Wisdom Teeth Removal
With an oral examination and x-rays of the mouth, Dr. Whitman, Dr. Martinez, Dr. Goldberg, Dr. Campbell or Dr. Tillery 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 afterward 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.
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.
Orlando Oral & Facial Surgery
Patient Review by Jennifer W
My daughter came home from college for her Spring Break week with new discomfort from her wisdom teeth. After seeing our dentist the day after she came home, we learned that she needed to see an oral surgeon. I called OOFS on a Tuesday afternoon and spoke with Heidi. She was extremely courteous and fit my daughter in at 7:30 the very next morning for a consultation with Dr. Whitman. What an awesome doctor! On that Wednesday morning he checked her teeth out and said he didn’t want her going back to college the next week with pain. He fit her in and by 10:00 we were out the door with all four wisdom teeth gone. Felicia was caring and calmed my daughter’s nervousness. Not only was Dr. Whitman compassionate and empathetic, his professionalism and skill was very apparent. My daughter felt safe and cared for, and now she won’t risk pain for the rest of this college year. The office staff personnel even called our dental insurance and figured out our coverage. The woman who helped us spoke “the insurance language” and all went smoothly with payment, too! The experience went beyond all expectations. If I could rate them a 10 out of 10, I would.
- Jennifer W
Patient Review by Elissa M
Very Happy with my experience. Very professional and they all have a good sense of humor.
- Elissa M
Patient Review by Kelsey S
Dr. Aaron Campbell performed my wisdom teeth extraction and I would recommend him to ANYONE who needs this procedure done. He is very knowledgeable about this subject and will answer any of your questions, no matter how many! His demeanor is very calm which put me to ease as I was apprehensive at having this done. Overall, he did an excellent job, I have very minimal pain and I am writing this review the very same day of my surgery so hopefully that tells you something! Thank you, Dr. Campbell, and the whole team for making this the best experience I could have had...considering it is still surgery!
- Kelsey S
Patient Review by Antwan LaPree B
Awesome experience with Dr Whitman and staff! Came in to have two wisdom teeth extracted. The staff was awesome and very courteous from the first phone call all the way to pre surgery. Dr Whitman had great bedside manner. Had a smile on his face the whole time during the initial consultation and was very thorough in educating me on what to expect for my procedure. You could tell he loved his job and the compassion he has for his patients is evident right away. To top it off, the guy does a ton of procedures daily and still took the time to call me personally to check on me well into the evening of my procedure, something he easily could've delegated to his admin but he didn't. Healthcare these days seems to be all about money but Dr Whitman and staff are about people. I wholeheartedly recommend them, please give them a try, you won't be disappointed.
- Antwan LaPree B
Patient Review by Carmen M
From the scheduling staff to the doctor I truly felt taken care off. They were so nice and friendly. Dr. Martinez took great care of me he was very professional gentle and kind. I felt at home. I would recommend him to everyone I know that needs any procedure done
- Carmen M
Patient Review by Jillian M
I was very nervous to get my wisdom teeth taken out but Dr. Goldberg and his staff made me very comfortable. They made the whole process very easy.
- Jillian M
Patient Review by Danielle O.
My entire experience from beginning to end was EXCELLENT. I was referred to Orlando Oral & Facial Surgery by my dentist and was lucky enough to get placed in the care of Dr. Aaron Campbell. At my wisdom teeth consultation I was obviously nervous and scared about surgery. He explained everything and put me at ease. On the day of surgery he helped me relax and the procedure was over before I knew it. I woke up in virtually no pain. THE BEST PART: Dr. Campbell CALLED ME! Later in the evening on the day of my surgery, my doctor called me personally to make sure I was doing okay after the procedure. Not his assistant, not a front desk receptionist, but the actual person who did my surgery called me to check in on me the same day of surgery. You don't get that kind of patient care just anywhere and I wholeheartedly appreciate Dr. Campbell making what was a scary process for me as easy as possible. Thank you Dr. Campbell and thank you to my amazing nurse Judy and the awesome PA, Andi I had at my consultation. Absolutely amazing physician and staff!
- Danielle O.
Patient Review by Briana F
Everyone was so nice and made my visit as pleasant as possible. What a great office. Thank you Dr. Whitman for being so kind.
- Briana F
Patient Review by Qumbe B
This was my first time to meet dr whitman for my wisdom tooth. I am so glad that they treat me like a family member realy i would recommend this dr whitman for any kind of situations you have for your tooth From now i will go to dr whitman only. I would like to thank the all staf members who take care of myself during my surgery.
- Qumbe B