all scheduled appointments, you can support your body’s natural healing process and move towards a successful recovery after wisdom teeth removal.

Final Thoughts

Wisdom teeth removal is a common procedure many people might face at some point. While the thought of oral surgery can be daunting, understanding the process, preparation, costs, aftercare, and the importance of regular check-ups can alleviate concerns and set the stage for a smooth recovery.

At Darch Dental Centre, we are committed to providing you with comprehensive care, from the initial consultation to post-operative support. Our team of friendly dentists is here to guide you every step of the way so that your experience is as comfortable and successful as possible.

We believe in a future where dental care is not just about addressing immediate needs but fostering long-term oral health. Wisdom teeth removal is more than a procedure; it’s a path towards a brighter and healthier smile.

If you or a loved one is considering wisdom teeth removal or have any queries about oral health, we invite you to contact us. Please book an appointment through our website. Let’s embark on this journey towards optimal dental health together. Your smile is our priority, and we look forward to participating in your dental care journey.

Dr. Jon ( Junyi ) Ho

Dr. Jon is a Perth-based dentist who graduated with a Bachelor of Dental Science in 2005 from the University of Western Australia. He has worked at a range of dental practices, including being a partner and principal dentist for a group of five dental surgeries in Sydney. Dr. Jon has been practising for over a decade in the northern suburbs of Perth. He provides treatment for patients in Darch, Madeley, Landsdale, Kingsway, Kingsley, Marangaroo, Alexander Heights, Wangara, Ellenbrook, and others.

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