Wisdom Teeth Removal Procedure
The wisdom teeth removal procedure is one of the most common dental treatments. While it may sound intimidating, understanding how it works can help you feel more confident and prepared.
In this guide, we explain what wisdom teeth are, why they’re removed, how the procedure works, and what to expect before and after treatment.
What Are Wisdom Teeth?
Wisdom teeth are the last set of molars to develop, usually appearing between the ages of 17 and 25. Most people have four wisdom teeth—two on the top and two on the bottom.
However, many mouths don’t have enough space for them to grow properly. As a result, wisdom teeth may:
- Become impacted beneath the gums
- Grow at an angle toward other teeth
- Partially erupt through the gums
These issues can lead to pain and dental problems, including:
- Swelling and gum inflammation
- Tooth decay in hard-to-reach areas
- Infections around the wisdom tooth
- Damage to nearby teeth
- Jaw stiffness and discomfort
- Cysts or other complications, if left untreated
Who removes wisdom teeth?
Wisdom teeth are usually removed by a general dentist or an oral surgeon, depending on how complex the case is.
In straightforward situations—when wisdom teeth are fully erupted and easy to access—a general dentist can safely perform the wisdom teeth removal procedure in a dental office.
However, an oral surgeon may be recommended for more complex cases, such as impacted teeth, teeth growing at an angle, or procedures that require deeper sedation.
Both professionals are trained to remove wisdom teeth safely, and the choice depends on the position of the teeth and your overall dental needs.
Can you get wisdom teeth removed while pregnant?
Yes, but only in certain situations. Wisdom teeth removal during pregnancy is usually postponed unless there is an infection, severe pain, or another urgent issue.
The second trimester is generally considered the safest time if treatment is necessary. Always consult both your dentist and doctor before moving forward.
Why Remove Wisdom Teeth?
Not everyone needs wisdom teeth removed, but dentists often recommend removal when these teeth cause pain, crowding, or have a high risk of future problems.
Removing wisdom teeth early can help protect your oral health and prevent complications later in life.
Benefits
Removing problematic wisdom teeth can:
- Prevent overcrowding and tooth misalignment
- Lower the risk of infection and gum disease
- Protect nearby teeth from damage
- Eliminate recurring pain, swelling, and pressure
- Make brushing and flossing easier
These benefits are especially important for young adults whose wisdom teeth are still developing.
Risks of keeping it
When wisdom teeth are not removed, they may lead to:
- Tooth decay in hard-to-reach areas
- Gum infections, inflammation, or cysts
- Jaw pain, stiffness, or headaches
- Damage to neighboring teeth and bone
Because wisdom teeth often grow at awkward angles, problems may develop even if there are no symptoms at first.
Wisdom Teeth Removal Procedure: Step by Step
The wisdom teeth removal procedure is a common outpatient dental surgery used to remove one or more wisdom teeth that are causing pain, crowding, or other oral health issues.
In most cases, the procedure takes 30 to 60 minutes, depending on the number of teeth and their position.
Here’s what typically happens during the procedure:
- Dental exam and X-rays: Your dentist reviews X-rays to evaluate the position of your wisdom teeth, identify impacted teeth, and plan a safe removal.
- Anesthesia or sedation: Local anesthesia numbs the area so you don’t feel pain. Sedation may be used if multiple teeth are removed or if you feel anxious.
- Tooth removal: The dentist gently loosens and removes the tooth. If the tooth is impacted, a small incision may be made, and the tooth may be removed in sections.
- Cleaning and stitches: The area is cleaned to reduce the risk of infection. Stitches are placed if necessary to support healing.
- Recovery and same-day discharge: After a short rest, you can go home the same day with aftercare instructions to support healing.
Overall, the wisdom teeth removal procedure is safe, predictable, and designed to prevent future dental problems.
Anesthesia for Wisdom Teeth Removal
Wisdom teeth removal uses different anesthesia types based on the procedure, patient comfort, and medical history. Modern dental anesthesia is safe and helps keep patients comfortable during extraction.
The most common options are local anesthesia, sedation anesthesia, and general anesthesia. Each offers a different level of pain control, and your dentist or oral surgeon will recommend the best option.
Types of anesthesia used for wisdom teeth removal
Dentists use different anesthesia types for wisdom teeth removal to control pain and anxiety. The choice depends on tooth position, procedure complexity, and patient comfort.
- Local anesthesia: Numbs the treatment area while you stay fully awake. Commonly used for simple wisdom tooth extractions with minimal discomfort.
- Sedation anesthesia (oral or IV): Helps you feel very relaxed or lightly asleep. Many patients remember little or nothing about the procedure.
- General anesthesia: Puts you fully asleep and is usually reserved for complex or surgical wisdom tooth removals. It is less commonly required.
Your dentist or oral surgeon will explain each anesthesia option and recommend the safest choice to ensure a comfortable wisdom teeth removal experience.
Do they put you to sleep for wisdom teeth removal?
Not always. Many wisdom teeth are removed using local anesthesia alone. Sedation or general anesthesia may be recommended if the teeth are impacted, the procedure is complex, or the patient feels anxious.
Your dentist will evaluate your X-rays, health history, and comfort level before making a recommendation.
Can you get wisdom teeth removed without anesthesia?
No. Some form of anesthesia is always required. At a minimum, local anesthesia is used to block pain. However, not all patients need sedation or general anesthesia—especially for straightforward extractions.
Dos and Don’ts After Wisdom Teeth Removal
Proper aftercare helps you heal faster and avoid complications.
Do:
- Rest for at least 24 hours
- Use ice packs to reduce swelling
- Eat soft foods
- Follow your dentist’s instructions
Don't:
- Smoke or use straws
- Eat hard or crunchy foods
- Skip medications if prescribed
- Touch the extraction site
For a complete recovery guide, read our article:
Final Thoughts
The wisdom teeth removal procedure is safe, common, and often prevents future dental problems. With the right care team and clear information, the process can be much easier than expected.
At Somos Dental, our bilingual team is here to guide you step by step—making sure you feel informed, comfortable, and supported throughout your treatment.
