Wisdom teeth are the last molars, and they usually come in between 17 and 25. Many jaws do not have room for them, so they come through part way, grow in sideways, or stay trapped under the gum. That is when they cause trouble: a dull ache at the back of the jaw, a gum flap that keeps getting infected, or decay in the tooth in front.
Not every wisdom tooth needs to come out. If yours is fully through, easy to clean and not harming anything, it can stay, and we will tell you so. When one does need removing, it is usually done in a single visit under local anaesthetic.
At The Smile Super Speciality Dental Clinic, in Kondapur, Hyderabad and in Vizag since 1997, wisdom tooth removal costs ₹5,000 to ₹15,000. You get the exact figure in a written plan after a ₹500 consultation and X-ray, before anything is done.
Get Your General Answers
What patients usually tell us
- "It has been aching on and off at the back for months."
- "The gum behind my last tooth swells up every few weeks."
- "Food keeps getting stuck back there and it smells."
- "When it flares up I can't open my mouth fully."
- "Another dentist said it is growing sideways into the next tooth."
- "I'm starting braces and was told to get my wisdom teeth checked."
- "I'm moving abroad and don't want this flaring up there."
When removal makes sense
- Repeated infection of the gum over a part-erupted wisdom tooth.
- The tooth is impacted (stuck in the bone or under the gum) and pressing on the tooth in front.
- Decay in the wisdom tooth, or in the molar in front, that cannot be cleaned or treated well.
- A cyst or other change around the tooth on the X-ray.
- Planned orthodontic treatment where the wisdom tooth is in the way. See braces in Kondapur and Vizag.
Honest limits
- A healthy wisdom tooth can stay. If it is fully through, meets the opposite tooth and you can clean it, removing it "just in case" is not routine advice.
- A tooth with no pain is not always healthy. A part-erupted or sideways tooth can cause decay in the next molar without hurting. The X-ray decides, not the pain.
- Roots close to the nerve need more care. In the lower jaw the roots sometimes sit very close to the nerve that supplies the lip and chin. We may advise a 3D X-ray (CBCT) first, removing only part of the tooth, or watching it instead. We explain the risk before you decide.
- An active infection is treated first. If the area is badly swollen, you may need medicines for a few days before the tooth comes out.
- Some cases belong in hospital. If you need all four out under general anaesthesia, or have a medical condition that needs closer monitoring, we will refer you.
Step 1: the first visit (₹500 consultation)
- We look at the tooth, the gum around it and how wide you can open.
- An X-ray shows the root shape and position: a small IOPA X-ray (₹200) or a full-jaw OPG (₹500), which lower wisdom teeth usually need. An iTero 3D scan records the bite if braces or other work is also planned.
- You see the X-ray with us and hear plainly whether the tooth should come out, can stay, or should be watched.
Step 2: a written plan
The plan says simple or surgical removal, the price, how long it takes and what recovery looks like. If there is active infection, it also says what to take first and when to come back.
Step 3: simple removal (about 20 to 30 minutes)
For a wisdom tooth that is fully through. Numbing gel, then local anaesthetic, then the tooth is loosened and lifted out. You feel pressure, not pain.
Step 4: surgical removal (about 45 to 90 minutes)
- Local anaesthetic. Sedation can be arranged for very anxious patients, at extra cost.
- A small cut in the gum, and a little bone removed if the tooth is held in bone.
- The tooth is often divided into pieces so it comes out with less force.
- The area is cleaned and closed with stitches.
Step 5: review
A check about a week later if stitches need removing or healing needs a look. Message us on WhatsApp any time in between.
During removal
The area is fully numb. Expect pressure and some pushing, and with surgical removal some sounds, but not sharp pain. We stop and top up the anaesthetic if you feel anything sharp.
First 24 hours
Bite on the gauze for 30 to 60 minutes. Some bleeding and oozing is normal. Swelling starts and usually peaks on day 2 or 3. Cold packs on the cheek (20 minutes on, 20 off) help. Soft, cool food only.
Days 2 to 7
Swelling and soreness go down day by day. Bruising on the cheek is common after lower surgical removal and fades on its own. Most people are back at work in 2 to 3 days and feel normal within about a week.
Protect the clot (first 24 to 72 hours)
No spitting, no straws, no hard rinsing on day 1, and no smoking for at least 72 hours. These dislodge the blood clot in the socket and can cause a dry socket, a painful but treatable problem.
Days 2 to 7
Gentle warm salt water rinses after meals. Brush your other teeth normally and go carefully near the area. Chew on the other side and move to firmer food as it feels comfortable.
