Wisdom Tooth Extraction & Removal Surgery in Singapore
Reviewed by Dr Tan Wei Chong, Dental Surgeon
TWC Dental provides wisdom tooth extraction and surgery in Singapore. We see individuals dealing with recurring gum infections around partially erupted teeth, pressure damage to adjacent molars, and tooth decay caused by wisdom teeth that are difficult to clean. Our team focuses on addressing impacted teeth and managing oral discomfort through personalised plans.
The costs for wisdom tooth extraction vary depending on the complexity of the case, typically ranging from S$200 to S$400 for simple removals to S$650 to S$1,950 for surgical procedures. Surgical wisdom tooth extractions are claimable under MediSave for Singaporeans and Permanent Residents, subject to MOH guidelines and your available MediSave balance, and our team assists with the claim submission on your behalf. Wisdom tooth removal at our clinics is performed by Dr Tan Wei Chong, founding dental surgeon at TWC Implant & Dental Centre, supported by our team of dentists across the Jurong East and Yishun locations.Â
What Are Wisdom Teeth and Why Wisdom Tooth Removal is Needed?
Wisdom teeth are the last set of molars to emerge, typically between the ages of 17 and 25. These four teeth may erupt fully, partially, or sometimes not at all. For some people, wisdom teeth never appear, while for others, they come through without issue and function alongside the rest of the dentition.Â
A study published on the International Journal of Oral and Maxillofacial Surgery examining 1,000 OPGs of patients aged 20 to 40 in Singapore found that 68.6% showed at least one impacted third molar, indicating that impacted wisdom teeth are a common dental concern locally.
When the jaw lacks sufficient space, wisdom teeth can become impacted, meaning they are unable to break through properly. This can result in pain, recurrent infection, gum inflammation, decay of the wisdom tooth or the molar next to it, and damage to the surrounding bone.
In these situations, wisdom tooth removal is often recommended to prevent further complications. Whether your case requires a straightforward extraction or a surgical wisdom tooth removal will depend on the position and condition of the tooth, which is assessed during your consultation.
Read more about what happens if you do not remove your wisdom teeth.
Signs You May Need Wisdom Tooth Removal
Not everyone needs wisdom tooth removal. However, if the teeth erupt at angles that may impinge and damage adjacent teeth, they can be prone to infection and other dental issues. Suitable candidates for this dental procedure often include those experiencing the following conditions:
Pain and Swelling Around the Jaw
One of the first signs you might need a wisdom tooth extraction is discomfort in the back of your mouth. This pain may radiate towards the jaw, indicating that your wisdom teeth may damage or put pressure on neighbouring molars.
Inflamed Gums
If the gums around your wisdom teeth appear red, swollen, or tender, it might be time to consider removal. This inflammation can make cleaning difficult, leading to further oral hygiene issues.
Bad Breath or Unpleasant Taste in the Mouth
When your oral hygiene is compromised, and the wisdom tooth starts to decay, you may notice an unpleasant taste in the mouth. This may indicate infection caused by wisdom teeth that haven’t fully erupted or are impacted and may need removal.
Jaw Issues
Jaw problems, such as stiffness or pain, can develop when wisdom teeth have difficulty erupting, often due to partial eruption. As a result, you may experience discomfort or pain in the jaw near the affected area.
Crowding of Nearby Teeth
Wisdom teeth can cause misalignment in your existing teeth by pushing against them. Without extraction, the teeth may cause crowding, which is not just a cosmetic issue but can also lead to difficulty cleaning your teeth properly.
Repeated Infection of Soft Tissue Behind the Lower Last Tooth
Going without wisdom tooth extraction may make the position of the teeth hard to reach with a toothbrush, leading to potential recurring infections in the surrounding soft tissue.
If you are experiencing any of the symptoms above and your quality of life is affected, it is advisable to consult with a dental professional for an extraction as soon as possible. Not addressing these issues may lead to further complications and prolonged discomfort.
“Many patients delay treatment until pain becomes severe. Early assessment with a panoramic X-ray often allows us to plan a less complex extraction.”
Dr Tan Wei Chong
What are the Types of Wisdom Tooth Extraction?
Simple Extraction
A simple extraction is performed when the wisdom tooth has fully erupted and is visible above the gum line. After local anaesthesia is administered, the dentist loosens the tooth using an instrument called an elevator before removing it with dental forceps. Because the tooth is accessible, no incision into the gum is required, and the procedure is generally quicker than a surgical extraction.
