Introduction: Why Wisdom Tooth Extraction Matters
Wisdom teeth, also known as third molars, are the last set of molars that typically emerge between the ages of 17 and 25. While some individuals experience no issues, many people face complications due to lack of space, misalignment, or impaction. In fact, research from the Australian Dental Association (ADA) suggests that up to 85% of people will need at least one wisdom tooth removed in their lifetime.
Common issues with wisdom teeth include:
✔ Impaction – When the tooth fails to fully emerge, becoming trapped under the gum.
✔ Crowding – Wisdom teeth can push against neighbouring teeth, causing misalignment.
✔ Infections and cysts – If bacteria accumulate around a partially erupted tooth, it can lead to infection or cyst formation.
✔ Tooth decay – Wisdom teeth are harder to clean, increasing the risk of decay and gum disease.
Cost of Wisdom Tooth Extraction in Australia
The cost of a wisdom tooth extraction in Australia varies depending on factors such as the complexity of the procedure, location, and type of anaesthesia used. On average:
✔ Simple extraction (local anaesthetic) – $200–$400 per tooth
✔ Surgical extraction (with sedation) – $400–$600 per tooth
✔ Hospital-based extraction (general anaesthetic) – $1,500–$3,000 for all four teeth
Many Australians use private health insurance to offset the cost. If covered under Extras or Hospital Cover, you may receive a rebate depending on your level of cover and waiting periods.
Understanding Wisdom Teeth: What Every Patient Should Know
Wisdom teeth can emerge without issues, but in most cases, they do not have enough space to grow properly, leading to potential dental problems.
Common Problems Caused by Wisdom Teeth
❌ Impacted Teeth: Wisdom teeth that are trapped beneath the gums can cause pain, swelling, and infection.
❌ Crowding: A lack of space in the jaw may result in misalignment, affecting adjacent teeth.
❌ Cavities & Decay: Wisdom teeth are difficult to clean, leading to a higher risk of plaque buildup and decay.
❌ Gum Infections (Pericoronitis): A partially erupted tooth creates a flap of gum tissue where food and bacteria get trapped, resulting in inflammation.
Actionable Tip:
If you are experiencing jaw pain, swelling, or difficulty opening your mouth, consult a dentist as these may be signs of wisdom tooth-related complications.
Dental Examination Process: What to Expect Before Extraction
A dentist or oral surgeon will conduct a thorough examination before deciding if removal is necessary.
Key Steps in the Dental Evaluation:
✔ Oral Examination: The dentist will check for swelling, redness, pain, or difficulty opening the jaw.
✔ X-Rays or CT Scan: A panoramic X-ray or CBCT scan helps determine the exact position, size, and root structure of the wisdom teeth.
✔ Treatment Discussion: The dentist will explain whether removal is necessary and discuss the best extraction method.
How to Prepare for the Exam:
- Make a list of any symptoms or pain you’ve experienced.
- Inform your dentist of any medical conditions or medications you take.
- Check with your private health insurance provider about coverage.
Actionable Tip:
Ask your dentist about sedation options if you have anxiety or fear about the procedure.
Anaesthesia Options for Wisdom Tooth Removal
1. Local Anaesthesia (LA):
💊 What it is: Numbs the area around the tooth while you remain awake.
✅ Best for simple extractions.
⚡ Costs: $200–$400 per tooth.
2. Sedation Anaesthesia (IV Sedation):
💉 What it is: Intravenous sedation makes you relaxed and drowsy but not completely unconscious.
✅ Recommended for moderate to complex extractions.
⚡ Costs: $400–$600 per tooth.
3. General Anaesthesia (GA):
😴 What it is: You are fully unconscious during the procedure, performed in a hospital.
✅ Best for impacted or multiple teeth removal.
⚡ Costs: $1,500–$3,000 for all four teeth.
How to Prepare for Anaesthesia:
✔ Follow fasting guidelines (no food or drink 6–8 hours before IV sedation or GA).
✔ Arrange for someone to drive you home after the procedure.
Actionable Tip:
If you experience severe anxiety about dental procedures, ask your dentist about twilight sedation for a more comfortable experience.
The Wisdom Tooth Extraction Process: Step-by-Step Guide
1️⃣ Anaesthesia is administered to ensure a painless procedure.
2️⃣ Incision (for impacted teeth): A small cut is made in the gum to expose the tooth.
3️⃣ Tooth Sectioning: If needed, the tooth is divided into smaller parts for easier removal.
4️⃣ Tooth Extraction: The dentist removes the tooth using forceps.
5️⃣ Stitching & Cleaning: The area is cleaned, and stitches may be placed for faster healing.
How to Prepare for Surgery:
- Wear comfortable clothing.
- Arrange for someone to drive you home.
- Stock up on soft foods for post-surgery recovery.
Actionable Tip:
If your procedure requires stitches, confirm with your dentist whether they are dissolvable or need removal.
Post-Extraction Care: What to Do After Surgery
The first 24–48 hours after extraction are crucial for healing.
Immediate Aftercare Steps:
✔ Apply ice packs to reduce swelling (15 minutes on, 15 minutes off).
✔ Bite on gauze to control bleeding for 30–45 minutes.
✔ Take prescribed pain relief (e.g. Panadol or Ibuprofen).
What to Avoid:
❌ No rinsing or spitting for the first 24 hours.
❌ No smoking or alcohol for at least 72 hours.
❌ No hard, spicy, or hot foods for a few days.
Recommended Soft Foods:
✅ Yogurt
✅ Mashed potatoes
✅ Scrambled eggs
✅ Smoothies
Actionable Tip:
Drink plenty of water, but avoid using a straw to prevent dry socket, a painful complication.
Recovery Period: How Long Does Healing Take?
Healing time varies, but the general timeline is:
✔ 24–48 hours: Swelling and discomfort peak.
✔ 3–5 days: Swelling subsides, and normal eating resumes.
✔ 1–2 weeks: Most healing is complete.
✔ 3+ months: The gum and bone fully heal.
When to Contact Your Dentist:
❌ Severe pain or swelling beyond 3 days.
❌ Pus or foul smell (sign of infection).
❌ Persistent bleeding after 24 hours.
Actionable Tip:
Keep all follow-up appointments to ensure proper healing and prevent complications.
FAQs About Wisdom Tooth Extraction
1. How painful is wisdom tooth removal?
With anaesthesia, the procedure is painless, but mild discomfort is expected during recovery.
2. Can I go to work after wisdom tooth removal?
It’s best to rest for at least 2–3 days before returning to work.
3. Does Medicare cover wisdom tooth removal?
Medicare does not cover wisdom tooth removal unless it is performed in a public hospital under general anaesthesia.
Conclusion: Key Takeaways for a Smooth Recovery
✔ Consult a dentist early to prevent complications.
✔ Choose the right anaesthesia option based on your comfort level.
✔ Follow post-op care instructions to speed up healing.
✔ Attend follow-up appointments to ensure proper recovery.
By understanding the procedure, costs, and aftercare, you can prepare for a smooth wisdom tooth extraction and a faster, pain-free recovery.
Ready to schedule your wisdom tooth consultation? Speak to a dentist today!