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The Daily Insight

Can you get all four wisdom teeth pulled at once?

Author

Chloe Ramirez

Updated on March 10, 2026

To answer the question of whether or not you should remove all 4 of your wisdom teeth at once, the quick answer is, “Yes, you should.” Every patient will be different, and you can rest assured that our doctors will develop an individual treatment plan for your specific needs.

What happens when you get all 4 wisdom teeth removed?

Getting all your wisdom teeth removed on the same day reduces recovery time, and cuts down on the risk of developing dry socket and infections. That said, it's possible to split the procedure into two or three appointments; however, you should listen to your surgeon's recommendation.

How many wisdom teeth can be pulled at once?

Most patients will be able to have all four of their wisdom teeth removed at the same time if they choose to do so. Discuss your preferences with your oral surgeon, and feel free to ask any questions that you may have about the treatment.

How long does it take to get all 4 wisdom teeth removed?

Even inside the same mouth, every patient and every tooth is unique. It may take 10 minutes to 60 minutes to remove all 4 wisdom teeth, depending on the difficulty and intricacy of the teeth. Plus, any additional time, the Doctor needs to get ready.

Does it hurt to get 4 wisdom teeth removed?

You shouldn't feel any pain as your wisdom teeth are removed because the area will be numb. However, if you do feel pain during the procedure, tell your dentist or oral surgeon so they can give you more anaesthetic. How long it takes to remove the tooth will vary.

Can I go to work the next day after wisdom tooth extraction?

It's usually recommended that you take a day or two off work after having a wisdom tooth removed. You won't need a sick note from your doctor or dentist for this.

Are you put to sleep for wisdom teeth removal?

You do not necessarily have to be put to sleep for your wisdom teeth extraction. Wisdom teeth extraction can be done while the patient is fully awake with the mouth Numbed with local anesthesia. Wisdom teeth are the molars (back teeth) that come through last, usually in your late teens or early 20s.

Will a dentist pull all my teeth?

Losing all your teeth is scary for anyone, and oftentimes one of the first questions people ask their dentist is, “Is it possible to replace all my teeth?” Fortunately, the answer is yes!

Which day is worse after wisdom teeth removal?

The pain and swelling should subside more and more each day following surgery. The second day following surgery is usually the worst day for swelling.

How should I sleep after wisdom teeth removal?

After wisdom teeth extraction, you need to sleep with your head elevated for the first few nights. A single pillow should suffice when you're sleeping on your side. If you're having trouble falling asleep in that position, pile a few pillows behind you for support and lean back.

How common is it to have all 4 wisdom teeth?

It is estimated that 20-25% of people worldwide have LESS than four wisdom teeth. So there is a four out of a chance that you will have less than the normal four wisdom teeth. (Carter and Worthington 2015) There is not always enough space for wisdom teeth.

How long does wisdom pain removal last?

The pain after wisdom tooth extraction usually lasts from 3 days to a week, unless you have an infection or dry socket that occurs when the clot separates from the extraction site. You can expect the swelling in your mouth and cheeks to decrease in 2 to 3 days and the stiffness and pain to disappear in 7 to 10 days.

How long does wisdom teeth surgery take?

Typically, wisdom teeth removal surgeries take about 45 minutes. The tooth extraction is not painful because you will be under the influence of anesthesia. You might be able to choose between general, oral sedation or IV sedation. Or your surgeon will recommend the best option for your procedure.

Are upper or lower wisdom teeth easier to remove?

Upper wisdom teeth are often easier to remove than lower ones, which are more likely to be impacted. Your dentist will say whether the tooth should be taken out at the dental practice, or whether you should be referred to a specialist (oral surgeon) at a hospital.

How long does it take to remove 1 wisdom teeth?

It takes anything from a few minutes to 20 minutes, or sometimes even longer, to remove a wisdom tooth. After your wisdom teeth have been removed, you may have swelling and discomfort, both inside and outside your mouth.

How long do I have to sleep sitting up after wisdom teeth removal?

How long do I have to sleep elevated/keep sitting up after wisdom tooth removal? Elevated sleeping is recommended for the first and second day of surgery. Sleep with your head elevated for at least 72 hours or until the bleeding has stopped.

Does it hurt to have all your teeth pulled?

No, despite what you may have imagined, you having nothing to worry about. Having a tooth extracted, whether surgically or not, should not hurt. Usually you'll feel a slight pinch as the area is numbed using anesthetic, then after this you will not be able to feel the procedure.

How long does it take to extract all teeth?

A full mouth extraction is an outpatient procedure that should only take a couple of hours. Your surgeon begins by thoroughly numbing your teeth and gums. They can also offer sedation to keep you relaxed and comfortable throughout your procedure. They may be able to simply pull your teeth out of your jaw using forceps.

How do you prepare for a full mouth extraction?

Generally speaking, you should avoid eating anything for 12 hours prior to the surgery. This can help prevent nausea during and after the procedure. If you are having a local anesthetic, you may not need to fast as long so be sure to inquire before the treatment.

What should I do the night before I get my wisdom teeth out?

Don't eat or drink anything, including water, after midnight of the evening before your surgery. Remember to dress comfortably. You'll feel better overall and will be ready to rest after your surgery.

What happens if you wake up during wisdom teeth surgery?

With local anesthesia, you will be fully awake during your wisdom tooth procedure. However, you will not be able to feel any pain. The only sensation you may feel is a bit of pressure, but this procedure should not hurt.

Why do you act weird after wisdom teeth?

Since wisdom teeth removal can be painful, the anaesthesia acts to prevent that pain and at the same time makes you feel a bit out of it. Some people react differently to the anaesthesia than others, and it is the ones that are a bit more sensitive to it that end up having the over the top reactions.

How long should I take painkillers after wisdom tooth extraction?

Often times after wisdom tooth removal we will prescribe a higher dose ibuprofen. This should be taken in consistent doses the first 3-5 days if tolerated to help keep inflammation down as well as help control discomfort.

Is throbbing normal after wisdom teeth removal?

This can happen 3 to 5 days after surgery. The empty socket causes an ache or throbbing pain in your gum or jaw, which can be intense like a toothache. There may also be an unpleasant smell or taste from the empty tooth socket.

Should I get 2 or 4 wisdom teeth removed?

To answer the question of whether or not you should remove all 4 of your wisdom teeth at once, the quick answer is, “Yes, you should.” Every patient will be different, and you can rest assured that our doctors will develop an individual treatment plan for your specific needs.