Surgery
Surgical extraction is a more complex procedure and is required when a wisdom tooth has broken at the gum line or has not fully erupted. It is also the type of wisdom tooth extraction that is claimable under MediSave for eligible patients, subject to MOH guidelines.Â
In addition to using an elevator and forceps, your dentist may need to make a small incision in the gum and, in some cases, remove a bit of bone around the tooth to make extraction easier. Sometimes, the tooth may also be sectioned into smaller pieces for safe and efficient removal.
Wisdom Tooth Extraction Procedure
This is what you can expect from a wisdom tooth surgery at TWC Dental:
Step 1: Consultation
Discussion of Concerns
During your wisdom tooth removal consultation, our dental team will discuss your individual concerns, considering your health, dental history, and financial considerations. A panoramic X-ray (OPG) is taken to assess the position and angulation of your wisdom teeth, and Dr Tan reviews this X-ray with you so you can see the position of the tooth and understand the proposed approach.
Comprehensive Dental Assessment
A thorough assessment of your general health and the specific condition of your wisdom teeth and gums will be conducted. Where the wisdom tooth lies close to the inferior alveolar nerve or maxillary sinus, a CBCT scan may be recommended for a three-dimensional view of the surrounding structures.
Tailored Treatment Planning
Our dental team will explain the process and potential considerations related to wisdom tooth removal. This includes discussions on fasting requirements if sedation is planned, and advice on arranging transportation home after your wisdom tooth surgery.
Step 2: Wisdom Tooth Removal Procedure
Anaesthesia Administration
Before your wisdom tooth removal procedure, local anaesthesia will be administered to ensure comfort. Depending on your individualised treatment plan and comfort preferences for wisdom tooth surgery, you may also opt for sedation or general anaesthesia to help reduce awareness and anxiety during the procedure.
The Extraction Process
For a simple extraction, the dentist loosens and removes the visible tooth using an elevator and forceps without the need for an incision. For a surgical extraction, the dentist makes an incision in the gum to access the tooth, removes a small portion of bone if required, and may section the tooth into smaller pieces for easier removal. Following the extraction, the site is cleaned, gum tissue is repositioned and stitched to aid healing, and sterile gauze is applied to manage bleeding after the operation.
Step 3: Post-Surgery: Recovery and Care
Managing Discomfort and Initial Healing
Following the wisdom tooth surgery, managing discomfort and supporting healing is key through prescribed medications and a soft food diet for the first few days. Maintain oral hygiene with gentle warm salt water rinses and avoid strenuous activities to minimise bleeding and swelling after your wisdom tooth extraction.
Preventing Infection and Complications
To minimise infection and inflammation risks, adhere to post-operative instructions, which include taking any prescribed antibiotics, avoiding smoking and alcohol, refraining from vigorous gargling or using straws for at least 48 hours. At the same time, be aware of signs like increased pain, swelling, redness, or a foul taste, and contact your dental clinic promptly if any symptoms appear after your wisdom tooth extraction.
“At our Jurong East and Yishun clinics, we walk every patient through the procedure step by step before starting, including what anaesthesia options are suitable for their case.”
Dr Tan Wei Chong
Dr Tan Wei Chong
Dental Surgeon
Dr Tan Wei Chong is the founding dental surgeon at TWC Implant & Dental Centre, with clinics in Jurong East and Yishun. He holds a Bachelor of Dentistry (Honours) from the University of Queensland. He’s an active member of both the Australian Dental Association and the Singapore Dental Association. Having practised in both Australia and Singapore, Dr Tan’s clinical focus encompasses a broad range of dental concerns, including general dentistry, teeth whitening, and wisdom tooth extraction, among others.
What to Expect After Wisdom Tooth Removal
The experience following a wisdom tooth removal varies for every individual, primarily depending on whether you underwent a simple extraction or a more complex wisdom tooth surgery. After the extraction, you may expect the following:
Swelling and Discomfort
Mild to moderate swelling and discomfort are common after wisdom tooth surgery, and these typically peak within the first few days. Applying a cold compress to the jaw and taking prescribed medications as directed by your dentist can help manage these effects.
Bleeding
It’s normal to experience light bleeding or oozing shortly after a wisdom tooth extraction, and this should reduce within the first 24 hours. However, if you encounter persistent or heavy bleeding that does not subside with gauze pressure, please contact our clinic immediately.
Dietary Restrictions
Temporary dietary adjustments are necessary after wisdom tooth removal to protect the surgical site. Therefore, focus on soft foods and avoid hot, hard, or spicy items initially.
