Wisdom Tooth Extraction In Hamilton And Stoney Creek

Our dentists at Dentistry on Queenston in Hamilton and Stoney Creek perform most of the tooth extractions in-house. Where possible, we provide various tooth replacement options including dental implant to you before extracting your tooth.

Tooth Extraction

Teeth are extracted for many reasons. One or more teeth may need to be extracted in cases where they:

  • Became damaged by trauma or decay and cannot be repaired with a filling, crown or other dental treatment

  • Become loose due to gum disease affecting the bones and tissues of the mouth

  • Are too crowded for permanent to come in properly

  • Become impacted, that is, get stuck in the jaw (particularly if they are wisdome teeth)

  • Develop an infection that cannot be treated without antibiotics or root canal therapy

  • Create a high risk of infection in people with weakened immune systems

  • Get in the way of radiation treatment


We do our best to save your natural tooth and avoid tooth extraction, where possible. There may be instances where your tooth may need to be extracted such as but not limited to:

  • Complications From Root Canal Therapy

  • Complications From Tooth Restoration

  • Impacted Tooth

  • Infection

  • Teeth Crowding

  • Tooth Breakage

  • Tooth Decay

  • Trauma

  • Wisdom Tooth Complications

Wisdom Tooth

Wisdom teeth are the molars that most people get in their late teens or early twenties. If healthy and properly aligned, these teeth can be a valuable asset to the mouth.

Wisdom Tooth Extraction (Removal)

Many times, the wisdom teeth are unable to erupt normally so they either remain below the jawline or don't grow properly (misaligned or poorly angled) and can damage nearby teeth, nerves or the jawbone. Dentists call these teeth "impacted". Your dentist can check if you you have impacted wisdom teeth by taking X-rays of the teeth. If X-rays show there is a chance that impacted teeth may cause problem, your dentist may recommend that the tooth or teeth be extracted. 


Because of wisdom teeth’s hard to reach location and weird alignment/angle, they are difficult to brush and floss. Partially erupted tooth can have an opening for bacteria to enter around the wisdom tooth. This can cause pain, swelling, jaw stiffness and/or illness. Additionally, partially erupted teeth are more prone to gum disease and tooth decay. It is recommended that people have their mouth checked before age 20 to know how their wisdom teeth are erupting and whether their wisdom teeth require extraction while the roots are still developing.

At Dentistry on Queenston in Hamilton and Stoney Creek, we extract or remove wisdom teeth to correct an actual problem or prevent future problems that may occur such as:

  • Your jaw may not be large enough to accommodate the wisdom teeth. The teeth may be unable to break through your gum

  • Your tooth may become infected

  • May damage other teeth or bone or develop into a cyst

  • May erupt at an awkward angle

  • Painful or more complicated extraction a few years later (Tooth extraction is easier in young persons because teeth roots are not fully developed and the bone is not as dense)

Tooth Extraction Healing And Care

After a tooth extraction, bleeding and facial swelling in the area of extraction may occur for several hours. You may be put on antibiotics or pain killers. You will need to avoid activities that might cause trauma in the tooth extraction area. Foods may be restricted to liquid diet for a few hours or till numbness has worn off. You would need to shift eating activities to the other side of your mouth for a few days and eat softer foods to avoid any disruption to the healing process. Complete healing does not occur for a few weeks to a few months. Within the first couple of weeks after extraction, usually enough healing takes place for you to comfortably use your mouth in the area of extraction.


Tooth extraction healing requires formation of tooth extraction blood clot which lays the foundation for new tissue and bone to develop over a two-month healing process. Without clot formation, healing will be delayed. When either an extraction blood clot fails to form in the extracted tooth socket or the tooth extraction blood clot that was formed is dislodged, you may have dry socket - a common complication that occurs after tooth extraction. Dry socket typically occurs 3 or 4 days following the tooth extraction and is accompanied by dull throbbing pain and foul mouth odour. It is more common after the extraction of lower teeth than the upper teeth, and it can happen even after the simplest tooth extraction.


