- Home
- Wisdom Tooth Extraction & Surgery
Wisdom Tooth Extraction & Surgery
in Singapore
Table of Contents
Wisdom tooth extraction is a dental procedure that removes one or more third molars; the four teeth at the back of the mouth that erupt between ages 17 and 25. The procedure may be a simple extraction (for fully erupted teeth) or a surgical extraction (for impacted teeth). It is performed under local anaesthesia or nitrous oxide sedation and typically takes 30–90 minutes. At Casa Dental, the procedure is supported by CBCT 3D imaging at every branch for precise surgical planning, and surgical cases are claimable under Medisave.
When to Consider Extraction
Your dentist will typically recommend extraction when one or more of the following apply:
Ongoing pain or jaw stiffness that does not resolve between episodes — usually from an impacted tooth pressing against the second molar in front of it.
Recurring gum infection (pericoronitis): bacteria trapped under the gum flap of a partially erupted wisdom tooth cause swelling, pain, and sometimes pus discharge.
Decay on the wisdom tooth or the adjacent second molar: the position of a partially erupted tooth makes reliable daily cleaning difficult.
Impaction or misalignment:the tooth is angled toward a neighbouring tooth, disrupting your bite or undoing previous orthodontic treatment.
Cysts found on X-ray imaging: fluid-filled cysts form around impacted teeth and erode surrounding bone over time.
If none of the above apply, your dentist may recommend monitoring with a check-up every 6 to 12 months rather than immediate removal.
Not sure whether your wisdom tooth needs to come out?
A consultation at any Casa Dental branch — including a CBCT 3D scan when needed — gives you a clear answer. Our dentists will walk you through your options and Medisave eligibility before you commit to anything.
Types of Wisdom Tooth Impaction
Impactions are classified by both angle and depth. Understanding the type helps your dentist plan the right approach.
Mesioangular impaction
the tooth tilts forward, toward the front of the mouth. Most common, around 43% of cases.
Distoangular impaction
the tooth tilts backward, away from the second molar.
Vertical impaction
upright but trapped beneath the gum or bone.
Horizontal impaction
lying on its side, pressing against the second molar. Usually requires surgical extraction.
Soft tissue impaction
the tooth has emerged through the bone but is still partly covered by gum tissue.
Bony impaction
the tooth is fully or partially trapped within the jawbone, requiring incision and sometimes bone removal.
Simple Extraction vs Surgical Extraction
Wisdom teeth can be removed through a simple extraction or a surgical extraction (also called wisdom tooth surgery). The right approach depends on whether the tooth is fully erupted and how its roots are positioned.
| Simple Extraction | Surgical Extraction | |
|---|---|---|
When it is used | Tooth is fully erupted and visible | Tooth is impacted, partially erupted, or has curved roots |
Anaesthesia | Local anaesthesia (nitrous oxide if anxious) | Local anaesthesia, with nitrous oxide if needed |
Incision needed? | No | Yes — small incision in gum; sometimes minor bone removal |
Tooth sectioning? | No | Sometimes — tooth divided into smaller pieces for easier removal |
Procedure time | 20–40 minutes | 45–90 minutes |
Stitches | Rarely needed | Usually dissolvable stitches |
Typical recovery | 1–3 days | 5–7 days; full healing 2 weeks |
MC issued (typical) | 1–2 days | 3–5 days |
Medisave-claimable? | No (simple removals) | Yes (surgical removals) |
Note: This table compares the two procedures, not pricing. For the full breakdown of fees, Medisave claim limits, CHAS subsidies and insurance coverage, see our dedicated guide to wisdom tooth removal cost in Singapore.
How to Prepare for Your Wisdom Tooth Extraction
1 week before the procedure
- Plan your rest days. Arrange 1–2 days off for a simple extraction; 3–5 days for surgical removal.
- Stock soft foods. Yoghurt, porridge, smoothies, mashed potatoes, soup, scrambled eggs.
- Arrange transport and a companion. If sedation is used, you should not drive home alone.
- Review medications with your dentist. Tell us about blood thinners, immune-suppressants, or recent illnesses.
24 hours before the procedure
- Confirm your appointment time and ask any final questions
- Follow fasting guidelines. If you are receiving nitrous oxide sedation, avoid eating or drinking 2–4 hours before your appointment.
- Avoid alcohol and tobacco for at least 24 hours. Both interfere with anaesthesia and slow healing.
- Set up your recovery space. Extra pillows for elevation, water bottle, prescribed medication within reach.
On the day of the procedure
- Wear comfortable, loose-fitting clothing
- Avoid makeup, contact lenses, and jewellery
- Bring your IC, any required forms, and a list of current medications
- Arrive 15 minutes early to settle in
Our Wisdom Tooth Surgeons
If you’re experiencing wisdom tooth pain or have been advised to remove your wisdom teeth, our dental surgeons will assess your condition, explain your options, and help you plan the next steps.
