Wisdom teeth removal and oral surgery in Switzerland: when is it needed, how is it done and who pays?
In short: wisdom teeth do not have to come out just because they are there. Healthy, symptom-free wisdom teeth are usually monitored, while teeth that cause repeated gum infections, decay, cysts or damage to the neighbouring molar are generally removed. Most extractions are done under local anaesthesia in a dental practice in under an hour; sedation or general anaesthesia is used for difficult cases or anxious patients. When a lower root lies very close to the nerve, a coronectomy can reduce the risk of numbness. Recovery usually takes a few days to two weeks, and anti-inflammatory painkillers are the first choice for pain. In Switzerland, basic insurance generally does not pay for dental care, but it can cover the removal of an impacted or displaced wisdom tooth when it causes a disease with real medical significance, such as a cyst or an abscess. Ask for cost approval before the operation.
This article is general information. It does not replace an examination by a dentist, an oral surgeon or a maxillofacial surgeon.
Our guides on dental anxiety, sedation and pain relief and on gum disease cover related topics. This one focuses on wisdom teeth and the other common procedures of oral surgery.
Contents
- What does current evidence say about wisdom teeth?
- What are wisdom teeth, and why do they cause trouble?
- Which problems can wisdom teeth cause?
- Remove or keep: how is the decision made?
- X-rays and 3D scans
- Local anaesthesia, sedation or general anaesthesia?
- What happens during the extraction?
- Coronectomy: when the nerve is close
- Recovery day by day
- Complications and warning signs
- Other oral surgery: cysts, root tips, impacted canines and more
- Who operates in Switzerland?
- Who pays? Basic insurance, supplementary cover and accidents
- Oral surgery as part of dental treatment in Tunisia
- FAQ
What does current evidence say about wisdom teeth?
The debate about removing wisdom teeth « just in case » is still open. The most cited review, a Cochrane systematic review updated in 2020, looked for trials comparing the removal and the retention of wisdom teeth that are impacted but cause no symptoms and show no disease. It found only two eligible studies and concluded that there is insufficient evidence to determine whether such teeth should be removed or kept. Very low-certainty evidence suggested that keeping them may be associated with a higher long-term risk of gum disease around the adjacent second molar. A small trial in adolescents found no clinically significant effect of removal on the crowding of the dental arch. The NHS takes the same practical approach: if a wisdom tooth is not causing problems, it is usually left in place and checked at routine appointments.
Pain management has also been clarified. In February 2024, the American Dental Association published an evidence-based guideline on acute dental pain in adolescents and adults. It concludes that non-opioid medicines are first-line therapy after tooth extraction, and that non-steroidal anti-inflammatory drugs such as ibuprofen, alone or combined with paracetamol, likely provide better pain relief with a more favourable safety profile than opioids. It asks dentists to avoid « just in case » opioid prescriptions, especially for adolescents and young adults.
Two further reviews are useful for patients. A 2024 meta-analysis in the Journal of Oral and Maxillofacial Surgery, covering 42 studies and 3,095 patients, found that coronectomy, removing only the crown of a lower wisdom tooth and leaving the roots, markedly reduced the risk of injury to the inferior alveolar nerve compared with full extraction, but more often required a second intervention. And a 2024 network meta-analysis in the International Journal of Oral and Maxillofacial Surgery found that preventive antibiotics reduce dry socket and wound infection after lower wisdom tooth removal, but that 25 and 18 patients respectively must be treated to prevent one case. The authors recommend deciding individually rather than prescribing antibiotics routinely.
What are wisdom teeth, and why do they cause trouble?
Wisdom teeth are the third molars, the last teeth at the back of each side of the upper and lower jaw. Most people have four, some have fewer or none, and a few have extra ones. They usually come through in the late teens or early twenties. Problems arise when there is not enough space in the jaw for them to erupt fully and in the right position. Such a tooth is called impacted: it stays partly or completely under the gum or in the bone, often tilted.
| Position | Description | Typical consequences |
|---|---|---|
| Fully erupted, upright | Comes through normally and meets the opposing tooth | Often harmless if it can be cleaned well |
| Partly erupted | Part of the crown visible, covered by a flap of gum | Food traps, gum infection (pericoronitis), decay |
| Mesioangular | Tilted forwards towards the second molar | Decay or bone loss on the back of the second molar |
| Horizontal | Lying on its side in the bone | Pressure on the second molar; more complex removal |
| Vertical, deep | Upright but buried in bone | Often asymptomatic; occasionally cyst formation |
| Distoangular | Tilted backwards | Upper teeth: near the sinus; lower teeth: harder access |
Why do so many people lack space for wisdom teeth?
