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Wisdom Tooth Surgery

Dentist looking at x-ray picture in the office

Wisdom Tooth Surgery


Our wisdom teeth, which are the third set of molars, helped our early ancestors’ to grind plant tissues, a part of their diet that were difficult to chew and break down. It is thought that the skulls of our early ancestors had bigger jaws with more teeth, which compensated for the inability to efficiently break down and digest their plant tissue diet. Over the years, as human diets changed, small jaws gradually evolved as well. However, wisdom teeth continue to develop in human mouths, and is now regarded as a painful hindrance for most as the jaw becomes crowded.

Here are some of the common reasons for wisdom tooth removal: 

(i) Impacted wisdom tooth – Tooth grows in a tilted manner and is impeded by neighbouring tooth. As the tooth is only partially out of the gums, the gums can become swollen and painful.

(ii) Tooth decay

(iii) Cyst growing around the wisdom tooth

At some point in time, 60% to 85% of us will have to remove at least one of our wisdom teeth due to the above complications. Fortunately, dental technology has drastically improved to minimise the discomfort a patient will experience during the removal of the wisdom tooth. For wisdom tooth that grows normally, it is possible to remove it by extraction. If it is impacted, surgery is required.

How is the wisdom tooth surgical process done?
As local anaesthesia will be given, you should feel no pain during the process. During the surgery, the dentist will open up the gum tissue above the tooth, and remove any bone that may conceal the tooth. On certain occasions, the tooth may be cut into smaller pieces to aid in the removal process. Following the removal of the tooth, your dentist will stitch up the gums to close the wound to facilitate healing.

After the surgery, you are advised to avoid food that are crunchy, chewy, spicy or acidic, in order to prevent disruption to the healing process. The recovery process will take from a few days to a couple of weeks, depending on the extent of the surgery.

Treatment Charges
Wisdom Tooth Surgery
$350 – $1340 (Medisave claimable)
 
If you have any further questions regarding the treatment, please feel free to call 8684 1000 to speak to our patient care associate. Alternatively, you may fill in our online enquiry form here

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Frequently Asked Questions

1. How long will an extraction take?

Depending on the complexity of the extraction, the duration varies between 15 and 60 minutes.

2. How is the wisdom tooth surgical process done?

As local anaesthesia will be given, you should feel no pain during the process. During the surgery, the dentist will open up the gum tissue above the tooth, and remove any bone that may conceal the tooth. On certain occasions, the tooth may be cut into smaller pieces to aid in the removal process. Following the removal of the tooth, your dentist will stitch up the gums to close the wound to facilitate healing.

After the surgery, you are advised to avoid food that are crunchy, chewy, spicy or acidic, in order to prevent disruption to the healing process. The recovery process will take from a few days to a couple of weeks, depending on the extent of the surgery.

3. Can I choose General Anesthesia/Sedation for the tooth extraction?

These methods will require anesthetist, which we do not have in our dental group. Moreover, local anesthesia will suffice. If you have any concerns, you may let our dentists know during consultation and they are able to provide you with professional advice.

4. Will I get an medical certificate (MC) after my tooth extraction?

Generally, 5 days of MC will be given for surgical removal of wisdom tooth.

For all other types of extraction, kindly raise your concern to your treating doctor and he/she will assess your condition to see if you require medical leave.

Home Care Instructions for Tooth Extraction

1. What are the side effects of anesthetic?

Before the procedure, you were given an anesthetic to ensure your comfort. This anesthetic typically leaves your lips, teeth and tongue feeling numb after the appointment. For this reason, you should avoid chewing for 2 hours following the surgery, or until the numbness has completely worn off. In some cases, you may also experience numbness on one side of the face, and it will take about 3 hours to regain your muscles control.

2. Must I complete the course of antibiotics medicine after the wisdom tooth surgery?

If you have been given a course of antibiotics to take after your treatment, please ensure that you complete the course.

3. How long will the pain or swelling last after the wisdom tooth surgery?

You may experience pain, swelling, or discomfort for several days, which can be treated with painkillers. There is also a risk of an infection following the treatment, which can be treated with antibiotics. Should the symptoms persist or worsen, please contact the clinic immediately. If the symptoms worsen on the second day with severe pain and fever occurring concurrently, please contact our clinic immediately.

4. My wound is still bleeding after the wisdom tooth surgery, do I need to see a dentist immediately?

It is common to have blood oozing from the extraction site for 24 – 48 hours after surgery. Replace the gauze on the bleeding area as needed every 30 – 45 minutes and bite on the gauze firmly. Keeping your head elevated with pillows can also help to control bleeding. However, if bleeding continues or increases, please call our clinic immediately.

5. Is the formation of blood clot normal after wisdom tooth surgery?

Blood clot formation is necessary to stop bleeding, thus avoid touching the extraction site with your tongue or fingers. Do not drink liquids through a straw, do not spit vigorously, and do not rinse your mouth on the day of the extraction/surgery.

6. The discomfort I’m experiencing after the wisdom tooth surgery is unbearable, what should I do?

Some discomfort after the extraction/surgery is normal. We have prescribed pain reliever to take if needed. To avoid nausea, take pain medication after food or with gastric-protective medicine. You can also decrease pain and swelling by applying an ice pack – 20 minutes on, 20 minutes off – for the first 6 hours following the extraction/surgery.

7. What can I eat and what should I avoid doing after the wisdom tooth surgery?

Once the numbness has worn off, you should be eating, as nourishment is important to the healing process. Eat soft foods like yogurt, puddings, soups and cool porridge for the first 48 hours. Do not eat hot (high temperature) food as this will aggravate bleeding. Please also refrain from smoking as it will affect the healing process.

8. Can I participate in sports or any physically strenuous activities after the wisdom tooth surgery?

Relax as much as possible and avoid strenuous activities for the first 24 hours following the extraction of tooth.

9. Are there any special oral care instructions I should be aware of after the wisdom tooth surgery?

Be sure to brush and floss the other areas of your mouth as you would normally. The space left by the tooth will feel a bit strange to you at first. Eventually, new bone and gum tissue will grow into the gap left by the extraction.

10. My jaw movement seems to have been affected and it feels stiff after my tooth extraction, is this normal?

Stiff jaw muscles may cause a limitation in opening the mouth wide for a few days after surgery. This usually resolves during the week after surgery.