Years of Experience
Years of Experience
Years of Experience
Years of Experience
Years of Experience
What to Expect During Wisdom Tooth Extraction at Casa Dental
Here’s a step-by-step overview of a wisdom tooth extraction procedure at Casa Dental:
Your dentist will conduct a comprehensive oral examination, take dental X-rays, and when needed perform a CBCT 3D scan to map the exact position of the tooth and surrounding nerves. This allows us to plan the safest extraction path and discuss your sedation options. If we identify any underlying issues such as decay in a neighbouring tooth, those will be addressed before extraction.
You will receive specific instructions about fasting, medication, and what to bring. Follow these closely they directly affect how smoothly your procedure goes.
Dietary Restrictions
- If nitrous oxide sedation is planned, avoid eating or drinking 2 to 4 hours before your appointment. Continue taking regular medications with a small amount of water unless your dentist advises otherwise. Avoid alcohol for at least 24 hours before the procedure.
- Clear Liquids: Some offices may allow clear liquids (anything see-through) up to 4 hours before surgery, but this can vary.
Medication Guidelines
- Regular Medications: Continue taking your regular medications with a small amount of water unless advised otherwise. If there are any changes in your medication or health (like a cold or fever), please let your dentist know.
- Avoid Alcohol: It’s best to avoid alcohol for at least 72 hours before your wisdom tooth extraction procedure, as it can interfere with your anaesthesia.
Additional Instructions
- Refrain from smoking for at least 12 hours before your wisdom tooth extraction surgery.
- A responsible adult must accompany you, stay during the procedure, and drive you home afterwards. This is crucial due to the effects of anaesthesia, which can impair your judgment and motor skills for up to 24 hours after surgery.
- Set up a cosy recovery area at home, stock up on soft foods (like yoghurt, smoothies, and mashed potatoes), and have cold packs on hand to manage any swelling after your procedure.
The dentist will numb the area with local anaesthesia. If you have chosen nitrous oxide sedation, it will be administered through a small mask. For impacted teeth, a small incision is made in the gum to access the tooth. Deeply embedded teeth may be divided into smaller sections to minimise trauma to the surrounding bone. Once the tooth is out, the site is cleaned and closed with dissolvable stitches in most cases so no return visit is needed for stitch removal.
You will rest in a recovery area until you are alert. We provide a care kit (gauze, prescribed medications, and written instructions) along with a follow-up date. Most patients are home within 30–60 minutes of the procedure ending.
A follow-up visit is typically scheduled 7 days later to monitor healing, check the gum tissue, and remove any non-dissolvable stitches.
Wisdom Tooth Extraction Cost and Medisave
Cost varies depending on whether the case is a simple extraction or a surgical procedure, and whether sedation, additional imaging or follow-up care is required. Surgical wisdom tooth extractions are claimable under Medisave; simple non-surgical extractions are not. Casa Dental is also accredited for CHAS, Pioneer Generation and Merdeka Generation subsidies.
For the full pricing breakdown, public-vs-private comparison, Medisave claim limits, insurance coverage details, and the step-by-step claim process, see our dedicated cost guide:
Pricing tables · Medisave claim limits · CHAS subsidies · Insurance coverage
Click HereDos and Don’ts After Wisdom Tooth Extraction
Recovery is largely about what you do — and don’t do — in the first 7 days.
Do's
- Rest for at least 24 hours and avoid strenuous activity for the first 5–7 days
- Apply a cold compress to your cheek for 15–20 minutes at a time during the first 24 hours
- Switch to a warm compress from day 3 to encourage healing and reduce stiffness
- Take prescribed medications exactly as directed — including the full course of antibiotics if given
- Eat soft, nutritious foods (porridge, soup, yoghurt, mashed potato, scrambled eggs)
- Brush your other teeth gently from day 1; resume brushing the area lightly from day 2
- Rinse with warm salt water 24 hours after surgery, several times a day
- Sleep with your head elevated on pillows for the first 2–3 nights
Don'ts
- Smoke or vape for at least 48 hours (ideally 7 days) — smoking dramatically raises dry-socket risk
- Drink alcohol for at least 48 hours — it interferes with healing and any prescribed medication
- Use a straw, suck on lozenges, or spit forcefully — suction dislodges the blood clot
- Touch the extraction site with your tongue or finger
- Eat hard, crunchy, sticky, or spicy foods (chips, nuts, popcorn, chilli, gum) for at least a week
- Drink hot beverages on the first day
- Engage in vigorous exercise, gym sessions, or contact sports for at least 5–7 days
- Skip the follow-up appointment, even if you feel fine
Foods to Eat and Foods to Avoid After Surgery
Your diet in the first week directly affects healing speed and dry-socket risk.
