Wisdom teeth removal is one of the most common oral surgery procedures, but many patients still have questions about what to expect before and after surgery. Below are answers to some of the most frequently asked questions about wisdom teeth removal, healing, and recovery.
How Many Wisdom Teeth Do People Have?
Most people have four wisdom teeth — one in each back corner of the mouth. Wisdom teeth are the last set of molars to develop and typically begin to erupt between the ages of 17 and 25. However, not everyone develops all four wisdom teeth. Some people may only have one, two, or three, while others may not develop wisdom teeth at all.
What Are the Common Symptoms of Wisdom Teeth Needing Removal?
Honestly… the best time to remove wisdom teeth is usually before symptoms even start. For most patients, that is around ages 15–22, depending on how the teeth look and develop on X-rays. Waiting too long can increase the risk of:
- Pain and pressure
- Headaches
- Crowding
- Cavities
- Gum infection around the teeth
- Periodontal problems
And once symptoms begin, patients are often trying to schedule surgery quickly because they are already uncomfortable. Removing wisdom teeth earlier often means:
- Easier healing
- Fewer complications
- More predictable surgery
- The flexibility to schedule treatment when it is convenient for you
Prevention is key.
What Are the Risks of Wisdom Tooth Removal?
Like any surgical procedure, wisdom tooth removal does come with risks — but the specific risks depend on your anatomy, the position of the teeth, and what we see on your X-rays. The most common things patients experience are:
- Pain
- Swelling
- Bleeding
- Bruising
- Temporary stiffness or soreness
There is also a risk of dry socket or delayed healing, which can cause prolonged discomfort after surgery. For lower wisdom teeth specifically, there can be temporary numbness of the lower lip, chin, or tongue because the nerves run close to the roots of the teeth. In most cases, this improves with time. Other less common risks can include:
- Infection
- Sinus communication with upper teeth
- Damage to nearby teeth or fillings
The good news is that a thorough evaluation and treatment plan helps minimize these risks as much as possible. Every surgery is a balance of risks versus benefits, and that conversation should always be individualized to the patient.
What Foods Can You Eat After Wisdom Teeth Removal?
For the first few days after wisdom teeth extraction, patients should stick to soft foods that do not require much chewing. Good options include:
- Yogurt
- Smoothies or milkshakes (with a spoon)
- Applesauce
- Mashed potatoes
- Scrambled eggs
- Mac and cheese
- Soup once it has cooled down
The goal is to protect the surgical sites while the body heals. Foods that are crunchy, sharp, spicy, or difficult to chew should be avoided initially.
When Can You Eat Normally After Wisdom Teeth Removal?
Recovery varies from person to person, but many patients begin transitioning back to more normal foods within about a week. Patients should listen to their bodies during recovery. If chewing causes pain or discomfort, it is usually a sign that more healing time is needed. Crunchy foods such as chips, popcorn, nuts, and seeds are generally avoided during the early healing period because they can irritate the surgical sites.
What Are Ways to Manage Pain From Wisdom Teeth Removal?
Some discomfort, swelling, and soreness are normal after wisdom teeth surgery. Most patients can successfully manage post-operative discomfort by:
- Taking medications as prescribed by the surgeon
- Using ice packs during the first 24–48 hours
- Eating soft foods
- Staying hydrated
- Resting and avoiding strenuous activity for several days
Many surgeons recommend a combination of over-the-counter and prescription medications depending on the complexity of the procedure and the patient’s needs.
Will Wisdom Teeth Grow Back?
No — once wisdom teeth are completely removed, they do not grow back.
What Are the Best Mouth Rinses to Use After Wisdom Teeth Removal?
Gentle oral hygiene is important after surgery to help keep the mouth clean while healing. Warm salt water rinses are commonly recommended beginning about 24 hours after surgery. I also generally prescribe chlorhexidine, also called Peridex, which is an antimicrobial mouth rinse that helps reduce bacteria and facilitate healing after surgery. Patients should avoid aggressive swishing immediately after surgery and always follow their surgeon’s specific post-operative instructions.
Dr. Lora Parker is a female oral and maxillofacial surgeon specializing in wisdom teeth removal, dental implants, bone grafting, tooth extractions, and IV sedation in Noblesville, IN and surrounding communities including Westfield, Carmel, Fishers, Pendleton, Indianapolis, Zionsville, Kokomo, and Cicero.