wisdom tooth extraction singapore
Wisdom Tooth Extraction & Surgery Singapore | MediSave Claimable

Wisdom Tooth Extraction & Surgery Singapore | MediSave Claimable

What Are Wisdom Teeth?

The human mouth typically has 32 teeth, including eight incisors, four canines, eight premolars, and 12 molars, of which four are wisdom teeth.

Wisdom teeth, also known as third molars, are the last teeth to emerge at the back of the mouth. They usually appear during late adolescence or early adulthood, typically between the ages of 17 and 21. Most adults have four wisdom teeth, two located at the top and two at the bottom sides of the jaw.

Wisdom teeth do not always have enough room to emerge properly, which results in the need for wisdom tooth extraction. In Singapore, MediSave may be used to help cover part of the cost, depending on the type of procedure.

Signs That May Be Worth Discussing With a Dentist

The following signs may indicate that wisdom tooth extraction is worth discussing with a dentist:

signs where wisdom tooth extraction required: Gum Redness, Swelling, or Bleeding, Swollen Jaw, Bad Breath, Unpleasant Taste in the Mouth, Limited Ability to Open the Mouth

Types of Wisdom Tooth Extraction in Singapore

Wisdom tooth extraction is generally categorised into two types, depending on how the tooth has emerged. Understanding the difference can help you know what to expect from your visit to the dental clinic.

Whether a wisdom tooth extraction is MediSave claimable can also depend on the type of extraction performed, as simple extractions are not claimable while surgical extractions may be.

SIMPLE EXTRACTION

When it’s used

Tooth has fully erupted and is visible

Procedure

Tooth is loosened and removed with forceps

Anaesthesia

Local anaesthesia

MediSave claimable

Not claimable

SURGERY

When it’s used

Tooth is impacted or has not fully emerged

Procedure

Requires an incision in the gum; the tooth may be divided into sections for removal

Anaesthesia

Local anaesthesia or sedation

MediSave claimable

May be partially claimable

Can I Use MediSave for Wisdom Tooth Surgery?

MediSave may be used to help cover part of the cost of wisdom tooth surgery in Singapore, subject to the prevailing rules set by the Ministry of Health (MOH) and the CPF Board. Simple extractions, where the tooth is fully erupted and easily accessed, are generally not MediSave claimable.

Which Procedures Qualify?

MediSave claims generally apply to surgical procedures, such as wisdom tooth surgery involving impacted teeth, dental implants in Singapore, and related procedures like the removal of a fractured retained root. Simple extractions do not typically qualify. The clinic can advise on whether your specific procedure is claimable before treatment begins.

Who Can Use MediSave?

MediSave can be used by Singapore Citizens and Permanent Residents with sufficient balance in their own MediSave account. Depending on eligibility, you may also be able to use the MediSave account of an immediate family member, such as a parent, spouse, child, or sibling, subject to their consent and the prevailing CPF rules. Claimable amounts are set by MOH and CPF and are subject to change, so it is advisable to check current limits with your clinic or CPF directly.

Wisdom Tooth Removal Procedure

The procedure for wisdom tooth extraction typically involves several stages:

Wisdom Tooth Surgery Risks

As with any surgical procedure, wisdom tooth extraction carries some risks, and your dentist will discuss these with you before proceeding.

  • Surgical Complexity: Wisdom tooth surgery may entail complex procedures for difficult extractions, sometimes requiring additional minor surgery for complete removal.
  • Crown or Root Damage: During a wisdom tooth extraction, there is a risk of fracturing the tooth’s crown or damaging the root, which may affect the soft tissue in the head and neck area.
  • Displacement Risks: There’s a possibility of displacing the tooth or tooth fragments during wisdom tooth surgery, which requires careful management.
  • Oro-Antral Communication: A complication such as oro-antral communication might occur, creating an opening between the mouth and the sinus.
  • Nerve Damage: Wisdom tooth extraction carries a risk of damaging the inferior dental nerve or its branches, as well as the lingual nerve, which may lead to temporary or permanent sensation loss.
  • Aspiration or Ingestion: There’s a small chance of aspiration or ingestion of a tooth or tooth fragment during the procedure.
  • Anaesthetic Reactions: While rare, there can be instances of fainting, respiratory or cardiac arrest as reactions to anaesthesia during wisdom tooth surgery.
  • Jaw Mobility: Post-surgery, some patients may experience restricted mouth opening, which typically resolves with time and proper after-care.
  • Bleeding and Swelling: Excessive bleeding and postoperative swelling are common concerns in wisdom tooth extraction and require appropriate after-care.
  • Postoperative Discomfort: Pain and discomfort are expected following wisdom tooth extraction, for which pain management strategies will be provided.
risk of wisdom tooth surgery: Nerve Damage, Displacement Risks, Wisdom Teeth Misalignment, Bleeding and Swelling

