Can you have all 4 wisdom teeth removed at once

The majority of people who have had a tooth extraction done, whether they have had time to prepare for it or not, do not have the fondest memories of the event. Even if their own experience was not as dreadful, they might have heard horror stories about dental procedures that lasted for hours on end which make their actual memory of the procedure far more intimidating than it actually was. This is why they are petrified of having a single tooth taken out, let alone undergoing a serial tooth extraction.

Why, then, do dental and oral surgery professionals recommend having all 4 wisdom teeth extracted at once?

Should you remove all 4 wisdom teeth at once?

First things first: do you need to have all your 4 wisdom teeth pulled out? Your oral surgeon will decide on that upon taking a panoramic image of your upper and lower jaw. This imaging is more comprehensive than the traditional intraoral X-rays. It enables your oral surgeon to get a wide, panoramic view of all four of your wisdom teeth at once and make an evaluation and diagnosis of both your wisdom teeth and other important structures. 

You may not be pleased with the situation of having to have your wisdom teeth pulled out and you might be even less enthusiastic about the idea of having all four of them extracted at once. But here’s what you need to know: 

• There is a range of anesthesia options designed to make the extraction procedure easier.
• Recovery time is the same regardless of whether a patient has had one or all four teeth removed. You will also need to make fewer visits to the office, which is excellent news as you can be finished with the procedure with few disruptions to your daily routine. 

How long does it take to remove 4 wisdom teeth?

You may have heard that removing a single wisdom tooth could take as long as two hours, and you cannot bear to think how long having all four wisdom teeth extracted at once could take. This is precisely why it’s important to turn to an experienced oral surgeon for consultation on the procedure. An experienced specialist will plan your wisdom tooth extractions to secure efficiency, reduce risk of complications and ensure your comfort. They can carry out the procedure in as little as 30 minutes.

Safe same day emergency tooth extraction available across Temecula Valley

Spare yourself the ordeal of wisdom tooth complications and pathology. Whether it’s a lower degree of wisdom tooth impaction, infection and damage-causing erupting wisdom tooth, worsening periodontal disease or worst-case scenarios such as jaw fracture caused by a neglected wisdom tooth-related cyst in the jawbone, you do not want to let the situation get out of hand. You’ll be ready for a carefree family expedition to Oak Mountain before you know it. Reach out to us today and let us prevent your problem from escalating. Contact us now!

Posted on Dec 2nd, 2020 7:44 am
Filed under teeth extraction, wisdom teeth removal . You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.

Wisdom teeth, also known as third molars, are the last set of permanent teeth to erupt, usually between the ages of 18 and 21. Although known as the “wisdom teeth”, these teeth are unfortunately not very smart; because of their tendency to grow in the wrong direction, they become impacted and cause a lot of problems in the process.

In recent years, it has been observed that more and more young adults are presenting with at least one impacted wisdom tooth, and although the exact cause is not known, it has been speculated that our modern diet has resulted in smaller jaws which cannot accommodate all our teeth. Consequently, the wisdom teeth do not have enough space to erupt properly and will become impacted. In Singapore, one study showed that almost 70% young adults between the ages of 20 and 40 have at least one impacted wisdom tooth1.

Types of Wisdom Teeth Impaction

Problems of Impacted Wisdom Teeth

Partially-erupted wisdom tooth with an inflammed gum flap, known as pericoronitis.

Decayed impacted wisdom tooth.

An X-ray of an impacted wisdom tooth causing a large decay (which appears darker) on the second molar, highlighted by the red circle.

This X-ray of our patient shows a root resorption of the second molar, as outlined in red, which was caused by an impacted wisdom tooth.

An X-ray image of another patient, showing severe resorption of the second molar. The second molar cannot be saved and has to be removed together with the offending wisdom tooth.

Need a Wisdom Tooth Consult? Book an Appointment with Us.

