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WISDOM TOOTH EXTRACTION – EXPERT ADVICE FROM MSC.DDS.SPECIALIST LEVEL II THAN TRONG NGUYEN


Wisdom teeth, particularly impacted or misaligned wisdom teeth, can cause a wide range of serious oral health problems, including persistent pain, pericoronitis (gum infection around a partially erupted tooth), tooth decay, damage to adjacent second molars, and crowding of the dental arch. Wisdom tooth extraction is often more complex than routine tooth extraction and should never be taken lightly.

The following article is based on the professional advice of MSc. DDS. Specialist Level II Than Trong Nguyen, a specialist in oral surgery and dental implantology. Dr. Nguyen previously served as a lead oral surgeon for wisdom tooth extractions at the National Hospital of Odonto Stomatology.

This article addresses the following questions:

  • Should wisdom teeth be extracted, regardless of whether they erupt normally, are impacted, or grow at an abnormal angle?
  • How can wisdom tooth extraction be performed safely, with minimal discomfort and faster healing?
  • Wisdom tooth surgery at Peace Dentistry.

I. Should Impacted Or Misaligned Wisdom Teeth Be Extracted?

According to MSc. DDS. Specialist Level II Than Trong Nguyen:

Misaligned or impacted wisdom teeth should be extracted, and early removal is strongly recommended. In addition to causing pain and discomfort, these teeth may lead to several serious oral health complications:

  • Bad breath, gum inflammation and gum infections: Misaligned wisdom teeth often create spaces where food debris and bacteria can accumulate. The area between the wisdom tooth and the surrounding gum tissue is also prone to irritation and injury. As a result, patients may experience bleeding gums, pericoronitis, gingivitis, and periodontal disease.
  • Risk of damage to the Second molar and tooth misalignment: Impacted or misaligned wisdom teeth frequently place pressure on the roots of the second molars (the teeth adjacent to the wisdom teeth). This pressure can weaken the neighboring tooth, cause tooth mobility, and contribute to crowding or shifting of other teeth.
  • Chronic infection and jaw cysts: Partially erupted wisdom teeth are highly susceptible to chronic infection. Over time, this may result in the development of jaw cysts and dentigerous cysts associated with the affected tooth.
  • Nerve compression and altered oral sensation: Impacted wisdom teeth may compress nearby nerves, leading to numbness or reduced sensation in the lips, oral mucosa, or surrounding tissues. This condition may affect eating comfort, appetite, and the ability to fully appreciate the taste of food.

For these reasons, impacted or misaligned wisdom teeth should be removed as early as possible.

II. Wisdom Tooth Extraction Should Never Be Taken Lightly

Wisdom tooth extraction, especially for impacted or misaligned wisdom teeth, is often necessary and should be performed as early as possible to prevent the many oral health problems they can cause. However, wisdom tooth removal should never be underestimated.

In some cases, the roots of wisdom teeth, particularly impacted or misaligned ones, are located very close to important nerves, may extend toward the roots of the second molars, or have unusual root anatomy. If these factors are not carefully evaluated and managed during extraction, complications may occur, including extensive surgical wounds, delayed healing, damage to the adjacent second molar, excessive bleeding, facial numbness, prolonged pain, infection, and, although rare, nerve injury.

For these reasons, wisdom tooth extraction should always be performed with careful planning and professional expertise, regardless of whether the tooth is fully erupted, impacted, or growing at an abnormal angle.

răng khôn mọc lệch

(An impacted wisdom tooth located close to the root of the second molar and deeply embedded within the jawbone)(**)

III. How Can Wisdom Tooth Extraction Be Safe, Comfortable And Promote Faster Healing?

According to MSc. DDS. Specialist Level II Than Trong Nguyen:

The removal of impacted or embedded wisdom teeth is considered a minor oral surgical procedure. To ensure safety and optimal healing, several essential requirements must be met:

