Wisdom Teeth



By the age of 18, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Oral Examination

With an oral examination and x-rays of the mouth,our doctors can evaluate the position of the wisdom teeth and predict if there are present or maybe future problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid-teenage years by their dentist, orthodontist, or by an oral and maxillofacial surgeon.

All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Our doctors have the training, license and experience to provide various types of anesthesia so patients can select the best type of sedation for their needs.

Removal

Sclar Oral Surgery and Implant Dentistry is extremely proud to have developed a surgical protocol for the painless removal of wisdom teeth that accelerates  post surgical recovery  for our patients. Over 98% of our wisdom tooth surgery patients surveyed did not experience post-operative pain that would require pain medication.

Anesthesia Options for Wisdom Tooth Surgery

In most cases  the removal of wisdom teeth is performed under IV sedation in our outpatient office setting. While patients maintain their protective reflexes under IV sedation, they do not feel any pain or awareness during surgery and have no memory of the surgery. General anesthesia is only indicated  when patients have  medical conditions that contraindicate IV sedation such as active asthma. In certain cases the procedure can be performed  local anesthesia alone or with laughing gas,

These anesthetic options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the Wisdom teeth are removed, we disinfect the surgical site and carefully suture the gum tissue to close the area and control and stop any bleeding within minutes after completion of the surgery.  You will rest under our supervision in the office until you are ready to be taken home. Upon discharge,you will be given postoperative instructions including how and when to take prescribed  medications. We will call you the morning after your surgery and schedule a follow-up appointment between 7-10 days.. If you have any questions, please do not hesitate to call  at 305.661.5297.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are highly trained and experienced in anesthesia techniques.