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What to Expect, Recovery, and MoreWisdom tooth removal is a surgical dental procedure to extract one or more third molars, often performed under local anesthesia or sedation. The process involves making a small incision in the gum to expose the tooth and bone, removing any obstructive bone, and then carefully extracting the tooth, sometimes in pieces. After the tooth is removed, the site is cleaned, and the wound may be closed with stitches. Patients typically experience post-operative pain and swelling and are advised to eat soft foods and avoid strenuous activity to aid in recovery.