“Wisdom teeth,” also called third molars, often cause problems — leading many patients to consider wisdom tooth extraction. One common question that arises is whether it is better to get all four wisdom teeth removed at once or to have them extracted individually.
Here, we will explore the advantages and disadvantages of removing all four wisdom teeth simultaneously and look at various factors to consider before making this decision.
Quick Answer: Is It Better to Get All 4 Wisdom Teeth Out at Once?
The answer to this question varies depending on individual circumstances — most importantly, whether or not all 4 wisdom teeth will need to be removed.
There are several key factors to consider when deciding whether to have all four wisdom teeth removed at once. Assuming that all four wisdom teeth need to be extracted, it is often recommended to have all four wisdom teeth extracted simultaneously for several reasons.
First, undergoing one surgery to remove all four wisdom teeth can be more efficient and cost-effective in the long run, particularly for patients that require sedation for tooth removal. Removing all four teeth at once reduces the need for multiple surgical procedures and associated recovery periods.
Second, having the wisdom teeth extracted together can save the patient from potential future dental issues. Even if only one or two wisdom teeth are currently causing problems, the remaining teeth may lead to complications later on. Removing all four teeth preemptively can prevent these issues from arising in the future, potentially saving the patient from additional dental procedures and costs.
However, it is important to recognize that not all wisdom teeth will need to be removed. There is no “rule” stating that you need to remove all four just because one is causing issues.
It is essential to consult with a dental professional who will evaluate the patient's unique circumstances to make an informed decision regarding the best course of action.
Risks & Benefits of Removing All 4 Wisdom Teeth Simultaneously
As with any surgical procedure, there are both risks and benefits associated with removing all four wisdom teeth simultaneously. Understanding these can help patients make an informed decision.
Benefits
Benefits of removing all four wisdom teeth at once include:
Efficiency: Undergoing a single surgical procedure is more efficient than multiple surgeries. Because the healing process is uncomfortable and takes weeks, most people would prefer to experience it only once, rather than four separate times.
Cost-effectiveness: For patients that require sedation (which often comes with a bill for thousands of dollars), removing all four teeth in one go saves patients from incurring separate costs for each extraction. In this case, it is unwise to remove the wisdom teeth one-at-a-time.
Preventive measure: Extraction can minimize the potential for future dental issues caused by wisdom teeth.
Risks
It is important to note that some risks may be associated with extracting all four wisdom teeth at once. These risks include:
Prolonged recovery period: The healing process from a larger surgical procedure may take longer compared to removing one tooth at a time.
Increased discomfort: Removing all four teeth simultaneously may result in more pain immediately following the procedure. Jaw discomfort is common after wisdom tooth extraction, and longer procedure times usually correlate with increased discomfort.
The decision to remove all four wisdom teeth at once should be made in consultation with a qualified dental professional who can assess the potential risks and benefits based on the individual's oral health and specific circumstances.
Recovery Process After Getting All 4 Wisdom Teeth Extracted
Recovery after getting all four wisdom teeth extracted can vary from person to person. It is crucial to follow the dentist's post-operative instructions diligently to minimize discomfort and promote optimal healing.
During the initial days following the extraction, there may be swelling, pain, and discomfort in the facial area. Applying ice packs and taking prescribed pain medications can help alleviate these symptoms. Dentists may also recommend a soft or liquid diet during the first few days to avoid chewing on the extraction sites.
It is essential to maintain good oral hygiene during the recovery period. Gently rinsing the mouth with warm saltwater can help keep the extraction sites clean and promote healing. Avoiding strenuous activities, smoking, and using straws is also advisable as they may impede the healing process.
Individual recovery times can vary, but most patients can expect the initial healing phase to take around one to two weeks. However, complete recovery, including the closure of extraction sites, can take several weeks to months.
Cost Comparison of Removing Wisdom Teeth Individually vs. Simultaneously
Cost is an essential factor to consider when deciding whether to have all four wisdom teeth extracted at once or individually. (Before we get too far, it’s crucial to note that dental costs can vary depending on factors such as geographical location, specific dental practice, and the complexity of the procedure).
If cost is a significant concern and sedation will be necessary, removing all four wisdom teeth at once is significantly more cost-effective than doing it individually. Having one surgical procedure reduces the overall fees associated with anesthesia.
It is recommended to consult with a dental professional and inquire about the estimated costs based on the specific circumstances before making a decision.
Factors to Consider Before Deciding on Wisdom Teeth Extraction
Before deciding on whether to have all four wisdom teeth removed at once, several factors should be taken into account. These factors include:
Oral health condition: The overall oral health of the patient, including the presence of gum disease or tooth decay, must be assessed. For patients that are high risk for tooth decay, it is uncommon to live a lifetime without getting cavities in the wisdom teeth. In this case, proactive extractions may be recommended.
