All elective surgery is to be avoided while on Accutane because of possible abnormal wound healing. However, for a medically indicated and potentially time-sensitive procedure such as wisdom tooth extraction, you would have to weigh pros and cons knowing that there could be exuberant gum tissue proliferation after wisdom teeth removal.
I stop Accutane for 3 weeks before any vein procedures - such as microphlebectomy, ligation of perforator veins, and certainly limited vein stripping (which is necessary in the very rare circumstance where patients are not candidates for VNUS Closure or EVLT. Accutance retards wound healing and it is wise to stop it when healing and surgical outcomes of cosmesis are important to patients as in venous surgery.
Accutane in theory increases the risk of scarring associated with surgical procedures. The risk still is low, but I usually advise people to delay elective procedures until 6 months after discontinuation of accutane. If your wisdom tooth is impacted and causing you pain or discomfort, I think it is reasonable to undergo tooth extraction in spite of being on accutane.
These answers are for educational purposes and should not be relied upon as
a substitute for medical advice you may receive from your physician. If you
have a medical emergency, please call 911. These answers do not constitute
or initiate a patient/doctor relationship.