Wisdom tooth extraction

Wisdom teeth are the upper and lower third molars. These teeth are at the very back of your mouth. They are the last teeth to surface in the mouth. They are called wisdom teeth because they usually come in when a person is between 17 and 21 years old.

Some people have their wisdom teeth for their entire life. Other people choose to have their wisdom teeth removed. Some people have these teeth taken out before they break through the gums.

An oral surgeon or dentist can remove wisdom teeth. The procedure can be done in the dentist's or surgeon's office. You may have the procedure in the hospital, if you are having all your wisdom teeth pulled at one time.

Your dentist will open up the gum tissue over the tooth and take out any bone that is covering the tooth. The dentist will separate the tissue that connects the tooth to the bone. Then the dentist will remove the tooth. The tooth may be cut into smaller pieces to make it easier to remove.

After the tooth is removed, you may need stitches. Some stitches dissolve over time. Some stitches have to be removed after a few days. Your dentist will tell you if your stitches need to be removed.

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Some of the problems that can occur when wisdom teeth come in are:

• Your jaw may not be large enough for them, and they may become impacted and unable to break through your gums.
• Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
• More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.
• One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.

The procedure often can be done in the dentist's or surgeon's office. You may have the surgery in the hospital. This is more likely if you are having all your wisdom teeth pulled at one time or if you are at high risk for complications.

If you have any infections, surgery will usually be delayed until the infection has cleared up. Your doctor or dentist may have you take antibiotics to help heal the infection.

Before removing a wisdom tooth, your dentist will give you a local anesthetic. It numbs the area where the tooth will be removed. A general anesthetic may be used, especially if several or all of your wisdom teeth will be removed at the same time. It prevents pain in the whole body. It causes you to sleep through the procedure. Your dentist will probably recommend that you don't eat or drink after midnight on the night before surgery so that you are prepared for the anesthetic.

To remove the wisdom tooth, your dentist will open up the gum tissue over the tooth and take out any bone that covers the tooth. The dentist will separate the tissue that connects the tooth to the bone and then remove the tooth. Sometimes the dentist will cut the tooth into smaller pieces to make it easier to remove.

After the tooth is removed, you may need stitches. Some stitches dissolve over time. Others have to be removed after a few days. Your dentist will tell you if your stitches need to be removed.