The wisdom tooth (third molar) usually erupts between 17 and 25 years of age. Sometimes it takes its place without issue; sometimes it causes pain, inflammation or pressure on neighboring teeth. The decision to extract is made only after examination and X-ray.
When extraction is needed
- The tooth cannot fully erupt (impaction)
- It presses on neighboring teeth and causes shifting
- Recurring inflammation (pericoronitis)
- A cyst or caries develops around it
- Space is needed for orthodontic treatment
When it can be preserved
- Fully erupted, intact, properly positioned in occlusion
- An antagonist tooth exists on the opposite jaw and works functionally
- Accessible for hygiene
Preparation and procedure
Before extraction a 3D CBCT or panoramic X-ray is required — proximity to the nerve and sinus is assessed. The procedure is performed under local anesthesia; sedation is available for complex cases. Duration is typically 30–60 minutes.
Recovery
- First 24 hours — cold compress, no hot food
- 2–3 days — soft food, no mouth rinsing (to preserve the blood clot)
- 1 week — antibiotics and painkillers as prescribed
- Suture removal (if applicable) at 7–10 days
Healing varies; your dentist will assess at the consultation.
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