Wisdom Teeth Extraction

Wisdom teeth, or “third molars,” usually emerge in the late teens or early 20s. Most people have four, but limited jaw space can cause them to become impacted or misaligned. While some cause no issues, others can lead to complications and may require removal.

Overview

The case for Wisdom Teeth Extraction

When wisdom teeth don’t have enough space to emerge properly, they can become impacted, growing at an angle or remaining trapped beneath the gums. This can lead to pain, swelling, infection, crowding, and even damage to nearby teeth. Removing them early can help prevent these complications and protect your long-term oral health.

When to remove your wisdom teeth

Oral surgeons often recommend removing wisdom teeth in the late teens or early 20s, before they cause problems. If wisdom teeth become impacted, painful, or difficult to clean, they can lead to infection, gum disease, or damage to nearby teeth. Removing them early can help prevent future complications and ensure better long-term oral health.

From prep to recovery, you’re in good hands.

Before surgery

To prepare for Wisdom Tooth Extraction, follow these instructions below:

Fasting: Do not eat or drink anything (including water) for at least 6 hours before surgery if receiving IV Sedation or General Anesthesia

Medications: If instructed, take approved medications with a small sip of water. Avoid blood-thinning medications unless otherwise directed

Oral hygiene: Brush and floss before your appointment, but do not use mouthwash

Clothing and accessories: Wear comfortable, loose-fitting clothing. Avoid jewelry, contact lenses, nail polish, or heavy makeup

Transportation: If undergoing Sedation or General Anesthesia, a responsible adult must accompany you and drive you home. Minors must have a parent or legal guardian present

Illness: If you feel sick, congested, or unwell, notify our office as soon as possible

Planning ahead: Stock up on soft foods like yogurt, mashed potatoes, and smoothies to make eating easier after surgery

During surgery

Wisdom Teeth Removal is a routine outpatient procedure performed under Local Anesthesia, IV sedation, or General Anesthesia to ensure comfort. The surgeon will make a small incision in the gum, remove the tooth (sometimes in sections for easier extraction), and close the area with dissolvable stitches if necessary.

What to expect

The procedure typically lasts 30–60 minutes, depending on the complexity
You will feel numb or drowsy afterward, with some swelling and mild discomfort expected
Bleeding is normal for the first few hours, but it should gradually decrease
Most patients recover within 3–5 days, with full healing in a few weeks
You’ll need to rest, eat soft foods, and avoid straws and strenuous activity for a smooth recovery

Our team will provide detailed aftercare instructions to help ensure a comfortable and successful healing process.

After surgery

Proper aftercare is crucial for a smooth recovery. Follow these instructions to ensure healing and minimize complications.

Managing bleeding & gauze

Keep the initial gauze pad in place for 30 minutes, then replace it with fresh gauze as needed until bleeding slows
If bleeding persists, bite down on a moistened tea bag for 30 minutes to help clot formation
Avoid spitting, using a straw, or vigorous rinsing for at least a week, as these can dislodge the blood clot and cause dry socket

Swelling & pain management

Swelling typically peaks 2–3 days after surgery and is normal. Apply ice packs to the face in 20-minute intervals for the first 24–36 hours to reduce swelling
Take prescribed pain medication as directed. Avoid alcohol and driving while taking narcotic pain relievers
Jaw stiffness and mild bruising are common and should improve within a week

Diet & hydration

Stick to a soft food diet (e.g., mashed potatoes, applesauce, yogurt, broth). Avoid hot, spicy, or crunchy foods
Stay hydrated, but do not use a straw to prevent dislodging the blood clot

Oral hygiene & activity

Avoid rinsing or touching the surgical area for 24 hours. After that, gently rinse 5–6 times daily with warm salt water, especially after meals
Brush your teeth carefully, avoiding the surgical sites
Rest and limit strenuous activity for at least 3–5 days

Medications & possible side effects

If prescribed antibiotics, take them as directed to prevent infection. Stop use if you experience a rash or adverse reaction and contact our office
Nausea or vomiting may occur due to Anesthesia or pain medication. If this happens, sip ginger ale or clear liquids before trying solid food

When to contact us

Excessive bleeding that does not slow with gauze pressure
Severe pain or swelling that worsens after 3–5 days
Signs of infection, such as fever, persistent bad taste, or pus
Dry socket symptoms (severe pain radiating to the ear or jaw)

If you have any concerns, please contact our office immediately. We are here to ensure a safe and smooth recovery!

Your questions, answered.

North Austin Oral Surgery is here to address all your questions and concerns regarding Wisdom Teeth Extractions.

When is the best time to remove wisdom teeth?

Wisdom teeth are typically removed in the late teens or early 20s, before they cause pain, crowding, or complications. Early removal can help prevent future issues.

What type of Anesthesia will I receive?

We offer Local Anesthesia, IV Sedation, and General Anesthesia, depending on your procedure and comfort level. Your surgeon will discuss the best option for you.

What can I eat after Wisdom Teeth Removal?

Stick to soft foods like mashed potatoes, yogurt, smoothies, and soup for the first few days. Avoid hard, crunchy, or spicy foods, as well as straws, to prevent complications like dry socket.

What are the signs that my wisdom
teeth need to be removed?

Common signs include pain, swelling, jaw stiffness, difficulty opening your mouth, or infections near the back molars. Impacted wisdom teeth can also cause damage to nearby teeth.

How long is the recovery process?

Most patients recover in about 3–5 days, with swelling and discomfort peaking within the first 48 hours. A soft diet, rest, and following post-op instructions help ensure a smooth recovery.

What is dry socket, and how can I prevent it?

Dry socket occurs when the blood clot protecting the extraction site dislodges, exposing the bone and nerves. To prevent it, avoid smoking, using straws, spitting forcefully, or eating hard foods during recovery.