Call Us Today: +65 6265 9146 ASHFORD THOMSON | +65 6245 0270 ASHFORD SERANGOON
Call Us Today:
+65 6265 9146
ASHFORD THOMSON

+65 6245 0270
ASHFORD SERANGOON

Wisdom Tooth Surgery

Wisdom Tooth Surgery


At times, wisdom teeth can cause discomfort due to insufficient space for them to erupt completely in the mouth.

Being the very last tooth in your jaw, it can also be difficult to clean and thus be more prone to gum infections or tooth decay.

In certain circumstances, a normal extraction may not be possible for a wisdom tooth due to its position, it being partially out of your gums or it being inclined horizontally or at an angle.

As such, surgery may be required to remove it. Wisdom tooth surgery involves opening the gum around the tooth (called a flap), removing some bone (if necessary), then removing the tooth.

The socket is then washed thoroughly and gum flap is closed using sutures.

At Ashford, our vast clinical expertise allows us to treat wisdom teeth:

  • quickly
  • effectively
  • safely
  • comfortably and pain free for all our patients

Procedures are always carried out with experienced clinical staff to ensure a smooth and pleasant experience for all our patients.

Our Doctors will always advise you firstly if your wisdom tooth needs to be removed (not all of them need removal), and if so, from our years of clinical experience we are able to tell you confidently & accurately

  • what they process is like
  • how long it will take
  • how quickly you will heal and be ready to enjoy your favorite foods
Ashford Dental Centre Wisdom-Teeth-1 Wisdom Tooth Surgery

What are wisdom teeth?

The wisdom tooth is actually your third molar. From an evolutionary perspective, human beings traditionally had 3 molars (or back grinding teeth) in order to chew abrasive and rough types of food historically.

However, over time, as our diets changed, our jaw sizes evolved to become slightly smaller. This created an issue as there would not be sufficient space in the jaw for the third molar to erupt completely. This is the main reason why we can have problems with our wisdom teeth.

Do we all have wisdom teeth?

No, we do not. The third molar is actually the most commonly missing tooth in our mouths. It does not reflect on our wisdom!

Why do we have pain from our wisdom teeth?

Most of the time pain and discomfort arises because there is insufficient space for the wisdom tooth in your jaw. This creates a situation where the wisdom tooth is partially erupted. This essentially means the tooth is partially covered by your gum and partially exposed.

When this happens, bacteria in your mouth will coalesce beneath the gum flap which partially covers the wisdom tooth. Being a very hard place to reach and clean, the bacteria tend to proliferate and result in a localised infection around the wisdom tooth.

There are plenty of other reasons why a wisdom tooth may cause pain too. These include:

  • Decay in the wisdom tooth
  • Fracture of the wisdom tooth
  • Cysts forming around the wisdom tooth
  • The wisdom tooth impacting and damaging the tooth in front of it

What are the typical presentations of wisdom teeth?

Upright

Wisdom teeth can typically be upright and erupt straight just like any of your other teeth. In this situation they usually do not cause us problems.

Impacted forward

This means the wisdom tooth is angled towards the tooth in front of it. In this situation the great concern is that damage can be done to the tooth in front of the wisdom tooth. This may result in both the wisdom tooth and the tooth in front needing to be removed.

A forward impacted wisdom tooth can also create a pressure vector which is passed on to other teeth in front of it resulting in crowding.

Impacted backward

This means the wisdom tooth is angled backwards, towards the angle of your jaw bone. In this situation it is very common to get a localised infected in the gums behind the wisdom tooth which lead to pain and swelling.

Do we always need to remove our wisdom teeth?

No, we do not. This is very much a clinical decision. It depends on the presentation of the wisdom tooth i.e. whether it is upright, impacted forward or impacted backward. It also depends on whether the wisdom tooth is partially erupted, completed erupted or buried completely in your jawbone.

How is the wisdom tooth removed?

For the most part, upper wisdom teeth can be removed without any surgical work. This is unless it is buried, partially erupted or very severely broken or decayed.

Lower wisdom teeth sometimes required surgery to remove safely. This is because the wisdom tooth may be angled in such a way that a conventional extraction is not possible. It may also be partially erupted or buried to a point where we are not able to extract it normally.

