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Why does wisdom teeth extraction cost you more?


Wisdom teeth, also known as third molars, are the last set of molars to emerge in your mouth. While they can be valuable when they grow correctly, more often than not, they cause problems that necessitate their removal.

One of the most common questions people have is, “Why is removing wisdom teeth more expensive than other teeth?” In this blog post, we will explore the factors that contribute to the higher cost of wisdom tooth extraction and why it is often considered a more complex procedure.

What do Wisdom teeth mean?

Wisdom teeth are the final teeth to erupt and develop in the jaw. They erupt between the upper and lower second molars (or 12-year molars) between the ages of 17 and 25, a period of life known as the “Age of Wisdom.”


Teeth are said to be impacted if they cannot protrude into the mouth because there is insufficient space.

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Position and Alignment

The primary reason why removing wisdom teeth is more expensive is their position and alignment. Unlike other teeth in your mouth, wisdom teeth are typically located at the back of your jaw. This makes them harder to access and requires more skill and precision from the oral surgeon. In some cases, wisdom teeth can be deeply impacted or positioned at an angle, making their extraction even more challenging.

Depending on their orientation and position, wisdom teeth can be impacted in various ways. Here are the different types of wisdom tooth impactions:

position of impacted teeth

Mesioangular Impaction:

  • This is the most common type of wisdom tooth impaction.
  • In mesioangular impaction, the tooth is tilted forward, toward the front of the mouth, at an angle.
  • It can cause the wisdom tooth to press against the second molar, potentially causing pain, infection, and damage to the adjacent tooth.

Distoangular Impaction:

  • In distoangular impaction, the wisdom tooth is tilted backward, away from the front of the mouth.
  • This impaction can make it challenging for the tooth to erupt properly, and it may push against the back of the second molar.
  • Distoangular impactions can also lead to pain, infection, and the development of cysts or tumors in rare cases.

Vertical Impaction:

  • A vertical impaction occurs when the wisdom tooth is positioned relatively straight up and down within the jaw.
  • Although this orientation is less problematic than some other impactions, it can still cause issues if there isn’t enough space for the tooth to emerge fully.
  • Vertical impactions may lead to gum pain, inflammation, and infection if the tooth partially erupts.

Horizontal Impaction:

  • Horizontal impaction is one of the most severe forms of impaction.
  • In this case, the wisdom tooth is oriented horizontally, parallel to the surface of the jawbone.
  • Horizontal impactions often lead to intense pain, and swelling, and can cause damage to adjacent teeth and the jawbone.
  • Surgical removal is typically the only viable option for horizontal impactions.

It’s crucial to note that not all wisdom teeth impactions require immediate removal. Some may remain asymptomatic for years, while others can cause pain and complications relatively quickly. Regular dental check-ups and X-rays can help monitor the development of wisdom teeth and determine if extraction is necessary.

The extraction process for impacted wisdom teeth often involves a surgical procedure performed by an oral surgeon. The specific approach will depend on the type and severity of the impaction. Early detection and consultation with a dental professional can help you make informed decisions about managing wisdom tooth impactions to maintain your oral health.

Anesthesia and Sedation

Another factor that adds to the cost is the need for anesthesia and sedation during the extraction procedure. Wisdom tooth removal is often done under general anesthesia or deep sedation to ensure the patient’s comfort and to prevent pain and anxiety during the procedure. The use of anesthesia and sedation adds to the overall cost of the extraction.

Surgical Nature of the Procedure

Compared to other dental extractions, wisdom tooth removal is often more surgical in nature. This means that it may involve cutting into the gum tissue, removing bone, and potentially dividing the tooth into smaller pieces for easier extraction. These additional surgical steps require specialized skills and equipment, which contribute to the higher cost.

Potential Complications

Wisdom tooth extraction is associated with a higher risk of complications compared to the removal of other teeth.

These complications can include infection, nerve damage, excessive bleeding, and dry sockets.

To mitigate these risks, oral surgeons must take extra precautions and follow strict post-operative care protocols, which can increase the overall cost of the procedure.

Specialized Equipment

Oral surgeons often require specialized equipment and instruments to perform wisdom tooth extraction safely and effectively.

This includes dental drills, X-ray machines, and specialized forceps designed for the extraction of impacted teeth. The cost of maintaining and using this equipment is factored into the overall cost of the procedure.

Follow-Up Care

After the extraction, patients may require additional follow-up care to ensure proper healing and to address any complications that may arise.

This includes post-operative appointments, prescription medications, and potential adjustments to the treatment plan. These follow-up services contribute to the overall cost.

Geographic Location and Provider Expertise

The cost of wisdom tooth extraction can also vary based on geographic location and the expertise of the oral surgeon. In areas with a higher cost of living, dental services tend to be more expensive.

Additionally, experienced oral surgeons may charge higher fees for their expertise and skill.


In summary, removing wisdom teeth is often more expensive than other teeth due to a combination of factors. The challenging position and alignment of wisdom teeth, the need for anesthesia and sedation, the surgical nature of the procedure, potential complications, specialized equipment, follow-up care, and geographic location all contribute to the higher cost.

While the expense may be a concern, it is essential to prioritize your oral health and consult with a qualified oral surgeon to ensure the safe and effective removal of your wisdom teeth. Remember that investing in proper care now can prevent more significant dental issues and expenses in the future.

Dr. Kiran MDS

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