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Wisdom Tooth Surgery That Protects Your Nerves and Smile

CBCT planning, sedation dentistry, and 24/7 support for complicated impactions

Book Wisdom Tooth Consultation
97%
Nerve Safety
Inferior alveolar & lingual nerves preserved with CBCT planning
45 mins
Average OT Time
From anesthesia to closure for single impaction
72 hrs
Return to Routine
Majority resume college or work within 3 days

When to Consult

  • Throbbing pain or swelling behind your molars that flares during chewing
  • Repeated gum infection (pericoronitis) around a partially erupted wisdom tooth
  • Difficulty opening the mouth, foul taste, or pus discharge near the last molar
  • Jaw stiffness or pain radiating to the ear and temple
  • Crowding or shifting teeth seen on dental scans or orthodontic assessments
  • Advice from your dentist or orthodontist to remove impacted wisdom teeth before braces or aligners

Understanding Impacted Wisdom Teeth in the Indian Context

Third molars often erupt between 17 and 25 years. In Hyderabad, delayed dental visits, packed college schedules, and regional dietary habits (hard rotis, spicy curries) aggravate impactions. Tobacco chewing and genetic jaw size variation seen in Telangana families further restrict eruption space. At Ajuda Hospitals, our NABH-compliant oral surgery team pairs CBCT mapping with sedation dentistry so young adults, IT professionals from HITEC City, and students from Kukatpally can resolve chronic wisdom tooth pain without losing study or work days.

Untreated impactions trigger recurrent infections, cysts, or damage to adjacent molars. They also complicate orthodontic treatments and jaw alignment procedures. By integrating diagnostics, surgery, and recovery coaching under one roof, we prevent long-term crowding and TMJ issues while safeguarding sensory nerves.

When to Consult Our Wisdom Tooth Surgeons

⚠️ Seek emergency care if you notice:

  • ✓ Rapid swelling that affects breathing or swallowing
  • ✓ Fever above 101°F with spreading facial infection
  • ✓ Numbness or tingling in the lower lip or tongue
  • ✓ Difficulty opening the mouth beyond two fingers width

Book a routine consult if you feel recurrent gum swelling, food trapping, bad breath, or orthodontic relapse. Early CBCT mapping lets us schedule elective removal before exams, weddings, or relocation.

Our Diagnostic Approach

Comprehensive Oral & Medical History

We document dental treatments, systemic illnesses, and previous anesthesia experiences. Women receive counselling around menstrual cycles or pregnancy considerations for optimal scheduling.

CBCT & Panoramic Imaging

Low-dose CBCT (Planmeca ProMax) offers 3D clarity of root anatomy, mandibular canal relation, and sinus floor height. Digital OPGs support comparisons with government diagnostic schemes for insurance pre-authorisation.

Sedation & Safety Planning

Anaesthesiologists evaluate airway indexes, BMI, and anxiety levels. We align with American and Indian Society of Oral Surgeons guidelines to choose local anesthesia, nitrous oxide, IV sedation, or day-care GA.

Digital Surgical Roadmap

3D models guide flap design, bone guttering, and suture selection. Patients receive printed and WhatsApp-ready instructions covering fasting, medication adjustments, and post-op rehab.

Treatment Pathways

  • Lifestyle Optimisation Before Surgery: Nutritional counselling to boost immunity, salt-water rinses, and cessation of tobacco or hookah three weeks before surgery improve healing by 25%.
  • Minimally Invasive Extraction: Piezosurgery tips and microsaws reduce bone loss, paired with platelet-rich fibrin (PRF) to accelerate socket healing.
  • Sedation Dentistry Bundle: IV sedation delivered by ICU-trained anaesthetists—ideal for multiple impactions or anxious patients. Recovery lounge beds ensure safe discharge within four hours.
  • CBCT-Guided Nerve-Sparing Coronectomy: When roots hug the mandibular canal, we remove the crown while retaining roots, protecting nerves while resolving infection.
  • Post-Operative Enhanced Recovery: Ice therapy devices, analgesic tapering, and anti-inflammatory regimens limit swelling and dryness. Tele physiotherapy teaches gentle mouth-opening exercises.
  • Follow-up & Surveillance: Day 1, 3, and 7 WhatsApp check-ins plus in-person review at 2 weeks ensure sutures, hygiene, and diet adherence stay on track. Patients from Warangal or Karimnagar leverage video calls for reviews.