Healing Time
Initial healing after wisdom tooth removal typically occurs between three days and two weeks. Also, note that wisdom tooth surgery may require a longer recovery period than a simple extraction.
Recovery After Wisdom Tooth Extraction
While your specific instructions will depend on whether you underwent a simple wisdom tooth removal or a more complex surgery, the following general guidelines support recovery:
- Rest and Activity:Â Prioritise rest for the first 24 to 48 hours. Avoid strenuous physical activity or heavy lifting, as increased blood pressure can disturb the surgical site.
- Oral Hygiene Precautions:Â Do not rinse your mouth, spit, or brush near the extraction site for the first 24 hours to protect the developing blood clot. After this period, you may begin gentle warm saltwater rinses to keep the area clean.
- Simple Extraction vs. Surgery: Individuals who have had wisdom tooth removal often resume normal routines within 48 hours. In contrast, wisdom tooth surgery may require three to five days of rest due to the placement of stitches and more significant jaw involvement.
- Follow-Up:Â If you experience worsening pain, persistent fever, or heavy bleeding that does not subside with pressure, contact your dental clinic for an evaluation.
Risks of Wisdom Tooth Surgery and Extraction
While wisdom tooth removal is a routine procedure in Singapore, there are still potential risks. These occurrences are generally uncommon and are managed through professional clinical care and thorough pre-operative assessments, including the panoramic X-ray and, where indicated, CBCT imaging that Dr Tan reviews with each patient before surgery.Â
- Surgical Complexity: Impacted teeth or those with irregular root structures may require a more complex surgery.
- Dry Socket: A condition in which the blood clot at the extraction site dislodges prematurely, exposing the underlying bone. It typically presents as throbbing pain three to four days after surgery and is managed with medication and dressing changes.Â
- Tooth or Root Damage: During extraction, minor damage to the target tooth or neighbouring dental structures can occasionally occur.
- Tooth or Fragment Displacement: Small tooth fragments may move during surgery, but they are managed by the dentist.
- Sinus-Related Complications: For upper wisdom tooth extraction, there’s a possibility of a temporary communication between the mouth and the sinus cavity due to their close proximity.
- Nerve Sensitivity or Numbness: In rare instances, individuals may experience temporary numbness or altered sensation in the lip, tongue, or chin following wisdom tooth extraction.
- Bleeding and Swelling: These are common short-term effects after wisdom tooth removal, but following your dentist’s post-operative instructions helps manage these.
- Jaw Stiffness: Some temporary difficulty in opening the mouth is expected after wisdom tooth surgery, which typically improves as the surgical site heals.
- Anaesthesia-Related Reactions: While rare, adverse reactions to local anaesthesia or sedation are closely monitored by our clinical team to ensure safety.
- Post-Procedure Discomfort: Some degree of pain is expected once the anaesthesia wears off, but our clinic provides specific pain management guidance for your recovery.
At TWC Dental, risks are mitigated through the use of imaging, a detailed medical history review, and professional care.
Why Choose TWC Dental for Wisdom Tooth Extraction in Singapore
Dental Surgeon With Surgical And Simple Extraction Experience
Dr Tan Wei Chong performs both simple and surgical wisdom tooth extractions, supported by our team of dentists.
Clear Pre-Treatment Planning
 Every case is preceded by a panoramic X-ray and consultation before extraction is scheduled.
Sedation Options Discussed Openly
 Local anaesthesia as well as sedation are available where appropriate for anxious patients or complex surgical cases.
MediSave Claims Handled By Our Team
 Administrative work is managed in-house so the patient has minimal paperwork.
Two Accessible Clinics
 Jurong East and Yishun, with weekend and evening slots available.
Cost of Wisdom Tooth Removal
| Component | Details |
|---|---|
| Estimated Cost Range | Simple Extraction: S$200 – S$400 Surgical Procedure: S$650 – S$1,950 |
| What Affects the Price | The type of removal, wisdom tooth position, number of teeth removed, type of anaesthesia, proximity to nerves, root configuration, and complexity of the case |
| Subsidies Accepted | MediSave: Surgical wisdom tooth extractions are claimable under MediSave, subject to MOH guidelines and individual MediSave balance. Simple (non-surgical) extractions are not MediSave-claimable. CHAS: Wisdom tooth extractions performed at CHAS-accredited clinics may qualify for CHAS subsidies for eligible patients. TWC Dental is a CHAS-accredited clinic. |
| Insurance Coverage | Most major dental insurance plans accepted; TWC’s team assists with claims processing. |
| How TWC Dental Helps | Transparent pricing, assistance with insurance and subsidy claims |
Subsidies for Wisdom Tooth Extraction in Singapore
Typically, wisdom tooth extraction costs in Singapore can range from approximately S$200-S$400 for simple extractions and S$650 to S$1,950 for surgical procedures. Prices will vary based on procedure complexity, anaesthesia, number of teeth removed, and location. For instance, a dental clinic in Jurong East may have different pricing structures than those located in prime locations like the CBD.