Tooth extraction care instructions can be broadly divided into first 24 hours and after the first 24 hours. Instructions to care in the first 24 hours cover areas such as controlling the bleeding, minimizing swelling and pain, protecting the tooth extraction blood clot, types of physical activities that are appropriate, cleaning your teeth (gentle brushing, flossing), and rinsing of tooth extraction area with saline solution, eating, drinking, and smoking (if applicable). You will receive instructions from your dentist on how to handle your unique situation.

The following suggestions can help patients minimize pain and discomfort, reduce the risk of infection and promote a quick and full recovery:

  • Keep a gauze pad in place for 3 - 4 hours to control bleeding and allow a blood clot to form in the tooth socket. Change the pad whenever it become soaked with blood or saliva

  • Avoid spitting, rinsing, or drinking using a straw for 24 hours after the tooth extraction to prevent dislodging of the clot

  • Take anti-inflammatory drug such as ibuprofen (or other drugs as prescribed by your dentist), as directed by your dentist to help manage pain and reduce swelling

  • Apply an icepack to the face in 15-minute increments to control inflammation

  • Limit physical activity for 1 -2 days after the tooth extraction

  • When lying down, prop the head up on pillows to inhibit bleeding

  • When brushing the teeth and tongue, carefully avoid the extraction area

  • 24 hours after the tooth extraction, rinse your mouth gently with a warm saltwater solution to keep the tooth extraction area clean

  • Eat foods that are soft and cool for the first 24 hours, gradually reintroducing solid foods as the wound heals

  • If you are a smoker, do not smoke because it can delay healing

What To Expect After Tooth Extraction

After a wisdom tooth extraction, you may experience:

  • Pain and swelling in your gums and tooth socket where the tooth was removed. The pain and swelling will depend upon whether your tooth extraction was easy (reasonably intact and normally positioned tooth) or difficult (broken, decayed, weak or impacted tooth requiring additional surgical procedures).

  • Bleeding that should subside within about 24 hours.

  • Difficulty with or pain from opening your jaw (trismus).

  • Slow-healing gums.

  • Damage to existing dental work, such as crowns or bridges, or to roots of a nearby tooth.

  • A painful inflammation called dry socket, which happens if the protective blood clot is lost too soon (it takes the healing process 7-10 days to get geared up again).

  • Numbness in your mouth and lips after the local anesthetic wears off, due to injury or inflammation of nerves in the jaw.

  • Jaw soreness or muscle spasm.

  • Rare side effects, including:

    • Numbness in the mouth or lips that does not go away.

    • A fractured jaw if the tooth was firmly attached to the jawbone.

    • An opening into the sinus cavity when a wisdom tooth is removed from the upper jaw.

    • Mouth and face bruising next to the tooth extraction area


Tooth extraction infection is the most common complication after tooth extraction because our mouth is full of bacteria. If you have pain, swelling, pus or have difficulty fighting off infections you may need to take antibiotics before and after the procedure. Bleeding after 48 hours of tooth extraction, acute pain and swelling are common signs of infection after the tooth extraction. If you experience any of the following symptoms after a tooth extraction, you visit your dentist at Dentistry on Queenston in such circumstances to avoid further complications:

  • severe pain or bleeding that continues for more than 4 hours after the tooth extraction procedure

  • redness, oozing, or excessive discharge that occurs after the first 24 hours

  • swelling that becomes worse over time rather than better

  • fever, chills, or other signs of infection

  • trouble with swallowing

  • nausea or vomiting

  • pain in the tooth extraction area that starts 3 days after the tooth extraction

Tooth Extraction Cost

Our prices are reasonable and based on the Ontario Dental Association’s Suggested Fee Guide. After reviewing your case, we will be glad to provide an estimate of the tooth extraction cost so that you can make an informed decision about your oral health. You may have to check with your dental insurance provider whether they cover tooth extraction cost and up to what percentage.

Please call our Dentistry on Queenston dental office in Hamilton and Stoney Creek for your wisdom tooth extraction at (905) 561-7310 or visit us or complete the online form if you think you need a tooth extraction or you have been informed by another dentist that you need one. We are open 6 days to week.

After extraction a tooth should be replaced and there are many options for replacing the missing tooth and consequences if a tooth that should be replaced isn't replaced.