How bad is wisdom toothache

Remove wisdom teeth: yes or no?

Bailey E, Worthington HV, van Wijk A, Yates JM, Coulthard P, Afzal Z. Ibuprofen and / or paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth. Cochrane Database Syst Rev 2013; (12): CD004624.

Cho H, Lynham AJ, Hsu E. Post-operative interventions to reduce inflammatory complications after third molar surgery: Review of the current evidence. Aust Dent J 2017.

Daly B, Sharif MO, Newton T, Jones K, Worthington HV. Local interventions for the management of alveolar osteitis (dry socket). Cochrane Database Syst Rev 2012; (12): CD006968.

De Souza GM, Fernandes IA, Dos Santos CR, Falci SG. Is bromelain effective in controlling the inflammatory parameters of pain, edema, and trismus after lower third molar surgery? A systematic review and meta-analysis. Phytother Res 2019; 33 (3): 473-481.

German Society for Oral and Maxillofacial Surgery (DGMKG), German Society for Dentistry, Oral and Maxillofacial Medicine (DGZMK). Surgical removal of wisdom teeth (S2k guideline). AWMF registration number: 007-003. 08.2019.

Do Nascimento-Júnior EM, Dos Santos GM, Tavares Mendes ML, Cenci M, Correa MB, Pereira-Cenci T et al. Cryotherapy in reducing pain, trismus, and facial swelling after third-molar surgery: Systematic review and meta-analysis of randomized clinical trials. J Am Dent Assoc 2019; 150 (4): 269-277.

Dodson TB, Susarla SM. Impacted wisdom teeth. BMJ Clin Evid 2014: pii: 1302.

Ghaeminia H, Perry J, Nienhuijs ME, Toedtling V, Tummers M, Hoppenreijs TJ et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev 2016; (8): CD003879.

Isiordia-Espinoza MA, Aragon-Martinez OH, Bollogna-Molina RE, Alonso-Castro AJ. Infection, Alveolar Osteitis, and Adverse Effects Using Metronidazole in Healthy Patients Undergoing Third Molar Surgery: A Meta-analysis. J Maxillofac Oral Surg 2018; 17 (2): 142-149.

Lodi G, Figini L, Sardella A, Carrassi A, Del Fabbro M, Furness S. Antibiotics to prevent complications following tooth extractions. Cochrane Database Syst Rev 2012; (11): CD003811.

Mendes ML, do Nascimento-Júnior EM, Reinheimer DM, Martins-Filho PR. Efficacy of proteolytic enzyme bromelain on health outcomes after third molar surgery. Systematic review and meta-analysis of randomized clinical trials. Med Oral Patol Oral Cir Bucal 2019; 24 (1): e61-e69.

Ramos E, Santamaria J, Santamaria G, Barbier L, Arteagoitia I. Do systemic antibiotics prevent dry socket and infection after third molar extraction? A systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122 (4): 403-425.

Because K, Hooper L, Afzal Z, Esposito M, Worthington HV, van Wijk A et al. Paracetamol for pain relief after surgical removal of lower wisdom teeth. Cochrane Database Syst Rev 2007; (3): CD004487.

Zhou J, Hu B, Liu Y, Yang Z, Song J. The efficacy of intra-alveolar 0.2% chlorhexidine gel on alveolar osteitis: a meta-analysis. Oral Dis 2017; 23 (5): 598-608.

IQWiG health information is intended to help understand the advantages and disadvantages of important treatment options and health care offers.

Whether one of the options we have described actually makes sense in individual cases can be clarified in a conversation with a doctor. Gesundheitsinformation.de can support the conversation with doctors and other experts, but not replace it. We do not offer individual advice.

Our information is based on the results of high quality studies. They are created by a team of authors from medicine, science and the editorial team and reviewed by experts outside of IQWiG. We describe in detail in our methods how we develop our texts and keep them up to date.