To Remove or Not To Remove? That Is the Question

It’s always best to see a dentist for an examination first before deciding if your wisdom teeth need removal. Radiographs or X-rays are also necessary as sometimes the wisdom teeth lie just beneath the gums and cannot be seen in the mouth.

If you are one of those lucky few whose wisdom teeth are all fully erupted and at the correct angulation, then there is no need for you to have any of them removed unless they are decayed or difficult to maintain.

Fully-erupted wisdom teeth which do not require removal.

If your wisdom tooth is deeply buried (fully encased in bone), it may not be necessary to remove it since it will not cause food trapping (which leads to gum infection and decay). However, due to its potential to turn into a cyst (an expanding fluid-filled pathology which erodes into the neighbouring bone and teeth), it is recommended that the tooth be monitored with regular X-rays.

If your wisdom tooth is partially erupted, it will remain so and is at high risk of developing symptoms; hence, it is recommended that you have it removed sooner rather than wait for it to become painful.

Should you remove problematic wisdom teeth before having any symptoms such as pain and swelling?

Yes, you should! Waiting for the wisdom teeth to start bothering you is actually not a good idea. There are two very good reasons to justify prophylactic removal of wisdom teeth:

Impacted wisdom tooth which traps food and should be removed as soon as possible.

Should you decide to remove a lower impacted wisdom tooth, we sometimes recommend that you remove the upper wisdom tooth at the same time, even if it is not impacted, as leaving it will allow it to over-erupt and it will come into contact with the lower gums when you bite, leading to ulcers, cheek biting and pain. Also, the tooth is non-functional since it does not have an opposing tooth and may be challenging to clean.

Upper wisdom tooth which is not impacted but is causing pain by impinging on the lower gums.

Removal under Local Anaesthesia vs General Anaesthesia

Most wisdom teeth surgery can be done under local anaesthesia. This means a chair-side procedure where the surgical area is first numbed up and the tooth removed while the patient is awake. After the surgery, the patient does not need to be accompanied home as there are no drowsy side-effects. If you are having the lower wisdom tooth removed under local anaesthesia, you can consider removing the upper wisdom tooth at the same time. That way, you can still chew on the unaffected side while you recover.

However, if you have 2 to 4 impacted wisdom teeth and you are very nervous about the surgery, you can opt for general anaesthesia, where you will be put to sleep for the entire duration of the surgery (technically, one is not asleep during general anaesthesia but unconscious). However, you can only have this done at facilities equipped with life support and resuscitation devices, and that would mainly be at hospitals. Additionally, be prepared to pay an additional $800 to $1000 on top of the surgical fees, in order to cover for the anaesthetist and operating theatre fees; you will also need to be accompanied home as you will be suffering from drowsiness and sometime nausea after the surgery.

Generally speaking, normally only 1 to 2 wisdom teeth on the same side is removed under local anaesthesia, whereas under general anaesthesia, all wisdom teeth should be removed at the same time. So do expect a longer downtime of around 8 days of medical leave after general anaesthesia, as opposed to 5 to 7 days medical leave for local anaesthesia, and a longer period on a soft diet as both sides would be sore and swollen after the surgery.

Can I Utilise Medisave for Wisdom Tooth Surgery?

If your wisdom tooth is fully erupted and can be removed without any surgical intervention, then this is considered an extraction and you cannot use your Medisave funds to pay for the extraction.

However, if your wisdom tooth is not fully-erupted, or is positioned underneath the gum or in the wrong direction (considered impacted), where surgery is required to expose the tooth completely and to remove the tooth, then yes, you may utilise your Medisave funds (or that of your spouse’s, parent’s, child’s or sibling’s, with their consent) to pay for the surgery, as well as any medications, consumables and radiographs taken on the day of the surgery.

If you suspect you have one or more wisdom teeth that are bothering you and would like to know if they need to be removed, you can request an appointment with us by clicking here or on the button below:

Request a Wisdom Tooth Consult with Us.

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