Wisdom teeth are the final set of molars that develop in a set of teeth, and while useful, they often need to be removed due to common problems that can arise.
Wisdom teeth extraction is a very common dental procedure across Australia and generally is performed in one of the following ways:
How you have your wisdom teeth removed depends on the complexity of your situation; the less complicated your situation, the more likely you'll be able to have them removed "in the chair", and the cheaper it will be.
This article covers information regarding wisdom tooth extraction, costs and recovery tips. If you're looking for dental implants costs and information, visit this page.
- 1 So WHY Are Wisdom Teeth Removed?
- 2 Wisdom Teeth Symptoms
- 3 Wisdom Teeth Pain
- 4 Infected Wisdom Teeth
- 5 The Removal Process
- 6 Wisdom Teeth Recovery Time
- 7 Pain Relief and Care Tips After Procedure
- 8 Dry Socket Treatment and Information
- 9 Wisdom Teeth Removal Costs
Wisdom Teeth Removal: The Quick Facts About Tooth Extraction
- Having your wisdom teeth removed is classified as tooth extraction, and is therefore a form of major dental surgery
- General or local anesthesia may be used, depending on the individual case.
- The procedure can take 30 minutes to 3 hours, but dentists recommend at least 3 days off work after the procedure.
- Pain and discomfort, especially after the anesthesia has worn off, is a normal part of the process. Painkillers will help manage this.
- Recovery time after teeth extraction can take from a few days to a few weeks.
- Private health insurance will cover the costs of wisdom teeth removal in Australia.
So WHY Are Wisdom Teeth Removed?
Wisdom teeth are removed in majority of people because they tend to cause expensive and long-lasting dental problems if left alone.
Among the most common problems are: Infection Misalignment & becoming impacted.
An impacted wisdom tooth is the most common reason for infection; as it only partially emerges from the gum which lets bacteria into your gums; this is when nasty stuff begins to happen (i.e. infections)
This presents a situation where the chance of infection is extremely high - so the tooth (or teeth if you're really unlucky) must be removed ASAP.
These impacted teeth are also likely to suffer from chronic tooth decay, as it is very difficult (painful) to properly brush and maintain them.
The number one question of dental patients is: why do I need my wisdom teeth removed?
Most often, the dentist will recommend removal before they emerge from the gums, usually after reviewing the X-Rays for the first time. This is important to avoid a more painful and complicated procedure.
Its very common for dentists to recommend having wisdom teeth removed while patients are younger, as it is an easier process since the roots of the tooth have not had the time to set properly, and removal can be achieved very easily.
Wisdom Teeth Symptoms
If you suspect your pain to be associated with your wisdom tooth, make an appointment with a dentist right away.
Ignoring the symptoms of wisdom teeth could cause additional problems down the track, like a more complicated surgery (with higher costs) or the formation of cysts which could lead to tumors and plenty of painful sessions at the dentis.
Wisdom Teeth Pain
Photo credit: Edward Webb - Flickr.com
Wisdom teeth hurt when they are initially breaking through the gums, similar to the teething pain an infant feels when they are teething.
It's highly recommended that the tooth is removed before the pain becomes too intense, or before infection begins to set in.
The main cause of pain associated with wisdom teeth results when they become impacted. When this happens, you need to be careful as Impaction can lead to serious infections if left untreated.
Infections in the mouth can spread throughout the body and be harmful to your general health.
Infected Wisdom Teeth
When a tooth becomes impacted, the risk of an infection is extremely high. This is because bacteria can easily get into the gums around the partially erupted tooth. Its common in this situation for food particles to get stuck underneath the gums and also cause an infection.
If left untreated, you there is a chance of Pericoronitis, which is an inflammation of the tissue surrounding the tooth. This infection can spread not just to your jaw, but to your cheeks and neck.
If you experience any of these symptoms, seek treatment immediately.
Quite likely, your dentist will refer you to an oral surgeon to get your tooth or teeth removed as soon as possible.
The Removal Process
The process to extract these teeth is a more invasive compared to having a regular tooth removed, however less complicated than procedures such as root canal therapy.
Most often, it requires a form of surgery for removal - however sometimes only minor surgery is required and this can be carried out by your dentist in his/her clinic.
The following is a common process when having your wisdom teeth removed:
- Step one is to put a local anesthetic around the tooth, or teeth, that are being removed. First this would be a substance placed on the gums, then followed by the injection of the anesthetic.
- Next they will apply a sedative or general anesthesia. Most of the time, you will be awake during this procedure though there are circumstances where people are put completely under. This is between you and your oral surgeon. If you get a sedative, this will either come in pill form as Valium or an IV drip in your arm. If you get “put under”, or general anesthesia, you will get a mask put over your face to breath in a gas to put you to sleep. While under, your breathing and other vitals are closely monitored.