Recovery After Wisdom Tooth Surgery

Managing pain and discomfort after wisdom tooth surgery is important for a smooth recovery. While it is common to experience some level of discomfort post-surgery, this usually subsides naturally given time  Here’s what to expect during recovery:

Swelling

Swelling at the extraction site is common post-surgery. It can be managed by applying a cold compress to the cheek to help manage swelling and potential pain.

Pain Management

Painkillers may be prescribed to help with pain management. Follow the dosage instructions to minimise any potential side effects.

Diet

Maintaining a soft diet can minimise aggravation at the surgical site. Foods like yoghurt and soup require minimal chewing effort, reducing strain on the extraction site.

Cleaning

Gently maintaining oral hygiene helps support healing after wisdom tooth surgery. Your dentist will advise on when to resume brushing near the extraction site, and a soft-bristled brush is generally recommended to avoid disturbing the area.

Healing Timeline

Swelling and discomfort generally ease as the area heals, though this varies depending on the complexity of the extraction. Most people are able to resume daily activities as symptoms settle, and the gum tissue continues to heal naturally over time.

If pain persists longer than expected or worsens, contact your dental clinic promptly. Persistent or escalating pain could indicate a complication, such as an infection or dry socket, which requires immediate attention.

Cost of Wisdom Tooth Extraction & Surgery

The total cost of wisdom tooth extraction or surgery in Singapore varies based on the condition of your wisdom teeth, how many teeth require removal, and the complexity of the procedure. During your consultation and radiographic assessment, your dentist will provide a clear, itemised cost breakdown tailored to your specific clinical needs. Key factors that influence the overall cost include:

  • Simple vs Surgical Extraction: Simple extractions of fully erupted teeth are straightforward, whereas surgical extractions, which involve impacted, angled or unerupted teeth, are priced differently.
  • Number of Wisdom Teeth: The overall cost depends on whether you are removing a single problematic wisdom tooth, or multiple wisdom teeth in one sitting.
  • Impaction Complexity: The depth, angle and proximity to the tooth roots to the surrounding nerves or the sinus cavity determine the time and surgical effort required.
  • Sedation Requirements: While local anaesthesia is standard, options for intravenous (IV) sedation or general anaesthesia (if applicable) involve additional costs.
  • X-Rays: X-rays or 3D Cone-Beam CT (CBCT) scans are required prior to surgery to map out the tooth structure and ensure a safe procedure.
  • MediSave Eligibility: Surgical extractions are MediSave claimable up to the withdrawal limits set by the Ministry of Health (MOH), while simple extractions are not claimable under MediSave.

Because clinical conditions vary from person to person, an accurate quote can only be provided after an in-clinic evaluation and X-ray assessment. To learn more about our fee guidelines or to schedule a consultation, please contact your nearest FDC clinic.

Am I a Good Candidate?

To find out whether you are a good candidate, schedule an appointment with our dental clinician for

an initial consultation. Once the assessment of your dental health is done, our clinician will work with

you to develop a treatment plan that is right for you.

Frequently Asked Questions About Wisdom Tooth Surgery in Singapore

Yes, the CHAS Dental Subsidy scheme covers wisdom tooth extractions. However, it’s important to note that the coverage and subsidy amounts may vary depending on the specific treatment required. Please contact the dental clinic to understand the specific details of this subsidy coverage.

In some cases, yes. Subject to their consent and the prevailing CPF rules, you may be able to use the MediSave account of an immediate family member, such as a parent or spouse, to help cover part of the cost. The dental clinic can advise on the relevant forms and requirements.

Not necessarily. Some wisdom teeth emerge fully and cause no issues, in which case removal may not be needed. Others may be impacted or positioned in a way that leads a dentist to recommend extraction. A dental assessment, often with an X-ray, can help determine what is suitable for you.

