Wisdom Teeth Removal

Wisdom teeth or third molars generally emerge from the gum between the ages of 16 and 24 years. In some cases it becomes necessary to remove or extract wisdom teeth, especially when:

• The tooth only partially emerges from the gum, causing discomfort and pain.
• The wisdom teeth are impacted - these teeth get stuck under the gum due to lack of space. Impacted wisdom teeth may also try to emerge at the wrong angle, pressing against neighboring tooth roots and causing discomfort.
• Partially emerged teeth cause broken gums, which can be painful, can collect food and debris and also provide bacteria with space to multiply and cause infection.
• Crowding of teeth cause pressure and discomfort.

Oral & Maxillofacial surgeons specialize in wisdom teeth removal. A well-developed wisdom tooth is easier to remove. A partially emerged or impacted tooth may require special drills for extraction. The surgeon will first check the patient's pulse and blood pressure, then administer anesthesia or inject a local numbing agent at the incision site. Some high anxiety patients opt for sedation such as nitrous oxide during the procedure. The surgeon will make an incision into the gum tissue surrounding the tooth to expose the tooth. The surgeon will then remove any bone that might be covering the tooth. While extracting the tooth, the surgeon may choose to break the tooth into smaller pieces to minimize bone removal and trauma to the jaw. After the wisdom tooth is removed, the area is cleaned and stitched up. The surgeon will prescribe pain medication. A follow up visit may be required to remove stitches.