Wisdom tooth surgery is the solution if the tooth is beneath the gum

Wisdom tooth surgery is a more complex method of removing the third molar. In the following article, we've aimed to answer all the important questions related to this procedure.

We would also like to draw our readers' attention to another related page, where we discuss the simpler method of removing the wisdom tooth, known as wisdom tooth extraction, or address general questions about wisdom teeth.

Wisdom tooth surgery: what does it involve?

Wisdom tooth surgery refers to the surgical removal of the third molar. Before the tooth is removed, a consultation with an oral surgeon is always mandatory. During this consultation, the oral surgeon determines the method of removal, taking into account factors such as the tooth's position, the degree of eruption, the root structure of the wisdom tooth, and the proximity of the nerve in the jaw. Based on these considerations, the surgeon may or may not recommend wisdom tooth surgery for the removal of the tooth.

When is wisdom tooth surgery necessary?

In more complex cases, if the third molar has only partially emerged through the gum, or not at all, or if it grows improperly, such as lying flat or growing sideways, wisdom tooth surgery is the solution.

Preparing for Wisdom Tooth Surgery: What to Expect

The procedure is always performed in a separate session following the consultation. Before the surgery, it is important for you to prepare for the procedure:

1. Eat a substantial meal and avoid arriving on an empty stomach. A full stomach helps mitigate the risk of fainting due to low blood sugar levels.
2. Take your medications as prescribed unless your dentist advises otherwise.
3. Clear your schedule for the day of the surgery and avoid planning any work/activities afterward. Instead, rest and avoid stress.
4. If possible arrive with a companion who can support you if you feel weak after the procedure.

The process of wisdom tooth surgery

In a sterile environment, our oral surgeon will expose the tooth through surgery, whether it is partially or fully beneath the gum or located in the bone. A hygienic and sterile working environment is essential to avoid complications.

1. Anesthesia: Wisdom tooth surgery begins with anesthesia, following the same process as detailed for a simple tooth extraction. Our practice also offers the option of performing the wisdom tooth surgery under general anesthesia/sedation. It is important to note that if the procedure is done under general anesthesia, local anesthesia is still required.

2. Flap creation and tooth exposure: After anesthesia takes effect, the oral surgeon will use appropriate instruments to free and expose the tooth following flap creation. Bone exposure is now achieved using modern techniques and equipment, such as surgical motors, replacing the outdated method of chiseling.

These modern techniques are much more precise and provide a more comfortable experience for the patient. Following this, the wisdom tooth is removed, either in whole or, if necessary, in pieces. 

Tooth sectioning is necessary if the tooth cannot be removed in one piece due to limited space. The tooth is then extracted either whole or in pieces.

3. Suture placement: The opened area is closed with the insertion of stitches.

After wisdom tooth surgery

Common symptoms after the removal of lower wisdom teeth

After wisdom tooth surgery, sensitivity, pain, and swelling may persist for a few days. It is also common to experience skin discoloration and bruising around the surgical site. Additionally, bleeding and blood-stained saliva are frequent occurrences for 1-2 days. 

Difficulty opening the mouth, limited mouth movement, and jaw stiffness may also occur. The above symptoms are normal and expected.

Common symptoms after the removal of upper wisdom teeth

After the surgical removal of upper wisdom teeth, unpleasant symptoms are generally less common. Sensitivity and pain can occur but are much less frequent. Bruising and bleeding may also happen in the case of upper wisdom teeth.

Complications of Wisdom Tooth Surgery

In addition to common normal symptoms, there may be unexpected complications that warrant informing your oral surgeon. If the symptoms listed under "common symptoms" do not subside or become more intense, it is advisable to schedule a follow-up examination.

If you notice pus coming from the area after wisdom tooth surgery or experience numbness, promptly inform your dentist. If pus is present, the area often requires re-cleaning to promote healing.

Suture removal

In the 7-10 days following the surgery, it is necessary to remove the sutures. After a wisdom tooth extraction, a socket forms at the site of the tooth, which is a normal part of the healing process. There is no reason for undue concern, as this socket will gradually fill in and become shallower over time. This process can often take several months.

What should we do to promote healing after wisdom tooth surgery?

We have compiled some important information that will help to shorten the healing time, streamline the process, and reduce discomfort after the procedure.

1. Take the prescribed medications (pain relievers, antibiotics) according to the dentist's instructions. If you experience any unexpected symptoms, seek our assistance immediately.

2. Cool the area using an ice pack. Be careful not to over-cool; always take breaks. It is recommended to cool for 10 minutes followed by a 10-minute break.

Always wrap the ice pack in a kitchen towel before use. Heat stimulates inflammatory reactions, so avoid sun exposure, saunas, and baths for two weeks following the procedure.

3. Maintaining proper oral hygiene is crucial. Good oral hygiene is essential for swift, complication-free wound healing. Brush your teeth with a toothbrush, but do not rinse or suck on the wound! Use the toothbrush gently around the surgical area.

Do not rub the wound directly before suture removal, and only do so 10 days after the procedure. After suture removal, the affected area can be cleaned using a soft toothbrush recommended for post-surgical use.

4. Rest is important, so be gentle with your body as it benefits the healing process. Avoid heavy physical work!

5. Drink plenty of fluids, but avoid hot beverages. It is advisable to consume light foods during the first week after the procedure. Avoid beer and raw dairy products (milk, yogurt, sour cream, etc.) for the first 6-7 days.

6. To avoid increasing your heart rate, refrain from intense physical activity for 3 weeks after the procedure. Exercise may lead to throbbing pain and bleeding. 

7. Smoking is prohibited for at least 6-10 days following the surgery.

Cost of wisdom tooth extraction

The cost of wisdom tooth extraction depends on several factors. The price can be categorized based on the complexity of the procedure. Wisdom tooth extraction prices are listed at the bottom of the page or can be found on the dental pricelist page.

Wisdom tooth surgery in Hungary, Budapest

If you need a wisdom tooth extraction, schedule a consultation by calling 053 930 1323 or contact our dental practice via email. 

At Helvetic Clinics, our oral surgeons treat issues related to the wisdom teeth with great routine and expertise. We look forward to welcoming you!

FAQ - Frequently asked questions about wisdom tooth extraction

Related topics:

Abscess treatment

Purulent tooth

What does oral surgery involve?

Dental treatment under general anesthesia

Dental x-ray