Wisdom Teeth Removal
With an oral examination and x-rays of the mouth, Dr. Cohen can evaluate the position of the wisdom teeth and predict if there are present or future potential 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 are trained, licensed, and highly experienced in providing various types of anesthesia for patients.
Why Should I Have My Wisdom Teeth Removed?
If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen.
Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients, it is as early as 12 or 13, and in others, it may not be until the early twenties.
Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:
The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for a total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.
Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.
Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.
Damage to Adjacent Teeth:
If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.
What If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?
As wisdom teeth develop, the roots become longer and the jaw bone denser.
When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate. Treating these complications is often more difficult and less predictable than with a younger patient.
Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops.
In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.
What Happens On The Day Wisdom Teeth Are Removed?
Most people prefer to be unaware of the experience when they have their wisdom teeth removed and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation.
All outpatient surgery is performed under appropriate anesthesia to maximize your comfort.
Our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Board of Dental Examiners on a regular basis.
On the day of your procedure, you will take medications to help minimize post-operative pain and swelling.
We ask that a parent or responsible adult accompanies you to the office and plans to stay with you the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes.
Recent advances in medicine and technology allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times.
On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly six hours before your surgery.
Having anything in your stomach can increase the risk for serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines. We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance.
When you are seated in the surgical room, we will make every effort to make you as comfortable as possible. If you are going to be sedated, we usually will place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.
The Day of Treatment
Be sure to have an adult with you at the time of removal. Make plans to have a parent or responsible adult stay with you for the rest of the day, following wisdom tooth removal.
If your surgery requires stitches, these are usually the type that dissolves in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery and will subside in several days.
Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first, to see if that adequately treats your pain. If not, begin your other prescription pain medication. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits.
We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.
What Does Wisdom Tooth Removal Cost And Is It Covered By Insurance?
The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon’s office staff will help you obtain maximum insurance coverage for your treatment.
What If I Have Questions Before Surgery?
At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our office at Lakes Oral & Maxillofacial Surgery Phone Number 248-669-6600 to speak to one of our patient care coordinators.
The Day of Treatment
Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.
Wisdom Teeth Presentation
To provide you with a better understanding of wisdom teeth, we have provided the following multimedia presentation. Many common questions pertaining to wisdom teeth are discussed.
Lakes Oral & Maxillofacial Surgery
Thank you for the excellent service and easy going procedure. It helped for a very easy recovery!
- Ajane C
Great Doctor and Staff, I highly recommend this office.
- RHONDA M
The staff took care of me very well, very polite. I slept through the whole procedure and it was a great first experience.
- Laynie N S
I will be bringing my son to your office when he needs his wisdom teeth removed.
- Nancie J
Lovely place even though I don't feel my face. 11/10 would regrow all wisdom teeth and come again
- Krisztian B
The care and service we received at Dr. Cohen's office was exceptional. From scheduling to procedure, everything was handled with the utmost professionalism.
- Lisa D
So far so good! I got all four of my wisdom teeth removed. I decided against the general anesthesia, and it wasn't bad at all. The worst part was when they poked my gums to numb me. I think they're healing nicely, with all the meds they gave me for aftercare. Two thumbs up.
- Caitlin R
- Elizabeth G
Thank you so much for the wonderful work you do Dr. Cohen, also for how kind your office staff is.
- Shirley K
I had a wonderful overall experience
- Jackson E
I just wanted to thank Dr. Cohen and his staff for taking such good care of both of my children for their wisdom teeth surgeries. They answered all of my questions and were willing to take as much time needed to make sure I was comfortable with the after care. The office is brand new, very clean and the people are wonderful! I highly recommend Dr. Cohen and his staff!!
- Monica B
They were able to fit me in the same day I called them without an appointment and treated me like family. Dr. Cohen was great and his confidence left me with no doubt I was in good hands.
- Robert H
I was nervous to get my wisdom teeth out, but was in great hands with Dr. Cohen. He was very professional. He took his time explaining the procedure and making sure that I was comfortable. Even the next day, he followed up, calling me to make sure that I was doing ok. when I had a question, I called the office, and he called back within a short period of time. I have already recommended Dr. Cohen and Lakes Oral and Maxillo Facial to family and friends.
- Sara Z
Thank you Dr. Cohen and staff for taking such great care of me and for putting my mind at ease with the extraction and for helping me with the infection I developed after. Your staff is very nice and helped me relax when I was very nervous.
- Kimberly K
Dr Cohen and his staff were very kind and caring. The procedure was pain free and over quickly. I would highly recommend Dr. Cohen. Thank you for a positive experience. Warm regards, Cindy
- Cindy F
After going in for something completely unrelated, Dr. Cohen had caught something that my dentist had missed. I can not thank him enough for treating myself and my mother with the utmost respect and for proceeding in a calm and thorough manner with my treatment plan. I had two wisdom teeth and two molars extracted and the process was extremely easy and almost painless! My recovery was quick and Dr. Cohen was ready and available to answer any questions that I had regarding my care following the surgery. The team at Lakes Oral Surgery will make you feel at ease through whatever treatment you receive!
- Joanna F
Dr. Cohen was excellent. His staff was so courteous and all my daughters needs were met. I couldn't have asked for better care for my daughter.
- Debbie B