How Long Does Wisdom Tooth Extraction Take and What to Expect? - Dentistry

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If your wisdom tooth is impacted horizontally and you need to go to the hospital for treatment, the procedure typically takes about 30 minutes to an hour. However, the total time you spend at the hospital may be longer due to pre-operative evaluations and post-operative recovery, which can take a few hours?


Hello, Doctor: My daughter is studying away from home and has a wisdom tooth that is growing horizontally.
She is currently experiencing some discomfort, but it has not fully erupted.
I would like to ask: 1.
Does this need to be addressed? 2.
Is surgical extraction necessary? How long until the stitches can be removed? Once treated, how long will the recovery take? What is the overall timeline from extraction to healing? Will follow-up visits be required during this period? 3.
Is this considered major surgery? Should we consult a general dentist, an oral surgeon, or a specialist dental clinic? Thank you for your assistance!

Shan Ni, 40~49 year old female. Ask Date: 2021/03/06

Dr. Lin Jiayong reply Dentistry


Hello: 1.
If your wisdom tooth is only partially erupted and is partially covered by bone or gum tissue, that area can easily trap debris, leading to bacterial infection.
Therefore, the dentist recommends that you have the wisdom tooth extracted.
If the wisdom tooth is completely encased in gum and bone, extraction is not advised.
2.
Impacted teeth usually require surgical intervention, and outpatient procedures typically take less than one hour.
If general anesthesia is needed for the surgery, you should discuss this with the surgeon.
The healing process after extraction can take approximately 1 to 6 months, during which regular follow-up visits are recommended.
3.
The position of the impacted tooth needs to be assessed.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/03/06

More Info


When it comes to wisdom teeth, particularly those that are impacted or growing horizontally, there are several important considerations regarding extraction and recovery. Here’s a comprehensive overview based on your questions.


1. Do You Need to Address the Wisdom Tooth?
If your wisdom tooth is partially erupted and causing discomfort, it is advisable to consult a dentist or an oral surgeon. Impacted wisdom teeth can lead to various complications, including infection, damage to adjacent teeth, and the development of cysts. If the tooth is causing pain or swelling, it is generally recommended to have it evaluated and possibly extracted.


2. Extraction Process and Recovery Time
The extraction of a wisdom tooth, especially if it is impacted, typically requires a surgical procedure. This can be performed under local anesthesia, sedation, or general anesthesia, depending on the complexity of the case and your comfort level.
- Duration of the Procedure: The extraction itself usually takes about 30 minutes to an hour, depending on the tooth's position and the complexity of the extraction.

- Stitches and Healing: If stitches are required, they are usually dissolvable and do not need to be removed. If non-dissolvable stitches are used, they are typically removed about 5 to 7 days post-surgery.

- Overall Healing Time: The initial healing period can take about 1 to 2 weeks, but complete healing of the bone and soft tissue may take several months. During the first few days, you may experience swelling and discomfort, which can be managed with prescribed pain medications and ice packs.


3. Follow-Up Appointments
After the extraction, follow-up appointments may be necessary to ensure proper healing and to address any complications, such as dry socket, which can occur if the blood clot at the extraction site dislodges. Your dentist will provide specific instructions on when to return for a check-up.


4. Is This Considered Major Surgery?
Wisdom tooth extraction is generally considered a minor surgical procedure, but it can vary in complexity. If the tooth is fully erupted and in a favorable position, the extraction may be straightforward. However, if it is impacted or positioned at an angle, it may require more extensive surgical techniques.

5. Where to Get the Procedure Done
You can have the extraction performed at a general dental office, but if the tooth is impacted or if you have anxiety about the procedure, it may be beneficial to see an oral surgeon. Oral surgeons specialize in surgical extractions and can provide sedation options to make the experience more comfortable.


Additional Considerations
- Post-Operative Care: After the extraction, it is crucial to follow post-operative care instructions, which typically include avoiding strenuous activities, not using straws, and adhering to a soft food diet for a few days.

- Signs of Complications: Be vigilant for signs of complications, such as excessive bleeding, severe pain, or signs of infection (fever, swelling, or pus). If you experience any of these symptoms, contact your dentist immediately.

In conclusion, if your wisdom tooth is causing discomfort, it is advisable to seek professional evaluation and treatment. The extraction process is generally straightforward, with a recovery period that allows for healing and monitoring for any complications. Always consult with your dental care provider to discuss your specific situation and receive personalized recommendations.

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