Wisdom teeth—those late-arriving molars at the very back of your mouth—have a reputation for causing trouble. For many Singaporeans, the question isn't whether wisdom teeth will need to be removed, but when.

If you're in Yishun or North Singapore, this guide will walk you through everything you need to know about wisdom tooth removal at Shuang Dentistry—from the initial consultation to full recovery.

When Is Wisdom Tooth Removal Necessary?

Not everyone needs their wisdom teeth removed. Some people's wisdom teeth come in straight, have enough room, and cause no problems. But for many, wisdom teeth become impacted—meaning they don't have enough space to emerge properly—or they come in at awkward angles that threaten neighboring teeth.

Common reasons for wisdom tooth removal include:

Impaction. When a wisdom tooth is trapped beneath the gum line or only partially emerges, it can cause pain, infection, and damage to adjacent teeth. Impacted wisdom teeth can also form cysts that damage the jawbone.

Infection or decay. Because wisdom teeth are so far back in the mouth, they're difficult to clean properly. This makes them prone to cavities and gum infections (pericoronitis), especially if they're only partially erupted.

Crowding. Even if wisdom teeth aren't causing pain, they can push against neighboring molars, causing crowding or shifting of your other teeth. This is particularly concerning if you've had orthodontic work.

Pain or discomfort. Persistent pain, swelling, or difficulty opening your mouth are clear signs that a wisdom tooth is causing problems and should be evaluated.

Preventive removal. Some dentists recommend removing wisdom teeth before problems develop, especially if X-rays or CBCT scans show they're likely to become impacted. This is often easier to do when you're younger, as the roots are less developed and healing is faster.

Simple Extraction vs Surgical Extraction: What's the Difference?

The complexity of wisdom tooth removal depends on the position of the tooth and how much of it has emerged through the gum.

Simple extraction is possible when the wisdom tooth has fully erupted and can be removed with forceps, much like any other tooth. This is less invasive, heals faster, and is generally less expensive.

Surgical extraction is required when the tooth is impacted or only partially erupted. This involves making an incision in the gum, possibly removing some bone, and sometimes sectioning the tooth into pieces for easier removal. Surgical extractions require more skill, take longer, and have a more involved recovery process.

At Shuang Dentistry, Dr. James Yap will assess your wisdom teeth using clinical examination and imaging—often a CBCT scan, which provides detailed 3D views of the tooth position, root structure, and proximity to nerves. This allows for precise surgical planning and reduces the risk of complications.

What to Expect: The Wisdom Tooth Removal Process at Shuang Dentistry

Understanding what happens during the procedure can help ease anxiety. Here's the step-by-step process:

Step 1: Consultation and Imaging. During your first visit, Dr. Yap will examine your mouth and review your symptoms. A CBCT scan or X-ray will be taken to assess the position of your wisdom teeth, the shape of the roots, and their relationship to surrounding structures like nerves and sinuses. Based on this, Dr. Yap will recommend whether extraction is necessary and explain the approach.

Step 2: Treatment Planning and Cost Discussion. You'll receive a clear explanation of the procedure, the expected recovery, and the costs involved. We'll also discuss sedation options if you're anxious about the procedure. This is the time to ask questions and understand what MediSave or CHAS subsidies you're eligible for.

Step 3: The Extraction Procedure. On the day of the extraction, you'll be given local anesthesia to numb the area completely. If you've opted for sedation, that will be administered as well. For a simple extraction, the tooth is loosened and removed with forceps. For a surgical extraction, Dr. Yap will make a small incision, remove any bone blocking access to the tooth, and carefully extract it—sometimes in sections. The entire procedure typically takes 20 to 40 minutes per tooth, depending on complexity.

Step 4: Post-Procedure Care Instructions. After the extraction, you'll receive detailed aftercare instructions, prescriptions for pain medication and antibiotics if needed, and a follow-up appointment to monitor healing. We'll also provide our emergency contact information in case you have concerns during recovery.

Recovery Timeline: What to Expect After Wisdom Tooth Removal

Recovery from wisdom tooth extraction varies depending on whether it was a simple or surgical extraction, but most people follow a similar timeline.

Day 1-2: Immediate Recovery. Expect some bleeding, swelling, and discomfort. Apply ice packs to your face to reduce swelling. Stick to soft foods like porridge, yogurt, and smoothies. Avoid using straws, as the suction can dislodge the blood clot and cause a painful condition called dry socket.

Day 3-5: Peak Swelling. Swelling usually peaks around day three and then begins to subside. You may also notice bruising on your jaw or neck—this is normal. Continue with soft foods and gentle saltwater rinses to keep the area clean.

Day 6-7: Improvement. By the end of the first week, most of the swelling and discomfort should be significantly reduced. You can gradually reintroduce more solid foods, but avoid anything hard, crunchy, or sticky that could irritate the extraction site.

Week 2-3: Continued Healing. The extraction site will continue to heal over the next few weeks. If stitches were used, they'll either dissolve on their own or be removed at a follow-up appointment. By the end of the third week, most people are back to normal eating and activities.

Month 1-3: Complete Healing. The bone and soft tissue will continue to remodel and heal over the next few months, but you won't notice this process. By three months, the extraction site is fully healed.

Aftercare Tips for Faster, Smoother Healing

Following your dentist's aftercare instructions is the single most important thing you can do to ensure a smooth recovery. Here are some key tips:

Manage bleeding. Bite down gently on gauze for 30-45 minutes after the procedure. If bleeding continues, use a damp tea bag—the tannic acid helps clotting.

