Several scientific associations in the world, recognize evidence establishing third molars as a potential source of problems and recommend the removal of third molars as the treatment of choice.

Third molars are removed in a surgical procedure, which sometimes requires removal of bone tissue to gain access to the tooth. An outpatient procedure is often done at the doctor´s office, after which, patients return home for recovery. Many patients also choose to have this procedure performed under sedation.

If all four third molars are embedded, it is advisable to perform a single surgical procedure for the removal of all embedded teeth. This option has its advantages, it requires a single procedure, a single dose of antibiotics and pain medication, and a single disability period, it also decreases the amount of appointments with the specialist and lowers costs among other.

In order to provide patients with the benefits of rapid healing and a low incidence of complications, embedded teeth should be removed as soon as it is detected that they will not erupt properly. Treatment of impacted teeth at an early age is associated with a decrease in complications and better outcomes. Treatment at older ages increases the incidence and severity of pre-operative and post-operative problems. A longer period of recovery and possible complications.

When making the decision of removing the third molars, the risks and benefits should be weighed against the decision of keeping them embedded and monitor them regularly; the determination must be made on a scientific basis and clinics.


  • About 80% of third molars requiring removal before the age of 38.
  • The removal of third molars reduces the risk of caries and periodontal disease in adjacent teeth.
  • In some situations, the extraction of the lower third molars may cause temporary or permanent numbness of the chin or on the tip of the tongue.
  • Surgery, in patients 25 or younger, reduces the risk of complications
  • Not all wisdom teeth need to be extracted.
  • Not all patients swell equally, many factors such as age, position of impacted teeth, post-operative care taken, individual response to surgery trauma, and very important, surgeon´s experience.

  • Swelling usually reaches its highest proportion at the end of the second post-operative day and thereafter it begins to diminish.
  • The decision to perform the procedure under sedation, is taken largely by the patient and family, based on the degree of apprehension or emotional stress that the procedure causes. Surgeries under sedation cause less inflammation and pain after surgery.
  • It is advised to rest for the first two days.