At The Oral Surgery & Dental Implant Specialists of San Diego, our oral surgeons are experts at wisdom teeth extraction. The third molars, or wisdom teeth, begin to emerge into the mouth around the ages of 17 to 23, after beginning their development in the jaw in the early teen years. These extra molars often cause oral health complications such as overcrowding, impaction (a tooth that is trapped under the gums), infection, pain, cysts, and more. Wisdom teeth complications are more easily treated in younger patients (or can be completely avoided), and because of this, most dental professionals recommend that wisdom teeth be removed early. The family dentist will monitor you or your child’s wisdom teeth development during regular dental checkups. An experienced oral and maxillofacial surgeon will step in to perform the extraction procedure once it has been decided that these molars should be removed.
Wisdom Teeth Removal Process
During your consultation appointment with Drs. Koshgerian or Shelton, you will receive an oral examination and, if needed, have diagnostic scans of your mouth taken. Your oral surgeon will study the position of the wisdom teeth to create a personalized treatment plan, including the type of anesthesia that will maximize your or your child’s comfort during the procedure. Both of our trusted oral surgeons have extensive training and experience in the safe administration of various types of anesthesia for patients, and our clinical staff is skilled in anesthesia techniques. For optimal safety, the extractions will be performed in the comfort of one of our accredited and certified hospital-style surgical suites using state-of-the-art monitoring equipment. In our San Diego area locations, we offer several types of anesthesia for wisdom teeth removal, including
- Local anesthesia. Local anesthesia is used in all oral surgery procedures, often along with other forms of anesthesia, and is applied directly to the surgical site. You will remain conscious throughout your procedure but will not feel any discomfort.
- Nitrous oxide (laughing gas). Nitrous oxide is an inhaled gas that is commonly used along with other types of anesthesia to help put the patient in a more relaxed state during a procedure. Nitrous oxide has a mild pain controlling effect but allows the patient to remain conscious.
- Intravenous (IV) sedation. Wisdom teeth extraction is usually performed under intravenous (IV) sedation. With this type of IV anesthesia, you will enter a sleep-like state and have no awareness of the procedure as it is taking place. You must not have anything to eat or drink (excluding prescription medications with a sip of water) for at least six hours before receiving IV sedation —and a responsible adult should drive you home after your surgery.
Our oral surgeons, Drs. Koshgerian and Dr. Shelton, both specialize in wisdom teeth extractions. To schedule a wisdom teeth consultation with one of the doctors, please call our practice and a knowledgeable staff member will be happy to assist you.
Cost of Wisdom Teeth Removal
Early removal of wisdom teeth is recommended by dental professionals to avoid future oral health complications requiring orthodontic or surgical treatments. Early removal is cost-effective and valuable for many reasons, including
- Prevention of oral health complications before they occur
- Easier surgery/faster recovery for quicker return to school or work
- Less risk for complications and therefore less risk for costly future treatment
We want wisdom teeth removal to be accessible for our patients, so we accept several insurance plans and payment methods, as well as financing options. Our well-informed administrative staff will be happy to help you obtain maximum insurance coverage for your treatment. Please call us with your questions and we will be happy to guide you.
You can learn more about the cost for wisdom teeth extraction on our Wisdom Teeth Removal Cost page.
Wisdom Teeth Removal FAQ
Please see our Wisdom Teeth Removal FAQ page here.
Impacted Wisdom Teeth
Teeth become impacted, or stuck under the gums, when they are unable to erupt into their proper positions in the mouth. Wisdom teeth are the most commonly impacted teeth. During your wisdom tooth evaluation with one of the oral surgeons at The Oral Surgery & Dental Implant Specialists of San Diego, you will have diagnostic images taken of your mouth and jaws to see if there is enough room for your wisdom teeth to erupt without problems. If they are impacted, these images will show the oral surgeon the type of impaction and determine how difficult your extraction will be. When issues such as impaction are detected, the doctor will create a treatment plan for extraction.
Dentists and oral surgeons recommend dental examinations and cleanings twice a year (every six months). This routine allows your dentist to track the development of your child’s wisdom teeth so that early removal can be arranged before the wisdom teeth develop completely and oral health problems arise. If impacted wisdom teeth are allowed to develop completely, some of the following issues may occur:
- Damage to adjacent teeth
- Cysts and tumors
- Jaw bone damage
If you have been recommended for wisdom teeth removal, or if you suspect an impacted tooth, please contact us to schedule a consultation with Dr. Koshgerian or Dr. Shelton. The extraction procedure will be performed in one of our state-of-the-art hospital-style surgical suites conveniently located in the San Diego, CA area.
To learn more about the treatment for impacted wisdom teeth at our practice, please visit our page on Impacted Wisdom Teeth.
Wisdom Teeth Removal Instructions
Drs. Koshgerian and Shelton of The Oral Surgery & Dental Implant Specialists of San Diego have your safety and comfort in mind every step of the way and will be taking excellent care of you before, during, and after your procedure. However, you’re an essential part of the team when it comes to having the very best outcome possible, including a quick recovery without post-operative complications — so it is very important that you follow the proper self-care guidelines throughout your oral surgery process.
Your oral surgeon will be providing detailed instructions for your pre- and post-operative care. We also include these instructions here for your convenience and so that you can be as prepared as possible for your surgery. The general pre-operative instructions are guidelines for preparing for your procedure, including dos and don’ts regarding dietary adjustments and medications. The post-operative instructions will be specific to your procedure and offer important information for proper self-care once after your procedure. Please know that we are always at the ready to answer any questions you may have, including questions about your pre- and post-operative care. If anything is uncertain to you, our well-informed staff is happy to offer clarification and guidance.