Patients can also utilise MediSave to offset the cost of wisdom tooth removals, which covers between S$240 to S$5,290, depending on the type of operation performed. MediSave dental claims for wisdom tooth removal also allow up to S$830 per day for hospital charges, including medications, doctor’s attendance fees, and investigations. Community Health Assist Scheme (CHAS) dental subsidy may also apply, and most major dental insurance plans are accepted.
Frequently Asked Questions about Wisdom Tooth Surgery
Is wisdom tooth surgery covered under MediSave?
Yes, in Singapore, wisdom tooth surgery can be covered under MediSave, especially when deemed medically necessary. The coverage amount varies depending on the complexity of the procedure and other factors. It’s advisable to consult with your dental clinic for details about MediSave claims for your wisdom tooth extraction.
What should I eat after wisdom tooth surgery?
After your wisdom tooth surgery, it’s crucial to stick to soft and easy-to-chew foods to aid healing. Options like soup, yoghurt, smoothies, and mashed potatoes are ideal. Avoid hot, spicy, or hard foods that could irritate the surgical site. In addition, your dental clinic may recommend a gentle diet for a few days post-surgery for optimal recovery.
How many days off will I need after wisdom tooth surgery?
Recovery time varies, but generally, patients may need a few days off post-wisdom tooth surgery. It is common to experience some swelling and discomfort, so resting for two to three days is usually advised. Your dental clinic can provide more personalised advice based on your specific procedure.
Is wisdom tooth surgery painful?
While wisdom tooth extraction is a surgical procedure, advancements in dental techniques can help ensure minimal discomfort. Your dental clinic may offer local anaesthesia or sedation options to manage pain effectively. Post-surgery, your dental specialist may prescribe painkillers to help manage any discomfort.
How soon should I get my wisdom tooth removed?
The timing for wisdom tooth removal varies. Immediate removal is often recommended if you’re experiencing pain, swelling, or other complications. Preventive removal might be advised for misaligned wisdom teeth. Your dental clinic can assess your situation and recommend the best course of action.
Where can I get a wisdom tooth extraction in Singapore?
Wisdom tooth extraction in Singapore is performed at general dental clinics, specialist oral surgery clinics, and public hospitals. TWC Dental offers wisdom tooth removal at two MRT-accessible clinics in Jurong East and Yishun, with consultation, panoramic X-ray, and treatment planning conducted in-house.
Should I brush my teeth after wisdom tooth extraction?
It’s recommended that you do not brush your teeth, rinse your mouth, spit or use mouthwash during the first 24 hours after wisdom tooth surgery. After 24 hours, make sure to brush your teeth gently and rinse your mouth with warm salt water.
Should I remove all my wisdom teeth at once?
Whether to remove all four wisdom teeth at once depends on your comfort level and dental needs. While it is possible to extract them in a single procedure, doing so may involve more discomfort, longer recovery, and more complex aftercare. Your dentist will assess your case and recommend whether a single-session removal or staged extractions would be better for you.
How much does wisdom tooth removal cost in Singapore?
Fees for wisdom tooth removal in Singapore are determined by the complexity and the type of extraction required. Prices typically range from a few hundred dollars for simple cases to over a thousand dollars for complex wisdom tooth surgery, which may be eligible for MediSave claims.
Are consultation or X-ray fees included in the wisdom tooth removal cost?
Our clinic typically provides a comprehensive package that includes the initial consultation and necessary clinical imaging fees. To understand the total investment for your wisdom tooth extraction, we encourage you to schedule an appointment for an assessment and a tailored quote.
How long does wisdom tooth surgery in Singapore take?
A straightforward wisdom tooth surgery generally takes between 20 and 45 minutes per tooth, including time for anaesthesia to take effect. Surgical extractions involving impacted teeth or those close to the inferior alveolar nerve may take longer.
Book a Wisdom Tooth Extraction Consultation Today
Looking to address your dental concerns with a wisdom tooth extraction? You may seek advice from an emergency dental clinic in Singapore to learn more about the procedure.
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