Have your wisdom teeth removed

Wisdom teeth are the last teeth in the row. They erupt much later than the other teeth. But not everyone gets it. And not all people have 4 wisdom teeth. Nevertheless, they are one of the most common reasons for extraction at the dentist in Germany. This applies to both erupted and wisdom teeth enclosed by the gums.

What are wisdom teeth?

The wisdom teeth are those rearmost human molars. They are a holdover from evolution: the human jaw has shrunk over the millennia. That is why there is usually no more room for them today.

Wisdom teeth generally only erupt when the milk teeth have completely disappeared. Often that is the age of 17 to 21 years the case. Later breakthroughs in patients over the age of 20 are also possible.

Since the teeth often do not have enough space, they can cause severe discomfort. If there is a lack of space, dentists recommend one extraction

Also wisdom teeth not erupted can be the cause of pain and limitations. Depending on the situation, surgical removal is sometimes useful. Your dentist will inform you about the condition of your wisdom teeth during regular routine examinations. He also points you to one possible extraction down.

What complaints can wisdom teeth cause?

The most common cause of wisdom teeth pulling is late breakthrough: the teeth don't grow until later. Then there is often not enough space left in the jaw. Therefore, the wisdom teeth often cause discomfort. You stay z. B. trapped in the gums or break through on the side. Sometimes only part of the figure eight makes it out of the gums. The possible complaints are diverse:

  • Existing teeth shift
  • Painful feeling of pressure
  • Swelling of the face
  • High risk of infection
  • Problems chewing

In addition, the eights are at the rear. This allows the wisdom teeth only difficult to clean. Many dentists speak of a germ source and therefore recommend extraction as a prophylactic.

When should you have your wisdom teeth pulled?

Until the age of 20 the aft lacks the firm anchorage in the jaw. Extraction is therefore easier and less painful at a young age. But not every wisdom tooth causes difficulties in the same way. Often these only appear over the years.

If you are in pain, it is best to opt for wisdom tooth surgery at an early stage. Your dentist will advise you in detail on this. He also gives prophylactic tips as to whether removal makes sense.

If your wisdom tooth causes discomfort, it can lead to swelling beyond the jaw. The neck and shoulders can be affected. Also a headache can be the result of difficult eights. In addition, a general lack of space, tooth decay and an increased risk of inflammation also contribute to a surgical recommendation.

When can the wisdom teeth stay?

Today, dentists only extract a wisdom tooth when necessary. Because in many cases the eights do not cause any difficulties.

Your dentist will create one digital x-ray imageto get an idea of ​​the position of your wisdom teeth. He then weighs up the risk of discomfort.

A OP is superfluous, if:

  • Do not break through the figure eight at all (so-called retained wisdom teeth)
  • Break through the figure eight
  • The breakthrough is complete
  • The wisdom teeth do not interfere with other teeth
  • There is no pain

Which doctor performs the wisdom tooth operation?

If you have any questions or concerns with your wisdom teeth, contact your dentist. The more experience he has in these cases, the lower the risk of complications. Alternatively are Oral surgeons, Orthodontists or oral and maxillofacial surgeons.

Stunning options

For the wisdom tooth operation, your dentist will numb the affected area in the mouth. In addition to a local anesthesia laughing gas, sedation (twilight sleep) and general anesthesia are possible. The last 3 anesthetic options are particularly suitable for anxious patients.

Procedure with local anesthesia

Your dentist will use local anesthesia 2 Syringes - one in the upper and one in the lower jaw. Both areas are completely numb as a result. This can cause numbness that will subside after 2 to 3 hours.

Intervention with nitrous oxide

You breathe in nitrous oxide through a mask. It causes a mildly intoxicating state. As a result, you will find pulling your wisdom teeth pleasant.

The effect of nitrous oxide is quite short with an average of 15 minutes. Therefore, your dentist combines the application of nitrous oxide with one additional anesthesia. The statutory health insurance companies do not cover the cost of anesthesia with laughing gas. These range between € 100 and € 200.

Procedure under sedation or general anesthesia

Not every dentist offers anesthesia by sedation or general anesthesia. Because for that is a anesthetist required. The health insurance companies also only cover the costs under certain conditions. This is in children Anxiety patients and complicated operations are the case.

Surgical procedure

To remove your wisdom teeth, your dentist will choose one of the following osteotomy procedures:

  • The Ost1 procedure makes sense when the eighth has outgrown. It is considered to be the easiest and fastest operation.
  • If your wisdom tooth is firmly seated in the jaw, your dentist will first expose it. In this case he speaks of Ost2 procedure
  • Your dentist will apply this in the case of tooth division and root exposure Ost3 procedure at.
  • The Piezo osteotomy is a special procedure that is gentle on the surrounding tissue. It takes place when your wisdom tooth is in a complicated position.

