DentistryWisdom Tooth Removal: What to Expect Before, During, and After

Wisdom teeth — the third molars that usually emerge in your late teens or early twenties — can sometimes cause more trouble than they’re worth. For many Australians, having them removed is a rite of passage. Whether it’s due to impaction, overcrowding, or persistent pain, wisdom tooth removal is a common procedure that can significantly improve oral health. If you’ve got an upcoming appointment or you’re simply curious, here’s what to expect before, during, and after the extraction process.

Before the Procedure

The first step begins with a consultation with your dentist or oral surgeon. They’ll assess your wisdom teeth using X-rays to determine their position and whether removal is necessary. Wisdom teeth that are impacted (trapped beneath the gum or pushing against other teeth) are often prime candidates for extraction.

Before the big day, your dental team will provide pre-operative instructions. These may include fasting if you’re having sedation, arranging someone to drive you home, and avoiding certain medications that could increase bleeding. It’s also a good time to prepare your recovery space at home. Stock up on soft foods, ice packs, and entertainment – you’ll want to take it easy for a few days.

During the Procedure

Wisdom tooth removal is typically performed under local anaesthesia, sedation, or general anaesthesia, depending on the complexity of the case and your comfort level. The entire procedure usually takes about 45 minutes or less. Here’s a general overview of what happens:

• Anaesthesia is administered to ensure you’re pain-free and comfortable.
• An incision may be made in the gum if the tooth hasn’t fully erupted.
• The tooth may be sectioned into smaller pieces to ease removal.
• Once extracted, the area is cleaned and stitched if necessary.

You’ll be monitored in the recovery area for a short while before you’re allowed to go home – make sure you have someone accompany you if you’ve been sedated.

After the Procedure

Post-operative care is key to a smooth and speedy recovery. You may experience swelling, bruising, mild discomfort, or some bleeding in the first 24–48 hours. Your dentist will provide instructions on how to manage these symptoms, which typically include:

• Applying ice packs to reduce swelling
• Taking prescribed or over-the-counter pain relief
• Rinsing gently with warm salt water after 24 hours
• Avoiding smoking, alcohol, and strenuous activity

One of the most common questions people ask is, can you eat after a wisdom tooth extraction? The short answer is yes — but stick to soft, nourishing foods that won’t irritate the surgical site. Think yoghurt, mashed potatoes, soup, scrambled eggs, and smoothies. Avoid hot, crunchy, spicy, or chewy foods for at least a few days. Complete healing can take a couple of weeks, though most people feel significantly better after just a few days. It’s important to attend your follow-up appointment if scheduled and contact your dentist if you experience excessive bleeding, severe pain, or signs of infection.

Wisdom tooth removal might sound daunting, but with the right preparation and aftercare, it’s a manageable and often necessary procedure

Trust your dental team, follow their advice, and give yourself time to rest and heal. If you’re considering wisdom tooth removal or have questions about the process, don’t hesitate to reach out to a trusted dental professional. Being informed and prepared can make all the difference to your experience and recovery.