Wisdom Teeth Removal: What to Expect From Your Oral Surgeon
If you’ve ever felt a dull ache in the back of your mouth, or noticed your gums swelling near your molars, your wisdom teeth might be trying to make their debut. For many people, these third molars are more trouble than they’re worth — and removing them becomes a smart move for long-term oral health.
Let's go over what to expect before, during, and after having your wisdom teeth taken out. Here's what you need to know, whether you're getting ready for your own procedure or just want to know how it works.
Why do People Have Their Wisdom Teeth Taken Out?
Third molars, or wisdom teeth, usually come in between the ages of 17 and 25. Some people have enough room in their mouths for their teeth to come in normally, but most people don't. That's when things can get tricky.
Here are some common reasons why oral surgeons suggest taking them out:
- Impaction: The tooth is stuck under the gums or against another tooth.
- Infection or inflammation: Partially erupted teeth can cause painful gum infections.
- Crowding: New teeth can push other teeth out of place.
- Decay or cysts: Molars that are hard to reach are more likely to decay or form cysts.
It's easier to avoid long-term problems if you check your wisdom teeth early. Before problems happen, a lot of oral surgeons suggest extraction.
What Happens Before the Procedure?
You will first meet with your oral surgeon for a consultation. Usually, this includes:
- A dental X-ray or panoramic scan to check the position of the teeth and the structure of the roots.
- A talk about the different types of sedation or anesthesia
- Review of your medical history to make a treatment plan just for you
This is also the best time to ask questions, such as if you need stitches or if all four teeth should be taken out at once.
What to Expect on the Day of Surgery
Your oral surgeon will tell you what to do before the surgery, like:
- If you are going to be sedated, don't eat or drink after midnight.
- Have someone else drive you home.
- If you are going to be under general anesthesia, don't wear makeup or nail polish.
During the Procedure
Depending on how many teeth are being removed and how complicated the case is, wisdom tooth removal usually takes 30 to 60 minutes. You will probably get:
- Local anesthesia, IV sedation, or general anesthesia depending on your comfort
- A small cut if the tooth is impacted
- Stitching, if necessary, to help the wound heal (these usually come out on their own)
A lot of patients say they don't remember anything if they choose IV sedation. They just take a nap and have a smooth ride home.
What It's Really Like to Recover
Healing takes time, but it's not as scary as it sounds. Here's a look at each day:
Day 1–2: Rest and Ice
- Swelling and mild discomfort are normal
- Stick to cold compresses, soft foods, and prescribed medicine
- Avoid straws or forceful rinsing to prevent dry socket
Day 3–5: Soft Foods and Gentle Rinsing
- You’ll likely start feeling more like yourself
- Use warm saltwater rinses to clean the area gently
- Eat mashed potatoes, soups, scrambled eggs, smoothies — skip crunchy foods
Day 6–7: Almost There
- Most people go back to their regular activities (avoid intense exercise)
- Stitches may dissolve
- Pain should ease — watch for infection signs
Don’t smoke or drink alcohol for at least a week — both slow down healing.
Frequently Asked Questions
1. How much pain will I feel when I get my wisdom teeth taken out?
Most people say they feel mild to moderate pain after surgery, not sharp pain, with the right anesthesia and care afterward. Medicines help ease any pain.
2. Can I go back to work the next day?
It depends on what you do for a living. You might feel better after one or two days if you work at a desk. Give it three to five days for jobs that are hard on your body.
3. Do I have to take out all four teeth at once?
Not all the time. Some patients only need to have one or two taken out. Based on your X-rays and symptoms, your oral surgeon will tell you what is safest.
4. What can I eat after my surgery?
Foods that are soft, cold, and not acidic are best. Yogurt, applesauce, smoothies, oatmeal, and broth are some examples.
5. Is it safe to use anesthesia?
Yes, modern dental sedation is very safe when done by trained professionals. You will be watched very closely the whole time.
Your Treatment Plan is as Unique as Your Mouth
Every extraction is different in some way. Some teeth come out easily, but others need a little more work. Your oral surgeon makes the plan based on the angle and location of your tooth and what makes you feel most comfortable.
Even if your wisdom teeth don't hurt right now, having them checked out can keep bigger problems from happening later. The key to easier and smoother extractions is finding them early.
Let's Do This Together for the First Time
You don't have to wait for pain to do something. We're here to help if you've been told your wisdom teeth might need to be taken out or if you have pain, swelling, or tightness in your jaw.
To set up a consultation, call us or come by our office.
Let’s make sure your wisdom teeth removal is safe, easy, and stress-free.