Wisdom teeth — your third molars — are the last teeth to erupt, typically between ages 17 and 25. For most people in Ranchi, and across India, the jaw simply doesn't have enough space to accommodate them comfortably. The result is impaction: the tooth gets stuck, grows at an angle, and causes a cascade of problems.
This article explains when wisdom teeth actually need to come out, what the procedure involves, and what recovery looks like — so you can make an informed decision without anxiety.
When does a wisdom tooth need to be removed?
Not every wisdom tooth needs extraction. Some erupt fully and cause no problems. But removal is recommended when:
- The tooth is impacted — partially or fully stuck in the jawbone or gum, unable to erupt normally
- Repeated pericoronitis — infection of the gum flap over a partially erupted tooth, causing pain, swelling, and sometimes difficulty opening the mouth
- Decay or gum disease — wisdom teeth are very hard to clean properly; cavities and gum disease around them are common
- Pressure on adjacent teeth — an impacted wisdom tooth can push against the second molar, causing root resorption or crowding
- Cyst formation — a sac around an unerupted tooth that can damage surrounding bone
A digital X-ray (OPG) is the standard way to assess wisdom tooth position and root anatomy. At White Oak, this is part of your initial consultation.
Types of wisdom tooth extractions
Simple extraction — if the tooth has fully erupted and has a straightforward root structure, it can be removed with forceps under local anaesthesia. This takes 5–15 minutes per tooth and is comparable to any other extraction. Cost starts from ₹999.
Surgical extraction — if the tooth is impacted (partially or fully beneath the gum or bone), a small incision is made, the tooth may be sectioned into pieces for easier removal, and the site is sutured. This is still done under local anaesthesia in the dental chair — not in a hospital operating theatre. Cost starts from ₹2,999.
What happens during the procedure
Here is the sequence of a typical surgical wisdom tooth removal at White Oak:
Step-by-step: surgical extraction
Local anaesthesia
The gum and surrounding area is numbed. You'll feel pressure, not pain.
Incision and flap elevation
A small cut in the gum exposes the tooth and bone. The gum is reflected back.
Bone removal (if needed)
A small amount of bone may be removed to access a fully impacted tooth.
Sectioning and removal
The tooth is divided into sections if necessary and removed piece by piece.
Suturing
The gum is sutured closed. Dissolving sutures are used — no return visit needed to remove them.
What to expect during recovery
Day 1–2: Mild to moderate swelling and soreness. This is the peak. Keep your head elevated, apply an ice pack (20 minutes on, 20 off) for the first 24 hours, and take prescribed pain medication. Soft foods only — rice, dal, curd, smoothies. Do not use a straw (suction disrupts clot formation).
Day 3–5: Swelling peaks around day 3 for surgical cases, then gradually subsides. Most patients feel significantly better by day 4–5. You can switch from ice to warm compress after 48 hours to help with healing.
Day 7: Review appointment. We'll check healing, remove any non-dissolving sutures if used, and confirm you're progressing normally.
Week 2–3: Full healing of the soft tissue. Bone takes longer (several months) but you won't feel it.
Warning signs to call us about
- Severe worsening pain 3–4 days after surgery (could indicate dry socket)
- Fever above 38°C
- Numbness or tingling that hasn't improved after a week
- Inability to open your mouth more than slightly (trismus)
- Pus or foul taste from the extraction site
We give every patient our direct contact details. If anything feels wrong, call us — don't wait for symptoms to worsen.
Can I remove all four wisdom teeth at once?
It's possible to remove multiple wisdom teeth in a single visit under local anaesthesia, but we typically recommend removing one side at a time (both upper and lower on the same side). This way you can eat comfortably on the other side during recovery. We'll advise based on your specific case and the complexity of each tooth.
— Dr. Ananya, MDS Prosthodontics, White Oak Dental Studio, Ranchi
