Wisdom teeth
Wisdom teeth are the last molars to come in. A surgeon removes them when there is no room for them, when they come in at an angle, or when a dentist sees a problem with one.
Most patients are referred by a general dentist or an orthodontist, often in their late teens or twenties. Some come because one tooth hurts. Others come because the dentist wants it looked at before it does.
What happens
- 01
Step 1: A consultation visit
The surgeon looks at your scan, explains the options and the risks, and gives you a written estimate.
- 02
Step 2: Before surgery
You get written instructions on eating, drinking and medicines. If sedation is planned, someone must drive you home.
- 03
Step 3: Surgery
One visit for most patients. The area is numbed, and you can choose a deeper level of comfort.
- 04
Step 4: Recovery and a check
Rest, soft food and the instructions we give you. A short check visit follows.
Comfort, choices and care
Comfort
The area is numbed with a local anesthetic. You can also choose nitrous oxide or IV sedation. Your surgeon explains each one, and who gives it.
Anesthesia and comfortOther choices, and waiting
Not every wisdom tooth has to come out. If a tooth is causing no trouble, the surgeon may suggest watching it with regular X-rays. Waiting can let a problem grow, and the surgeon tells you what to look for.
Risks and after-care
Swelling, bruising and soreness are common for a few days. Bleeding, infection, a dry socket and, less often, numbness of the lip, chin or tongue can happen. Your surgeon goes through these before you decide, and you leave with written after-care instructions and a number to call.
How it is billed
Wisdom tooth surgery may be billed to a dental plan or a medical plan. The desk checks which applies, and gives you a written estimate before surgery.
How fees work
Questions about wisdom teeth
Will someone need to drive me home?
If you choose sedation, yes. Your surgeon tells you at the consultation.
What can I eat afterward?
Soft food, as your instructions say, until the surgeon says you can go back to your usual meals.
Do all wisdom teeth have to come out?
No. The surgeon looks at your scan and your history and explains whether to remove a tooth or watch it.
Your dentist can refer you, or you can ask for a visit
Care here is provided by oral and maxillofacial surgeons. Their training is listed on the About page.