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  • Wisdom teeth pain? When to see an oral and maxillofacial surgeon for removal

Wisdom teeth pain? When to see an oral and maxillofacial surgeon for removal

Mr Martin Woods
Written in association with: Mr Martin Woods Adult and paediatric oral and maxillofacial surgeon in Central London
Sources: Top Doctors GB
Published: 03/04/2025 Edited by: Karolyn Judge on 09/05/2025

For many people, wisdom teeth erupt without any issues, but for some they can cause pain, infection, and other dental complications. Knowing when to seek professional help for the possibility of wisdom teeth removal can prevent long-term problems and discomfort.

 

Man who needs to see an oral and maxillofacial surgeon for wisdom teeth pain.

 

What causes wisdom teeth pain?

 

Pain from wisdom teeth, which are also referred to as third molars, can occur for several reasons, including:

  • Impaction – When there isn't enough space in the jaw, wisdom teeth can become trapped beneath the gums, causing pain and swelling.
  • Infection – Partially erupted wisdom teeth can create pockets where bacteria accumulate, leading to gum infections and discomfort.
  • Tooth decay – Wisdom teeth are harder to clean, making them more prone to cavities and decay.

 

 

What are the signs that wisdom teeth removal may be necessary?

 

Not all wisdom teeth require removal, but if you experience any of the following, you may need to see a specialist:

  • Persistent pain or swelling in the back of the mouth
  • Red, swollen, or bleeding gums around the wisdom teeth
  • Difficulty opening the mouth or chewing
  • Recurring bad breath or a bad taste in the mouth, which could indicate infection
  • Cysts or damage to nearby teeth as seen on X-rays

 

 

When to see an oral and maxillofacial surgeon

 

A dentist may recommend seeing an oral and maxillofacial surgeon if your wisdom teeth are impacted, infected, or causing significant discomfort. Specialists in this field are highly trained in performing wisdom teeth extractions, particularly in complex cases involving deeply impacted teeth or potential nerve involvement. Seeking professional evaluation early can help prevent more serious dental and jaw issues.

 

 

What to expect from wisdom teeth removal procedure?

 

If wisdom teeth removal is recommended, your oral and maxillofacial surgeon will discuss the procedure in detail. The extraction process generally involves:

  1. Consultation and imaging – X-rays and/or CT scans will be taken to assess the position of the teeth and determine the best approach for removal.
  2. Anaesthesia options – Local anaesthesia, sedation, or general anaesthesia may be used to ensure comfort during the procedure.
  3. Extraction – The surgeon will carefully remove the teeth, sometimes making small incisions in the gum if necessary.
  4. Recovery – Swelling and mild discomfort are common after the procedure, but most patients recover within a few days with proper aftercare.

 

Wisdom teeth pain should not be ignored, as it can indicate underlying dental issues that may worsen over time. If you experience persistent discomfort, swelling, or signs of infection, consulting an oral and maxillofacial surgeon can help determine whether removal is necessary. Complications can be prevented, and a smoother recovery process can be ensured through early intervention.

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