Course of treatment

The surgery date is set, now comes the preliminary talk. This is followed by the preparation by the doctor, finally the operation and the time afterwards. Your doctor will guide you through the individual steps and discuss all situations with you.

Preliminary talk

Your dentist will discuss everything important about wisdom tooth surgery with you in advance and explain the risks to you. If you have any questions, ask them in the preliminary talk. Most of your fears can be safely dispelled by your dentist.

Also, find out about the Stunning options. Not every dentist offers general anesthesia or the use of nitrous oxide. Also get tips on how to best behave yourself before the operation.

Unsure whether your wisdom teeth really need to be extracted? Then ask what the risks are if the eights stay in your jaw.

One week before the operation

Use the days leading up to the extraction to prepare for the time after:

  • Put alreadyone or two days in advance Your cool packs in the fridge. Then they are available immediately after the operation.
  • For the first few days after the extraction is donesoft food ideal that you don't have to chew. So cook a stew or soup before the operation.
  • Organize oneCompanionwho brings you home after the operation. Because the preparations used for local or general anesthesia slow down your ability to react. This means that you are not allowed to drive yourself after the procedure.

Your dentist will give you a health insurance certificate. This usually still applies for the day after the extraction. Use it and take your time after the operation. Treat yourself a lotQuiet. Do not plan any further appointments on the day of the operation, but rest on the sofa.

Avoid medication

Avoid using painkillers before the operation. There are 2 reasons for this: Commercially available painkillers work on the one handblood thinning. This applies to non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin and other ASA preparations, for ibuprofen, naproxen etc. They increase the risk of complications due to their blood-thinning effect. On the other hand, over-the-counter pain relievers canInteractions evoke with dental anesthesia.

The best way to avoid all of this is to forego ita week before the extraction date on aspirin or ASA. It is best to stop taking other NSAIDs immediately before the appointment.

Take othersMedication? Then let your dentist know in the preliminary talk. He will tell you when you can no longer take them.

Refrain from cigarettes and certain foods

In addition, avoid foods before the operation that also have a blood-thinning or blood pressure-increasing effect. This includes:

  • Food: z. B. fish, anchovies, blueberries, cherries, grapes, raisins, ginger, peppers, apricots, garlic, walnuts and olives
  • Spices: z. B. pepper, oregano, cinnamon, curry, cayenne, turmeric, liquorice
  • Beverages: z. B. alcohol, coffee, black tea and green tea
  • Dietary Supplements: z. B. Omega-3 fatty acids, fish oil, vitamin E and ginkgo

Are you a smoker? Then you should absolutely refrain from cigarettes before the operation. Because nicotine affects and slows down the healing of wounds. This increases the risk of complications.

The day of the operation

Your dentist may guide you through the preparationfurther investigations by. In this way he can determine the exact position of your wisdom teeth again.

That succeeds withseveral x-rays best from different positions. Ideally, the teeth sit individually and in a straight position in the jaw. They can then be easily removed even if there is no breakthrough. The risk of tooth breakage is low. The removal of the jawbone is only necessary if the teeth are very deep in the bone or close to the molar.

Your dentist always treats any possible inflammation before the extraction. Other complaints, such as cysts, are also a challenge for the dentist. This also applies to nerves that lie around the wisdom tooth: The 3 roots of the upper wisdom teeth are straight or curved. Often a nerve runs either through the roots or along the tooth. Your dentist will do everything possible to address this Not damaging the nerve

Possible additional benefits in the event of uncertainty

If questions remain unanswered after the X-ray, your dentist will order a DVT or CT. Both are imaging procedures that provide precise information about the position of the wisdom teeth. The imaging is higher quality and more detailed than an X-ray image. Comprehensive imaging is always useful when the X-ray image leaves questions unanswered.

The anesthesia

Refrain from eating and drinking about 6 hours before the extraction. Then the anesthesia is better tolerated. The dentist injects the local anesthetic directly into the upper and lower jaw. The anesthetist administers anesthetics for sedation and general anesthesia through a venous access. This is located in the crook of the elbow or on the back of the hand.

During sedation, you are in oneTwilight sleep. You continue to breathe by yourself. You can also hear the dentist and are responsive. In the case of general anesthesia, you will be given a breathing tube. He ensures artificial ventilation.

The engagement

Your dentist will explain the process of your wisdom tooth operation to you in advance. There are deviations depending on the position of the tooth. The basic steps are the same if just dragging is not possible:

  1. As soon as the anesthetic works,the dentist divides the gums and folds it to the side. In this way he can get to the wisdom tooth underneath without hindrance.
  2. He loosens stuck wisdom teeth with theBone drill. The drill first exposes the tooth.
  3. The dentist then removes the entire wisdom tooth. If this is not possible, your dentist will split the tooth. Then he removes the parts. This is advisable for surrounding nerves.
  4. Partial removal is often only done to prevent nerve damage. In this case, a tooth tip remains in the jaw.

