Wisdom Teeth

Wisdom Teeth may need to be removed for a variety of reasons including decay, infection,crowding and cysts.

In most cases, there will not be enough space for wisdom teeth to erupt. It can cause several issues. Partially erupted wisdom teeth are very difficult to clean and brush and Food and bacteria can build up between the wisdom teeth and the adjecent  molars, and decay and gum infection can occur. Upper Wisdom teeth have a tendency to lean sideways and grate against the cheek. These wisdom teeth usually cause ulceration and a lot of pain. Very rarely, tumours may also form from the wisdom teeth.

Wisdom Teeth Removal Surgery at a Younger Age – Wisdom Teeth Removal in Sydney

Pain is the main reason for patients to come to the dentist. However, usually wisdom teeth start causing pain when damage has already occurred. It is better to have Wisdom Teeth surgery sooner than later. Age is one of the most important aspects when it comes to risks and post-operatory. Roots of wisdom teeth in a teenager are still developing and removal is usually easier and safer. X-rays taken earlier can show whether or not wisdom teeth could cause problems. The dentist or the wisdom teeth removal surgeon in Sydney will tell you when the best time for the wisdom teeth removal is or if it is better to only monitor it.

Antibiotics are only a short term solution 

Infections such as pericoronitis can improve with antibiotics, but the infection will usually come back unless the wisdom tooth is removed.

Impacted wisdom teeth categories

Impacted wisdom teeth fall into categories:

Mesioangular impaction: the wisdom tooth is angled forward, towards the front of the mouth.

Vertical impaction: the tooth is angled backwards, towards the rear of the mouth.

Horizontal impaction: fully 90 degrees forward.

Most of the time wisdom teeth with distoangulation are the easiest to extract in the maxilla and the most difficult in the mandibule.

The wisdom teeth with mesioangulation are easier to remove in the mandibule and more difficult in the maxilla

Pre surgical consultation, surgery and review of wisdom teeth removal in Sydney

During a consultation which usually involves an OPG (panoramic x-ray) and clinical examination, the wisdom teeth removal surgeon in Sydney can determine which wisdom teeth will be, or are, functional, and which ones need to be removed. In some cases all four wisdom teeth will need to be removed. The wisdom teeth consultation is always necessary prior to any surgery for clinical and legal reasons. The surgery wisdom usually involves an incision to open the gum, and sometimes a small portion of the bone may need to be removed to provide access for the wisdom teeth removal. The wisdom teeth may also need to be divided into parts to avoid removal of too much bone. Perfect wisdom teeth technique and a lot of experience is needed for these surgical procedures. The incision in the gum may then need to be closed with sutures (these are dissolvable in our surgery). All patients are well monitored after the surgery, and a set of instructions are given and discussed for the post-operation recovery period. A review is organized and usually happens between 1 and 2 weeks after the procedure.

Panoramic X-Ray OPG

An OPG or panoramic X-Ray is very important and usually essential during the consultation of wisdom teeth removal. An OPG shows all teeth but also shows the Inferior alveolar nerve and its proximity to the lower wisdom teeth. The OPG X-Ray also shows the sinus around the upper posterior teeth and helps assessing risks of an oral antral communication or OAC. With the OPG the surgeon is able to evaluate all 4 wisdom teeth and all nobel structures around it with 1 single film. This same X-Ray can also be used for an overall examination of all other teeth by another dentist in case further treatment is required. The OPG X-Ray in an invaluable tool during the assessment of Wisdom Teeth and all remaining dentition. The OPG X-Ray also provides a financial benefit for the patient if more than 1 tooth is required to be removed.

Braces and Wisdom Teeth

Many orthodontists believe that developing wisdom teeth can cause the front teeth to become crowded, and recommend surgery before or immediately after treatment.

Traveling to foreign places or overseas

It may be advisable before traveling to an area or country where dental services like wisdom teeth surgery are not readily available to have at least a wisdom teeth consultation.

Asymptomatic impacted wisdom teeth

There is a risk that impacted wisdom teeth may cause problems in the future. it could occur at inconvenient and unpredictable times. If the wisdom teeth appear to have a high chance of causing problems in the future, the dental surgeon and the oral surgeon may advice the extraction.

Wisdom Teeth Removal in Sydney – Frequently Asked Questions

Do I need a referral from my dentist prior to my wisdom teeth removal consultation at  the day surgery ?

NO. There is no need to have a referral for your first consultation in our day Surgery.

When is the best time for wisdom teeth removal?

Generally, the younger the better! Impacted wisdom teeth unattended could cause issues at some stage in the majority of patients. Earlier consultation and evaluation especially in the teen years is a very important and wise. The dental surgeon can show you the pros and cons of removing or leaving your wisdom teeth and all the risks involved. Each wisdom tooth needs to be individually examined.

Do I have to be put to sleep and go to the hospital for my wisdom teeth surgery?

During your consultation the surgeon we will explain and give you options that will suit each case the best way. Generally speaking most of people requiring 4 wisdom teeth removal or a surgical extraction of wisdom tooth take the option to have some type of anaesthetic. If your case is a simple procedure it can be done on a dental chair by a dentist.

The average time to remove 4 wisdom teeth in our Day Surgery is 20 minutes and Patients are monitor for at least an extra hour in hour recovery area after surgery.

 How swollen will I be after?

Swelling after wisdom teeth removal is variable between patients and depends upon the difficulty of the wisdom teeth removal surgery and position of the impacted wisdom teeth. In cases when it happens, the swelling increases up to the 3rd day and then reduces gradually after.

How much pain will I feel after wisdom tooth extraction?

At our facility, extreme attention is taken towards pain. Specific medications and instructions will be given to each patient accordingly to each case by the anaesthetist. Minimal discomfort will be felt if all instructions are properly followed after surgery.

What can I eat after the wisdom teeth removal?

Soft diet is advised for a week to reduce any chances of contamination and infection.

What is Dry Socket?

Dry socket occurs when the blood clot washes off the socket after surgery. This results in pain and bad taste. Good tooth extraction technique and proper post-operatory care can reduce the chances of dry socket. It is a rare event.

Do I need to return to remove stitches after surgery?

All stitches used in our day Surgery are dissolvable and will not be require removal. We feel, however, that is very important to review all patients between 7-14 days post wisdom teeth surgery. Review appointments are free of charge with us.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriate qualified health practitioner. 

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