Jaw size, tooth size and the timing of growth all play a role, and they vary from person to person. The practical consequence is the same: a tooth that cannot come through properly is harder to clean and more likely to cause problems around it.
Do wisdom teeth make my front teeth crooked?
This is a common belief, but the evidence does not support removing wisdom teeth to prevent crowding. The only randomised trial in the Cochrane review found no clinically significant effect of removal on the dimensions of the dental arch. Crowding of the lower front teeth with age happens in many people, with or without wisdom teeth. Orthodontists today rarely request removal for this reason alone, although they may in specific cases.
Which problems can wisdom teeth cause?
The NHS lists pain, swelling, pericoronitis, food getting trapped, decay, gum disease, cysts and abscesses among the problems that can make removal necessary. In more detail:
- Pericoronitis: infection of the gum flap over a partly erupted tooth, causing pain, swelling, bad taste, difficulty opening the mouth and sometimes fever. A single mild episode may be managed with cleaning and rinses; repeated or severe episodes are a common reason for removal.
- Decay: of the wisdom tooth itself, which is hard to clean and hard to fill, or of the back surface of the second molar, which is more serious because the second molar is a valuable tooth.
- Gum disease and bone loss: around the second molar, where a tilted wisdom tooth creates a pocket.
- Cysts: fluid-filled sacs that can form around the crown of an impacted tooth and slowly expand in the jaw. They are usually found on X-rays.
- Root resorption: damage to the roots of the second molar caused by pressure from the wisdom tooth.
- Rare tumours: some benign but locally aggressive lesions can develop from tissues around an impacted tooth; they are uncommon and found through imaging.
How do I know if my wisdom tooth is infected?
Typical signs are pain at the back of the jaw, swollen and red gum over the tooth, a bad taste or smell, pain when swallowing, difficulty opening the mouth wide and swollen glands under the jaw. Fever, swelling spreading to the cheek or neck, or difficulty swallowing or breathing require urgent care, because infections in this area can spread.
Can a wisdom tooth cause headaches or ear pain?
Pain from lower wisdom teeth is often felt in the ear, the temple or the jaw joint, because the nerves of the area share pathways. Ear pain without ear findings, combined with a painful wisdom tooth, is a classic picture. However, headaches and ear pain have many causes, and a wisdom tooth should not be removed on the assumption that it explains them without a clear dental finding.
Remove or keep: how is the decision made?
The decision balances the problems the tooth causes, or is likely to cause, against the risks of surgery. These risks increase with age, depth and proximity to nerves.
| Situation | Usual recommendation |
|---|---|
| Erupted, functional, cleanable, healthy | Keep and monitor |
| Impacted, no symptoms, no disease on X-ray | Usually monitor; discuss individually |
| Repeated or severe pericoronitis | Removal generally recommended |
| Decay in the wisdom tooth that cannot be restored | Removal |
| Decay or bone loss on the second molar caused by the wisdom tooth | Removal, then treat the second molar |
| Cyst, tumour, root resorption | Removal, with treatment of the lesion |
| Before orthodontic, prosthetic or jaw surgery | Depends on the treatment plan |
| Before radiotherapy to the jaw or certain bone medicines | Often assessed early, because later surgery is riskier |
Is it better to remove wisdom teeth when I am young?
Surgery tends to be easier when the roots are not fully formed and the bone is more elastic, and healing is usually faster in younger people. That is an argument for removing problematic or clearly doomed teeth earlier rather than later. It is not, on its own, an argument for removing healthy teeth in everyone, given the lack of evidence summarised in the Cochrane review. Discuss your own X-ray with your dentist.
Should I remove all four at once?