Control swelling. Use ice packs on your face for the first 24-48 hours (20 minutes on, 20 minutes off).

Manage pain. Take prescribed or over-the-counter pain medication as directed. Don't wait until the pain is severe—stay ahead of it.

Eat wisely. Stick to soft, cool foods for the first few days. Avoid hot foods, alcohol, and anything that requires vigorous chewing.

Keep it clean. Gently rinse with warm salt water starting 24 hours after the procedure. Don't brush directly over the extraction site for the first few days, but continue brushing the rest of your teeth.

Avoid dry socket. Don't use straws, smoke, or spit forcefully. These actions can dislodge the blood clot and lead to dry socket, a painful complication.

Rest. Take it easy for the first few days. Avoid strenuous exercise, bending over, or heavy lifting, as these can increase bleeding and swelling.

How Much Does Wisdom Tooth Removal Cost in Singapore?

The cost of wisdom tooth removal varies depending on the complexity of the extraction and the number of teeth being removed.

Simple extraction of a fully erupted wisdom tooth typically costs less than a surgical extraction of an impacted tooth. Factors that affect cost include the tooth's position, the need for bone removal, the type of anesthesia used, and whether imaging like CBCT is required.

At Shuang Dentistry, we provide transparent pricing and will give you a detailed cost estimate during your consultation. The estimate will include the consultation fee, imaging (X-ray or CBCT), the extraction procedure itself, medications, and any follow-up visits.

What's typically included in the cost:

• Initial consultation and examination

• X-ray or CBCT imaging

• Local anesthesia

• The extraction procedure

• Post-operative medications (pain relief, antibiotics if needed)

• Follow-up visit to check healing

Additional costs may apply for:

• Sedation (if requested for anxiety management)

• Extraction of multiple teeth in one session

• Complex surgical cases requiring extensive bone removal

Using MediSave for Wisdom Tooth Surgery

One of the most common questions we hear is: "Can I use MediSave for wisdom tooth removal?" The answer is yes—MediSave can be used for surgical wisdom tooth extraction in Singapore.

MediSave eligibility: Surgical extraction of impacted wisdom teeth is an approved procedure under MediSave. This means you can withdraw funds from your MediSave account to help cover the cost.

MediSave withdrawal limits: There are annual and lifetime limits on how much you can withdraw from MediSave for dental procedures. As of the latest MOH guidelines, you can withdraw up to a certain amount per surgical extraction, subject to overall MediSave withdrawal limits.

How to claim: At Shuang Dentistry, we'll help you process your MediSave claim. You'll need to provide your NRIC and authorize the withdrawal. The claim is typically processed electronically, and the amount will be deducted from your MediSave balance.

What about CHAS? If you're a CHAS cardholder (Blue, Orange, or Green), you may be eligible for subsidies on certain dental treatments. While CHAS subsidies for surgical extractions are more limited than for preventive care, it's worth asking during your consultation.

Why Choose Shuang Dentistry for Wisdom Tooth Removal in Yishun?

Wisdom tooth extraction is one of the most common procedures we perform, and we've refined our approach to maximize patient comfort and minimize complications.

Dr. James Yap has extensive experience with surgical extractions. With training from the University of Otago and years of experience, Dr. Yap handles both straightforward and complex wisdom tooth cases with skill and care.

We use CBCT imaging for precision. Our 3D CBCT scanner provides detailed views of your wisdom teeth, roots, and surrounding nerves. This allows Dr. Yap to plan the extraction with precision and avoid complications.

We offer same-day consultations and treatment when possible. If you're in pain, we'll see you quickly and, in many cases, can perform the extraction on the same day if appropriate.

We prioritize your comfort. From our calm treatment rooms with garden views to our gentle, patient-centered approach, we make sure you feel supported throughout the process.

We provide clear aftercare support. You'll leave with detailed instructions, our contact information, and the confidence that we're available if you have any concerns during recovery.

Ready to Address Your Wisdom Tooth Pain?

If your wisdom teeth are causing discomfort, or if you've been told they need to come out, don't put it off. Delaying treatment can lead to more serious problems like infection, damage to neighboring teeth, or cyst formation.

Call or WhatsApp Shuang Dentistry at +65 6203 0010 to book your wisdom tooth consultation. We'll assess your situation, explain your options, and help you understand the costs and MediSave claims process. If you're in pain, we'll do our best to see you the same day.

Your comfort and oral health are our priorities. Let us help you get relief and get back to your life.

Frequently Asked Questions

1. Is wisdom tooth removal painful?

   The procedure itself is not painful because you'll be under local anesthesia. You'll feel pressure but not pain. After the procedure, there will be some discomfort, but this is manageable with pain medication.

   
   

2. Should I remove all four wisdom teeth at once?

   This depends on your situation. Some people prefer to remove all four at once to get it over with, while others prefer to do one or two at a time. Dr. Yap will discuss the pros and cons based on your case.

   
   

3. How long should I take off work or school?

   Most people need 2-3 days of rest after surgical extraction. If you have a desk job, you may be able to return sooner. Avoid strenuous physical activity for at least a week.

   
   

4. What is dry socket and how can I avoid it?

   Dry socket occurs when the blood clot at the extraction site is dislodged, exposing bone and nerves. It's very painful. Avoid using straws, smoking, and spitting forcefully to prevent it.

   
   

5. Can I eat normally after wisdom tooth removal?

   You'll need to stick to soft foods for the first few days, but you can gradually return to your normal diet as healing progresses. Avoid hard, crunchy, or sticky foods for at least a week.