General DentistryWisdom Teeth Removal

At The Smile Collective, we provide wisdom teeth evaluation and removal services across our six locations: Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough and Strathmore.

Wisdom teeth removal, model 1, The Smile Collective

Each appointment includes a detailed evaluation, discussion of suitable options, and guidance on care before and after the procedure.

Wisdom teeth (also called third molars) are the final molars to emerge in the back of the mouth, typically between the late teenage years and early adulthood. While some people experience no issues, others may face pain, infection, or impact on neighbouring teeth. Removing wisdom teeth requires careful planning, assessment, and aftercare to manage risks and support recovery.

Understanding Wisdom Teeth

Most wisdom teeth start to develop in the late teens, though eruption may occur later. Some appear fully, some partially, and some remain impacted (not fully emerged). The timing and pattern vary significantly between individuals.

Why Problems Can Arise

Because wisdom teeth are so far back in the mouth, they often have limited space to emerge properly. Problems that may arise include:

  • Impaction: the tooth is blocked by bone or soft tissue and cannot emerge fully
  • Angulation issues: the tooth may push against neighbouring molars
  • Partial eruption: exposing part of the tooth to the mouth, making cleaning difficult
  • Infection or pericoronitis: inflammation of the gum flap over partially emerged teeth
  • Cysts or damage: rarely, cystic changes or damage to adjacent teeth may occur

Not all wisdom teeth cause symptoms or complications, but evaluation is important to monitor for potential issues.

Evaluation & Diagnosis

Prior to recommending removal, dentists perform a comprehensive evaluation. This typically includes:


Medical & Dental History Review

Understanding general health, medications, bleeding history, and past dental treatments helps assess suitability and risk.

Clinical Examination

The dentist assesses alignment, gum health around wisdom teeth, signs of infection or swelling, and how the tooth relates to adjacent teeth.

Imaging/Radiographs

Panoramic X-rays or cone beam scans may be used to visualise the position, roots, surrounding bone, and proximity to nerves (e.g. inferior alveolar nerve).

Risk Assessment & Treatment Planning

Based on the findings, the dentist determines whether removal is recommended, the difficulty level, and whether referral to an oral surgeon may be advised.

In some cases, wisdom teeth may be monitored rather than removed immediately if they are not causing harm. Monitoring involves periodic review to detect changes.

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Greensborough

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Mount Eliza

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When Removal May Be Recommended

Removal of wisdom teeth may be considered in situations such as:

  • Persistent pain, swelling, or infection around the wisdom tooth
  • Repeated episodes of pericoronitis
  • Damage or pressure on adjacent teeth
  • Decay in areas that are hard to reach or clean effectively
  • Cysts or radiographic changes in the surrounding bone
  • Orthodontic or restorative planning: wisdom teeth interfering with other tooth movements

The recommendation is always made based on individual conditions, balancing potential benefits and risks.

The Procedure: What to Expect

Wisdom tooth removal is a surgical procedure and involves several steps. The exact protocol depends on how impacted or developed the tooth is. Generally, the procedure proceeds as follows:

  • Anaesthesia & Sedation Local anaesthetic is applied to numb the area; in some cases, sedation may be used under professional supervision.
  • Incision & Access If the tooth is partially or fully impacted, the gum tissue may be incised to gain access. The bone overlying part of the tooth may be removed.
  • Tooth Sectioning (if needed) In some cases, the tooth is divided into sections to ease removal with minimal bone removal.
  • Extraction The tooth is carefully removed using appropriate dental instruments.
  • Cleaning & Debridement The socket is cleaned of debris and any granulation tissue.
  • Closing (Suturing) The incision may be stitched closed with absorbable or non-absorbable sutures.
  • Post-operative Instructions The dental professional will provide detailed instructions to manage pain, swelling, diet, oral hygiene and any possible complications.

The complexity and duration depend on factors such as root shape, bone density, tooth position, and anatomical considerations.

Risks, Considerations & Safety

As with any surgical intervention, wisdom teeth removal carries potential risks. Informed consent involves understanding these possibilities:

  • Pain and swelling
  • Bleeding/oozing
  • Infection
  • Dry socket or alveolar osteitis (a condition where the blood clot dislodges, delaying healing)
  • Nerve involvement
  • Sinus involvement (upper teeth)
  • Stiffness or jaw discomfort

Before any procedure, an assessment is carried out to understand individual risk factors. Each step follows safe clinical protocols, professional standards, and appropriate follow-up to support patient safety.

Recovery & Aftercare

Successful recovery depends on careful aftercare. Patients should expect and follow these guidelines:

Rest & Activity
Moderate rest is advised after surgery. Avoid strenuous activity for a few days.

Diet
Begin with soft foods and liquids. Avoid hard, sharp or crunchy foods during early healing.

Avoid drinking through a straw in the early days, as suction can dislodge the healing clot.

Oral Hygiene & Rinsing
Keep the area clean, but avoid vigorous rinsing for the first 24 hours. After that, gentle rinses with salt water may be advised. Follow the practitioner’s specific instructions.

Pain & Swelling Management
Pain relief should follow the guidance provided by the dentist. Cold packs may help with swelling in the first 24–48 hours.

Bleeding Control
If there is light bleeding, gentle pressure with gauze may help. If bleeding persists, contact the dental clinic.

Monitoring & Follow-up
It’s important to attend scheduled check-ups so healing can be reviewed. If symptoms such as increased pain, swelling, fever, or ongoing bleeding occur, contact the dental clinic for further assessment.

Healing time varies for each person. Initial recovery may occur within the first week, while the bone and surrounding tissues continue to heal over the following weeks or months.

Interaction with General Health & Special Considerations

When planning removal, general health factors may affect timing and risk. For example:

  • Smoking can slow healing and increase the risk of dry socket
  • Systemic conditions (e.g. diabetes, immune conditions) may impact recovery
  • Medications such as anticoagulants require attention
  • Pregnancy: elective removal may be postponed until after pregnancy unless absolutely necessary

These factors are considered thoroughly during the evaluation and planning stage to ensure safety.

Alternative Management & Monitoring

Not all wisdom teeth need to be removed straight away. If the teeth are positioned well, not causing symptoms, and show no signs of concern, they can be monitored over time. This approach involves regular check-ups and occasional X-rays to track any changes. If a problem develops later, removal may then be considered.

Patient Education & Informed Decision-Making

An essential part of wisdom tooth care is ensuring patients understand their options. Discussion often covers:

  • The benefits of removal versus the option to monitor
  • The likely course of healing and potential risks
  • What to expect during recovery and typical timelines
  • Importance of following aftercare instructions
  • When to seek review if symptoms change

This approach allows patients to be involved in decisions about their care.

Wisdom Teeth Removal at The Smile Collective

Wisdom tooth evaluation and removal services are available at all six Smile Collective locations in Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough and Strathmore.

Our approach emphasises safety, thorough assessment, patient education and attentive follow-up care. If you would like to discuss wisdom tooth concerns, possible removal or monitoring, please contact your nearest Smile Collective clinic for further information.