- During this procedure, the surgeon will cut open your gums and remove any teeth and other debris. They will remove any bone that is blocking the teeth that they are trying to remove. They might also decide to cut the tooth up for easier removal – It all depends on you individual case
- Sometimes stitches are required, in which case the surgeon will seal up the incision. Otherwise, you will just get gauze to cover the wounds to promote clotting and control the bleeding.
- Depending on the type of sedative used, you may or may not be able to drive yourself home after spending time in recovery. You will be aware of this before your procedure.
After The Procedure
Remember to follow your surgeon’s directions to ensure that you maintain a reasonable recovery time:
The Most Common Mistake Patients Make After Wisdom Teeth Removal Surgery: Consuming food or drink through a straw.
ANY type of sucking motion (e.g. straw, cigarette, etc) will only dislodge the blood clot and result in a VERY painful condition called 'Dry Socket' (see below
Wisdom Teeth Recovery Plan
(A Day By Day Guide)
If you’ve had even a minor dental procedure, like a root canal or a filling, you're probably no stranger to the mild pain and discomfort that the procedure will cause.
The removal of wisdom teeth however may be somewhat more traumatic to some people. Even more than other dental procedures they've experienced.
The following Recovery Guide will not only help you through the procedure, but also aims to help you quickly bounce back so you can get back to your general daily life.
Day-1: Planning Ahead
A stress-free procedure will give you added energy to recover quickly. A great way to go into the procedure is with a plan!
Well in advance try and organise the following:
Little things like these will go a long way to prepare you for the procedure, and then help you recover quickly.
If you feel as though symptoms are lasting longer than expected or you're experiencing symptoms like the socket is dry or numbness that lasts longer than you feel like it should. These are both signs of complications of wisdom tooth removal and it may be a good idea to contact a professional.
Surgery Day: Expect Some Pain
Dry socket. Image credit: Beatgoddess, wikimedia commons
Most patients don’t feel pain during the procedure because of sedation/anesthesia. However, there will be bouts of pain once the anesthesia wears off.
Have the pain medication (and antibiotics) that the doctor prescribes handy, and follow his/her instructions for its use.
Immediately after your procedure, you should go on a liquids-only diet – like soups, smoothies, healthy shakes etc. Avoid brushing your teeth for the next day at least.
Caution: Don’t sip your liquids through a straw!
The Next Day: Feeling a Little Better
The first 24-hours following the procedure can make some people very anxious.
You’ll probably feel bouts of pain come and go as you continue to recover. When the pain hits you, be sure to take the painkillers prescribed by the doctor (most likely Ibuprofen).
You may still see some bleeding from the cuts and the sutures. If this happens, change the blood-soaked gauze and replace it with a fresh one.
Continue with your liquids-only diet if the stitches haven’t yet fully dissolved – they could be negatively impacted with regular foods.
Remember to take your antibiotics regularly (as prescribed!)
2 Days Later: The Swelling Reduces
After 48-hours the pain, swelling and discomfort should have reduced significantly. Even the intermittent bleeding should have subsided, as will be visible from a less blood-stained gauze.
Should you continue to experience swelling of your jaw, apply an ice pack every 20-minutes or so with at least 30-minute intervals in between each application.
You may feel your mouth drying up frequently. Gargling with saltwater is a good way to ease the dryness.
Alternately, you may want to rinse with diluted mouthwash a couple of times a day. By this stage you may feel like you can start brushing your teeth. If you do make sure to do so very lightly.
3 Days Later: You’re Almost There!
The pain and swelling should have substantially subsided by now.
Your use of pain medication should also decline 72 hours after the procedure.
Unfortunately, it’s still not yet time to order that burger or stake! However, you may now be ready to switch from a liquids-only diet to eating soft or processed foods – like yogurt, porridge and pureed vegetables such as soups.
You may still need to take it easy though, try and avoid doing any strenuous house work or activities (Rest is key to recovery!)
Congratulations - You've Recovered!
Most patients have fully recovered by day 4, following the extraction. If you haven’t progressed as outlined in the timeline above, it many be a good idea to consult your doctor.
You may have “dry socket”, which needs some TLC (Tender Loving Care) to be applied to the empty tooth socket.
Pain Relief and Care Tips After Procedure
Taking proper care of your wound after the surgery is important to your recovery. Here are some wisdom tooth pain relief tips for after the procedure:
The best form of wisdom teeth pain relief is Ibuprofen.
If none of these tips help you with your pain management, contact your dentist or surgeon immediately. This might be a sign of a complication from the surgery or a condition called dry socket (see below)
Dry Socket Treatment and Information
If post-removal pain persists for an unusually long period of time (3 days +) and becomes intense, you may have what is known as ‘dry socket’, a condition which affects 2-5% of people after having a tooth removed.
