Wisdom Teeth Caldwell NJ

Wisdom Tooth Removal

By the age of 18, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

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 generally 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 many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and 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 healthy teeth. Removal of the offending impacted teeth usually resolves these problems. It has now been scientifically confirmed with multiple studies that periodontal disease (gum disease) most often starts around the wisdom teeth. Once this disease process starts it can easily spread to other areas in the mouth. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

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 jawbone that develop as a result of impacted teeth and slowly expand destroying adjacent jawbone 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 jawbone.

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.

Oral Examination

With an oral examination and x-rays of the mouth, Dr’s. Kirsch & Jacobs can evaluate the position of the wisdom teeth and predict if there are present or may be 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.

All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. All our doctors have the training, license and experience to provide various types of anesthesia for patients to select the best alternative.

Radiographic Examination

The most common screening radiograph for wisdom teeth is a PANOREX. In some cases a Cone Beam CAT Scan maybe recommended. “If the wisdom tooth is deemed to be in close proximity to the mandibular canal, then a CBCT or CAT Scan should be ordered for further evaluation. A single panoramic radiograph could be insufficient owing to image disturbance compared with a CAT Scan. However, CBCT is the gold standard owing to lower radiation exposure and lower cost compared with CT.” J Oral Maxillofac Surg 73:1672-1685, 2015.

For your convenience, Dr.’s Kirsch and Jacobs can obtain these images right in their office.

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.

Removal

In most cases, the removal of impacted wisdom teeth is performed in our office under IV sedation or general anesthesia. Anesthesia options, as well as your specific surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you at your consultation visit before the procedure is performed. Once the teeth are removed, the gum is sutured with dissolving sutures that will melt away as you heal. Immediately after your procedure you will rest comfortably under supervision in the office until you are ready to be taken home. Upon discharge, your postoperative kit will include gauze, ice pack, postoperative instructions, prescriptions medications, and a follow-up appointment. If you have any questions, please do not hesitate to call us at Caldwell Office Phone Number 973-226-8444.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and trained staff who are experienced in anesthesia procedures.

Learn More About Wisdom Tooth Extraction

For any questions or to schedule an appointment, call Caldwell Office Phone Number 973-226-8444 today!

NJ Center for Oral Surgery

5 out of 5 stars based on 706 Wisdom Teeth reviews.

Patient Reviews

Dr. Kirsh was amazing! Super friendly and able to calm down my nerves. Not only that, but I had absolutely no pain following my procedure where I had 6 wisdom teeth removed (yes I had two extra). I would 100% recommend him and his amazing staff.

- Caitlyn H

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Patient Reviews

Very happy with the results, recovery time was minimal and my face did not swell at all like I believed it would.

- Lauren B

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Patient Reviews

Dr. Jacobs and the staff at NJ Center for Oral Surgery made the experience of getting my wisdom teeth removed much better than I had anticipated. If I had more teeth to remove I wouldn't hesitate to return.

- Anna B

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Patient Reviews

Great service and everything was thoroughly explained beforehand.

- Tom M

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Patient Reviews

Dr. Kirsh and all of his staff were lovely during my wisdom teeth extraction. They fully explained everything to me step by step and made sure I was as comfortable as possible. I highly recommend their service to anyone who needs an oral operation.

- Ryan O

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Patient Reviews

Dr. Jacobs was great. I had no problems with my procedure!

- Julia S

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Patient Reviews

Helpful efficient staff. Very comfortable office experience. Absolutely enjoyed being a patient

- Daniel T

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Patient Reviews

Fast, efficient, funny doctor, and painless insertion of the IV. Not as bad as I thought it would be 🙂

- Jessica C

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Patient Reviews

Surgery went well I barely had any pain during my recovery and was able to return to work after 2 days I would definitely recommend friends and family here

- Chris Z

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Patient Reviews

Overall experience was great. I had no problems or complications whatsoever .

- Chandler B

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Patient Reviews

Doctor Jacob is the best !!! My whole family went to him and I would recommend going to him for wisdom teeth removal. He talks to you before hand to make sure you are okay and clams you down if your nervous. And I had no pain after ! Best oral surgeon around !!

- Jessica R

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Patient Reviews

I felt very comforted when going into surgery. They answered all of my questions and it made me feel safe and healthy.

- Isabelle R

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Patient Reviews

I had my wisdom teeth extraction by Dr. Jacobs who is extremely knowledgable and personable. After my procedure my teeth needed some extra TLC and I was fortunate enough to also get to know Dr. Kirsch. Both are genuine, have amazing bedside manner and fixed my mouth right up. The women in the practice are also very warm and supportive. Such a great practice.

- Amanda M

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Patient Reviews

Wonderful staff and doctor. Very quick and painless wisdom tooth removal. I would highly recommend to anyone in need of an oral surgeon.

- Dawn B

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Patient Reviews

Dr Kirsch was professional and thorough. I would recommend his services to friends and family. He was gracious in answering questions after the surgery and even gave a follow up phone call to see how my daughter was feeling.

- Emily K

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Patient Reviews

Everyone was extremely nice, caring, and answered all questions I may have had about the procedure.

- Brielle M

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Patient Reviews

Dr. Kirsh took wonderful care of me for my surgery, I made a great recovery with the office's help and resources.

- Jennifer B

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Patient Reviews

Dr kirsch did a great job and was very friendly. He answered all my questions thoroughly and I have no complaints.

- Ali D

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Patient Reviews

I was told the recovery would be 3 days and at first I was skeptical but I had no swelling and felt like myself by day 2 which was wonderful. I was nervous for this surgery but it couldn't have gone better.

- Morgan D

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Patient Reviews

The entire staff involved made the procedure comfortable and seamless.

- Anthony D

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