What to Expect: Your Care Journey

  1. Initial Visit (Day 0): Consultation, CBCT, cost estimate, and insurance verification happen in one sitting. You leave with consent documents and pre-op checklist.
  2. Surgery Day: Arrive fasting; anesthesia team monitors vitals. Extraction completes within 45 minutes per tooth. Recovery nurse ensures you tolerate fluids before discharge.
  3. First Week: Soft diet, ice packs, and medication reminders shared via WhatsApp reels. Our dietitians suggest Hyderabad-friendly soups and soft idlis to maintain nutrition.
  4. Weeks 2-4: Review visit removes sutures, checks nerve function, and clears you for gym or travel. Occupational guidance is provided for call centre or field jobs.
  5. Months 2-3: Final tele follow-up confirms complete healing. Patients pursuing aligners or implants continue seamlessly with partner orthodontists.

Technology & Innovation

We leverage Planmeca CBCT, Acteon Piezotome Cube, and digital consent platforms. Operative microscopes magnify roots and nerves, while EMR-integrated photo documentation tracks healing. Compared with conventional burs, our piezo systems cut heat generation and reduce bone necrosis—key advantages for repeat infection cases.

Benefits include:

  • Precise bone removal that shields nerves and sinus
  • Shorter surgical time, translating to gentler recovery
  • Real-time imaging review with patients for informed decisions

Preventing Complications

Dry socket, infection, or nerve paraesthesia are rare at Ajuda because we stabilise gum health before surgery, use atraumatic instruments, and monitor recovery aggressively. Diabetic and hypertensive patients receive internal medicine clearance. We also vaccinate against tetanus when indicated and prescribe probiotic-supported antibiotics to avoid gut upset.

Why Ajuda for Wisdom Tooth Removal?

🦷 CBCT Precision

Every impaction mapped in 3D to anticipate risks, plan flaps, and time surgeries before key life events.

😌 Sedation Comfort

IV sedation and GA supervised by ICU anaesthetists with dedicated recovery bays for teenagers and anxious adults.

📲 WhatsApp Follow-ups

Structured tele check-ins guide diet, hygiene, and pain control for patients across Telangana and Andhra Pradesh.

Take the First Step

Don’t wait for another sleepless night or exam disruption. Ajuda Hospitals offers weekday, weekend, and late-evening slots for wisdom tooth consultations in Banjara Hills and HITEC City. Call 9010550550, drop a WhatsApp message, or fill the contact form to secure your CBCT and same-week surgery.

Diagnosis Approach

1

Comprehensive Oral & Medical Assessment

Review of dental history, systemic illnesses (diabetes, hypertension), medications, and allergies to plan anesthesia safely.

2

CBCT & Digital X-ray Mapping

Low-dose CBCT outlines root curvature, relation to inferior alveolar nerve, and sinus proximity for precision planning in line with AAOMS standards.

3

Sedation & Analgesia Planning

Anaesthesiologist evaluates airway, ASA grade, and anxiety level to choose between local anesthesia, IV sedation, or day-care general anesthesia.

4

Surgical Roadmap & Consent

3D models highlight bone removal zones, flap designs, and suture techniques; informed consent covers risks, recovery milestones, and insurance coverage.

Treatment Options

Minimally Invasive Surgical Extraction

Piezosurgery units and microsaws remove bone precisely with minimal trauma and faster closure.

Reduces post-op swelling by 35% compared to conventional burs
30-45 minutes per tooth

IV Sedation or Day-care General Anesthesia

For anxious patients or multiple impactions, anesthetist-led sedation ensures comfort with continuous monitoring.

98% patient-reported comfort with rapid discharge after 3-4 hours
Same-day recovery with observation

CBCT-Guided Nerve Preservation

Precision sectioning and coronectomy protocols protect the inferior alveolar nerve when roots are intertwined.

Keeps nerve paresthesia under 1% in complex Class C impactions
Planning + 60 minutes surgical time

Infection & Pericoronitis Management

Culture-guided antibiotics, chlorhexidine irrigation, and soft-tissue laser debridement before definitive extraction.

Settles acute infection within 48 hours to allow safer surgery
2-3 day stabilization period

Enhanced Recovery After Extraction (ERAE)

Ice compression, low-level laser therapy, and structured analgesia to accelerate wound healing.

Cuts dry socket incidence to <2% and shortens discomfort window
First 5-7 days post-surgery

WhatsApp & Tele Follow-up Protocol

Day 1, 3, and 7 virtual reviews with photo sharing to monitor healing and nutrition.

Prevents avoidable ER visits for 93% of patients living outside Hyderabad
1-week intensive monitoring

Expected Outcomes

Treatment Timeline

24-48 Hours

Swelling peaks on Day 2 with effective pain control and soft diet tolerance

7 Days

Sutures intact, pain down by 70%, gentle brushing reinstated

3-4 Weeks

Bone remodelling underway; resume full diet and gym gradually

3 Months

Complete soft-tissue maturation with no residual numbness

Success Metrics

  • 97% nerve sensation preserved at 3-month review
  • Dry socket incidence kept below 2% versus 8-10% national average
  • Patient satisfaction >95% on Visual Analogue Scale (VAS) scores