Wisdom teeth are third molars that can be found at the very back of the mouth and can sometimes cause oral health issues. In those cases, it is necessary to remove your wisdom teeth with a tooth extraction procedure.

Wisdom teeth removal surgery is just that — when a dentist or oral surgeon surgically extracts one or more of your wisdom teeth.

It is important to properly prepare for this surgery and follow instructions for recovery. This can help you feel less discomfort and support the healing process.

Before wisdom teeth removal surgery

If the time is right to remove your wisdom teeth, there are a couple of steps you and your dentist will need to take to prepare for the procedure.

Step 1: Your dentist will examine your wisdom teeth and overall oral health. This exam is sometimes done at the end of a routine dental cleaning but may be performed as a stand-alone procedure — especially if you are experiencing discomfort.  

Your dentist may take X-rays to further assess the position of your wisdom teeth in the jaw. This helps them determine in advance if there are any issues that might complicate the surgery.

Step 2: You will want to ask your dentist for a pre-treatment estimate, so you can understand the costs of the procedure and how much your dental benefits will cover. Your dental office may also ask for your medical insurance information, especially if you will be seeing an oral surgeon for your procedure or using general anesthesia.

Step 3: In the days leading up to the surgery, you should prepare yourself by following any instructions from your dentist or oral surgeon. This could include:

• Arranging for transportation to and from the location of the surgery, if necessary.
• Not smoking or vaping for 48 to 72 hours prior to, as well as after, the operation.
• Fasting after midnight the night before if you will be going under general anesthesia.
• Brushing your teeth the night before and the morning of the procedure.
• You will discuss your anesthesia options with your dentist beforehand and choose from:
  • Local anesthesia is used to numb the area around your wisdom tooth or teeth, keeping you awake and comfortable during the procedure.  
  • Sedation anesthesia is given either intravenously (IV) or by taking medication orally. It makes you feel relaxed and sleepy.
  • General anesthesia, which is given either through an IV, gas, or both, and puts you to sleep during the procedure. This is typically used for more complex situations.
• Other instructions given to you by your dentist.