Oral & Maxillofacial Surgery

Wisdom Teeth Extractions

Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt surface in the mouth, generally making their appearance between the ages of 17 to 25, they are located at the back of the mouth (top and bottom), near the entrance of the throat. The term "Wisdom" stems from the idea that the molars surface at a time typically associated with increased maturity of "wisdom". 

In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (Struck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors. 

Wisdom teeth examination

As with any dental procedure, we would first conduct an initial examination of the wisdom and surrounding teeth. Panoramic or digital x-rays will be taken in order for your dentist to evaluate the position of the wisdom teeth and determine if a current problem exist, or the likely hood of any potential future problems. The x-Ray can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment is recommended in order to identify potential problems and to improve  the results for patients requiring wisdom teeth extractions. Only after a thorough examination can we provide you with the best options for your particular case. 

What does the removal of wisdom teeth involve?

Wisdom teeth removal is a common procedure, generally performed under local anesthesia, sedation, or general anesthesia by our dentist. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication if necessary, to help manage any swelling or discomfort. 

There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth's crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain swelling. 

Partial Bony Impaction: The tooth has partially erupted and a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it's difficult to keep the area clean, infection will commonly occur. 

Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques. 

Reasons to remove wisdom teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay, or infection, or as a preventative measure to avoid all serious problems in the future. if impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

  • Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (Cavities), periodontal disease (gum disease) and possible bone loss. 
  • Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.
  • Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger. 


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