How Long Does Wisdom Teeth Removal Take?

Wisdom Teeth Removal is one of the most common dental procedures globally. 10 million Americans alone have their wisdom teeth removed annually.

Why?

These molars helped our ancestors chew tough roots and raw meat. Today, they often cause more harm than good. Many people lack jaw space for these teeth, leading to pain, overcrowding, and infections.

We’ll cover everything about wisdom teeth, from the reasons behind their problems to tips for a smooth recovery. Let’s demystify wisdom teeth!

Why Do Wisdom Teeth Need Removal?

Wisdom teeth often bring more trouble than they’re worth. These molars, which emerge in the late teens or early twenties, are notorious for causing problems. But what makes their removal so common?

1. Crowding and Misalignment 

Your jaw might lack space to accommodate extra teeth. When wisdom teeth push their way in, they can force other teeth out of position. This causes alignment issues, which can ruin years of orthodontic work.

2. Impacted Teeth 

Many wisdom teeth grow at odd angles or don’t fully emerge from the gums. These embedded teeth can result in pain, swelling, and potential infection. Left unchecked, they may harm neighboring teeth or create cysts.

3. Decay and Gum Problems 

Because they sit at the very back, wisdom teeth are hard to clean. Food particles can easily get trapped, leading to cavities or gum disease. Infections in this area can spread, making things worse.

4. Preventive Measures 

Even if your wisdom teeth aren’t bothering you yet, dentists may recommend removal to prevent future issues. Early extraction is simpler, with shorter recovery times.

Dentists evaluate your wisdom teeth through X-rays and exams to determine if they pose risks. The earlier the decision, the smoother the process.

What to Expect During Wisdom Teeth Removal

If you’re scheduled for wisdom teeth removal, it’s completely normal to have questions about the process. To ease your concerns, here’s a clear, step-by-step guide on what happens during the procedure—from the moment you walk into the dental office to your recovery at home.

Pre-Surgery Consultation

Before the surgery, you’ll meet with your dentist or oral surgeon to discuss the details. During this consultation:

• Examination and X-rays: The dentist will examine your mouth and take X-rays to evaluate the position of your wisdom teeth.
• Anesthesia Options: Based on the complexity of your case, your dentist will recommend one of the following anesthesia options:
  • Local anesthesia to numb the area.
  • IV sedation to help you relax.
  • General anesthesia if the procedure requires you to be fully asleep.

Did you know? More than 85% of people in their twenties have at least one impacted wisdom tooth, making early checkups crucial to avoid future complications.

Day of the Surgery

Here’s a quick look at what happens during the procedure:

• Getting Ready: After you settle in, the dentist will numb the area. If you’re getting sedation or general anesthesia, you’ll be in a deep sleep or calm state during the surgery.
• Removing the Teeth: For simple cases, the dentist loosens and pulls the teeth with ease. Impacted teeth might need small cuts in the gum or bone to remove them.
• Cleaning Up: Once the teeth are out, the area gets cleaned to avoid infection. If needed, the dentist will use stitches that dissolve naturally within a few days. You won’t need another visit for these.

How Long Does Wisdom Teeth Removal Take?

Most extractions are done in 45 minutes to an hour. Complicated cases, like multiple teeth or deeply impacted ones, might take more time.

What Makes Modern Extractions Different?

Modern methods make the process quicker and less painful:

• Laser Tools: These cause less damage and help you heal faster.
• 3D Imaging: This technology allows the surgeon to accurately pinpoint nerve locations, minimizing risks.
• Sedation Options: With comfortable sedation choices, even patients with dental anxiety can undergo the procedure with ease.

Post-Surgery Recovery

Once the surgery is complete, the recovery period becomes your top priority. Healing varies for everyone, but following the right steps can help you bounce back faster. Here’s how to navigate this phase:

The First 24 Hours

The initial hours after surgery are vital:

• Stop the Bleeding: Bite gently on the gauze provided. Replace it every 30–45 minutes or as advised.
• Ice Packs: Apply them to your cheeks for 15-minute intervals to reduce swelling.
• Avoid Disturbing the Clot: No spitting, drinking through a straw, or smoking. These actions might cause a painful condition called dry socket.

