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Wisdom Tooth

Wisdom Tooth Extraction in Uijeongbu

First, we determine whether a wisdom tooth needs to come out or can simply be monitored.

Wisdom tooth extraction at a glance — We remove a wisdom tooth if it keeps swelling or causes decay in the molar in front of it, and may leave it in place if it has grown in straight and your toothbrush can reach it. For lower wisdom teeth, we first check the distance to the inferior alveolar nerve canal with 3D CT, and we remove teeth lying on their side in sections to reduce the risk of nerve damage. If swelling is severe, we let the inflammation settle before proceeding.

When

Wisdom tooth extraction — when should you consider it?

When the gum keeps swelling and hurting Around a partially erupted wisdom tooth, a toothbrush can't reach, so food tends to stay behind and inflammation keeps recurring.
When it's buried under the gum A wisdom tooth impacted on its side can push against the molar in front of it or cause problems between the roots, so its condition needs to be checked.
When a cavity forms on the molar in front of it The surface touching the wisdom tooth is hard to clean, so the molar you actually want to protect can end up damaged first.
When food keeps getting stuck If food keeps getting caught in the same spot, it puts a growing strain on both the gum and the neighboring tooth.
Process

Wisdom tooth extraction — how does it work?

STEP 01

X-ray Check

A panoramic X-ray shows the wisdom tooth's direction, root shape, and relationship with the neighboring tooth.

STEP 02

Nerve Location Check

If a lower wisdom tooth's root appears close to the nerve canal, we use 3D CT (CBCT) to check the positional relationship more precisely.

STEP 03

Extraction Decision

Not every wisdom tooth needs to be removed. If it has grown in straight and can be cleaned well, we may simply monitor it.

STEP 04

Extraction

The method and time required vary with difficulty. We'll explain the expected process before starting.

STEP 05

Follow-up Check

We explain how to stop any bleeding and what to watch for, and if needed, check how healing is progressing when we remove the stitches.

The process and timeline can vary depending on oral condition; the exact plan is provided after examination.

Before You Decide

What should I know before deciding?

Our approach to wisdom tooth extraction

Boston Miso Dental Clinic, Uijeongbu — Dr. Jongbum Lee, Clinic Director · Board-certified specialist in Advanced General Dentistry

  • We recommend extraction only when there's a clear reason to remove the tooth
  • For lower wisdom teeth, we check the nerve location first before deciding on a method
  • We explain the expected difficulty and post-extraction course in advance
  • Dr. Lee, the Clinic Director who sees you at your consultation, performs the extraction himself
  • Anesthesia is given in three steps: topical → computer-controlled → intraosseous

What to know beforehand

  • !If a lower wisdom tooth's root is close to the nerve canal, altered sensation around the lip or chin can occur after extraction. That's why we check the position first.
  • !There may be swelling, pain, and difficulty opening your mouth wide for a few days after extraction.
  • !On the day of extraction, avoid smoking, using a straw, and spitting, as they can affect the healing socket.
  • !Not every wisdom tooth needs to be extracted. If it has grown in straight and can be properly cared for, we may simply monitor it.
Clinical Case

General Dentistry treatment records

Q & A

Wisdom tooth extraction — frequently asked questions

Visits & Appointments

No. If it has grown in straight, your toothbrush can reach it, and there's no problem, we may simply monitor it. The decision depends on its direction, position, and the condition of the surrounding teeth.

Before an extraction, we numb the area in three steps — topical anesthesia, computer-controlled anesthesia, and intraosseous anesthesia — to reduce the pain of the injection itself. For areas that are harder to numb, such as the lower molars, we add intraosseous anesthesia. Swelling and pain may last a few days after extraction, depending on how difficult it was.

It depends on the position, difficulty, and your general health. We may split the procedure into stages so it doesn't disrupt eating and daily life too much.

It depends on the difficulty, but it's best to avoid strenuous activity on the day of extraction. We'll explain what to expect before the procedure.

It depends on the type of suture used. If removal is needed, we'll let you know when to come in.
Have a question not listed here?
Call 031-871-2275 during our hours and our front desk will help you. Treatment method, duration and cost vary with oral condition, so we can only give exact details after an exam.
References

References

The treatment sequence and standards described here are Boston Miso Dental Clinic's own principles; the figures, mechanisms and treatment outcomes are based on the references below. Manufacturer data is separately marked in the text as "manufacturer's own figures."

  1. Rood JP, Shehab BA. The radiological prediction of inferior alveolar nerve injury during third molar surgery. Br J Oral Maxillofac Surg. 1990;28(1):20-25. doi:10.1016/0266-4356(90)90005-6
    — A classic radiographic standard for predicting the relationship between a wisdom tooth's root and the inferior alveolar nerve canal.
  2. Renton T, Hankins M, Sproate C, McGurk M. A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. Br J Oral Maxillofac Surg. 2005;43(1):7-12. doi:10.1016/j.bjoms.2004.09.002
    — Evidence that coronectomy (removing only the crown) reduces nerve damage for wisdom teeth close to the nerve canal.
  3. Ghaeminia H, Nienhuijs ME, Toedtling V, et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev. 2020;5:CD003879. doi:10.1002/14651858.CD003879.pub5
    — A Cochrane review on whether asymptomatic impacted wisdom teeth should be removed — evidence for routine extraction is insufficient.

The clinician responsible for treatment guidance at Boston Miso Dental Clinic is Dr. Jongbum Lee, Clinic Director, a board-certified specialist in Advanced General Dentistry (Korea).

Start by finding out whether your wisdom tooth needs to come out

Whether to extract, and how, depends on the tooth's direction and root position.
We'll start by checking your current condition with an X-ray.

031-871-2275
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