Wisdom Tooth Surgical Extraction
If you are experiencing discomfort from an impacted or hard-to-reach wisdom tooth, Regency House Dental Practice is here to help. Our modern Brighton surgery provides expert general dentistry treatments, including both simple and wisdom tooth surgical extractions. Performed by our experienced dentists in a calm, welcoming environment, we focus on safe, precise, and completely pain-free procedures. Read through our frequently asked questions below to learn exactly what to expect before, during, and after your treatment.
What is the difference between a simple extraction and a surgical extraction?
A simple extraction is done when a tooth has fully climbed through the gumline, allowing us to gently loosen and remove it using standard dental instruments.
A surgical extraction is needed if the wisdom tooth is “impacted” (trapped completely or partially beneath the gum or bone), growing sideways, or has broken off right at the base. To remove it safely and gently, we make a tiny incision in the gum to access the tooth. We also frequently divide the tooth into a few smaller sections, which allows us to lift it out smoothly without putting unnecessary pressure on your jaw.
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Will the procedure hurt?
Not at all. The entire process is completely numb and pain-free. Before we do anything, we use a local anaesthetic to deeply numb the tooth, the surrounding gums, and the jawbone. While you will feel some physical pressure and movement as we work, you will not feel any sharp sensations or pain.
If you feel particularly nervous about dental treatments, just let us know ahead of time. We have great sedation options available to help you feel completely relaxed and at ease.
How long does a surgical extraction take?
How long the procedure takes depends entirely on where the tooth is positioned and the shape of its roots. Including the time needed for the numbing process, a surgical extraction usually takes between 40 minutes to an hour. We always block out plenty of time so we can work carefully, safely, and at a pace you are entirely comfortable with.
What should I expect during my recovery?
Once the numbing wears off, your body will start its natural healing process. A bit of local swelling, mild bruising, and a slightly stiff jaw are entirely normal.
- The first 3 days: This is when swelling usually peaks. Taking standard over-the-counter painkillers like paracetamol or ibuprofen regularly will keep you comfortable.
- Days 4 to 7: The stiffness and swelling will steadily fade away, and your jaw will start feeling normal again.
- Stitches: If we use stitches to close the gum, don’t worry about having them removed—we use dissolvable ones that will melt away on their own within 7 to 14 days.
What is a "dry socket" and how do I avoid it?
When a tooth is removed, a blood clot forms in the socket to protect the exposed bone and nerves while you heal. If this clot is dislodged or dissolves too early, it causes a painful, throbbing ache known as a dry socket.
To protect the area and ensure proper healing, please follow these guidelines for the first 48 hours:
- No smoking or vaping: The sucking motion, heat, and chemicals are the leading causes of dry socket.
- Avoid straws: Drinking through a straw creates suction that can dislodge the clot.
- Rinse gently: Avoid vigorous rinsing or spitting. Instead, let liquids lean and fall gently out of your mouth into the sink.
- Watch your drinks: Stick to cool or warm beverages. Avoid alcohol and piping hot drinks, which can trigger bleeding.
When can I brush my teeth again?
Keep brushing your teeth to maintain a clean mouth, but leave the extraction area completely alone for the first 24 hours. From the second day onward, you can keep the site clean by gently bathing it with warm salt water (a teaspoon of salt in a glass of warm water) after you eat. Don’t swish it around aggressively—just hold it over the area and let it spill out.
When should I contact the practice?
Minor swelling, tenderness, and slight pink saliva are normal. However, please contact us immediately if you experience:
- Uncontrolled bleeding: Bleeding that continues after biting firmly on a clean cotton pad or handkerchief for 15 minutes.
- Severe pain: Throbbing pain that worsens or does not respond to painkillers.
- Signs of infection: A sudden fever, a persistent foul taste, or swelling that increases after the third day.