During a wisdom tooth operation, the dentist may pull out several teeth. After every eight, your dentist will ask if he should take a break. If a tooth is removed, he puts a swab on the affected area. The swab stops the blood flow and stays therefor 30 to 40 minutes. After that, just remove it yourself.

Threads close the wound thoroughly. They prevent dirt and bacteria from settling. After a week, your dentist will remove the stitches. As a rule, by then, the swelling will recede after the operation - theHealing process the wound has started. With good and rapid wound healing, the threads often come off as soon as the wound recedes.

After the operation

In order not to disturb the healing process and to alleviate the pain, avoid the following things after the operation:

  • Coffee, black tea and other beverages containing caffeine: Caffeine basically increases blood pressure. This increases the risk of secondary bleeding. The heat of the drink is also an unnecessary burden.
  • Carbonated drinks: Better drink still water and cooled tea. Because the carbon dioxide in mineral water irritates your gums. Wound healing then takes longer.
  • Dairy products: Whether milk, yoghurt or cheese - dairy products are taboo after the wisdom tooth operation. The reason is the lactic acid bacteria. These settle in the wound and impair healing.
  • Alcohol: Do not use alcohol after the wisdom tooth operation. Alcohol worksanticoagulant. As a result, the risk of rebleeding increases and healing is delayed.
  • Smoke: Even if it is difficult: you should definitely give up cigarettes. Because the nicotine it containsdisrupts wound healing sustainable.

The wound plug as a sign of the healing process

After a while, the so-called wound plug forms over the wound. This consists of clotted blood. The wound plug is important because heprotects the wound. At the same time it symbolizes the healing process that is beginning.

To theNot to endanger the formation of the wound plug, do not brush your teeth or use mouthwashes of any kind on the day of the operation. Otherwise you risk inflammation of the gums, which complicates the healing process.

Side effects and risks of treatment

The side effects depend, among other things, on the choice of anesthesia. While the local anesthetic has hardly any side effects, dizziness and nausea often occur after sedation and general anesthesia. Vomiting is also possible.

The side effects of the anesthetic usually do not last longer than 36 hours and then subside by themselves. If this is not the case,be sure to contact your doctor. This also applies to persistent swallowing and breathing difficulties and to bleeding that does not stop.

Swelling and bleeding after surgery

If there is any swelling after the operation, that isabsolutely normal and no need to worry. For most patients, the swelling will gradually increase in the first 36 hours after the procedure. In order to influence them favorably, cool the affected cheek. Make sure your head is up. In addition, avoid any form of exertion and heat after the operation.

How swelling may occur after the surgeryBleeding on. But these decrease quickly. There is a particular risk of bleeding if you consume certain drinks and foods beforehand. Because coffee and black tea, for example, increase the bleeding tendency.

Bleeding: when to go to the doctor?

Nosebleeds are also not uncommon after wisdom tooth surgery. It occurs particularly frequently when the figure eight is removed from the upper jaw. However, nosebleeds are also possible after general anesthesia. Then the ventilation tube is often the reason. If the nosebleed persists for a long time, contact your doctor.

Do you experience pain after the operation?

Like bleeding, there is also pain after the wisdom tooth operation quite common. It has a consequent pain relieving effect Cool

Your dentist will also give you one after the procedure Pain medication With. Take this as needed and taking into account its recommendation. Most dentists choose ibuprofen. Because this pain reliever works both analgesic and anti-inflammatory. Therefore, the blood-thinning effect only plays a subordinate role.

All 4 teeth out at once?

If all 4 wisdom teeth are to be removed, the question arises: individually, in pairs or all at the same time? For you as a patient, a single session means that there is only one operation. With 2 operations you have to accept risks and side effects twice. However, multiple sessions are more useful if the dentist considers the removal to be difficult.

Who will pay for the wisdom teeth removal?

The statutory health insurance pays for the removal of the wisdom teeth.

Should your child's misaligned teeth be corrected by the dentist removing the wisdom teeth? Then the ERGO orthodontist instant protection for children is the ideal all-round protection for you: He protects against high co-payments for bills from the dentist or orthodontist. Both recommended and ongoing treatments are also insured.


Wisdom teeth are a kind of holdover from evolution and are therefore not needed. Instead, they can cause severe discomfort due to a lack of space in the jaw.

Wisdom teeth especially often break with age 17 to 21 years by. If they cause discomfort, the dentist recommends removing them. But even before pain occurs, it can make sense to remove the wisdom teeth. One possible reason that removal is advised is e.g. B. Tooth decay.

Informed and secure in every situation
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