Reviewed by Dr. Olga Karnakova, DDS

Wisdom tooth removal is planned around the tooth’s position, its roots, nearby structures, and your health. Some teeth can be removed with a straightforward extraction; others require a surgical approach. Not every wisdom tooth needs to be removed.

Examination and planning

The clinician reviews your symptoms, medical history, medications, and imaging. Ask why removal is recommended, whether monitoring is an option, and what risks apply to the tooth’s position. A referral to an oral surgeon may be appropriate for a complex extraction.

Anesthesia and comfort

Local anesthesia is used to numb the treatment area. Additional sedation or anesthesia may be considered based on the procedure, your health, and the setting. Confirm which options are available and follow the specific instructions for eating, drinking, medications, and transportation.

Removing the tooth

For an impacted tooth, the surgeon may open the gum tissue and remove some surrounding bone. The tooth may be divided into sections to help with removal. The area is cleaned, and stitches may be placed when appropriate. Your surgeon can explain the planned approach before treatment.

Healing at home

Follow your written instructions for food, activity, cleaning, and medications. Recovery varies. Do not smoke or use a straw if your clinician advises against it, and contact the office about increasing pain, persistent bleeding, or other concerns. Difficulty breathing or swallowing needs emergency medical attention.

Questions to bring

  • What does imaging show about this tooth?
  • How close are the roots to nearby nerves or other structures?
  • What should I expect during the first few days?
  • Who should I contact after hours?

Call Cal Dental Group at 323-934-2804 to discuss an evaluation and clinician availability. Learn about Dr. Michael Issakharian.