If your wisdom teeth are already causing issues and have yet to be removed, they can lead to various complications. These include overcrowding of the teeth, increased risk of tooth decay and gum disease, cyst formation, jaw pain, and potential damage to adjacent teeth. Not all wisdom teeth need to be removed, so a dentist can advise based on your specific situation.

Preparing for wisdom teeth removal involves a few steps to help ensure a smooth procedure and recovery. It is advisable to follow the dentist’s instructions, which may include arranging for someone to drive you home and taking any prescribed medications as directed. Understanding the pre-operative guidelines is also essential for a smooth experience.

The procedure itself should not be painful, as the area is anaesthetised beforehand. Some discomfort is common once the anaesthetic wears off, and this generally eases naturally given time. Your dentist can advise on pain management suited to your case.

Some bleeding after wisdom tooth surgery is common in the hours following the procedure. Using the gauze pad provided by the dentist and applying gentle pressure can help manage this. If bleeding persists or becomes heavy, contact your dentist.

Yes, maintaining oral hygiene is crucial after extraction. However, be gentle around the surgery site to avoid dislodging the blood clot. Brush your teeth softly using a soft-bristled brush, avoiding the extraction area for the first 24 hours. This will help to prevent infection and promote healing.

The healing time for wisdom tooth surgery varies. Swelling often improves within two to three days, enabling you to resume your daily activities. If you experience jaw tightness or if your extraction procedure is complex and involves multiple teeth, seven to 10 days are required. You will typically recover from any mild bruising within two weeks.

This depends on the complexity of the case. Simple extractions generally take around 30 minutes per tooth, while surgical extractions can take between 30 and 60 minutes per tooth, depending on individual circumstances.

A soft food diet is generally recommended in the initial days after extraction, with solid foods introduced gradually as tolerated. Hot, spicy, and hard foods are best avoided while the area heals, and your dentist can advise on a suitable timeline.

Wisdom tooth misalignment

Wisdom tooth pain may arise from various factors, potentially due to their position as the last set of molars to emerge. Key contributors include:

  • Impaction and Misalignment: Limited space in the jaw can lead to these teeth becoming impacted or misaligned, potentially causing pressure on adjacent teeth and tissues.
  • Inflammation and Infection: The opening created as wisdom teeth break through the gums can trap food and bacteria, leading to potential inflammation and infection.
  • Pressure on Surrounding Structures: The emergence of wisdom teeth can exert undue pressure on adjacent teeth and the jaw, causing potential discomfort.
  • Nerve Disruption: Wisdom teeth growing near nerves in the jaw may lead to pain, tingling, or numbness, sometimes extending beyond the mouth area.
  • Cyst Formation: Rarely, cysts can develop around an impacted tooth, causing damage and pain to the jawbone, teeth, and nerves.

Regular dental check-ups and timely interventions can help manage these various aspects of wisdom tooth pain. Understanding these pain sources also helps address the discomfort associated with wisdom teeth.

Considerations Around Wisdom Tooth Extraction

Wisdom tooth extraction is generally considered when a tooth is impacted, difficult to clean, or contributing to pain, infection, or crowding of nearby teeth. A dentist can assess whether removal is appropriate based on the position and condition of your wisdom teeth.

About Family Dental Centre

Since its inception in 2003, Family Dental Centre (FDC) has grown into a network of 10 dental clinics in Singapore, driven by the mission to provide quality and accessible dental care to the community. As part of the Oracare Group and recognised by both the Singapore Dental Council and the Ministry of Health, our focus is on upholding professional standards in dental services, a commitment that has led to our inclusion in Dental Asia and listing on HealthHub, Singapore’s national health information portal.

At FDC, understanding and meeting the individual needs of our patients is at the heart of what we do. Our expansion to multiple conveniently located clinics reflects our commitment to making dental care accessible to all, supported by a team of over 30 dental clinicians. Continuous professional development is key, ensuring our team is equipped to provide comprehensive care. In recognition of Singapore’s diverse culture and languages, our staff are conversant in English, Mandarin, and Malay, facilitating clear and effective communication with our wide-ranging clientele.

If you are unsure which option is right for you or your child, a dentist can take a look and talk you through what they find. You can book a consultation at your nearest FDC clinic, and our dentist will assess your needs and outline treatment options.