What does wisdom tooth surgery involve?

The first thing to remember is that it is a completely pain free procedure. Our doctors will give you local anaesthetic to ensure you are completely numb around the wisdom tooth and surrounding areas so the procedure is smooth and painless.

The gum around the wisdom tooth is usually raised by a small incision so we can see the wisdom tooth completely.

Once we are able to see the wisdom tooth well, we use a high-speed bur to loosen the wisdom tooth from the surrounding bone. This is done with the utmost care and caution.

Once loosened we can remove the wisdom tooth whole if there is sufficient space. If not, then we normally divide the tooth into 2 or 3 parts and remove each part completely.

The socket is then thoroughly irrigated with antimicrobial solution and saline to ensure no infection persists.

We then reposition the gum and close the socket by using silk sutures so you can heal comfortably.

Is it painful after?

In most cases the numbness continues for about 2hrs after you leave our facility. After about 2 hrs, you will feel a bit of tenderness around the wisdom tooth area. You can sometimes experience a bit of swelling too. However, this generally will last for about a day or two before you start to feel much better.

How long will it take to heal?

Most people are actually much better after a day or two. But as with any medical procedure, this will depend on the difficulty of the removal and your body’s natural healing abilities. Or doctors will always advise you of your specific healing time.

What are the do’s and dont's after the removal

Do’s

  • Take medication as instructed by our doctors
  • Stick to soft food for about one or two days after
  • Have cold foods or room temperature foods to relieve inflammation
  • Use ice packs on and off (20 minutes at a time) to relieve inflammation
  • Get plenty of rest
  • Stay hydrated by drinking fluids like water or juices
  • Ensure you bite firmly on the cotton gauze given to you when you leave. This kick starts the healing and ensures the wound clots well

Dont’s

  • Smoke for at least 24hrs after the surgery. Smoking will interfere with healing and you can end up with delayed healing of the wound.
  • Have temperature hot foods and drinks. This will irritate the gums and delay the healing.
  • Have spicy foods. This irritates the gums and delays the healing
  • Spit or rinse your mouth the day of the surgery. This will break up the forming blood clot and delay the healing. If you have
    saliva or blood in your mouth, try to swallow it or gently spit out instead of rinsing.

Why choose Ashford for wisdom teeth removal?

Surgical removal of wisdom teeth is a procedure which requires a great deal of finesse, experience, surgical prowess and anatomical knowledge.

This is because lower wisdom are surrounded by 2 sensory nerves. On the outside of it runs the Inferior Alveolar Nerve. This nerve gives sensation to the lower teeth on that side, the cheek, the chin and the lip.

Running on the inside of the wisdom tooth is the lingual nerve. This gives sensation to the inside part of the tongue and some taste sensation to the tongue as well.

When removing the wisdom tooth, the surgeon must be very specific and deliberate in their technique in order to avoid these nerves. Damaging the nerves can result in partial or permanent loss of sensation to the affected area.

Removal of upper wisdom teeth is also a procedure that requires experience and finesse. The upper wisdom tooth is usually very close to the maxillary sinus. The surgeon must be very careful to avoid breakages as this can result in root tips being pushed into the sinus.

At Ashford, our doctors have undergone training specific to the removal of wisdom teeth and surgical procedures. We also have more than a decade of clinical experience in performing difficult surgical wisdom teeth removals. In addition to this, all our doctors have calming and gentle demeanours to put you at ease and assure you of a smooth and efficient experience.

Our auxiliary staff have also undergone specific training for wisdom tooth surgical removals. They know exactly what to do in any given situation. They surgical assisting skills are second to none which makes our doctor’s work much easier and makes your experience far more relaxing.

Ashford Dental Centre Wisdom-Tooth-Surgery-1 Wisdom Tooth Surgery

Costs and Medisave


Yes, it is claimable.

Wisdom teeth which require surgery to remove generally will cost more than just a conventional tooth extraction. This is because of the expertise, experience and finesse required to remove a wisdom tooth smoothly, comfortably and without damaging adjacent structures.

However, wisdom tooth surgery is partially or in some cases completely Medisave claimable.

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