Wisdom Tooth Extraction — Difficult
Wisdom teeth are graded by how they sit in the jaw, because that decides how they are removed and how recovery goes. "Difficult" is one of six grades we use, from Easy to Nerve Proximity. The grade is set after the examination and X-ray, never from the outside alone.
What it is
The tooth is impacted: held in the bone at an angle, with roots that are long, curved or close together. The tooth is usually divided and removed in pieces after a small gum opening. Your dentist shows you the X-ray, explains why your tooth falls in this grade, and gives you the fee before anything starts.
Who it is for
- An impacted tooth with recurring pain or infection
- Decay or bone loss on the tooth in front caused by the impacted tooth
- An impacted tooth associated with a cyst
How it is done
- Examination and X-ray; a CBCT scan only if the nerve or sinus needs a closer look
- Medical history and medicines reviewed
- Local anaesthetic
- Removal, usually with a small gum opening and the tooth divided
- Stitches if needed, gauze, and written aftercare
Time: One longer visit, plus a review.
Afterwards
- Bite on gauze; no spitting, straws or smoking for at least 24 hours
- Cold packs on the first day, then warm salt-water rinses as advised
- Soft food for a few days
- Swelling usually peaks on day two or three and then settles
What to know before you decide
Swelling, stiffness of the jaw and some bruising are common after harder extractions. Less common risks include dry socket, infection and, for lower teeth near the nerve, temporary or rarely lasting numbness of the lip or tongue. Your risk is explained for your own X-ray before you consent.
Fee and booking
Our current published fee is ₹12,000 per wisdom tooth, after X-ray assessment. The final cost is confirmed after examination, and you receive a written plan with every option priced before anything is started. Paying per visit at standard fees is always allowed; see payment options. All current fees are listed in our online store.
A booked consultation is Rs 500, adjusted against your treatment; an MDS specialist consultation is ₹1,500, by prior appointment at our Kharadi clinic, which is open 8 AM to 11 PM, seven days a week. Book online or call 8484 990 678.
Common questions
Does every wisdom tooth need to come out?
No. A healthy, well-positioned wisdom tooth that you can clean can stay. Removal is advised for pain, infection, decay, damage to the tooth in front, or cysts.
Why does the fee depend on the grade?
Harder positions take longer, need more skill and sometimes a specialist surgeon, so the grade decides the fee.
Can both sides be done together?
Sometimes. Your surgeon will advise based on difficulty and your recovery.
Other options under Wisdom Tooth Extraction
Read more
- Wisdom Tooth Extraction: the full guide
- Patients' questions answered by our dentists
- Our MDS department of Oral and Maxillofacial Surgery
- All treatments
General information, reviewed by Dr Avinash Bamane (A-18814) and Dr Rashmi Bamane (A-22726), Maharashtra State Dental Council. It does not replace an examination of your own teeth.