Most people will need their wisdom teeth removed at some point, yet the thought of oral surgery can feel overwhelming. If your dentist has recommended extraction, you’re probably wondering what the procedure involves and how long recovery will take.
At St. Augustine Oral & Facial Surgical Center, Dr. Douglas L. Johnson and his team perform wisdom teeth removal with precision and care every day. Understanding what to expect during the procedure and how to care for yourself afterward can ease your concerns and help you prepare for a smooth recovery.
Why Wisdom Teeth Need to Be Removed
Wisdom teeth are the last molars to emerge, usually between ages 17 and 25. Because most mouths don’t have enough space for these extra teeth, they often become impacted, meaning they can’t fully break through the gums. When this happens, wisdom teeth can cause crowding, infection, cysts, damage to neighboring teeth, and chronic pain. Removing them before they cause problems is often the best approach.
What Happens During Wisdom Teeth Removal
The extraction procedure begins with anesthesia to keep you comfortable. Dr. Johnson performs the procedure under IV sedation, which allows you to remain relaxed and pain-free throughout. Once you’re sedated, he makes a small incision in the gum tissue to access the tooth. If the tooth is impacted, he may need to remove a small amount of bone or divide the tooth into sections for easier removal. After the tooth is extracted, the site is cleaned and stitches are placed if needed. The entire process typically takes 45 minutes to an hour for all four wisdom teeth.
Immediate Recovery in the First 24 Hours
The first day after surgery is crucial for proper healing. You’ll need someone to drive you home and stay with you for the rest of the day. Expect some bleeding, which is normal. Bite gently on the gauze pads placed over the extraction sites, changing them as they become soaked. Swelling usually starts within a few hours and peaks around day three. Apply ice packs to your cheeks for 20 minutes on and 20 minutes off during the first 24 hours to minimize swelling. Stick to soft, cool foods like yogurt, smoothies, and applesauce, and avoid using straws, as the suction can dislodge the blood clots forming in the extraction sites.
Managing Pain and Discomfort
Some discomfort after wisdom teeth removal is expected, but it’s manageable with the right approach. Dr. Johnson will prescribe pain medication or recommend over-the-counter options based on your needs. Take medication as directed, ideally before the anesthesia wears off completely. Most patients find their pain decreases significantly after the first few days. If you experience severe or worsening pain after three days, contact the office, as this could indicate a complication like dry socket.
What to Eat During Recovery
Your diet plays an important role in healing. For the first few days, focus on soft foods that require minimal chewing. Good options include mashed potatoes, scrambled eggs, soup, oatmeal, smoothies, and pudding. Gradually introduce more solid foods as you feel comfortable, usually after three to five days. Avoid hard, crunchy, or sticky foods that could irritate the extraction sites or get stuck in the healing sockets. Hot foods and beverages should also be avoided initially, as they can increase bleeding.
Following Your Post-Surgical Instructions
Dr. Johnson provides detailed aftercare instructions to help you heal properly. Here are some key guidelines to follow:
- Keep the extraction sites clean: Starting 24 hours after surgery, gently rinse your mouth with warm salt water several times a day, especially after meals.
- Avoid disturbing the blood clots: Don’t spit forcefully, use straws, or smoke for at least 72 hours after surgery, as these actions can dislodge the clots and lead to dry socket.
- Rest and limit activity: Take it easy for the first few days and avoid strenuous exercise for at least a week.
- Watch for warning signs: Contact Dr. Johnson if you experience excessive bleeding, fever, severe pain, difficulty swallowing or breathing, or signs of infection.
Following these instructions carefully will significantly reduce your risk of complications and speed up your recovery.
Returning to Normal Activities
Most people feel well enough to return to work or school within three to five days after wisdom teeth removal. However, you should avoid heavy lifting, intense exercise, and activities that could bump your face for at least a week. Your extraction sites will continue healing over the next several weeks, and complete healing of the bone can take several months. You’ll have a follow-up appointment to ensure everything is progressing as expected.
Preventing Dry Socket
Dry socket is one of the most common complications after wisdom teeth removal, occurring when the blood clot at the extraction site becomes dislodged or fails to form properly. This exposes the underlying bone and nerves, causing significant pain that typically begins three to four days after surgery. You can prevent dry socket by avoiding straws, not smoking, following dietary restrictions, and keeping the area clean without disturbing it. If you develop dry socket, Dr. Johnson can treat it quickly to relieve your discomfort.
Get Comfortable Care at St. Augustine Oral & Facial Surgical Center
Wisdom teeth removal doesn’t have to be a stressful experience. At St. Augustine Oral & Facial Surgical Center, Dr. Douglas L. Johnson brings years of specialized training to every procedure. As a Board Certified Diplomate of the American Board of Oral & Maxillofacial Surgeons and a Board Certified Diplomate of the National Dental Board of Anesthesiology, Dr. Johnson ensures your safety and comfort throughout the entire process. Our AAAHC-accredited facility is equipped with advanced technology and staffed by certified surgical assistants and a registered nurse practitioner.
Whether you’re experiencing pain from impacted wisdom teeth or want to address them before problems develop, our team is here to help. We work with Delta Dental, Humana, Cigna Dental, and file claims as a courtesy for all PPO dental plans to make your care as affordable as possible. Ready to schedule your consultation? Contact us today to learn more about wisdom teeth removal and take the first step toward a healthier, more comfortable smile.
