Wisdom Teeth Surgery
Wisdom Teeth
Wisdom teeth, or third molars, are the last teeth to develop, usually appearing in your late teens or early twenties. Often, there isn't enough room for them, causing them to become "impacted" – trapped below the gum or partially emerged.
Why are impacted wisdom teeth a problem?
Even when they're not causing immediate pain, impacted wisdom teeth can set the stage for:
Infection: Partially erupted teeth create hiding spots for food and bacteria, leading to infections and gum disease.
Cysts and Tumours: Impacted teeth can stimulate the formation of fluid-filled sacs (cysts) that damage the surrounding jawbone and teeth. Rarely, tumours can also develop.
Damage to Adjacent Teeth: As impacted wisdom teeth try to erupt, they can push on existing teeth, causing crowding, shifting, and even damage to their roots.
Pain and Discomfort: Impacted wisdom teeth are a common source of recurring pain, swelling, and jaw stiffness.
What to expect with Wisdom Tooth Surgery
The modern standard of care for wisdom teeth removal typically involves a general anaesthetic in a hospital setting. This ensures a comfortable, minimally invasive procedure, performed while you are asleep, allowing for a quicker recovery. However, in select cases, your surgeon may determine that a local anaesthetic procedure in a clinic setting is suitable. Your surgeon will discuss your specific situation and recommend the best approach for you.
General Anaesthetic (Hospital)
Fasting: No food or drink for 6 hours prior.
Logistics: Arrive 1–2 hours early. This is a day procedure with ~2 hours in recovery.
Discharge: A responsible adult must take you home and stay overnight. No taxis or ride-shares.
Local Anaesthetic (Clinic)
Preparation: Do not fast; eat a light meal beforehand to prevent faintness.
Logistics: Arrive 20 minutes early. The procedure takes 30–45 minutes; you may leave ~15 minutes after completion.
Post-Operative (Both)
Meds: Prescriptions and care instructions are provided on the day.
Follow-up: We will contact you within two weeks to monitor recovery.
Risks
Wisdom teeth surgery is an incredibly safe and common procedure, especially when performed by a specialist oral and maxillofacial surgeon. While complications are very rare, it's essential to be aware of the potential risks before making a decision. This information aims to outline those potential risks.
General Risks
Pain, swelling, and bruising.
Bleeding or infection (rare).
Dry Socket: Dislodged blood clot causing pain.
Trismus: Temporary jaw stiffness/limited opening.
Specific Risks
Upper Teeth: Connection between the mouth and sinus (OAC) or root displacement into the sinus, potentially requiring surgical repair.
Lower Teeth: Nerve injury affecting the lip, chin, or tongue, resulting in numbness or altered taste. This is usually temporary but can be permanent in rare cases.
Rare but Serious Risks
Jaw fracture or severe bone infection.
Osteonecrosis (ONJ): Failure of the bone to heal. Risk increases significantly if you have had radiation therapy, chemotherapy, or take bone medications (e.g., Bisphosphonates, Prolia).
Fees
Hospital Setting (General Anaesthetic) Three separate fees apply:
Surgical: Covers the surgeon ($2,400–$2,800 for 4 teeth). Claimable under "extras" cover.
Hospital: Covers facilities. Usually fully covered by "hospital cover" (you only pay your policy excess, e.g., $0–$500).
Anaesthetic: Covers the anaesthetist ($500–$800). Partially covered by Medicare and insurance, leaving a gap of ~$100–$350.
Clinic Setting (Local Anaesthetic)
Surgical Fee Only: No hospital or anaesthetic fees apply.
Next Steps We will provide item codes (typically 322 or 324 per tooth). Please contact your private health fund with these codes to confirm your exact out-of-pocket expenses.