Wisdom Teeth Removal With IV Sedation: What to Expect Before, During, and After
A Step-by-Step Guide for Teens and Parents | Tribute Family Dentistry, Frisco TX
At Tribute Family Dentistry (TFD) in Frisco, we routinely remove all four wisdom teeth in one visit using IV sedation. This approach is safe, efficient, and designed to make the experience as comfortable and predictable as possible for both teens and parents.
Below is a clear, step-by-step guide to help you understand exactly what to expect before, during, and after wisdom teeth removal.

Before Wisdom Teeth Removal (IV Sedation Preparation)
What Teens Should Expect
- You will sleep comfortably during the procedure with IV sedation.
- You will not feel pain during surgery.
- Most teens remember little or nothing afterward.
- Feeling nervous is normal and expected.
What Parents Should Do Before the Appointment
- Follow all fasting instructions exactly (no food or drinks for the required time).
- Arrange adult transportation home and supervision for the rest of the day.
- Pick up any prescribed medications ahead of time.
- Dress your teen in:
- Comfortable clothing
- Short sleeves
- No jewelry, makeup, or nail polish
The Night Before Surgery
- Eat a normal dinner if allowed.
- Brush and floss thoroughly.
- Get a full night of sleep.
During Wisdom Teeth Removal With IV Sedation
Step-by-Step Overview
- Medical history and consent are reviewed.
- IV sedation is administered.
- Your teen falls asleep comfortably.
- All four wisdom teeth are removed.
- Stitches are placed if needed (often dissolvable).
- Gauze is placed and recovery begins.
What Teens Experience
- No awareness during the procedure.
- No pain.
- A smooth transition from falling asleep to waking up in recovery.
What Parents Should Know
- Treatment is carefully planned using diagnostic imaging.
- Removing all four wisdom teeth at once avoids multiple surgeries and recoveries.
- IV sedation allows for a controlled, efficient, and stress-free experience.
First 24 Hours After Wisdom Teeth Removal
The Main Goal: Protect the Blood Clots
Blood clots form in the extraction sites and are essential for proper healing.
What Teens Should Do
- Bite gently on gauze as instructed.
- Rest with your head elevated.
- Use ice packs: 20 minutes on, 20 minutes off.
- Sip water frequently.
What Teens Should NOT Do
- Do not use straws.
- Do not smoke or vape.
- Do not spit forcefully.
- Avoid carbonated drinks.
- Avoid hot, crunchy, or spicy foods.
What Parents Should Expect
Normal symptoms include:
- Mild bleeding or oozing
- Swelling
- Sleepiness from sedation
- Jaw stiffness
Call the office if:
- Bleeding does not slow
- Pain worsens after day three
- Swelling increases instead of improving
- Fever or a foul taste develops
Days Two to Three After Surgery (Peak Swelling Phase)
- Swelling typically peaks on days two to three.
- Bruising may appear along the cheeks or jawline.
- Jaw stiffness is common and temporary.
Pain Management
- Follow medication instructions exactly.
- Staying ahead of discomfort is more effective than waiting.
- Do not mix medications unless directed by your provider.
Recommended Foods
- Yogurt
- Mashed potatoes
- Scrambled eggs
- Smoothies (no straw)
- Applesauce
- Pasta
- Lukewarm soups
Avoid:
- Chips
- Popcorn
- Rice
- Nuts
- Hard bread
Days Four to Seven: Healing and Recovery
Oral Hygiene
- Begin gentle saltwater rinses as instructed.
- Brush carefully around surgical areas.
- Use irrigation syringes only when directed.
Activity Guidelines
- Avoid strenuous exercise and sports.
- Excessive activity can restart bleeding.
School and Daily Activities
- Most teens return to school within two to three days.
- More complex cases may require up to five days.
- Plan surgery away from exams or major events when possible.

Wisdom Teeth Removal FAQs for Teens and Parents
Does wisdom teeth removal hurt with IV sedation?
No. IV sedation allows teens to sleep comfortably during the procedure without pain.
Why does swelling get worse before it gets better?
Swelling peaks naturally as part of the healing process, usually around days two to three, and then improves.
How long does recovery take?
Most teens feel significantly better within three to five days, while complete healing continues over several weeks.
Is removing all four wisdom teeth at once safe?
Yes. Removing all four in one visit reduces total recovery time and avoids repeated procedures.
Why Tribute Family Dentistry Removes All Four Wisdom Teeth at Once
- One appointment instead of multiple visits
- One recovery period
- Less stress and anxiety for teens
- More predictable healing for parents
- Efficient, well-planned treatment
Schedule Wisdom Teeth Removal at Tribute Family Dentistry
If your teen has been told they need wisdom teeth removed, early planning makes the experience easier and recovery smoother.
Tribute Family Dentistry in Frisco, TX provides safe, comfortable wisdom teeth removal with IV sedation, designed specifically with teens and families in mind.
👉 Call or schedule an appointment today to set up a consultation and get clear answers, a personalized plan, and peace of mind for your family.