5 Steps in Wisdom Tooth Extraction

Wisdom tooth extraction is a surgical procedure that removes one or more wisdom teeth, which are the third molars in the back of your mouth. Wisdom teeth usually appear in early adulthood. It can cause a variety of dental problems such as overcrowding, impaction, infection, and decay. This dental procedure is frequently recommended when the tooth or teeth is causing pain, discomfort, or other dental issues.

A dentist or an oral surgeon can perform the procedure, which usually involves the use of local or general anesthesia to numb the area and reduce pain and discomfort. The tooth or teeth is then loosened and extracted with specialized tools, and the extraction site is usually stitched up to promote healing.

Patients are typically given instructions on how to care for the extraction site and manage any discomfort or swelling following the procedure. It is critical to carefully follow these instructions to ensure a smooth recovery and avoid complications. Most patients can resume normal activities within a few days to a week of the procedure.

Consultation and Evaluation

Before performing a wisdom tooth extraction, your dentist or oral surgeon will first evaluate your teeth and gums to determine the best course of action. This evaluation typically involves a comprehensive oral examination, which may include taking X-rays of your teeth and jaws. Here’s a more detailed look at the evaluation process:

Oral Examination: Your dentist or oral surgeon will begin by examining your mouth, teeth, and gums to determine the position, size, and shape of your wisdom teeth. They will also look for signs of infection, decay, or other dental issues that may affect the extraction process.

X-rays: Your dentist or oral surgeon may also take X-rays of your teeth and jaws to get a better view of the wisdom teeth and their roots. This can help them determine the angle of eruption, position in the jaw, and potential complications.

Medical History: It’s important to provide your dentist or oral surgeon with a detailed medical history, as certain conditions or medications may affect the extraction process or recovery.

Treatment Plan: Based on the results of the examination and X-rays. Your dentist or oral surgeon will develop a treatment plan. This outlines the best course of action for your individual case. It may include a recommendation for wisdom tooth extraction, or other treatment options depending on the severity of your dental issues.

By evaluating your wisdom teeth prior to the extraction procedure, your dental professional can ensure that the extraction is done safely and effectively, and can minimize the risk of complications during and after the procedure.

Anesthesia Application

Anesthesia is a crucial component of wisdom tooth extraction, with the two main types being local anesthesia and general anesthesia. Local anesthesia involves injecting an anesthetic solution directly into the area around the tooth being extracted. This numbs the nerves and minimize pain. It is typically used for simpler extractions where patients remain awake.

On the other hand , general anesthesia, administered through an IV, is typically used for more complex extractions or for patients with dental anxiety or fear, and puts the patient into a state of unconsciousness with no memory of the procedure.

It’s important to discuss anesthesia options with your dental professional prior to the procedure to determine the best option based on individual needs, medical history, and the complexity of the extraction.

Tooth Removal

During the tooth removal step of wisdom tooth extraction. Your dentist or oral surgeon will work carefully and methodically to extract the tooth while minimizing pain and discomfort. 

They may use a combination of specialized instruments and techniques. In-order loosen the tooth from its socket. Such as applying pressure, using a back-and-forth motion, or even dividing the tooth into smaller pieces for easier removal.

In some cases, accessing the tooth may require the dentist or oral surgeon to make an incision in the gum tissue. This is usually done when the tooth is impacted or positioned in a way that makes its extraction challenging.

Once the tooth has been sufficiently loosened, the dentist or oral surgeon will use forceps to grip and extract it from the socket. They may need to apply gentle pressure to the tooth and wiggle it back and forth until it comes loose.

After the tooth has been removed. The dentist or oral surgeon will clean the socket and remove any remaining debris or tissue. They may also smooth the edges of the socket to promote healing. 

Depending on the size of the incision or the complexity of the extraction, the dentist or oral surgeon may need to place stitches to close the wound. These stitches are typically dissolvable and will dissolve on their own over time.


Following wisdom tooth extraction. The dentist or oral surgeon will examine the socket. This will determine whether stitches are required to promote healing. In some cases, the incision made to access the tooth may be small enough to heal without the need for stitches. In some cases, stitches may be required to close the wound and prevent bleeding.

The location of the extraction and the complexity of the procedure will determine the type of stitches to be used. A dentist or oral surgeon may need to remove some stitches a few days later. Others are designed to dissolve naturally over time


It’s important to follow your dentist or oral surgeon’s post-operative instructions to promote healing and prevent complications. Here are some general guidelines that you may be given:

Pain Management: You may experience some pain or discomfort after the procedure, but your dentist or oral surgeon will typically prescribe pain medication to help manage this. It’s important to follow the dosage instructions carefully and not to exceed the recommended dose.

Swelling Management: Swelling in the area around the extraction site is also common after the procedure. Applying ice packs to the affected area for 10-20 minutes at a time can help to reduce swelling and discomfort. It’s important to rest and avoid strenuous activity for the first few days after the procedure.

Bleeding Management: It’s normal to experience some bleeding after the procedure. However, your dentist or oral surgeon may provide you with gauze pads. This will be placed over the extraction site to help stop the bleeding. It’s important to change the gauze as needed. Try to avoid spitting, rinsing or drinking through a straw for the first 24 hours. This will avoid dislodging the blood clot that forms in the socket.

Dietary Restrictions: After the procedure, the doctor will advise you to eat soft foods for the first few days. This will avoid disturbing the extraction site. You should also avoid hot and spicy foods, as well as alcohol and tobacco products, as these can irritate the area and delay healing.

Oral Hygiene: You should continue to brush and floss your teeth as usual, but avoid the extraction site for the first few days. Your dentist or oral surgeon may also recommend using an antiseptic mouthwash to help prevent infection.

Follow-Up Appointments: You will likely need to schedule a follow-up appointment with your dentist or oral surgeon. For you to monitor your healing progress and remove any stitches if necessary.

Key Takeaway

Advancements in technology and education have led to the development of new techniques. These aim to minimize pain and discomfort during the process. Especially since many people are fearful of dental procedures like wisdom tooth extraction. As a result, there is less need to worry about experiencing significant pain during the procedure.

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