What to Expect During and After Wisdom Tooth Extraction

Wisdom teeth, also known as third molars, are the last set of molars to emerge—typically between the ages of 17 and 25. For many patients, these teeth can cause problems due to lack of space, misalignment, or impaction. At Arlington Dental, wisdom tooth extractions are a common and safe procedure, and we’re here to guide you every step of the way.

Whether you’re scheduled for a wisdom tooth removal or simply exploring your options, understanding the process can ease anxiety and help you prepare for a smooth recovery.

Why Are Wisdom Teeth Removed?

Not everyone needs their wisdom teeth removed, but extractions are recommended when:

• Teeth are impacted (stuck beneath the gum or bone)
• There’s not enough room in the mouth
• They grow in at an angle, crowding other teeth
• They cause pain, infection, or damage to neighboring teeth
• Cysts or other complications develop around them

Our dentists at Arlington Dental use dental exams and x-rays to evaluate the position of your wisdom teeth and determine the best course of action.

Before the Procedure: What to Expect

1. Consultation and Imaging
   During your initial consultation, we’ll take panoramic x-rays or 3D imaging to assess your wisdom teeth’s position and condition. We’ll also review your medical history and discuss anesthesia options.
2. Preparing for Surgery
   You’ll receive pre-operative instructions, which may include:

• Fasting for a certain number of hours if sedation is being used
• Arranging transportation (if you’re receiving IV sedation or general anesthesia)
• Wearing comfortable clothing
• Stopping certain medications as advised

If you have any concerns—such as anxiety or allergies—our team will address them beforehand.

During the Procedure

Wisdom tooth extraction is typically an outpatient procedure and can take anywhere from 30 minutes to an hour depending on the complexity.

Anesthesia Options:

• Local anesthesia: Numbs only the area being treated
• Sedation (oral or IV): Helps you relax or sleep during the procedure
• General anesthesia: You’re fully asleep (less commonly used)

The Extraction Process:

• The dentist or oral surgeon will make a small incision in the gum if the tooth hasn’t fully erupted
• Bone covering the tooth may be removed
• The tooth might be divided into smaller pieces for easier removal
• Once removed, the area is cleaned and stitched if needed
• Gauze is placed to control bleeding and help a clot form

You’ll be monitored until you’re alert enough to go home.

After the Procedure: Recovery and Care

Recovery typically takes a few days to a week. Most patients experience some discomfort, swelling, and limited jaw movement immediately after surgery. Here’s what you can expect and how to care for yourself:

1. Managing Pain and Swelling

• Use prescribed or over-the-counter pain relievers as directed
• Apply ice packs to your cheeks for the first 24–48 hours to reduce swelling
• Keep your head elevated to minimize inflammation

2. Bleeding

• Some bleeding is normal for the first day
• Bite gently on gauze pads, replacing them every 30–60 minutes as needed
• Avoid spitting or using straws to prevent dislodging the blood clot (this can cause dry socket)

3. Diet

• Stick to soft foods for the first few days (soups, yogurt, mashed potatoes, smoothies)
• Avoid hot, crunchy, spicy, or chewy foods
• Gradually reintroduce normal foods as healing progresses

4. Oral Hygiene

• Don’t brush or rinse your mouth on the first day
• After 24 hours, gently rinse with warm salt water several times a day
• Brush carefully, avoiding the surgical sites

5. Activity

• Rest and avoid strenuous activity for at least 48 hours
• Limit talking or jaw movement to reduce discomfort

When to Call Arlington Dental

While complications are rare, call us if you experience:

• Severe pain not relieved by medication
• Excessive bleeding
• Swelling that worsens after 3 days
• Fever or chills
• Signs of dry socket (pain that radiates to the ear or jaw, bad breath, foul taste)

We’re here to support you during recovery and will schedule a follow-up appointment if needed.

A Smooth Process with Arlington Dental

At Arlington Dental, your comfort and safety are our priorities. Wisdom tooth extraction might sound intimidating, but in the hands of our experienced dental team, it’s a routine procedure with a high success rate and minimal complications.

We take time to answer your questions, ensure your comfort, and provide clear aftercare instructions. If you or a loved one are experiencing issues with wisdom teeth, don’t wait—schedule a consultation with us today.

Your healthy smile starts here. Let us help you take the next step with confidence.