Not automatically. Each tooth should be assessed individually. If several need removal, doing them in one session means one recovery and one anaesthesia, which many people prefer, especially under sedation or general anaesthesia. Others prefer to treat one side at a time so they can still chew on the other. Your insurer, if coverage is discussed, will also look at each tooth separately.
What if a healthy wisdom tooth is kept?
Keep it clean, with careful brushing at the back and interdental cleaning, and have it checked at regular dental visits. X-rays are repeated from time to time, as your dentist advises, to look for changes. If problems appear later, the situation is reassessed.
What about teenagers and orthodontic patients?
Wisdom teeth are often first seen on X-rays taken during orthodontic treatment in adolescence, when their roots are still forming. Orthodontists and dentists sometimes discuss removing tooth germs early when they clearly have no chance to erupt or interfere with treatment, or monitoring them until their path is clearer. The Swiss Federal Supreme Court has recognised that, in a developing dentition, a displaced tooth that prevents the orderly eruption of neighbouring teeth can have the disease value required for basic insurance coverage. For a teenager, the decision should be made jointly by the orthodontist, the dentist and the family, with the X-ray in front of them.
Can wisdom teeth cause problems later in life?
Yes. A wisdom tooth that has been quiet for decades can become a problem when the gum recedes, when a cyst develops or when the second molar is lost and the wisdom tooth starts to move. Problems in older adults are generally treated the same way, but extractions are often more difficult because the bone is denser and healing is slower. This is one reason regular dental check-ups remain important for people who keep their wisdom teeth.
X-rays and 3D scans
A panoramic X-ray (orthopantomogram, OPG) shows all the teeth, the jaws, the sinuses and the canal of the inferior alveolar nerve in one image. It is the standard first examination for wisdom teeth. When the roots of a lower wisdom tooth appear to overlap the nerve canal, or when a lesion needs closer study, a cone-beam CT (CBCT) gives a three-dimensional view. It shows whether the nerve runs beside, below or between the roots, which helps the surgeon choose between extraction and coronectomy and explain the risk to you.
Is the radiation from a dental scan dangerous?
Dental X-rays use low doses, and a cone-beam CT uses more than a panoramic image but generally less than a conventional medical CT of the head. Scans should be taken when they change the decision, not routinely. Tell the dentist if you are or may be pregnant.
Can I use an X-ray taken elsewhere?
Often yes, if it is recent and of good quality. Ask for a digital copy of every X-ray and scan; it saves time and radiation if you change dentist, seek a second opinion or receive treatment abroad.
Local anaesthesia, sedation or general anaesthesia?
According to the NHS, local anaesthesia is the usual option, while sedation or general anaesthesia are needed only if the teeth are more difficult to remove or you are anxious.
- Local anaesthesia: injections numb the area completely. You feel pressure and vibration but should not feel pain. You can drive and work the same day if you feel well, although most people rest.
- Conscious sedation: a medicine given by mouth, through a vein or by inhalation makes you relaxed and drowsy while you remain able to respond. Local anaesthesia is still used. Someone must accompany you home, and you should not drive for at least 24 hours.
- General anaesthesia: you are asleep. It is used for complex cases, multiple deep teeth, people with significant anxiety or special needs, and is performed in a clinic or hospital with an anaesthetist. The NHS advises not driving for 48 hours afterwards.
Will the injection hurt?
A topical numbing gel is often applied first, and the injection is given slowly. Most people feel a brief sting. If you are very anxious about injections, tell the dentist beforehand; our guide to dental anxiety and sedation explains the options available in Switzerland.
What if the anaesthetic doesn’t work?
Lower molars can be harder to numb, especially when inflamed. The dentist can give additional injections or use other techniques. You can always ask to pause. An acutely infected tooth is sometimes treated first with cleaning and, if needed, antibiotics, and removed a few days later when the inflammation has settled.
Planning wider dental treatment? Request a free, personalised quote with a recent panoramic X-ray. Dental treatment in Tunisia with Medespoir costs about 60% less than in Switzerland; the exact price is given in the quote, sent within 48 hours and without commitment.
How should I prepare for the day of the extraction?
