Wisdom tooth extraction: everything you need to know before & after surgery
Step by step guide
Wisdom tooth surgery may at times seem a confronting or daunting prospect. This is perfectly normal - and whilst understandable, having a clear before and after knowledge of how to best navigate your procedure will ensure it is undergone in the smoothest, most comfortable manner possible.
The following guide serves to outline everything you need to know about your surgery procedure: alongside the necessary rules & post management care to follow both before and after, for the best experience.
Carry on reading to find your step by step guide!
Before the surgery
Smoking:
Cease smoking 2 weeks prior to surgery: it is best to stop through this period as it impairs healing facilitation alongside raising likelihood of infection post operation.
X-rays taken for examination:
The dentist may conduct jaw X-ray films, in order to formulate the optimal route of extraction for the bothersome teeth.
Where you’re having your surgery:
Whether your surgery should be conducted in the dentist surgery, day procedure clinic or hospital will be recommended by the dentist.
Anaesthesia options:
Post discussion, your dentist will determine if your tooth is best extracted under local anaesthesia or general. Ensure you converse with your doctor and are briefed adequately.
Local anaesthesia:
In instance of a relatively uncomplicated surgery you will likely be given local anaesthetic, which is administered with a needle in order to numb your lower face and gums. This then allows them to begin extraction. A tablet may also be given to you for the purpose of relaxation.
General anaesthesia:
General anaesthesia - which is given by a specialising anesthetist, may be recommended in some instances. This will put you entirely to sleep for the surgery.
Instances this may be necessary:
- In the case of more complicated surgeries or teeth that are of higher difficulty to extract.
- Individuals who wish to not be awake throughout the procedure.
- Those who have further issues with their wisdom teeth, gums or jaws.
- People who require removal of multiple teeth vs just one.
Note:
If it is necessary for you to undergo surgery on general anaesthesia, refrain from eating or drinking anything.
If it is a morning procedure: do not consume any food or beverages from midnight onwards the night prior.
Full direction will be provided by the dentist/anaesthetist. Modern options are generally safe with very minimal risk. There is however a minority that may possess severe adverse reactions or effects of these drugs. If this has ever occurred for you, tell your dentist.
What your surgery involves:
During your surgery, the dentist will be required to make an incision in your gums, exposing the tooth for extraction. A slight bone portion may additionally need removal if necessary to allow access.
Incisions may require stitches to close them back up - which will either dissolve after a few days on their own, or in other types require removal by the dentist.
After your surgery:
Once you have had your surgery you will be required to have some rest prior to beginning your journey home. The dentist will monitor you as you begin to recover. Once they are satisfied you have adequately done so you will be allowed to leave.
You will not be allowed to drive post surgery, hence it is advised to arrange for a friend or relative to bring you home. If the surgery was conducted in a hospital, you will return to your room after to recover.
Post surgery care:
- Relax at home post surgery.
- You may not drive, exercise actively or operate any heavy machinery.
- Try to consume foods on the softer side in the initial 2 days after: like soups, blended or pureed meat and vegetables, and gelatine.
- Maintain hydration well.
- Refrain from alcoholic drinks when taking painkillers or antibiotic medications.
- Try to consume foods on the softer side in the initial 2 days after: like soups, blended or pureed meat and vegetables, and gelatine.
- Maintain hydration well.
Pain relief options:
Some people may experience greater pain post surgery than others do, and at times it may be relatively minimal. The dentist will recommend the optimal painkiller for you, either prescribed or over the counter. By the second day it is typical for pain reduction to start occurring: but in certain individuals it may still take up to one week.
If the pain is not diminishing as the days following the surgery pass, let your dentist know as you may require additional pain management options.
Controlling bleeding:
Please refer to information provided in the post surgery complications article for bleeding control information.
Swelling:
It is almost entirely guaranteed some swelling may present post surgery, which may vary in degree from mild to severe depending on a variety of factors (like the amount or nature of the surgery.) If this occurs, it is an entirely normal response to the procedure that usually climaxes by the 3rd day. The majority of swelling can take 4 to 5 days to diminish.
Swelling reduction may be achieved through application of ice packs upon the area within the first 24 hours of the post surgery period. Patients frequently note that this may reduce pain and any uncomfortable sensations as healing occurs.
When ice packs are used, it should be at a comfortably cold temperature on the face.
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Follow up appointment:
Post surgery it is highly encouraged to have an appointment following up with your doctor, in order for them to monitor and assess your healing process alongside performing removal of any stitches.
Conclusion
Following the above steps will greatly optimise your post surgery care and ensure both a smoother procedure and a speedier, more comfortable recovery. Use this guide and refer to it throughout any relevant point of the procedure to go through your wisdom teeth extraction with as much ease as possible.
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Acknowledgement of Country
We respectfully acknowledge the Wurundjeri Woi-wurrung people who are the Traditional Owners of the land of Brunswick and the City of Moreland, and pay our respect to their Elders past, present and emerging.