After a tooth is pulled, a hole or a ‘socket’ results in the place where the tooth was once lodged.
During the healing process, a blood clot forms in this socket which aids in healing and protects the nerve and bone below. This is typical of a normal and healthy healing process.
Dry socket is the result of this blood clot becoming dissolved or dislodged in the days following the tooth extraction.
When this happens, the bone and nerve of the jaw is exposed to air, food, fluid and everything else that enters the mouth.
Infection and pain becomes intense and can last for up to 7 days.
Symptoms Of Dry Socket
Intense pain is the biggest symptom of dry socket, and this mist not be confused with general pain that all patients will feel for a few days post surgery.
Here are the other more common symptoms of dry socket:
- Severe and extended pain within a few days after a tooth extraction – normal pain should disappear within 2-5 days
- An empty-looking (dry) socket – If you see this within your mouth the blood clot may have been dislodged/dissolved
- Intense pain that radiates around your face on the same side as the extraction
- Bad breath/odour from your mouth, along with an unpleasant taste
- A slight fever
DRY SOCKET PREVENTION
The best way to avoid dry socket is by being aware of basic prevention strategies, and adhering to them.
Its a great idea to be aware of how to avoid this condition pre-surgery, as you may be drowsy and confused immediately after. To avoid this nasty condition, follows these post surgery steps:
What can be done if I DO get dry socket?
Get in touch with your dentists immediately, as they will clean out the socket, removing any debris in the process, and fill the hole with a special gauze. This process may have to be done daily until normal healing resumes (usually 2-5 days later)
Wisdom Teeth Removal Costs
In Australia, the cost of dental care is extremely high. So high, in fact, that most Australians cannot afford basic dental care, to the point of avoiding the dentist altogether.
Without private health insurance, you can expect to be out of pocket for majority of the costs below, as medicare coverage is limited on dental work.
Costs will vary, depending on the complexity of each case; some cases will be straightforward and can be performed in general dentist clinic, while other cases will be more complex and will require an oral surgeon.
- For basic cases, the average cost of extraction is between $130-200 per tooth. This is for a basic extraction and can be performed by a general dentist at their clinic.
- A complex extraction is $295-$400 per tooth. This is if you need a local anaesthetic in the chair. These situations will require a specialised wisdom tooth dentist.
- If you require sedatives or general anesthesia, then you would need to go to an oral surgeon. This can cost between $1500 to $3000.
The following table summaries the typical wisdom tooth extraction costs in Australia:
$40 - $60
$40 - $80
Simple Wisdom Tooth Removal Cost
$225 - $250 (per tooth)
Surgical Wisdom Tooth Removal Cost
$250 - $400 (per tooth)
Anesthesia (for surgical removals)
$100 - $400 (AFTER an 85% Medicare rebate)
Factors That Influence Costs
- The type of extraction needed
Impacted teeth generally cost more to remove because they require surgery to accomplish. Simple extractions that can be performed at a regular dentist cost less.
- Your individual dentist
This can be a big factor in regards to the cost. Since there are no regulations on pricing for dental work, the dentist is really free to charge whatever he/she wants. Its a great idea to shop around for this reason alone.
Call around and ask a few dentist for quotes when trying to determine wisdom teeth removal costs.
- Do you need an oral surgeon?
If you need an oral surgeon, a wisdom tooth extraction will be more expensive. This is because they require a larger staff, including nurses and anesthesiologist.
The need for oral surgery will depend on the individual case, after an initial x-ray is taken and viewed by your dentist. If the teeth/tooth to be removed is close to vital veins or a nerve, an oral surgeon will need to assess the case, rather than a dentist.
- Do you have dental health insurance?
Your insurance is the biggest factor in the out-of-pocket costs that you will be expected to pay. If your dentist is a provider under your insurance, they set the fees that the dentist is able to charge you.
This can make the cost of removal less expensive. This is not always the case with all insurances. Some allow the dentists to charge whatever they want for more complex procedures while controlling the costs of more simple needs.
- Where you are located
Wisdom Tooth Extraction Costs in Thailand
The cost of dental care in Thailand is considerably less than in Australia, and the level of service (including safety) very high, making this an increasingly popular choice for many.
Here are some figures of what you can expect to pay for wisdom teeth surgery/removal in Thailand:
$5 - $30
Simple Wisdom Tooth Extraction
$50 - $125 (Per Tooth)
Surgical Wisdom Tooth Extraction
$100 - $250 (Per Tooth)
As great as this might sound, make sure that you do your research before traveling abroad for dental work. Here are some tips when doing your research:
Once you have narrowed your search, don't forget to ask for proof of competence and evaluations from previous patients before booking your appointment. Remember you're paying the bill, so you have the right to know everything.
For more information on common dental procedures, including price guides and recover tips, visit the homepage of dental guide Australia here.