Foods to Eat (Days 1–7)
- Yoghurt and pudding (no seeds or chunks)
Mashed potatoes - Scrambled eggs
- Porridge / oatmeal (smooth)
- Smoothies (eat with a spoon, no straw)
- Blended soups (lukewarm, not hot)
- Soft fruits — applesauce, mashed banana
- Soft pasta or noodles
- Tofu and steamed fish
Foods to Avoid (Days 1–7)
- Hard or crunchy foods — chips, nuts, candy
- Spicy or acidic foods — chilli, citrus, hot sauce
- Foods with seeds or grains that can lodge in the socket
- Sticky / chewy foods — gum, caramel, mochi
- Hot drinks for the first 24 hours
- Anything sucked through a straw
- Carbonated drinks for 48 hours
- Alcohol for at least 48 hours
- Tobacco in any form for at least 7 days
Wisdom Tooth Extraction Recovery Timeline
Recovery time varies by procedure type and individual healing. Most patients follow this timeline:
| Day | What to expect | What to do |
|---|---|---|
Day 1–2 | Swelling and mild bleeding are normal | Rest. Cold compress (15–20 min on, 15 min off). Soft foods only. |
Day 3–5 | Swelling begins to subside | Switch to warm compress. Gentle salt-water rinses. Reintroduce semi-soft foods. |
Day 7 | Soft tissue mostly healed; stitches may dissolve | Follow-up appointment. Stitches removed if non-dissolvable. |
Day 10–14 | Most patients return to a normal diet | Resume regular activities. Continue gentle brushing of the area. |
Week 4–6 | Gum tissue fully healed | No restrictions. The bone underneath continues to remodel for several months |
Sedation and Anaesthesia Options at Casa Dental
Casa Dental offers local anaesthesia and nitrous oxide (laughing gas) sedation. We do not offer general anaesthesia.
| Local Anaesthesia | Nitrous Oxide (Laughing Gas) | |
|---|---|---|
Consciousness | Fully awake | Fully awake but relaxed |
Pain | Area is numb | Area is numb; reduced anxiety |
Best suited for | Most simple extractions and routine surgical extractions | Patients with dental anxiety, or longer surgical cases |
Recovery time | Immediate | 10–15 minutes |
Driving home? | Yes | Yes (after a short rest) |
Why Choose Casa Dental for Your Wisdom Tooth Extraction Singapore?
Long Term Commitment
We believe in establishing long-term relationships with our patients.
- At every branch, we have one full-time permanent doctor in charge, who is also a partner of the clinic.
- Our doctors are required to attend Continuing Dental Education (CDE) sessions voluntarily at least double the annual requirement set by the Singapore Dental Council (SDC).
Service Excellence
- We welcome and value all feedback.
- Over 8,000 five-star Google reviews across our 9 branches — and counting!
- Direct feedback channel to management for any concerns or complaints.
- Annual training for our team to continuously improve customer service.
Affordability
We Believe Quality Dental Care Should Be Easily Accessible
- Transparent and wallet-friendly pricing
- Accredited for Baby Bonus, Medisave, and CHAS
- We accept multiple insurance providers (AIA, IHP, Cynergy, and more)
- Our vertical integration allows us to reduce costs for our patients
Advanced technology
We Continue to Invest in the Latest Dental Technology to Enhance Our Services
- Every branch is equipped with CBCT (Cone Beam CT) for accurate surgical planning
- All our branches have intraoral scanners to improve precision and safety during dental procedures
- Early adopters of dental laser technology, 3D printing, and facial scanners
- We have a dedicated team of in-house technicians who produce all our dental prostheses — including implant prosthetics, crowns, and veneers— ensuring better quality control
See what our patients are saying: Ang Mo Kio · Admiralty · Bedok · Boon Keng · Bukit Batok · Clementi · Holland · Tengah · Woodlands
Risks of Leaving Untreated
It is important to remove impacted wisdom teeth as soon as possible because of the potential for serious complications. If left untreated, the impacted wisdom tooth can cause:
Food and bacteria can become trapped in the area where the tooth is stuck, which can lead to decay.
Impacted wisdom teeth may cause gum inflammation or infection due to difficulty cleaning this area properly.
Fluid-filled cysts can form around the impacted tooth and damage surrounding tissue and neighbouring teeth if left untreated.
Impacted wisdom teeth can lead to overcrowding and misalignment of adjacent teeth.
Impacted wisdom teeth may cause pain or swelling in the area.