Note: Studies show that 2–5% of wisdom teeth extractions lead to dry socket. It’s preventable with proper care.

Diet: Eat Smart

During the initial days, opt for soft, cool foods. Suitable choices include:

• Mashed potatoes, yogurt, applesauce.
• Smooth soups and protein shakes (at room temperature).

Avoid crunchy, spicy, or hot foods—they can irritate the surgical area.

Pain and Swelling Management

It’s normal to feel some discomfort:

• Painkillers: Use over-the-counter or prescribed medications.
• Saltwater Rinse: After 24 hours, rinse gently with warm salt water to keep the area clean.

Signs of Trouble

Call your dentist if you notice:

• Severe pain or swelling after the third day.
• Pus or an unusual smell (could indicate infection).
• Numbness or tingling that doesn’t go away.

Did You Know? Smoking increases infection risks by up to 30% post-surgery.

Long-Term Healing

Most people feel fine within a week. However, full recovery may take 2–3 weeks:

• Continue gentle oral hygiene.
• Avoid physical activities that may strain the area.

What to Expect During Recovery After Wisdom Teeth Removal?

Okay, the procedure is done. Now comes the important part—recovery.

While everyone heals differently, there are a few things you can expect and some simple tips to help the process go smoothly.

The First Few Days:

Right after the surgery, you’ll likely feel some swelling and discomfort, which is totally normal. In fact, it’s common to experience some of the following:

• Swelling: Your cheeks may puff up like a chipmunk. Don’t worry—this is completely normal, and it should go down in 2 to 3 days.
• Pain: You might feel some pain, which will peak around the second or third day. Your dentist will give you pain meds to help manage it.
• Bleeding: A small amount of bleeding is expected, but it should stop within a few hours. Bite gently on a gauze pad to control this.

Post-Op Care Tips:

1. Ice Packs Are Your Best Friend – Apply an ice pack for 15 minutes at a time during the first 48 hours to reduce swelling.
2. Raise your head while sleeping — this helps reduce swelling naturally.
3. Avoid Strenuous Activity – Take it easy for a few days, as any intense activity can increase bleeding and swelling.
4. Eat Soft Foods – Stick to soft foods like yogurt, mashed potatoes, and smoothies for the first few days. Avoid crunchy, spicy, or hot foods that might irritate the extraction site.
5. Don’t Use Straws – Sucking on a straw can dislodge the blood clot and delay healing.

What Happens Next?

After the first few days, you should start feeling better. Most of the swelling will go down, and the pain will gradually decrease. But remember, the gums and bone are still healing beneath the surface. It can take a few weeks for the tissue to fully close up, but the initial healing period is usually about 3 to 5 days.

You’ll also want to stay on top of your oral hygiene. Gently rinse your mouth with salt water (after 24 hours) to help keep the site clean. Avoid brushing directly on the extraction sites, though, to prevent irritation.

When to Call Your Dentist?

While recovery is a normal process, there are some signs you should look out for. If you notice any of the following, call your dentist right away:

• Severe or worsening pain that doesn’t subside with medication
• Excessive bleeding that doesn’t stop after applying pressure
• A fever higher than 101°F (38.3°C)
• Difficulty swallowing or breathing

These could be signs of infection or complications, so it’s important to get checked out right away.

Healing Time:

Most people heal up in about 1 to 2 weeks for the soft tissue to close, but bone healing might take a bit longer—up to 6 months. Patience is key!

Myths About Wisdom Teeth Removal: Setting the Record Straight

Wisdom teeth removal comes with its fair share of myths and misinformation. Let’s debunk some common ones so you can make informed decisions:

Myth #1: Everyone Needs to Remove Their Wisdom Teeth

Not true! If your wisdom teeth are healthy, fully erupted, and don’t crowd other teeth, you might not need surgery. According to the American Dental Association (ADA), only problematic wisdom teeth require extraction.

