I have recently been asked if it is safe to have all 4 wisdom teeth out at the same time. Most people prefer to have all 4 wisdom teeth removed at the same appointment. The risk of adverse side effects, like dry socket, obviously goes up with multiple extractions, however, it is generally very safe to have all wisdom teeth removed at the same setting. Usually the adverse side effects can be reduced or eliminated completely just by following the post operative instructions given at the appointment. Most of my patients choose to have all 4 wisdom teeth removed at the same time with the aid of sedation dentistry.