07/10/2026
I used to remove four wisdom teeth in this order: bottom right, upper right, bottom left, upper left.
About 5 years ago I changed to this:
Bottom teeth then top teeth
I like this for a few reasons- The upper teeth are generally quicker to remove although when they are tough they can be really tough. The uppers are also very stimulating for the patient. The pressure is an unpleasant stimulus so if performing IV sedation, just that pressure in the middle of the case can disrupt an otherwise uneventful sedation. So I leave them for the end.
This logic seems to work for me but who knows if it makes a huge difference.
For all my social links and my video podcast- Dr Wahan Experiment at:
drwahan.com
The full video is in my dental extraction playlist on youtube with over 700 more videos like this.