Wisdom Tooth Removal in Rawalpindi

The reason to remove one is damage it is doing, or damage it is clearly about to do. A tooth that is half out and half under the gum creates a flap that traps food and bacteria in a place no toothbrush reaches, and that site infects repeatedly. A tooth pressing at an angle into its neighbour decays that neighbour from a surface no filling can easily reach.

A wisdom tooth that is fully through, in a sensible position, in function, and cleanable is not a problem waiting to happen. Removing healthy teeth preventively fell out of favour in dentistry for a reason: the surgery carries real risks, and most of those teeth would never have caused trouble.

There is also a widespread belief that wisdom teeth push the front teeth crooked. The evidence for that is weak. Front teeth crowd with age in people who never had wisdom teeth at all, and extracting them to prevent crowding is not a reason we will offer you.

An X-ray comes first, always. It shows the shape and angle of the roots and, importantly, how close they sit to the nerve running through the lower jaw. That single image is the difference between a planned procedure and a surprise.

On the day the area is thoroughly numbed - you feel firm pressure and movement but not pain. A straightforward upper wisdom tooth can be out in a few minutes. A lower one lying sideways in bone takes longer and usually needs a small gum incision and a few stitches, often the dissolving kind.

Day one and two are the swollen days. Expect a puffy cheek, a sore jaw and limited mouth opening, all of which peak around 48 hours and then improve steadily. Painkillers taken on schedule rather than waiting for pain to arrive make a large difference to how the first two days feel.

The thing to avoid is disturbing the clot in the socket. No rinsing hard, no smoking, no straws for the first few days. A dry socket - where that clot is lost and bone is exposed - is the one genuinely miserable complication, and it is largely preventable.