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Brightside Surgical dentistry

Wisdom teeth, and
whether they need to go.

Not every wisdom tooth needs removing. The ones that do are usually impacted, repeatedly infected, or damaging the tooth in front.

What it is

Leaving them alone is sometimes right.

A wisdom tooth that has come through straight, is cleanable and is not causing trouble can often stay. The case for removal is impaction, recurring infection around a partly erupted tooth, decay that cannot be restored, or damage to the second molar. We will tell you which of those applies, and if none does, we will say that too.

  • Pain or swelling at the back of the jaw
  • The gum over a partly erupted tooth keeps getting infected
  • It is impacted on an x-ray
  • Food traps behind the last tooth constantly
  • The tooth in front is being damaged
  • You cannot clean back there properly

What the visit is like

How it is handled.

  1. Imaging firstAn x-ray or scan showing the roots and their relationship to the nerve. That is what decides whether this is straightforward here or a referral.
  2. An honest call on who should do itMany come out here. Where roots sit close to the nerve or the tooth is deeply impacted, an oral surgeon is the better choice and we will refer you.
  3. Freezing, and sedation if you want itLocal alone is enough for many people. Sedation is available and often makes a longer case easier.
  4. Aftercare in writingSwelling peaks around day two or three, which catches people out. You get what is normal, what is not, and a number to call.

Cost and coverage

You should never be surprised by a bill.

Every plan arrives with the fee beside each line and the insurance estimate beside that, before you agree to anything. We submit to your plan directly where it allows it, and we are set up for the Canadian Dental Care Plan.

Fees for this are quoted in writing after an exam, per tooth and per surface. Nobody can price it accurately from a website or over the phone.


Common questions

Asked on the phone most weeks.

Do all wisdom teeth need to come out?
No, and that is worth saying plainly. Ones that are through, cleanable and causing no trouble can often stay. Removal is for impaction, recurring infection, decay or damage to the tooth in front.
Will I be put to sleep?
Not asleep. Many wisdom teeth come out with local freezing alone, and sedation is available if you would rather not be alert. Neither is a general anaesthetic.
How long is recovery?
Soreness and swelling for several days, peaking around day two or three, then settling. Soft food to start. Surgical removals take longer than simple ones and you will get a realistic range for your case.

Booking

Say what it is when you call.

If it is pain, say that -- it changes how the day gets arranged. If it is a checkup for three people, say that too and we will try to put you in one morning.

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