Eat a light meal beforehand if you have local anaesthesia; follow the fasting instructions exactly if you have sedation or general anaesthesia. Take your usual medicines unless told otherwise, and bring a list of them. Buy painkillers, soft food and cold packs in advance, so you can go straight home and rest. Wear comfortable clothes, remove lipstick and nail varnish if sedation is planned, and arrange for someone to take you home and, after sedation or general anaesthesia, to stay with you for the evening. Plan a quiet day or two: no important meetings, sport or travel straight afterwards. If you have a cold sore, a fever or a new infection, call the practice before you go; the appointment may need to be moved.
What happens during the extraction?
A simple extraction of an erupted wisdom tooth is similar to removing any other molar: after anaesthesia, the dentist loosens the tooth with instruments and lifts it out. A surgical extraction of an impacted tooth involves a few more steps.
- A small incision in the gum and lifting of a flap to see the tooth and bone.
- Removal of a little bone around the crown if needed, with a drill or piezo instrument under cooling.
- Sectioning the tooth into pieces so it can be removed without forcing the surrounding bone.
- Cleaning the socket and checking for remnants of the follicle around the crown.
- Closing the gum with stitches, often dissolvable.
- Pressing a gauze on the wound to control bleeding.
The NHS indicates that the procedure should take no more than about 40 minutes for most teeth; simple extractions can take a few minutes, while deep lower teeth take longer.
Is the upper wisdom tooth easier to remove?
Often yes, because the upper bone is softer. The specific risk upper wisdom teeth carry is their proximity to the maxillary sinus. Occasionally, removal creates a small opening between the mouth and the sinus. Small openings usually close by themselves if you avoid blowing your nose hard for a while; larger ones are closed surgically. Your dentist will give you specific advice if this happens.
Will I hear or feel anything?
You will hear instruments and feel pressure, and sometimes a cracking sensation when the tooth is sectioned or loosened. This is normal and is not pain. Music through headphones helps many people.
Coronectomy: when the nerve is close
The inferior alveolar nerve runs through the lower jaw and supplies sensation to the lower lip, chin and teeth on that side. When the roots of a lower wisdom tooth are wrapped around or press on this nerve, full extraction carries a higher risk of injuring it. In a coronectomy, the surgeon removes the crown of the tooth, which is the part causing problems, and deliberately leaves the roots in the bone, below the level of the bone surface. The roots are usually left alone and bone may grow over them.
What are the advantages and disadvantages?
The 2024 meta-analysis cited above found a clearly lower risk of nerve injury with coronectomy than with full extraction, along with less dry socket. The downside is a greater likelihood of a second intervention, for example if a root moves towards the surface over time or becomes infected. Coronectomy is not suitable when the tooth itself is infected or decayed into the root, or when the roots are mobile. Your surgeon will explain whether it is an option in your case, based on the 3D scan.
Recovery day by day
Recovery depends on the difficulty of the extraction, the number of teeth, your age and how carefully you follow the instructions. The NHS notes that most people can return to normal activities the day after, that a more difficult extraction or general anaesthesia may require 1 to 3 days off work, that pain and swelling should start to improve after 1 or 2 days and that symptoms can last up to 2 weeks.
| Day | What is normal | What helps |
|---|---|---|
| Day 0 | Numbness for a few hours, oozing, mild bleeding | Bite on gauze; rest with head raised; cold packs on the cheek; first painkiller before numbness wears off |
| Days 1 to 3 | Swelling and stiffness peak; jaw hard to open; bruising possible | Regular ibuprofen and/or paracetamol as advised; soft, cool food; no smoking; no vigorous rinsing on day 1 |
| Days 3 to 7 | Swelling decreases; mouth opens more easily | Gentle salt-water or prescribed rinses; brush other teeth; avoid seeds and crunchy food in the socket |
| Days 7 to 14 | Most discomfort gone; stitches dissolve or are removed | Normal diet gradually; follow-up if asked |
| Weeks 3 to 8 | Socket fills with new tissue and bone | Keep the area clean; report any persistent pain or numbness |
Which painkillers should I take?
The ADA’s 2024 guideline places non-steroidal anti-inflammatory drugs, alone or combined with paracetamol, as first-line treatment, with opioids reserved for cases where this is insufficient or contraindicated. In practice, your dentist will propose a schedule, often ibuprofen and paracetamol at set times during the first days. Check with your doctor first if you have stomach ulcers, kidney disease, asthma triggered by anti-inflammatories, take blood thinners or are pregnant.
