By Dr. med. dent. Dana Marinescu, dentist specializing in digital dentistry and oral surgery
Many of my patients think of Wisdom teeth a youth issue. In fact, more and more people over 30 are coming to my practice in Zurich because they need their wisdom teeth removed. Inflammation, pain, or even cysts often only appear later in life. In this article, as an experienced dentist, I would like to give you an insight into the process of wisdom tooth removal, what costs you can expect, and how you can best support the healing process.
When do I need to have my wisdom teeth removed?
Also an issue beyond 30
I often hear phrases like, "I thought only teenagers did that?" But the truth is: Wisdom teeth can cause lifelong problems. Many of my older patients suddenly experience gum inflammation, pressure, or even jaw pain. The reason is usually that the wisdom teeth are partially erupting or are pressing on neighboring teeth.
Typical complaints in adulthood
- Recurrent inflammation
- Pain when chewing or opening the mouth
- Crowding or displacement of the front teeth
- Formation of cysts or deep pockets
A patient of mine, a 42-year-old sports teacher, suffered from diffuse pain in his lower jaw for months. Only a 3D X-ray revealed that his partially erupted wisdom tooth was crooked in the bone and pressing on the nerve.
When is surgery really necessary?
Not every wisdom tooth needs to be removed. The key is:
- Are there any acute complaints?
- Is there a risk to the neighboring teeth?
- Is the tooth free of caries and healthy?
In my practice in Zurich, we use digital volume tomography (DVT) to precisely assess the position of the tooth and what risks exist.
The procedure: Wisdom teeth removal in Zurich
Step 1: Initial consultation
At your first appointment, we'll discuss your concerns and take a digital x-ray or 3D image. You'll receive a detailed consultation—including information about risks, alternatives, and the healing process. Many of my patients appreciate the relaxed atmosphere and open dialogue. It's completely normal to feel nervous before the procedure—almost everyone feels that way!
Step 2: Planning
We'll discuss whether wisdom teeth removal should be performed under local anesthesia, sedation (twilight sleep), or even general anesthesia. In most cases, local anesthesia is sufficient. Thanks to state-of-the-art technology and very fine instruments, the procedure is minimally invasive.
Step 3: The procedure
On the day of surgery, you will receive a local anesthetic. The procedure itself takes between 20 and 60 minutes, depending on the location and number of teeth involved. I use piezosurgery, a particularly gentle ultrasound technique that minimally damages the surrounding tissue. This means less pain and faster healing.
For example, a 38-year-old patient was terrified of the procedure. After the operation, she laughed and said, "It wasn't that bad. I expected more from the dentist visit!"
Step 4: Follow-up and monitoring
After the procedure, you will receive an ice pack, pain medication, and personalized aftercare instructions. After 3–5 days, we will monitor wound healing. If necessary, we will provide you with PRF plasma (derived from your own blood), which accelerates healing.
Costs: How much does it cost to remove wisdom teeth?
The costs depend on several factors:
- Number of teeth to be removed
- Complexity (e.g. location, rooting, proximity to nerves)
- Type of anesthesia (local, sedation, general anesthesia)
Guidelines from my practice
- Simple wisdom tooth removal: CHF 200–300 per tooth
- Complex surgical removal: CHF 400–600 per tooth
- Sedation/twilight sleep: CHF 400–800 additional
In our practice you will receive a detailed cost estimate in advance.
What does the health insurance company cover?
Basic insurance usually pays not, unless the surgery is medically necessary (e.g., risk of nerve damage, cyst formation). However, some supplemental insurance plans cover part of the costs. It's worth checking with your insurance provider beforehand.
Tip: Please have us certify the medical necessity if you wish to submit a claim for reimbursement.
Healing: What really helps after wisdom teeth removal?
The first 48 hours
- Cool: Best with gel packs, 20 minutes each with breaks
- Protection: No sports, no office, no stress
- Soft food: Soups, porridge, yogurt, nothing hot
- Do not smoke or drink: Alcohol and nicotine massively delay healing
The next few days
- Rinse your mouth gently with chamomile or chlorhexidine
- Brush your teeth normally, but avoid the sore areas
- Avoid dairy products for the first few days (lactic acid bacteria can irritate the wound)
What to do if you have pain?
Mild pain is normal. Dafalgan or ibuprofen are usually sufficient. If the pain increases, we will immediately check for secondary inflammation (e.g., alveolitis).
A particularly positive effect: We often use PRF (Platelet Rich Fibrin). This is extracted from your own blood and inserted into the wound. It significantly accelerates healing. Many report significantly less pain and swelling.
Tips from my practice
Before the operation
- Plan 2-3 days off
- Prepare soft foods (applesauce, mashed potatoes, porridge)
- Organize a companion for the journey home
- Inform your dentist about any allergies or medications you are taking
After the operation
- Sleep with your head slightly elevated (e.g. two pillows)
- Avoid coffee and black tea
- No sauna or sports for at least 5 days
- Check your temperature regularly and report if you have a fever
A 35-year-old manager from Zurich once told me: “I specifically took the week off after the procedure and watched Netflix – the best decision!”
Why have surgery in Zurich?
Local benefits
Zurich not only offers excellent medical infrastructure, but also short distances for check-up appointments. Many of my patients appreciate the easy accessibility of my practice – whether from the city or the surrounding area.
Expertise and technology
I work with digital workflows, 3D imaging, piezosurgery, and PRF technology—all with the goal of making your experience as pleasant as possible. Especially for adults over 30, it's important to operate as gently and efficiently as possible so that your daily routine isn't interrupted for long.
Conclusion
The decision to have wisdom teeth removed is not an easy one—especially if you're over 30 and in the midst of your professional or family life. But with careful planning, state-of-the-art techniques, and compassionate care, the procedure is usually straightforward and manageable.
If you are unsure or would like a second opinion, I cordially invite you to a non-binding consultation in my practice in Zurich.
Dr. med. dent. Dana Marinescu
Dentist for digital dentistry and oral surgery
A healthy smile is possible at any age – so why wait? Schedule an appointment today consultation and take the first step towards healthy teeth! 😊
