If you’re wondering whether your wisdom teeth need to come out, this post explains how to tell if removal is necessary, what happens during wisdom teeth extractions, and what recovery looks like. You’ll get clear signs to watch for, an overview of the procedure, and practical next steps if you or a family member needs care. If you have pain or X-ray concerns and aren’t sure whether to get your teeth pulled, this guide will help you decide when to seek a consult.
What are wisdom teeth?
Wisdom teeth are the third molars at the very back of the mouth. They usually appear between ages 17 and 25. For some people they come in normally and cause no trouble. For others, they grow at an angle, become impacted, or only partially emerge. Because they sit far back, they are hard to clean and can lead to pain, decay, gum problems, or pressure on nearby teeth. Not all wisdom teeth must be teeth pulled — some are fine to leave and simply monitor.
Common signs you may need your wisdom teeth pulled
Pain or persistent discomfort
Pain near the back molars or pain that radiates into the jaw can mean a wisdom tooth is pressing on other teeth or causing infection. Pain that doesn’t go away with home care should be evaluated.
Swelling, redness, or repeated infection
Pericoronitis is inflammation of the gum around a partially erupted wisdom tooth. It can cause swelling, bad taste, and repeated infections. If infections recur despite antibiotics, removal is often the best option.
Crowding or shifting teeth
Wisdom teeth that push on other molars can cause crowding or undo orthodontic work. If your dentist notices movement or pressure on adjacent teeth, extraction may be recommended.
Decay or gum disease around a wisdom tooth
The back of the mouth is hard to keep clean. Cavities or periodontal pockets around wisdom teeth are common and can harm adjacent teeth. When decay or gum disease is present, removal is often safer than long-term treatment in a difficult-to-clean area.
When extraction is recommended vs. when monitoring is ok
Surgeons consider several factors before recommending removal. Common reasons to extract include impacted teeth, a history of infections, damage to nearby teeth, cysts, and interference with orthodontic plans.
Asymptomatic but impacted teeth
Some impacted wisdom teeth cause no pain but sit in a position that risks future problems. Leaving them can lead to cysts, infection, or damage to adjacent roots. Many clinicians recommend removal before symptoms start, especially in younger patients when healing is faster.
Monitor-only cases
If a wisdom tooth is fully erupted, cleanable, and shows no signs of disease, a dentist may suggest regular X-rays and exams instead of immediate removal. Watch for new pain, swelling, or changes on follow-up imaging.
What to expect during wisdom tooth removal
Before surgery you’ll get X-rays or a CBCT scan, a medical history review, and a clear treatment plan. The surgeon will explain risks and recovery steps.
Anesthesia and comfort options
Options include:
- Local anesthesia — you are awake but numb at the site.
- IV sedation — you’re relaxed and may have limited memory of the procedure.
- General anesthesia — you’re fully asleep for the surgery.
Your surgeon will recommend the best option for comfort and safety based on the complexity of the removal and your medical history.
The procedure itself
Under anesthesia, the surgeon makes a small gum incision if needed, removes bone blocking access, and extracts the tooth. Teeth may be sectioned into pieces for easier removal. The site is cleaned and sutured if necessary. Most extractions take 20–60 minutes depending on complexity.
Recovery after having wisdom teeth pulled
Expect swelling and discomfort for several days. Pain is usually worst the first 48–72 hours, then improves. Most people return to normal activity in 3–7 days, though full bone healing takes longer.
Pain control and medications
Your surgeon may prescribe pain meds and sometimes antibiotics. Over-the-counter options like ibuprofen and acetaminophen help for mild pain. Follow dosing instructions and avoid smoking or using straws, which can cause dry socket.
Diet and oral care
Stick to soft foods (yogurt, smoothies, mashed potatoes) for a few days. Gently rinse with salt water starting 24 hours after surgery to keep the area clean. Resume normal brushing carefully, avoiding the surgical sites until your surgeon advises.
When to call your surgeon
- Heavy or uncontrolled bleeding
- High fever or chills
- Severe, worsening pain after 2–3 days (possible dry socket)
- Numbness that doesn’t improve or new weakness
- Signs of spreading infection (increasing swelling, trouble breathing or swallowing)
Preparing for your appointment and practical concerns
Bring your ID, a list of medications, and any insurance information. If you choose IV sedation or general anesthesia, arrange a responsible adult to drive you home. Plan at least one to three days off work or school for initial recovery.
Insurance coverage varies for wisdom teeth extractions. Call your insurer and the office before the appointment to confirm benefits and get cost estimates. The practice can explain payment options and typical fees for teeth pulled during the consult.
Why choose a board-certified oral surgeon for teeth pulled?
Board-certified oral and maxillofacial surgeons have hospital-based training in complex extractions, airway management, and anesthesia. Texas Center for Oral Surgery & Dental Implants has board-certified surgeons, on-site IV sedation, and advanced imaging to plan safe, comfortable extractions. Their team offers experience with difficult cases and digital tools to reduce risk and speed recovery.
Quick FAQs
Q: Is it dangerous to leave wisdom teeth in?
A: Not always. If they’re healthy, cleanable, and not causing problems, many people keep them. But impacted or disease-prone teeth can lead to infection, cysts, or damage over time.
Q: How long does healing take after teeth pulled?
A: Pain and swelling usually improve in 3–7 days. Soft tissue heals in a few weeks; full bone healing can take months.
Q: Will my insurance cover removal?
A: Coverage depends on your plan and the reason for extraction. Check your benefits and call the office for help estimating costs and preauthorization if needed.
Closing / Next steps
If you have pain, swelling, or an X-ray that worries you, schedule a consultation for an exam and imaging. A specialist can explain options, recommend the safest timing, and plan anesthesia for comfort. Contact the practice to arrange an evaluation with minimal pressure and clear next steps.