What can I eat after wisdom tooth removal?
Soft or liquid foods for the first days: yoghurt, soups that are not too hot, mashed potatoes, scrambled eggs, pasta, smoothies eaten with a spoon. The NHS advises avoiding hard or crunchy foods and small foods such as nuts or seeds that can lodge in the wound, as well as alcohol and very hot drinks. Chew on the other side and return to normal food gradually.
When can I go back to sport?
Avoid strenuous exercise for a few days, as it raises blood pressure and can restart bleeding and increase swelling. Light walking is fine. Contact sports should wait until the jaw is comfortable and your dentist agrees, especially after removal of deep lower teeth, because the jaw is temporarily weaker at the extraction site.
Can I smoke or vape after an extraction?
Ideally not. Smoking increases the risk of infection, as the NHS notes, and is associated with dry socket. If you cannot stop completely, avoid smoking for as long as possible, at least the first days.
Complications and warning signs
Most extractions heal without problems. The complications to know about are:
- Dry socket (alveolar osteitis): the NHS describes it as a painful condition where the blood clot does not form properly or is dislodged before the gum has healed. It typically causes increasing, throbbing pain a few days after the extraction, often spreading to the ear, with a bad taste. It is treated by the dentist with cleaning and a soothing dressing.
- Infection: increasing swelling, pus, fever or worsening pain after the first days.
- Bleeding: some oozing is normal. The NHS advises pressing on the area for at least 10 minutes if it bleeds, and seeking urgent help if bleeding does not stop.
- Nerve injury: numbness or tingling of the tongue, lip or chin. According to the NHS, it usually gets better, but it can last for weeks or months. Rarely, it is permanent. The lingual nerve, which supplies the tongue, lies on the inner side of the lower wisdom tooth and can also be affected.
- Damage to adjacent teeth or fillings: rare, but possible when teeth are closely packed.
- Jaw stiffness: limited mouth opening for some days is common; it should improve steadily.
- Sinus opening: with upper teeth, as described above.
- Jaw fracture: very rare, mostly with deeply impacted teeth in older adults.
When should I seek urgent help?
The NHS lists bleeding that will not stop, severe or worsening pain and swelling not relieved by painkillers, and pain with a bad taste, fever or feeling unwell. Add difficulty swallowing or breathing, swelling spreading to the eye or neck, and high fever: these require immediate emergency care. In Switzerland, contact your dentist first; out of hours, cantonal dental emergency services exist in most regions, and call 144 in a life-threatening emergency.
Do I need antibiotics?
Not routinely. Antibiotics are used for established infections, for patients at particular risk or after complex surgery. The 2024 meta-analysis shows that preventive antibiotics reduce dry socket and infection somewhat, but many patients need to be treated to prevent one case, so the decision should consider your health and the difficulty of the extraction.
Which health conditions need special precautions?
Tell your dentist about blood thinners (do not stop them without medical advice), heart valve disease or artificial joints, diabetes, immune suppression, radiotherapy to the head and neck, and medicines that act on bone, such as bisphosphonates or denosumab used for osteoporosis or cancer. These medicines are associated with a rare but serious complication, osteonecrosis of the jaw, after extractions. Planning and precautions reduce the risk. Pregnancy is not a contraindication to urgent treatment, but elective extractions are usually postponed.
Other oral surgery: cysts, root tips, impacted canines and more
Wisdom teeth are the best known, but oral surgery covers many other procedures:
- Apicoectomy (root-end resection): removal of the tip of a root and the infected tissue around it, when a root canal treatment has not healed an infection and cannot be redone from inside.
- Removal of jaw cysts: complete removal (enucleation) or, for very large cysts, opening and decompression first; the tissue is sent for analysis.
- Exposure of impacted canines: uncovering an upper canine that has not erupted, so the orthodontist can guide it into place.
- Frenectomy: release of a tight lip or tongue attachment that interferes with gums, speech or orthodontic treatment.
- Biopsy: removal of a small piece of tissue from a mouth lesion for analysis; any ulcer or white or red patch that does not heal within about two to three weeks should be examined.
