Wisdom tooth extraction may be recommended when a third molar causes pain, repeated infection, swelling, decay or damage to the neighbouring tooth. Not every wisdom tooth needs removal—the decision should be based on symptoms, tooth position, gum health and X-ray findings.
Treatment begins with a clinical examination and appropriate imaging to assess the roots, surrounding bone and nearby structures. Depending on its position, the tooth may be removed through a straightforward extraction or a minor surgical procedure under local anaesthetic.
After removal, some swelling, tenderness and jaw stiffness are normal, particularly during the first few days. Rest, appropriate pain relief, soft foods and careful oral hygiene support recovery. Protecting the healing blood clot is important, so smoking, vaping, vigorous rinsing and drinking through straws should be avoided initially.
Persistent or worsening pain, increasing swelling, fever or prolonged bleeding should be reviewed promptly.
The goal of wisdom tooth management is not routine removal, but thoughtful prevention of infection, discomfort and damage while protecting long-term oral health.