Planning and proceeding


At a glance:

Before planning a wisdom tooth surgery, the following points should always be considered

  • Is the distance required??
  • When should the distance take place (eg during school holidays)?
  • How many wisdom teeth remove at once?
  • Type of pain elimination: local anesthesia, nitrous oxide, sedation or narcosis
  • Post-procedure behavior (medication, food, sports, school attendance, etc.)

An exact list with everything to be considered, we provide you in the area of ​​checklists!

“Why remove?” The removal of the wisdom teeth is required?

At a glance:

Out must have wisdom teeth that

  • have too little space
  • grow crooked
  • have already caused pain

The usual reasons for the removal of the wisdom teeth are lack of space in the jaw as well as “wrong” growth of the wisdom teeth (for more details see chapter Necessity / Indication). Wisdom teeth are also suspected to collapse the row of teeth. Therefore, wisdom tooth surgery is very often recommended in the context of orthodontic treatment. There are, however, many more reasons for the removal of wisdom teeth. I explain this to you in the area “background knowledge > Need / Indication “.

“What age to remove” Which is the best age for wisdom tooth surgery?

At a glance:

  • Best age for removal: as a teenager (15-20 years)
  • But even then easily possible

In principle, there is no age limit for wisdom tooth surgery. However, it makes the most sense to remove the wisdom teeth as soon as it is clear that they are not growing according to standards. This is evident around the age of about 15 to 16 years. At this point, the bone is still relatively soft and heals very fast. When they are removed, the wisdom teeth can no longer do any damage.

“When to remove” When should the distance take place: During holidays, on vacation, before the weekend etc.?

At a glance:

  • 3 days recovery time for simple wisdom teeth
  • one week recovery time in difficult cases
  • On holiday? Before the weekend?
  • No flight within 14 days

It does not matter if only one wisdom tooth or all four wisdom teeth are removed at the same time: The post-treatment time is almost identical. The typical complaints after wisdom tooth removal are pain, limitation of mouth opening and swelling of the cheek. Of course, we make sure that the complaints are as small as possible. We achieve this through a very gentle procedure and the use of decongestants during the procedure. Ideally, therefore, the next day the school could be visited again. However, we recommend that you plan a three-day rest as a precautionary measure. If the surgery is performed on a Thursday, Friday and the weekend could be used for recovery.

If a very complicated distance is due, we recommend a week recovery time. Further information can be found in the chapter “Difficulty level”.

Of course, you will receive from us a certificate (sick report) for the appropriate period.

Please note that flights involving the maxillary sinus are prohibited for 14 days.

How many at once How many wisdom teeth remove at once?

At a glance:

  • Each wisdom tooth individually – worst solution
  • Two / two: good solution, local anesthesia sufficient
  • All four in one go: best solution because of the use of nitrous oxide or narcosis

Basically, there are three options here:

1.) Each wisdom tooth individually: In my opinion, this is the worst option, because the complaints are similar, no matter whether we draw a wisdom tooth or remove several. When a wisdom tooth operation is over, the next one will follow a few days later. And with every wisdom tooth, going to us becomes more difficult and grueling.

2.) Two wisdom teeth at once: better. In the first session, the wisdom teeth of the left side and in the next session the right side could be pulled. However, the hope of being able to chew on the other side is often deceptive, as the chewing process sometimes hurts. As it uses nothing, if on the one hand everything is OK.

Another variant would be to first perform the wisdom tooth surgery only in the upper jaw. This usually causes virtually no complaints and is usually very fast. This keeps the children motivated and keeps enough vigor to tackle the second procedure in the lower jaw in a timely manner. This is almost always more extensive and associated with more discomfort, because the lower jaw bone is much harder. In addition, leftovers and saliva follow gravity and seep into the wound: inflammation can be the result.

Two wisdom teeth can be easily removed under local anesthesia

3.) All four in one go In our opinion, this is the best solution and also the one we perform most often. This has less medical than psychological reasons. Everything is done with one intervention. If you also work with nitrous oxide, sedation or narcosis to eliminate the pain, the procedure also does not put any strain on the young patients. An “all-round carefree package”, so to speak.

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Christina Cherry
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