Myth #2: Removal Causes Permanent Nerve Damage

Nerve injury is rare. While lower wisdom teeth are near the inferior alveolar nerve, skilled surgeons minimize risks. Studies estimate long-term nerve issues occur in less than 1% of cases.

Myth #3: You Can’t Eat or Drink for Days

Recovery doesn’t mean starvation! You’ll start with soft foods but can gradually return to normal eating as healing progresses. By day four or five, most people can enjoy a broader diet.

Myth #4: The Surgery is Excruciating

Thanks to modern anesthetics and sedation techniques, wisdom tooth extraction is a mostly painless procedure. Post-surgery discomfort is manageable with prescribed medications and proper care.

Myth #5: It’s Only for Teens and Young Adults

While removal is common in people aged 17–25, adults can need it too. Older patients may face slightly longer recovery times, but age alone doesn’t disqualify someone from surgery.

Myth #6: Swelling Always Lasts for Weeks

Most swelling peaks within the first 48 hours and subsides significantly by the end of the first week. Icing and following post-op instructions help speed up the process.

A Quick Warning: It’s always best to consult a dentist or oral surgeon for personalized advice. They’ll assess your teeth and explain whether extraction is necessary.

How Much Does Wisdom Teeth Removal Cost?

The question everyone’s wondering: “How much will this all cost?” Wisdom teeth removal can be a bit of a financial rollercoaster. The cost of wisdom teeth removal can fluctuate based on your location, the intricacy of the procedure, and your insurance coverage.

On average, wisdom teeth removal can cost anywhere from $225 to $600 per tooth for a simple extraction. If your teeth are impacted and require more complex surgery, prices can soar to $1,000 or more per tooth.

Factors Affecting Cost:

1. The Type of Extraction – Simple extractions tend to be cheaper than surgical extractions, which require cutting into the gum or bone.
2. Sedation Options – Local anesthesia is cheaper, but if you opt for general anesthesia or IV sedation, expect a higher bill.
3. X-Rays – Pre-surgery imaging helps the surgeon assess your teeth and decide on the best course of action. These might be an extra cost, depending on the clinic.
4. Geographic Location – Costs are higher in urban areas compared to smaller towns or rural areas.

Insurance and Wisdom Teeth Removal

If you have dental insurance, there is some good news! Some of the plans will pay for a part of the expense depending on the reasons why you need to have your wisdom teeth removed. But, it is not always possible to get coverage, so it is advisable to consult with your provider.

For those who are paying from their pocket, most dental clinics have flexible payment options to ensure that the cost is not too much for you to handle.

Quick Tips to Save Money:

• Compare Prices: The cost of services can be significantly different depending on the clinic.
• Ask About Payment Plans: Some offices allow you to split the cost into more reasonable and easily manageable portions.
• Look for Discounts: Some dentists may give a cash discount or have a special for first time patients.

Potential Risks and Complications of Wisdom Teeth Extraction

There is always some risk involved in every surgery. Fortunately, most problems that occur after the extraction of the wisdom teeth are not severe. Some of the complications that may occur include; inflammation, slight bleeding or temporary loss of feeling. Complications are not very common, however, knowing how it works can help to ease the situation.

Common Complications:

1. Dry Socket: This is one of the most common complications after wisdom teeth removal. It occurs when the blood clot that forms in the socket is dislodged, leaving the bone and nerves exposed. This can lead to severe pain. A dry socket is a common post-operative issue, often manifesting around the third or fourth day. If you suspect you have this, contact your dentist immediately.
2. Infection: While infrequent, infections can arise at the surgical site. Signs include fever, excessive pain, and swelling. If you encounter any of the following signs, seek immediate medical attention. A simple course of antibiotics can often resolve the issue.
3. Nerve Damage: The lower wisdom teeth are close to nerves that control sensation in the lip, chin, and tongue. In some rare cases, removal can lead to temporary numbness or tingling. This usually resolves on its own after a few weeks, but in extreme cases, it could be permanent. The risk is higher in older patients, as the nerves tend to be more entangled with the roots of the teeth.
4. Bleeding: Most bleeding after wisdom teeth removal is normal, but prolonged or heavy bleeding can be a concern. Applying pressure with gauze pads usually stops the bleeding, but if it persists, your dentist will need to assess the situation.
5. Swelling and Bruising: While swelling and bruising are common, they can sometimes be more severe than expected. This usually goes away within a week but can cause temporary discomfort.