***Alignment and eruption of wisdom teeth: Evaluate whether the wisdom teeth are impacted, causing pain, or potentially affecting other teeth. If your wisdom teeth have room to fully erupt, and will be maintainable for your entire lifetime, there is usually no need to extract the teeth.
Age: Younger patients tend to have an easier recovery since their bones and tissues are more responsive to healing.
Time availability: Consider the time required for recovery and potential impact on work or daily activities. For teenagers that play sports, for example, it may be wise to schedule extractions during the off-season, or during spring/summer break when missing school won’t be a factor.
A thorough evaluation by a dental professional can help determine the best course of action based on these factors and ensure optimal oral health.
Impact of Age on the Decision to Get All 4 Wisdom Teeth Out
The age of the patient can influence the decision to get all four wisdom teeth out at once.
Wisdom teeth extraction is often recommended in the late teens or early twenties, as the ligaments around the teeth are more flexible and the bone is less dense, making extraction easier and decreasing the risk of complications.
However, older patients may still benefit from removing all four wisdom teeth simultaneously, especially if they are experiencing symptoms or if their teeth are suspected to cause future problems. In such cases, the decision to extract the wisdom teeth should be made in consultation with the dental professional, taking into account the patient's overall health and individual circumstances.
Considerations for Symptomatic vs. Asymptomatic Wisdom Tooth Removal
When deciding on whether to remove all four wisdom teeth, it is essential to consider whether the teeth are symptomatic or asymptomatic.
If a patient is experiencing pain, swelling, or other symptoms associated with their wisdom teeth, it is generally recommended to have them all removed simultaneously. This approach prevents further discomfort and the potential for future issues.
On the other hand, if the wisdom teeth are asymptomatic and not causing any problems, some dentists may recommend monitoring them regularly for any changes. Regular dental check-ups can help detect any issues that may arise later and allow for timely intervention if necessary.
It is important to consult with a dental professional to assess the current condition of the wisdom teeth and make an informed decision regarding removal.
Final Thoughts
The decision to get all four wisdom teeth removed at once depends on various factors, including the patient's oral health, the alignment of the wisdom teeth, age, and cost considerations. While removing all four teeth simultaneously offers benefits such as efficiency and preventive measures, individual circumstances should be carefully evaluated.
Ultimately, consulting with a dental professional is vital in determining the best approach to ensure optimal oral health and a smooth recovery process.
FAQs
Is it bad to remove all 4 wisdom teeth at once?
Removing all 4 wisdom teeth at once is a common practice and not inherently bad. Doing so can be more efficient, requiring only one period of surgery and recovery. The decision to remove all four at once often depends on the patient's dental health, the position of the wisdom teeth, and the necessity of the procedure and recommendation of the dental surgeon.
Does getting all 4 wisdom teeth hurt?
The procedure itself is typically performed under anesthesia, so you shouldn't feel much pain during the extraction. However, it is nonetheless a surgery, so discomfort during the operation is common. Post-surgery, you may experience minor to moderate pain and swelling, but pain can usually be managed effectively with prescribed or over-the-counter pain relievers as directed by your oral surgeon or dentist.
How long does it take to recover from 4 wisdom teeth removal?
Recovery time varies among individuals but generally, the initial healing period is about 7 to 10 days. Complete recovery, involving the healing of gum tissue, can take 3 to 4 weeks, and for the bone to fully heal, it may take several months. Following your dentist's post-operative care instructions can help speed up the recovery process.
Why experts now say not to remove your wisdom teeth?
Some experts recommend against removing wisdom teeth that are not causing problems. The shift comes from a better understanding of the risks associated with surgery and the realization that not all wisdom teeth cause issues. The decision to remove should be based on individual cases, such as pain, impaction, or difficulty cleaning, rather than as a preventive measure for all.
Does removing wisdom teeth change face shape?
The removal of wisdom teeth generally does not change the overall shape of the face. Some people may notice a slight difference in their jawline or cheek area due to reduced swelling and the removal of impacted teeth, but significant changes in facial shape are uncommon.
How long does it hurt to remove all four wisdom teeth?
Pain duration varies, but most people experience the most discomfort during the first 3 days after the procedure, with significant improvement after about a week. Complete pain relief usually occurs within two weeks. Pain management with medications and following your surgeon's care advice can help mitigate discomfort during the recovery period.
* Though the author of this post is a licensed dentist in the state of Kansas, this information is provided for informational and educational purposes only. Please use your best judgment and contact emergency medical services in the event of an emergency.