- Bone grafting and sinus lift: preparation for implants, covered in our guide to dental implant options and bone grafts.
- Removal of broken roots and difficult extractions: teeth that fracture during extraction or roots left from old extractions.
Should a wisdom tooth be removed before implant treatment elsewhere?
Sometimes. If a full-mouth rehabilitation is planned, problematic wisdom teeth are usually dealt with at the start, so that healing is complete before implants or bridges. A healthy wisdom tooth can also be useful: it occasionally serves as a support for a bridge, or, in younger patients, can be transplanted to replace a lost molar in specific cases. Your treatment plan should say what happens to each wisdom tooth and why.
Who operates in Switzerland?
Three types of practitioners remove wisdom teeth in Switzerland:
- General dentists handle many routine and moderately difficult extractions in their practice.
- Specialists in oral surgery, dentists with a federal specialist title after additional training, take on difficult extractions, cysts, root-end resections and implant surgery.
- Oral and maxillofacial surgeons, who are trained in both medicine and dentistry and hold an FMH specialist title, treat the most complex cases, jaw lesions, patients with serious health problems and operations under general anaesthesia in hospital.
University dental clinics in Basel, Bern, Geneva and Zurich also treat patients, including complex cases. You can ask your dentist to refer you if a tooth looks difficult on the X-ray, if the nerve is close or if you prefer sedation or general anaesthesia.
What should I ask before the operation?
- Why should this tooth come out, and what happens if I keep it?
- How difficult is the extraction, and how close are the roots to the nerve or sinus?
- Is a 3D scan needed? Is coronectomy an option?
- Which anaesthesia do you propose, and what do I need to organise (escort, time off)?
- Which painkillers should I take, and will I need antibiotics?
- Can you request cost approval from my insurer, and what will I pay myself?
- Whom do I call if there is a problem at night or at the weekend?
Who pays? Basic insurance, supplementary cover and accidents
In Switzerland, dental treatment is generally not covered by basic insurance (KVG/LAMal). Most people pay their dentist themselves or through supplementary dental insurance. There are exceptions, listed exhaustively in Articles 17 to 19 of the health care benefits ordinance (KLV/OPAS). One of them concerns wisdom teeth directly: Article 17 covers dental treatment caused by severe and unavoidable diseases of the masticatory system, including the displacement and supernumerary formation of teeth and tooth germs when they have disease value, for example an abscess or a cyst.
When does basic insurance pay for wisdom tooth removal?
The Federal Supreme Court has interpreted this rule strictly. In a leading decision (BGE 127 V 328), it held that the position of the tooth alone is not enough: there must be a pathological process that significantly damages, or threatens to damage, neighbouring structures. Chronic or recurrent pericoronitis with beginning abscess formation, or a cyst with a pathological process, can meet this threshold. Coverage then includes the removal and the treatment of the accompanying disease, but not the replacement of the extracted tooth. A simple, uncomplicated extraction of a healthy or merely symptomatic wisdom tooth is usually not covered.
How do I ask for coverage?
Your dentist or surgeon sends a request for cost approval to the insurer before the operation, with X-rays and a description of the disease. The insurer’s dental adviser assesses it. If coverage is granted, the treatment is billed under basic insurance rules, with your deductible and co-payment applying. If it is refused, you pay according to the dental tariff, or your supplementary policy may contribute. If the procedure is performed in hospital under general anaesthesia for medical reasons, ask how the hospital stay and anaesthesia will be billed.
What about supplementary dental insurance?
Supplementary dental policies vary widely: some reimburse a share of costs up to an annual limit, many have waiting periods, and some exclude conditions that already existed when you joined. If you know your wisdom teeth will probably need removing, check your policy before booking and note that taking out cover after a problem is diagnosed rarely helps.
Is a tooth damaged in an accident covered?
Dental damage caused by an accident, such as a fall or a blow, is covered by accident insurance (through your employer if you work at least eight hours a week, otherwise by the accident cover in your health insurance). Report it promptly and keep photos and the dentist’s report. Wisdom tooth problems themselves are not accidents.
