Wisdom Teeth

Wisdom teeth (3rd Molars) are the last set of teeth you get in your late teens or early twenties.  More often than not, wisdom teeth can grow in misaligned and require removal.  Wisdom teeth can also remain impacted, causing problems with your oral health and general well-being.

Wisdom teeth can:

  • crowd adjacent teeth making them more vulnerable to decay by trapping plaque and debris
  • become impacted in the bone causing pain and/or discomfort
  • partially break through the gums allowing bacteria to enter and cause infection
  • develop cysts which can damage the jaw bone
  • damage to the inferior alveolar nerve causing numbness to the jaw, mouth, tongue and lips

Wisdom teeth removal is easiest in young people while the bone is still soft and the roots are not yet fully developed. Waiting years later can make the extraction process more difficult and painful for the patient.  Dr. Pierri can begin evaluating young people at sixteen (16) years of age for the removal of wisdom teeth.

During the wisdom teeth consultation; Dr. Pierri will evaluate the position of the wisdom teeth. The most common positions include:

  • Surgical Removal
         – Removal of an erupted tooth
  • Soft Tissue Impaction
         – The tooth is covered by soft tissue
  • Partially Bony Impaction
         – Part of the crown is covered by soft tissue and bone
  • Completely Bony Impaction
         – Most or all of the crown is covered by soft tissue and bone
  • Full-Bony Difficult
         – All of the crown is covered by soft tissue and bone
         – The tooth is angled in the jaw bone
         – Part of the tooth is near or touching the nerve canal

  

Should I have any of these procedures done
with I.V. Sedation or General Anesthesia?

Certain extraction procedures can be performed with local anesthetic. More involved procedures such as impacted teeth, sedation may be recommended.  Dr. Pierri will discuss all of your options with you so you can make an informed decision. If sedation is used; our Board Certified M.D. Anesthesiologist will place you in a restful sleep while Dr. Lynn Pierri performs this procedure.

  

What happens after surgery?

After surgery our Post Anesthesia Care Unit (PACU) Certified Registered Nurses will care for you in our recovery room and prepare you for your post-operative period at home. The nurse will provide you and your driver with detailed printed instructions on:

  • how and when to take you medications
  • using the provided ice-packs
  • a suggested diet to follow during your recovery period
  • when you can resume exercising
  • after-care instructions and general precautions
  • when you can start brushing your teeth and rinsing
  • and, will answer any additional questions you may have