Call us if
- Pain gets worse after day 3 instead of better, often spreading to the ear (possible dry socket: we clean the socket and place a soothing dressing).
- Bleeding does not slow with firm pressure on gauze.
- You have a fever, or swelling spreads down the neck or up towards the eye.
- Numbness of the lip, chin or tongue lasts more than a day or two.
If swelling spreads fast or you find it hard to breathe or swallow, go to a hospital emergency department straight away. For other urgent problems, see emergency dental care in Kondapur and Vizag.
Full healing
The gum heals in 1 to 2 weeks. The bone fills in over the following months without you noticing.
Wisdom tooth removal: ₹5,000 to ₹15,000
| Type | Price | When |
|---|---|---|
| Simple removal | ₹5,000 to ₹8,000 | Tooth fully through the gum and easy to reach |
| Surgical removal | ₹8,000 to ₹15,000 | Tooth impacted under the gum or in bone, needs a cut, bone removal or sectioning |
What moves the price:
- Upper or lower: lower wisdom teeth sit in denser bone and are more often impacted, so they are usually at the higher end.
- Position: a tooth lying sideways or deep in bone takes longer than one tilted slightly.
- Root shape and nearness to the nerve: curved roots or roots close to the nerve need more time, and sometimes a 3D X-ray (CBCT), charged separately.
- Sedation: extra, only if you want or need it.
- How many: each tooth is priced on its own difficulty.
Separate from the removal: the ₹500 consultation and the X-ray (IOPA ₹200, OPG ₹500). The written plan lists every item, so there are no surprises on the day. More detail in our wisdom tooth extraction cost guide.
Pain is a poor guide, the X-ray is a good one
A wisdom tooth that hurts badly may only have an inflamed gum flap that settles with cleaning. A tooth that never hurts may be quietly decaying the molar in front, the tooth you actually need for chewing. So we decide from the X-ray, not from how much it hurts this week.
Age matters too. In the early twenties the roots are often not fully formed and the bone is softer, so an impacted tooth that will need removing is usually easier to take out, and healing is quicker, than in the forties. That is a reason to get a clear answer early, not a reason to remove healthy teeth. If your pain may be coming from another tooth, read does a toothache always mean a root canal?.
Wisdom tooth removal during an India visit
Book the consultation in the first days of your trip. Removal is usually one visit, and we suggest about 10 days between surgical removal and a long flight, so swelling has settled and we can check healing before you go. If there is active infection, allow a few extra days for medicines first. More in our guide to dental treatment on an India visit.
Live outside India? See how to plan your treatment from home →
Does wisdom tooth removal hurt?
Not during it. The area is fully numb, so you feel pressure, not pain. Afterwards expect soreness for 2 to 5 days, which the medicines we prescribe keep under control.
How much does wisdom tooth removal cost in Kondapur and Vizag?
₹5,000 to ₹15,000 at The Smile Super Speciality Dental Clinic: ₹5,000 to ₹8,000 for a simple removal and ₹8,000 to ₹15,000 for a surgical one. The ₹500 consultation and X-ray (₹200 to ₹500) are separate, and the exact price is in your written plan before anything is done.
Do all wisdom teeth need to come out?
No. A wisdom tooth that is fully through, meets the tooth above or below and is easy to clean can stay for life. We advise removal only when the X-ray or your symptoms give a real reason.
My wisdom tooth does not hurt. Should it still come out?
Sometimes. A tooth that is half through or lying sideways can trap food and decay the molar in front without any pain. If the X-ray shows that, removing it early protects the tooth you need. If not, it can stay.
How long is recovery, and when can I go back to work?
Most people are back at work in 2 to 3 days. Swelling peaks on day 2 or 3 and is mostly gone within a week. A Thursday or Friday appointment lets you rest over the weekend.
Should I have all four removed at once?
It depends on how many need to come out and how difficult they are. Often we do one side, upper and lower, at a time so you can chew on the other side while you heal. Removing more at once means one recovery instead of two, but a harder one.
What is a dry socket and how do I avoid it?
It is when the blood clot in the socket comes away too early, usually 3 to 5 days after removal, causing throbbing pain that can spread to the ear. Avoid smoking, straws and hard spitting for the first few days. If it happens, we clean the socket and place a soothing dressing, and relief is quick.
Who removes the tooth, and where?
Cases are planned by our dentists, Dr. Varsha Reddy, Dental Surgeon, and Dr. Rajesh Kumar Y, MDS Orthodontics, Facial Orthopedist, when braces are involved. You can visit Smile Dental Clinic Kondapur on Masjid Banda Road, Hyderabad, or Smile Dental Clinic Vizag at SLN Towers, Maharani Peta, Visakhapatnam.