Frequently Asked Questions
How long does wisdom tooth extraction take to heal?
Soft tissue heals within 1 to 2 weeks. Bone remodelling takes 3 to 6 months, but most people eat normally and return to their routine by day 10 to 14. Simple extractions: 1 to 3 days of soreness. Surgical removal of an impacted tooth: 5 to 7 days.
What can I eat after wisdom tooth extraction?
First 24 to 48 hours: porridge, yoghurt, mashed potato, scrambled eggs, smooth soup, applesauce. From day 3, add soft pasta, tofu, steamed fish. Skip hard, crunchy, sticky, and spicy foods for at least 7 days. No straws, the suction pulls the blood clot out and causes dry socket.
Can I brush my teeth after extraction?
Yes. Brush your other teeth as normal from day 1. Leave the extraction site alone on day 1. From day 2, brush the area gently. Rinse with warm salt water 2 to 3 times a day from 24 hours after the procedure. No rinsing on day 1.
How do I know if the extraction site is infected?
In normal healing, pain and swelling reduce day by day through the first week. Call your dentist if you notice pain getting worse after day 3, fever above 38°C, pus or a bad taste at the site, swelling spreading toward the jaw or neck, or difficulty opening your mouth. Do not wait for a scheduled follow-up.
Can I claim Medisave for wisdom tooth extraction?
Yes, for surgical extractions. Medisave covers wisdom tooth surgery at Ministry of Health-accredited private clinics. Casa Dental is accredited. Simple (non-surgical) extractions are not claimable. CHAS, Pioneer Generation, and Merdeka Generation subsidies apply for eligible patients. Your dentist confirms eligibility and explains the claim process before the procedure.
Do I need antibiotics after extraction?
Not always. Your dentist prescribes antibiotics based on the extraction’s complexity, your medical history, and your infection risk. Many patients having straightforward removals do not need them. If you are prescribed antibiotics, finish the full course even after you feel better. Do not use leftover antibiotics from a previous prescription without asking your dentist.
Is it normal to have a fever after extraction?
A temperature below 38°C in the first 24 to 48 hours is part of normal healing. Fever above 38°C, or any fever appearing after day 2, signals a possible infection. Call your dentist that day. Same-day review is also needed for: pain that keeps worsening, pus or a bad taste at the site, and swollen lymph nodes under the jaw.
How long does bleeding last?
Light bleeding or oozing is normal for up to 24 hours. Bite down on gauze for 30 to 45 minutes after the procedure. If heavy bleeding continues past 24 hours, fold a fresh gauze pad, bite down for 30 minutes, and call your dentist. Spitting, rinsing hard, and straws all restart bleeding, avoid all three.
Does wisdom tooth extraction hurt?
Local anaesthesia numbs the area before any work begins. You feel pressure and movement, not pain. If sharp pain breaks through, tell your dentist, they will add more anaesthesia on the spot. Soreness after is normal for 2 to 4 days. Paracetamol or ibuprofen handles it for most people.
How long does pain last?
Soreness peaks at 24 to 48 hours and clears within 3 to 5 days for simple extractions. For surgical removal of impacted teeth, expect up to 7 days. Pain that gets worse after day 3, rather than better, points to dry socket or infection. Call your dentist that day.
How long does swelling last?
Swelling peaks at 48 to 72 hours and settles over 5 to 7 days. Cold compress for 15 to 20 minutes at a time through the first 24 hours. From day 3, switch to warm compress to bring the swelling down. Some patients bruise on the cheek alongside the swelling. Both clear within a week.
What is dry socket and how do I prevent it?
Dry socket happens when the blood clot at the extraction site comes out before the wound heals, leaving bone and nerve exposed. Pain starts 3 to 5 days after surgery, throbs, and often radiates to the ear or temple. To avoid it: no straws, no smoking, no spitting, no hard rinsing for at least 48 hours. Smoking is the highest single risk factor. It dislodges the clot and cuts blood flow to the healing site.
How many MC days will I get?
Simple extraction: 1 to 2 days. Surgical removal of an impacted tooth: 3 to 5 days. Most people in desk roles are back within 2 to 3 days. If your work is physical, take the full 5-day MC for surgical cases. Exertion raises blood pressure and dislodges the clot.
How much does wisdom tooth extraction cost in Singapore?
Cost depends on whether you need a simple or surgical extraction, the tooth’s position, and whether sedation or imaging applies. Surgical cases are Medisave-claimable; simple extractions are not. For fee tables, Medisave claim limits, CHAS subsidies, and insurance coverage, see our guide to wisdom tooth removal cost in Singapore.
Beyond the Workplace
We offer Corporate Deals with special rate amount wherein each employee’s family members can enjoy the benefits.
Corporate Partners