Less Common Complications:

1. Sinus Issues: Upper wisdom teeth are located near your sinuses, so when removed, it’s possible for a small hole to form in the sinus cavity. This could lead to sinus infections or air escaping from the sinus. If you notice increased nasal congestion or pain, consult your dentist.
2. Damage to Adjacent Teeth: Occasionally, the removal of wisdom teeth can cause damage to the nearby molars, especially if the wisdom teeth are impacted or close to the neighboring teeth.

What Can You Do to Reduce the Risks?

• Follow Post-Op Instructions: One of the best ways to avoid complications is to follow your dentist’s aftercare instructions to the letter. This will reduce the risk of infection, dry socket, and other issues.
• Quit Smoking: If you smoke, try to quit before and after your surgery. Smoking can elevate the risk of dry socket and impede the healing process.
• Attend Follow-Up Appointments: These check-ups are essential to ensure that your recovery is on track and that there are no signs of infection or complications.
• Keep Your Mouth Clean: But, don’t brush directly over the extraction sites. Rinse gently with salt water starting 24 hours after surgery to keep the area clean.

When Should You Be Concerned?

If any of the following occur after surgery, it’s important to reach out to your dentist:

• Severe pain that doesn’t improve with painkillers
• Heavy bleeding that doesn’t stop
• Persistent or increased swelling after 3 to 4 days
• A fever that doesn’t go away
• Unusual drainage from the extraction site

Many of these are not common symptoms, but they are symptoms that need to be addressed to avoid other complications. Luckily, these complications are usually avoidable if you take good care of your teeth and follow your dentist’s instructions.

FAQs

Why do some dentists suggest keeping wisdom teeth?

Many dentists today believe wisdom teeth should stay if they are trouble-free. If these teeth grow without causing pain, swelling, or other issues, there’s no reason to remove them. Extraction is only advised when wisdom teeth are impacted, infected, or damaging nearby teeth. Some critics question the practice of pulling healthy teeth, citing risks like nerve injury or infection. Studies show that removing these molars without a clear medical need can put patients at unnecessary risk.

When can you drink using a straw after the surgery?

It’s important to avoid using a straw for about 7-10 days after the procedure. The suction can dislodge the blood clot from the healing area, causing dry socket. This condition is painful and may slow down the recovery process.

How long does it take for the site to heal fully?

The first stage of recovery happens within 3-7 days when most swelling and soreness fade. However, complete bone healing takes months. Taking proper care and keeping the area clean will help prevent setbacks during the process.

Can I eat rice right after wisdom tooth removal?

Rice is safe to eat after the first few days, usually around 3-5 days, but it should be soft. Avoid sticky, hard, or spicy foods, as they can irritate the extraction site and slow healing.

How should I brush my teeth after surgery?

You can brush, but do it carefully. Steer clear of the extraction area in the first few days. After 24 hours, rinsing gently with salt water is a good start. Use a soft-bristled toothbrush and light strokes to clean your teeth without disturbing the healing spot.

How quickly can I speak after wisdom tooth removal?

You can start talking immediately following the procedure. However, your speech may be slightly unclear due to the gauze pads placed in your mouth to manage bleeding.

Last Words

Wisdom teeth removal may seem intimidating, but millions get through it every year without major problems. If you listen to your dentist’s instructions and know what to expect during the healing process, you can avoid most complications and have an easy time healing.

Just relax, follow the rules and in no time you will be back to normal with one less thing to bother you in your mouth!