Wisdom Tooth Extraction

Why Choose B & F Dental Clinic for your wisdom tooth removal?
- Conveniently located in Bukit Timah
- 5 min walk from Sixth Avenue MRT (DT7)

- Fully equipped for Wisdom Tooth Surgery with 3D Digital X-ray.
- Medisave-Accredited - Claim up to $1,250 per wisdom tooth surgery
per government guidelines.
- Easily contactable by phone (6909 7664) or WhatsApp (9383 6121).

Almost everyone has wisdom teeth. A wisdom tooth that is painless and not actively causing problems may be easy to ignore. However, do not be fooled. It can still cause serious damage to your mouth if badly positioned.

Common Concerns About Wisdom Tooth Extraction in Singapore

We understand that our patients often have the following concerns:

  1. Price of Wisdom Tooth Extraction
    Depending on the type of wisdom tooth issue, it can be a normal wisdom tooth extraction or a minor surgery which costs more. We maintain very reasonable prices for basic wisdom tooth extractions with zero compromise of sterility and hygiene.
    It is our usual practice to advise you on the cost of treatment first before proceeding with your given consent. Medisave can be used to make payment for applicable surgeries.
  2. Timing of Wisdom Tooth Extraction
    The pain and discomfort from wisdom tooth issues can be severe. Normally, we would try our best to expedite your appointment to get you out of pain as soon as possible. For urgent enquiries you may prefer to call us directly at 6909 7664 or WhatsApp to 9383 6121.
  3. Experience and Reliability
    Our dentists and nurses have many years of experience with wisdom teeth removal procedures and will be able to advise you accordingly on your concerns.
  4. Downtime
    Most people are able to speak and move about just fine after wisdom tooth surgery. However, we understand that many would prefer to rest after such a procedure and normally we would issue about a week's medical leave for such procedures unless you request that you do not need it.

What Are Wisdom Teeth?

Impacted Wisdom Teeth X-ray
This person has impacted wisdom teeth.

Most adults have 32 permanent teeth. The third permanent molars which are also known as the wisdom teeth, usually erupt between the ages of 16 and 21. However, our jaw may not have enough space for these teeth to come out normally as people are more aware of dental care these days and fewer people are losing teeth earlier in life.

Why Should I Extract My Wisdom Teeth?

dental wondering

Everyone has heard of a friend or relative undergoing a wisdom tooth extraction. Your own dentist may at some point have recommended removal of your wisdom tooth. Did they explain to you why?

Often, wisdom teeth are commonly blocked from erupting fully in the mouth because of the permanent second molars or due to jaw space limitations. We call these stuck wisdom teeth impacted. This is the single most common reason that your dentist would recommend removal of wisdom teeth.

Types of Wisdom Tooth Impaction

Types of Wisdom Tooth Impaction

Partially Impacted - An impacted wisdom tooth may erupt showing only a small portion of the tooth crown.

Fully Impacted - It may never emerge or show through the gums at all.

A wisdom tooth may also grow away from the second molar, or grow horizontally, almost as if it is sleeping.

Talk to us if you think you have an impacted wisdom tooth and want more information about how to deal with it. 

Problems An Impacted Wisdom Tooth May Cause

Impacted Wisdom Teeth Problems
Impacted wisdom teeth can result in cavities on important permanent molars, cyst formation and infection. Some people feel that it causes them more crowding of their teeth although the scientific evidence is not definitive.

An impacted wisdom tooth can be absolutely painless. You may not even be aware of it until the dentist takes an x-ray to check. However, it could still lead to many other problems if left alone.

A partially impacted wisdom tooth can easily form a gap between itself and the tooth in front. Tiny food particles are easily trapped in this gap. This is made more complicated by the fact that wisdom teeth are found at the back of the mouth which is very challenging to clean well.

It is almost impossible to floss a deeply submerged gum pocket between the wisdom tooth and the second permanent molar if it is at or below the level of the gums. Water jet sprays may help a little bit.

The wisdom tooth area can then become an ideal breeding location for decay bacteria to grow and form, causing gum disease and cavities. The symptoms are often mild or very occasional at the start but tend to get worse over time.

"But can't I wait till the wisdom tooth has a problem before extracting it?"

