Panoramic dental x-ray showing impacted wisdom teeth

Panoramic x-ray showing impacted wisdom teeth

Wisdom Teeth Removal

Wisdom teeth are the last molars to develop in your mouth, typically appearing between ages 17-25. While some people's wisdom teeth come in without problems, many people experience issues when there isn't enough room in the jaw for these teeth to properly emerge. When wisdom teeth become impacted or cause crowding, extraction is often the best solution to prevent future dental problems.

Why Wisdom Teeth Need Removal

Impacted wisdom teeth can cause a variety of problems including pain, infection, damage to adjacent teeth, cysts, and crowding of other teeth. Early evaluation and treatment can help prevent these complications. Our experienced team uses advanced imaging technology to assess your wisdom teeth and determine the best treatment approach.

The Extraction Process

Wisdom teeth extraction is a common procedure performed in our office. Depending on the position and development of your teeth, we may refer you to an oral surgeon for complex cases. The procedure typically involves local anesthesia or sedation for your comfort, careful removal of the tooth, and detailed aftercare instructions to ensure proper healing. Most patients recover within a few days to a week.

Signs You May Need Wisdom Teeth Removal

Pain or swelling in back of mouth
Red, swollen, or bleeding gums
Jaw pain or stiffness
Difficulty opening mouth
Bad breath or bad taste
Crowding of other teeth
Recurring infections around wisdom teeth
Cyst formation visible on x-rays

Types of Impaction

Mild Complexity

Soft Tissue Impaction

Tooth has broken through bone but not enough gum tissue for proper eruption. Difficult to clean and prone to infection.

Moderate Complexity

Partial Bony Impaction

Tooth has partially emerged but is partially covered by bone. Moderate difficulty extraction.

Complex Complexity

Complete Bony Impaction

Tooth is completely enclosed in jawbone. Most complex type, may require surgical extraction.

Benefits of Early Removal

Prevents damage to adjacent teeth
Reduces risk of cysts and tumors
Easier recovery when younger
Prevents crowding and misalignment
Avoids future infections
Minimizes root development complications

What to Expect

Before the Procedure

  • Comprehensive examination and x-rays
  • Discussion of anesthesia options
  • Review of medical history
  • Pre-operative instructions
  • Arrange transportation home

During the Procedure

  • Local anesthesia or sedation administered
  • Tooth carefully accessed and removed
  • Surgical site cleaned
  • Stitches placed if needed
  • Gauze applied to control bleeding
  • Typically 45 minutes to 1 hour

After the Procedure

  • Rest for 24-48 hours
  • Bite on gauze to control bleeding
  • Apply ice packs to reduce swelling
  • Take prescribed pain medication
  • Eat soft foods for several days
  • Avoid straws (causes dry socket)

Recovery Timeline

Day 1-3

Peak swelling and discomfort, rest and ice

Day 4-7

Swelling decreases, return to normal activities

Week 2

Most healing complete, follow-up visit

Week 3-4

Complete tissue healing

Post-Op Care Instructions

DO

  • Bite on gauze for 30 minutes
  • Apply ice packs (20 min on, 20 min off)
  • Take medications as prescribed
  • Rest with head elevated
  • Eat soft, cool foods
  • Gentle saltwater rinses (after 24 hrs)
  • Maintain gentle oral hygiene

DON'T

  • Use straws for at least 1 week
  • Smoke or use tobacco
  • Spit forcefully
  • Rinse vigorously first 24 hours
  • Eat hard, crunchy, or spicy foods
  • Exercise strenuously for 3-4 days
  • Touch surgical site with tongue/fingers

Soft Food Suggestions

Stick to soft foods for the first few days after your procedure to promote healing.

Yogurt, pudding, applesauceSmoothies (no straw!)Mashed potatoesSoup (not too hot)Ice creamScrambled eggsProtein shakes

Schedule Your Wisdom Teeth Evaluation

Early evaluation can prevent future complications. Contact us to schedule your consultation.