Wisdom teeth are the last molars to develop. Not every wisdom tooth must be removed. The decision depends on disease, repeated symptoms and the risk of damage to the neighbouring tooth.

When is monitoring enough?

A healthy, fully erupted and cleanable wisdom tooth can often be checked regularly. An impacted tooth without symptoms is not automatically removed. The dentist assesses its position, surrounding tissues and hygiene.

When may removal be needed?

• repeated gum inflammation around a partly erupted tooth;
• pain, swelling or limited mouth opening;
• decay in the wisdom tooth or neighbouring tooth;
• a cyst or another pathological change;
• damage to the adjacent tooth;
• interference with planned treatment.

Facial swelling, fever, rapidly worsening pain, swallowing difficulty or breathing difficulty requires prompt assessment.

How is the tooth examined?

An X-ray helps evaluate the roots, position and relationship to the nerve canal or sinus. A 3D scan may be needed in a complex case.

How is a wisdom tooth removed?

A fully erupted tooth may be extracted in the usual way. A tooth under gum or bone may require surgical removal. Local anaesthetic is normally used, and the dentist or oral surgeon explains the procedure and risks beforehand.

What is recovery like?

Moderate pain, swelling and limited opening are common for the first few days. Follow the clinic’s instructions, use medicines only as advised and avoid forceful rinsing on the first day. Smoking can delay healing.

When should you contact the clinic?

Seek advice if bleeding does not settle, pain becomes stronger after a few days, fever develops, there is pus or worsening swelling. Breathing or swallowing problems require urgent help.

Frequently asked questions

Must all four teeth be removed at once?

No. The plan depends on position, need and health.

Should a symptom-free tooth be removed preventively?

Not always. A healthy tooth can often be monitored unless there is a clear risk.

How long does recovery take?

Most symptoms improve over several days, while complete healing takes longer.

If you need an oral surgeon in Tartu, contact the Denslux clinic.