  • Diagnostic imaging must be performed to evaluate the wisdom tooth, surrounding teeth, jawbone, nerves, and adjacent tissues before treatment.
  • The procedure should be performed by a dentist or oral surgeon experienced in wisdom tooth surgery.
  • Strict sterilization protocols must be followed before, during, and after the procedure.
  • Appropriate local anesthesia techniques should be used to maximize patient comfort.
  • Proper postoperative care and oral hygiene instructions should be followed carefully.
  • When these requirements are met, wisdom tooth surgery can provide:maximum safety, minimal bleeding, reduced discomfort, faster healing and recovery

Important Note: Some dental clinics perform wisdom tooth extractions without following all of these essential protocols, particularly by omitting diagnostic imaging. If a wisdom tooth extraction is recommended without first taking appropriate X-rays or scans, patients should carefully reconsider the treatment and seek a more thorough evaluation to avoid unnecessary risks.

IV. Wisdom Tooth Extraction Fees At Peace Dentistry

Tooth Extraction

Service Listed Price (USD)
Single-root tooth/simple root extraction 19 USD
Molar tooth extraction 29 USD
Straight wisdom tooth extraction 38 USD
Minor surgery for impacted/misaligned wisdom teeth 57 USD - 133 USD
Removal of broken tooth fragment 11 USD

V. Wisdom Tooth Extraction Surgery At Peace Dentistry

1. Wisdom tooth extraction protocol following ministry of health guidelines:

To ensure maximum safety during wisdom tooth extraction, especially for impacted or misaligned wisdom teeth, Peace Dentistry follows a treatment protocol based on the guidelines issued by the Ministry of Health and aligned with international standards.

quy trình nhổ răng khôn

(Wisdom tooth extraction protocol following the Ministry of Health guidelines and FDI recommendations)(**)

The procedure includes: examination and diagnostic imaging, disinfection and local anesthesia, wisdom tooth extraction surgery, prescription of antibiotics and pain management medications. Among these steps, diagnostic imaging is particularly important. Digital dental X-ray systems are used to accurately assess the position of the wisdom tooth and surrounding anatomical structures before treatment.

2. Experienced and dedicated dental team:

With more than 20 years of experience in oral healthcare, Peace Dentistry’s greatest strength is its team of highly qualified and dedicated dentists and specialists.

All dentists graduated from the University of Medicine and Pharmacy at Ho Chi Minh City and have completed advanced postgraduate education, continuing professional development programs, and specialized clinical training. More than 40% of our dentists have received additional training overseas and hold all required professional licenses and certifications.

With extensive clinical experience, our dentists have successfully performed thousands of wisdom tooth extraction surgeries, including complex cases involving impacted teeth, severely misaligned teeth, and wisdom teeth located close to important nerve structures.

đội ngũ bác sĩ tại peace dentistry

3. Advanced and comprehensive technology:

Peace Dentistry is one of Vietnam’s leading dental systems equipped with modern dental technology imported from the United States, the United Kingdom, and Australia, including: i-CAT 3D Cone Beam CT Scanner, gendex GXDP-700 Series Digital 3D Imaging System, KAVO Primus 1058 Life Dental Units with integrated treatment systems, dedicated sterilization and surgical facilities.

trang thiết bị peace dentistry

(Advanced technologies and equipment used for wisdom tooth surgery at Peace Dentistry)(**)

4. Strict Sterilization protocols and comprehensive postoperative care:

Wisdom tooth extraction is a surgical procedure and must be performed in a sterile environment.

Before every surgery, the operating room undergoes sterilization procedures. Surgical instruments are also thoroughly sterilized and stored under strict infection-control protocols before use.

Following surgery, patients receive detailed postoperative instructions, prescribed medications, and ongoing support. Our team follows up with patients during the first three days after surgery and schedules a review appointment with suture removal approximately one week later.

With these four key advantages, Peace Dentistry is committed to delivering safe, predictable, and effective wisdom tooth extraction treatment. In practice, Peace Dentistry performs more than 12,000 wisdom tooth extractions each year, while maintaining an outstanding record of patient safety and clinical excellence.

We hope this information has helped you better understand wisdom tooth extraction and the factors that contribute to a safe and comfortable treatment experience. For personalized advice, please send a message to the Peace Dentistry Facebook page or call our hotline at 1900 2102. Our dentists will be happy to assist you.