Delaying Dental Treatment Causes Pain
A delay can result in a bigger problem!

Of course you can! But it can be a very bad idea. Bacteria affecting and rotting the wisdom tooth can often affect the permanent second molar tooth in front as well. This is an important chewing tooth that you would hope to keep for a very long time.

Such problems are often caught too late when the affected teeth are already deeply decayed and infected before giving pain.

When this happens, you would often need a root canal treatment and a crown for the molar that you want to keep. In complex cases or if the tooth is too badly decayed, you may lose your permanent second molar teeth.

Such delays can result in a relatively straight-forward removal of a single wisdom tooth becoming both wisdom tooth removal, root canal treatment and crown treatment. This results in increased pain, discomfort and added cost for you.

In some cases, an unerupted wisdom tooth can also develop in a fluid-filled sac within your bone. Such cyst formation can result in damage to the jawbone, surrounding teeth, and nerves. In rare cases, this may become a tumour which may require removal of additional jaw tissue and bone.

Dental problems like these often develop quietly over time and often flare up unexpectedly in a sudden burst of pain. When such problems and pain occur, it often causes distress and problems to you as it may disrupt your schedule in an unplanned way. The cost of delayed treatment is often higher than planned early treatment as well. 

What Happens: Initial Consultation

Normally, your dentist would first do a comprehensive examination and take x-rays of your mouth and teeth to check the wisdom teeth position. Depending on the condition of your teeth and jaws, the dentist may recommend surgery.

Preparing for Wisdom Tooth Surgery

Wisdom tooth surgery is often done as an outpatient procedure. You are able to go home on the same day. Your dentist will give you specific advice as required before your surgery, as well as answer any questions or concerns you may have.

General guidelines:

1. Have a good meal 1-2 hours before the surgery.
You may be tired and sore after the wisdom tooth surgery and your jaw may still be numb for 2-3 hours. However, do not overeat immediately before the surgery as you may feel nauseous during the procedure if too full.

2. Brush well before you go for your surgery.
A clean mouth will reduce the chances of wound infection after wisdom tooth surgery.

3. Try to have someone to accompany you home afterwards.
Most people are fine after the surgery and you will be allowed to rest for a while if needed. However, it is good to have someone along to help you collect the medications and guide you home as you may be tired after the surgery and anaesthesia.

What to Expect For The Wisdom Tooth Surgery

Wisdom teeth surgery is a minor surgical procedure that is done under local anaesthesia by many people. If you have further concerns or nervousness, you can discuss other options with your dentist.

The wisdom teeth surgery is such that the surgeon will numb the mouth and jaw to minimize pain and discomfort. In our clinic, we sometimes opt to give painkillers before the surgery to minimize discomfort even further on a case-by-case basis.

The gums are lifted to uncover the wisdom teeth and bone obstructing removal. The tooth is sectioned (cut) to allow ease of removal. Once completed, we check for any debris and do basic clean-up before stitching the gums back to where they are supposed to lie.

Post-Surgical Management

Wisdom teeth surgery may result in slight or minor bleeding from the extraction wound, which is normally controlled with pressure from biting on gauze.

You should have a good rest for the remainder of the day. If required, please let us know that you require medical leave which is normally given for about five days to allow you to recover from the surgical procedure.

While you are resting, you should be careful to observe the following:

Sterile gauze is given after the procedure for you to bite on and control bleeding.

Avoid:

  • Using a straw for drinks
  • Violent / Forceful rinsing of the mouth
  • Exercise or strenuous activity
  • Smoking excessively (best to abstain)

The empty socket where the wisdom tooth was removed will be filled with blood which forms a blood clot. This allows the body to heal and close up the space. Such activities may cause the blood clot to dislodge / fall out and expose the bone and sensory nerve endings. Inflammation or irritation at this area can cause a very painful condition called dry socket which tends to happen after 2 - 3 days. Contact your dentist immediately if you believe you may have dry socket. 

"Can I brush my teeth after the surgery?"

Yes you can! But you should avoid the surgery site for at least a few days as you may tear the wound and stitches. If unsure, you can brush parts of the mouth far from the surgery area and use the supplied antiseptic mouthwash which we normally prescribe to gently rinse for a few days.

