Wisdom Tooth Removal in Bilekahalli, Bengaluru

When you might need it

• Pain, swelling or a bad taste at the back of the mouth, sometimes with difficulty opening the mouth.
• Repeated infection of the gum over a partly erupted wisdom tooth (pericoronitis).
• Decay in the wisdom tooth, or in the back of the tooth in front of it, where food gets trapped.
• Gum disease around the back teeth.
• Rarely, a cyst (a fluid-filled sac) forming around a buried wisdom tooth.

A wisdom tooth that isn't causing problems and can be cleaned properly is often best left alone and checked at your regular check-ups.

Your options

If the tooth is buried deep or very close to the nerve, it may be removed by the oral and maxillofacial surgeon who visits our clinic.

What happens, step by step

1. Examination and X-ray. We examine the area and refer you to a scan centre for an X-ray, usually a panoramic X-ray (OPG) of the whole jaw, to see the tooth's position, its roots and how close it is to the nerve. If the roots are very close to the nerve, a 3D X-ray (CBCT scan), also taken at a scan centre, may be advised.
2. Treatment plan and written estimate. We explain whether the tooth needs routine or surgical removal, go through the risks that apply to you, and give you the fee in writing before treatment begins.
3. Numbing. The area is numbed with local anaesthesia.
4. Removing the tooth. A tooth that has come through is gently loosened and lifted out. For an impacted tooth, a small cut is made in the gum, a little bone may be removed, and the tooth may be divided so it comes out more easily.
5. Stitches and gauze. The gum is closed with stitches if needed, and you bite on gauze to stop the bleeding.
6. Review. We check the healing after about 7 days, and remove the stitches if they aren't the dissolving kind.

Possible risks

• Pain, swelling and a stiff jaw for a few days, sometimes with bruising on the cheek.
• Bleeding that oozes for the first day.
• Dry socket, a painful socket 2–4 days later when the blood clot breaks down; more common in smokers.
• Infection, treated with cleaning and medicines.
• Numbness of the lip, chin or tongue if the nerve near a lower wisdom tooth is bruised. This is usually temporary, but rarely it can be permanent. The X-ray helps us judge this risk before treatment.
• An opening into the sinus, occasionally, when an upper wisdom tooth is removed. It usually heals on its own or with a stitch.
• Damage to the tooth in front, such as a loosened filling or crown.

We go through the risks that apply to you before you decide.

After your treatment

• Bite firmly on the gauze for 30–45 minutes.
• For the first 24 hours, don't rinse, spit forcefully or drink through a straw, so the clot stays in place.
• Don't smoke or chew tobacco for at least 3 days; it greatly raises the risk of a dry socket.
• On the first day, hold a cold pack against your cheek for 10–20 minutes at a time.
• Eat soft, lukewarm food and chew on the other side.
• From the next day, rinse gently with warm salt water after meals.
• Take the painkillers, and antibiotics if prescribed, as directed: usually for 3–7 days.
• Sleep with your head raised on an extra pillow the first night.

Call us if bleeding doesn't stop with firm pressure, swelling increases after day 3, you develop a fever, or the pain gets worse after a few days instead of better.

Fees

The fee depends on the position of the tooth, how deeply it is buried and whether it needs to be divided. You receive a written estimate after the examination, before treatment starts. Call or WhatsApp us if you'd like an idea of the cost.