Wisdom Teeth Removal Naperville IL

Oral Examination: Impacted Wisdom Teeth

With an oral examination and x-rays of the mouth, Drs. Blecha and Jandali can evaluate the position of the wisdom teeth and predict if there are present or 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.

Most impacted wisdom teeth are removed in our office. This surgery is preformed under appropriate anesthesia to maximize patient comfort and safety. Drs. Blecha and Jandali has the training, license, and experience to provide various types of anesthesia for patients to select the best alternative.

Experiencing Wisdom Teeth Issues?

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 often 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 food impaction problems. When they are partially erupted, the opening around the partially exposed teeth allows food impaction, which promotes bacteria to grow, which 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 damage to adjacent 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 risks involved with the procedure.

When is the best time to remove the wisdom teeth removed? Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients this may be as early as age 14 or 15, and for other it may not be until 18- 20 years of age. 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:

A representation of a pericoronitis infection on a wisdom tooth

Infection:

The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for 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.

An example of a cyst formation on a wisdom tooth

Cyst Formation:

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.

An illustration of teeth crowding causes by a wisdom tooth

Possible Crowding:

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.

A visual of a wisdom tooth damaging an adjacent tooth

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 more dense. 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. However, if it looks as you are likely to develop gum infection problems with these teeth you may be wise to remove these teeth even though you are over 30 years of age before you get older and the teeth become more difficult to remove.

In general, you will heal faster, more predictably and have fewer complications the younger you are in life.

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 use intravenous anesthesia. Local anesthesia is used in select cases. 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. Drs. Blecha and Jandali is licensed in the State of Illinois to perform Oral and Maxillofacial Surgery as well as to perform all forms of intravenous anesthesia. Drs. Blecha and Jandali also is board certified by the American Board of Oral and Maxillofacial Surgery. Many oral and maxillofacial surgeons are not board certified in their field.

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. Please see the Anesthesia Precautions section of this website for a thorough review of the precautions that you should follow before anesthesia.

Intravenous anesthesia makes the procedure very comfortable for the patient. As you awaken from the anesthesia, you will notice that the surgical areas feel numb from the local anesthesia that was given to you during surgery. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. You will be asked to bite on a gauze pad to control bleeding. You will rest under our supervision in the office until you are ready to be taken home. You will be sleepy for a significant portion of the day. 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 who will plan to take care of you for the rest of the day. If your surgery requires stitches, these are usually the type that dissolve 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 gradually subside.

smiling teenage son with his mother

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.

Upon discharge, you will be given verbal and written postoperative instructions, a prescription for pain medication, an antibiotic, and a follow-up appointment in 10 days for a postoperative evaluation. If you have any questions, please do not hesitate to call our office. Please read the postoperative instruction sheet several times to make sure that you thoroughly understand what you need to do to make your recovery uneventful. You can also review the postoperative directions in the postoperative direction section of this website.

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

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 Naperville Oral, Maxillofacial and Implant Dentistry Phone Number 630-961-5151 to speak to one of our patient care coordinators.

A smiling woman

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.