Aftercare and Management of Pain

Resting After Dental Treatment

You may expect some pain or minor swelling over the next 24 - 72 hours. This can be reduced by medication prescribed to you. You can also use an ice pack on the outside of the cheek for short intervals of about five minutes. This may relieve pain and discomfort for the first 24 hours.

Medication for pain relief should be taken according to the directions given. You are usually advised not to take them on an empty stomach as they can sometimes cause stomach upset. Some of these medications may make you sleepy or drowsy. Please avoid driving or operating heavy machinery if so.

During the recovery period, it is critical to maintain good oral hygiene to avoid or reduce the chances of infection. Please use a soft brush to brush and clean teeth that are away from the surgical area and use the prescribed mouthwash or salt water to gargle.

If you are prescribed antibiotics, please remember to complete the course of medication as bacterial resistance may occur and further infection of the wound may prove more difficult to treat.

Your dentist will normally give you a review appointment after 5 - 7 days to check the wound and remove stitches if required. We do use dissolvable (resorbable) stitches in some cases but we occasionally prefer to remove them earlier at the review appointment to improve your comfort.

Diet

Soft Diet for Dental Treatment

There is no diet restriction for wisdom teeth surgery. However, you may want to blend or mash your foods to a soft consistency so you can swallow them without chewing hard.

We also strongly advise to avoid foods like nuts or chili bits that can get stuck in the wound and cause severe discomfort. It is not uncommon for patients to return with severe pain because of a chili seed stuck in the extraction wound.

Wisdom Tooth Surgery Care Instructions:

  • Please rest quietly at home. Avoid excessive exercise, stimulants, very hot food or drinks for the rest of the day to minimize the risk of post-operative bleeding. Do bite hard on the gauze in the mouth for at least 40 minutes. Do not rinse too vigorously, or change gauze too frequently as this prevents the blood from clotting effectively.
  • Poor healing results in exposed bone that can be very painful after a few days. Smoking is high risk for this condition (Dry Socket). Please contact us if this happens so that we can check for you. We may have to clean the area for you if needed.
  • IF bleeding occurs, apply clean, folded gauze to the wound and bite firmly for at least 40 minutes. If bleeding persists after a few attempts, please call / message us and return to the clinic during office hours. For serious bleeding after office hours please head to the hospital A&E.
  • Should a rash or any other complications develop after taking the prescribed medications, please call or return to the clinic during office hours. Discontinue the medications immediately. If you are feeling very unwell please see a medical doctor or head to the hospital A&E.
  • The site of operation should be cleaned by rinsing the mouth GENTLY with warm salt water (half a teaspoon of table salt in a large glass of water) or using the antiseptic mouthwash provided. This should be done after meals and before bedtime.
  • It is expected and normal to have some facial swelling and discomfort. A small amount of blood may ooze from the wound. This may last 2 – 3 days. Please contact us if there is worsening pain or facial swelling.
  • You should have a soft diet for a few days after the operation. Take nutritious drinks and soups / porridge as you can tolerate. Avoid eating on the surgery wound sites and avoid eating foods that cannot be cleaned out of the wound easily (eg. nuts). Do not bite on anything harder than scrambled eggs at the surgical site.

Wisdom Teeth Surgery: Do I Need it?

It doesn't mean that all wisdom teeth need removal. If your wisdom tooth is fully erupted and functional, and you have easy access to brushing and flossing it, it is not necessary to remove the wisdom tooth. Your regular attendance at the dentist also allows your regular dentist to monitor your wisdom teeth for issues and recommend preventive treatment or timely removal of the wisdom teeth if needed.

If you have experience with pain, swelling or gum discomfort at the back where the wisdom teeth are, or you suspect you have an impacted wisdom tooth, drop us a enquiry to find out more about the treatment options that are available to you. You can call us at 6909 7664 or WhatsApp to 9383 6121.

About B & F Dental Clinic

B & F Dental provides a full range of dental services in Singapore. We are committed to early diagnosis and prevention of dental and oral diseases. Conveniently located in a central part of Singapore near Bukit Timah - Downtown Line Sixth Avenue Station (DT7), we are equipped for and dedicated to providing the best professional care and service to our valued patients.

Contact us for any inquiries at 6909 7664 / WhatsApp 9383 6121.