Oral surgery as part of dental treatment in Tunisia
Travelling abroad only to remove an uncomplicated wisdom tooth is rarely worthwhile: the procedure is short, complications such as dry socket appear a few days later, and follow-up is easiest close to home. Things are different when wisdom tooth removal or other oral surgery is part of a larger treatment plan, such as implants, a full-mouth rehabilitation or extensive crowns. Medespoir’s dental page for Tunisia lists extractions, wisdom tooth treatment and root canal treatment among the services, alongside implantology. Dental treatment in Tunisia costs about 60% less than in Switzerland; the exact price is given in a free, personalised quote sent within 48 hours.
How should extractions be timed with the rest of the treatment?
Extractions usually happen at the start of a treatment plan, so the sockets can heal before implants or prostheses. Some implants can be placed at the time of extraction, others need weeks or months of healing. Our guide on preparing dental treatment abroad explains how X-rays, 3D scans, the number of trips and temporary teeth fit together. Medespoir’s dental care guide explains that the initial assessment is based on a recent panoramic X-ray, photos of your smile and a description of what bothers you.
What about follow-up after returning to Switzerland?
Before you leave, make sure you have a written report listing what was done, X-rays, the medicines prescribed and a contact for questions. Ideally, keep a dentist in Switzerland who knows you and can see you for a check or an emergency. Care received in Switzerland after your return is not included in the Tunisian package.
And Turkey?
Medespoir’s clinics in Istanbul are confirmed for hair transplants. For dental treatment and oral surgery, the quote will specify whether the treatment is possible in Turkey and where.
Your next step: if wisdom tooth removal is part of a larger dental plan, request a free, personalised quote with a recent panoramic X-ray. Dental treatment in Tunisia costs about 60% less than in Switzerland; the exact price is given in the quote, sent within 48 hours and without commitment.
Frequently asked questions
Does wisdom tooth removal hurt?
Not during the procedure, thanks to anaesthesia. Afterwards, discomfort and swelling are common for a few days and are usually well controlled with ibuprofen and paracetamol taken as advised.
How long does the swelling last?
Swelling usually peaks around the second or third day and then decreases. Most people look normal within a week, though symptoms can last up to two weeks after difficult extractions.
Can I go to work the next day?
After a simple extraction under local anaesthesia, many people can. After a difficult extraction or general anaesthesia, plan one to three days off, as the NHS suggests.
How do I prevent dry socket?
Do not smoke, do not rinse vigorously or spit forcefully on the first day, avoid drinking through a straw, and follow the cleaning instructions from the second day. Contact your dentist if pain increases after a few days.
Is numbness after wisdom tooth removal permanent?
Usually not. Most cases of numbness of the lip, chin or tongue improve over weeks or months. Report it early so it can be monitored.
Do I need stitches removed?
Many surgeons use dissolvable stitches that disappear within one to two weeks. Others are removed at a short follow-up visit.
Can I have my wisdom teeth out during pregnancy?
Urgent treatment for pain or infection can be done during pregnancy with appropriate precautions. Planned removals are usually postponed until after the birth.
Will removing my wisdom teeth change my face shape?
No. Wisdom teeth sit inside the jaw, behind the other molars, and their removal does not change the shape of the face once the swelling has gone.
Sources
- Ghaeminia H et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev, 2020: doi.org/10.1002/14651858.CD003879.pub5
- American Dental Association. Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain. J Am Dent Assoc, 2024: doi.org/10.1016/j.adaj.2023.10.009
- Benefits of coronectomy in lower third molar surgery: systematic review and meta-analysis. J Oral Maxillofac Surg, 2024: doi.org/10.1016/j.joms.2023.09.024
- Camps-Font O et al. Antibiotic prophylaxis in the prevention of dry socket and surgical site infection after lower third molar extraction: network meta-analysis. Int J Oral Maxillofac Surg, 2024: doi.org/10.1016/j.ijom.2023.08.001
- NHS, Wisdom tooth removal: nhs.uk
- Swiss Federal Supreme Court, BGE 127 V 328 (wisdom teeth and Art. 17 KLV): justement.ch
- Medespoir: dentist in Tunisia, dental care guide, implantology
This article does not replace medical or dental advice. Decisions about extractions should be made with a dentist or surgeon who has examined you and your X-rays.