What is a wisdom tooth?

Wisdom teeth are third molars. Normally people have three permanent molars that develop in each quadrant of the mouth. The third molars usually will try to grow in at around age 18 to 20 years.

Wisdom teeth are actually no different than any other tooth except that they are the last teeth to erupt. They are just as useful as any other tooth if they grow in properly, have a proper bite relationship, and have healthy gum tissue around them. Unfortunately, this does not always happen.

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Why wisdom teeth extraction?

When wisdom teeth are prevented from erupting into the mouth properly, they are referred to as impacted. A dentist must examine a patient’s mouth and corresponding x-rays to determine if the teeth are impacted or will not grow in properly. Impacted teeth may cause problems. Impacted teeth can result in infection, decay of adjacent teeth, gum disease or formation of a cyst or tumor from the follicle, which is the tissue which formed the crown of the tooth. Many dentists recommend removal of impacted wisdom teeth to prevent potential problems.

Erupted wisdom teeth may also need to be removed. The dentist may recommend this if the tooth is non-functional, interfering with the bite, badly decayed, involved with or at risk for periodontal disease, or interfering with restoration of an adjacent tooth. Once again, every case is different and only your dentist can determine if there is a reason for you to have a tooth removed.

The following symptoms may indicate that the wisdom teeth have erupted and surfaced, and should be removed before they become impacted-meaning, the teeth have surfaced and have no room in the mouth to grow. However, each individual may experience symptoms differently. Symptoms may include:

  1. pain
  2. infection in the mouth
  3. facial swelling
  4. swelling of the gumline in the back of the mouth
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Problems often associated with impacted third molars

Here are several common problems that occurs when the impacted wisdom teeth are not removed:

  • bacteria and plaque build-up
  • cysts development (a fluid- filled sac)
  • tumor development
  • infection
  • jaw and gum disease

Many oral health specialists will recommend removal of the wisdom teeth, (when the roots are approximately formed, or three-fourths developed, usually in the adolescent years),as early removal will help to eliminate problems, such as an impacted tooth that destroys the second molar. Third molar impaction is the most prevalent medical developmental disorder.

Wisdom Teeth Extraction Questions

How is wisdom teeth extraction done?

Wisdom teeth removal may be a normal tooth extraction if the molar has erupted fully. If the tooth is impacted or under the gum, oral surgical procedure would need to be performed that involves accessing the tooth through the soft and hard tissue, gently detaching the connective tissue between the tooth and the bone and removing the tooth.

Procedure for wisdom teeth removal follows the below steps:

  1. Assessment and considerations on sedations options
    • Your oral surgeon will have x-ray imagaing taken with a panoramic and small pericipal x-ray to determine if it requires removal and its positioning
    • During consultation and prior to teeth removal, your dentist will enquiry with you on conventionla local anaesthesia that is done for the majority of cases or if you may like to consider other sedation options such as mild sedation, IV sedation or sleep dentistry
    • If other sedation options are chosen, preliminary health-checks and arrangements will be made with you.
  2. Wisdom teeth extraction surgery
    • On the acutal day of surgery, your oral surgeon administers the anaesthesia and removes your wisdom tooth
    • At BIDH oral surgery clinic, we follow ASA guidlines for sedation and IPSG guidelines for surgical procedure to ensure patient safety protocols.
    • Depending on whether it is a normal or sugical extraction, your dentist may use stitches
    • Care instructions after surgery on looking after your wound is provided by your dentist or our medical staff
  3. Re-check visit
    • After 5 to 7 days, your dentist normally recalls you in checking the progress of your wisdom teeth healing.
    • If un-dissolvable stitches are used, this may be removed for you.
What can I expect after wisdom teeth removal?

Immeidately after wisdom teeth removal:

  1. Do not spit
  2. Do no drink from a straw
  3. Avoid smoking for the first few days
  4. It is normally to experience some swelling, pain or bleeding after wisdom teeth surgery if the tooth has been deep and impacted. If the pain or bleeding is excessive, please do call to inform your dentist.

You are able to resume your daily activities after a day’s rest. Do avoid any strenuous exercise and activities that could dislodge stitches or the blood clot. Pain and swelling will gradually decrease after a few days.

If you encounter any of the below symptons during the next few days, please do also inform our dental clinic:

  • trouble swallowing or breathing
  • fever
  • swelling and pain that increases over time
  • continously numbness that does not go away
  • blood or pus coming out of your nose
What is the cost of wisdom teeth extraction?

The cost of wisdom teeth removal varies based on the complexity of your case. Certain wisdom teeth may be a normal teeth removal if it is erupted out and there is no need to have open surgical procedures done.

Wisdom teeth removal fees are categorized below:

  • simple normal tooth extraction
  • complex normal tooth extraction
  • simple surgical tooth extraction involving soft tissues
  • normal surgical tooth extraction involving soft and hard tissues
  • complicated surgical tooth extraction involving soft and hard tissues

Learn more about BIDH dental fees.

Summary

Your wisdom teeth can be useful and may not need to be removed if it has erupted fully and does not cause any issues to surrouding teeth. However, if you wisdom teeth is impacted or causes concerns, your dentist may recommended it for removal.

The process for wisdom teeth removal may be a normal tooth extraction or a surgical procedure. For individuals that are worried about pain or oral surgery, sedative options are offered at BIDH oral surgery clinic.

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Mild Sedation (Local Anaesthesia)

IV dental sedation

Moderate Sedation (IV semi-conscious)

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General Anesthesia (Sleep dentistry)

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why choose BIDH Oral surgery clinic?

  1. Each of our oral surgeon has more than 10 years of experience in their field of speciality
  2. Our oral surgery clinic consists of a team of highly-qualfied dentists – many are American board or German board accredited. This means that your oral surgeon has obtained their specialization degree overseas in USA or Germany and is able to practice in those countries.
  3. As our team of oral surgeon and implantologists are professors, lecturers at their universities that oversees other thailand dentists, your oral surgery case is diagnoses and treated by top experts that has treated major and advance complex cases.
  4. Being lecturers and overseas trained, your dental expert adopts and uses the latest techniques and advance techniques based on clinical studies. Your treatment is therefore also more precise, less invasive and made safer with new technologies.
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  1. Our oral surgery clinic within BIDH dental hospital uses international standards and evidence based protocols. We abide by hospital-based guidelies on sterilization, infection prevention and control.
  2. Our team of dentists, nurses and doctor anesthesiologist are licensed and verified medical providers. This assures that your treatment is diagnoses and properly treated by trained, skilled and professional medical staff.
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Pain free dentistry
  • At BIDH dental surgery clinic, we are one of the few dental clinics in Thailand that offers sedation services or sleep dentistry for oral treatments.
  • We are one of the FIRST specialists dental hospital in Thailand that focuses ONLY on dentistry. Our core function, network and dental labs are integrated catering for dentistry. As a dedicated dental service provider, we are well positioned and offer safe sedation services following hospital standards.
  • Sedation services at BIDH is administered by experienced and licensed anesthesiologist using ASA standards. This assures you on patient safety.
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