Wisdom Tooth Removal

Our dentists provide wisdom teeth removal in-house, including impacted teeth that need a surgical extraction, with dental sedation available. Whether your wisdom teeth are impacted, causing pain, or need to be extracted for orthodontic reasons, our dentists will explain each step and help you plan your recovery.

What Are Wisdom Teeth?

Wisdom teeth are the third and last set of molars at the back of your mouth. They usually come in during the late teens or early twenties. Some people have room for them and never have a problem. For others, the teeth only partly come through, grow in at an angle or stay trapped under the gum and bone. These are called impacted wisdom teeth.

Signs your wisdom teeth may need attention

Wisdom teeth often cause no symptoms at first, so we check them on X-rays during regular exams. Book a visit if you notice:

  • Pain or pressure at the back of your jaw
  • Swollen, tender or bleeding gums behind your last molars
  • Trouble opening your mouth fully
  • Bad breath or a bad taste that keeps coming back
  • Food getting stuck around a partly erupted tooth

 

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Not every wisdom tooth needs to come out. After an exam and X-rays, your dentist will explain whether removal makes sense for you and what happens if you wait.

What happens during wisdom teeth removal

1. Exam and X-rays

Your dentist checks the position of each wisdom tooth, how close it sits to nearby nerves and teeth, and whether a simple or surgical extraction is needed. You’ll get a treatment plan and a cost estimate before anything is booked.

2. Freezing and optional oral sedation

We numb the area with local anesthetic, so you feel pressure but not sharp pain during the procedure. If you’re anxious, you can ask about oral sedation, a pill taken before your appointment that helps you feel relaxed. You’ll need someone to take you home if you choose sedation.

3. Simple or surgical extraction

A wisdom tooth that has fully come through can often be removed like any other tooth. An impacted tooth needs a surgical extraction: your dentist makes a small opening in the gum, may remove a little bone and may take the tooth out in sections. Stitches are sometimes placed and often dissolve on their own.

4. Aftercare instructions

Before you leave, we go over how to care for the area and give you written instructions to take home.

Recovery after wisdom teeth removal

Most people need a few days to feel back to normal. Your dentist will give you instructions for your situation; common advice includes:

  • Bite gently on gauze and change it when it’s soaked
  • Use a cold compress on your cheek during the first 24 hours
  • Eat soft foods and avoid hard, crunchy or very hot foods for the first few days
  • Don’t use a straw, smoke or spit forcefully for at least the first day
  • Rinse gently with warm salt water after the first day
  • Rest and avoid strenuous exercise for a day or two

Call us if pain gets worse after a few days, swelling keeps increasing, or bleeding won’t stop. If you have trouble breathing or swallowing, go to the nearest emergency department.

Cost and insurance

The cost depends on how many teeth are removed, whether the extractions are simple or surgical, and whether you choose oral sedation. We give you an estimate before treatment and bill most dental insurance plans directly. We also accept the Canadian Dental Care Plan (CDCP); see our CDCP information for patients page.

Why patients choose Vancouver Harbour Dental

  • Wisdom teeth removal done in-house, including surgical extractions
  • Oral sedation available for nervous patients
  • Open Monday to Friday 7am–7pm and Saturday 9am–5pm
  • Same-day emergency appointments during office hours
  • Appointments available in English, Farsi, Dari, Punjabi, Hindi, Urdu, Pashto, Spanish and Tagalog
  • At 1192 Melville St in Coal Harbour, Downtown Vancouver

Common questions

Does wisdom tooth removal hurt?

The area is numbed, so you shouldn’t feel sharp pain during treatment, though you’ll feel pressure. Some soreness and swelling afterwards is normal, and your dentist will tell you how to manage it.

Should I remove all four wisdom teeth at once?

It depends on your X-rays and symptoms. Your dentist will recommend whether to remove one side, all of them or none.

How long does the appointment take?

It depends on how many teeth are removed and how they’re positioned. Your dentist will give you a time estimate when you book.

Can I drive home after oral sedation?

No. Plan for someone to take you home after an appointment with oral sedation.

Book a wisdom teeth consultation

If your wisdom teeth are causing pain or you’re not sure whether they need to come out, book an exam at our Coal Harbour clinic.