Wisdom Teeth Caldwell & West Caldwell NJ

Wisdom Tooth Removal Florham Park

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.

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Caldwell 
973-226-8444
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973-261-8444
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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.

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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 caused 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. Kirsch, Dr. Jacobs and Dr. Zambetti 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.

Call NJ Center for Oral Surgery Phone Number 973-226-8444 with questions or to schedule your Wisdom Teeth Removal consultation.

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, Drs. Kirsch, Jacobs and Zambetti 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.

Wisdom Teeth Removal Caldwell NJ

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 NJ Center for Oral Surgery 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

Caldwell 
973-226-8444
Florham Park
973-261-8444
Book Online

NJ Center for Oral Surgery

5 out of 5 stars based on 1255 Wisdom Teeth reviews.

Patient Reviews

I want to preface this by saying, as a 30 year old, I’ve never gotten a procedure (of any kind) in my life. And I absolutely HATE the feeling of being out of control of my body so the thought of getting anesthesia has near crippled me from getting my wisdom teeth removed for almost 6 years. They never bothered me so why would I go in? Well one started bothering me so I had to face this fear. Let me tell you, this was such the perfect introduction to getting anesthesia. Dr. Kirsch and his team were so kind and gentle about the whole thing. First they put some laughing gas on me to calm my nerves. I was a little nervous about this cause the thought of breathing in gas sounds so uncomfortable or like I’ll get woozy. Nothing like that happened. It helped me calm down while still feeling in control of my body. Then the doctor came in and we chit chatted while he prepped my arm for the IV. He explained that the anesthesia is a pleasant experience and never like you’re “about to loss all function” which helped me calm down more. I was still skeptical cause it was 9am and I wasn’t tired so how could I feel genuinely tired enough to go to sleep. He was right though. It felt like I was somewhere warm and that feeling kind of washed over me. I never fully went under but that was probably by design since I only had one tooth removed. But the fact that I could just lay there, relaxed, while this happened was nothing short of a miracle for me. It was over in 20 mins tops. The first day was tough but not unbearable. I refused to get my pain meds filled (personal preference) so I popped some Tylenol. The pain was the worst right after the numbness went away but that subsided pretty quickly; within an hour or so. Then the rest of the day was just changing my gauze and ice and drinking water . I couldn’t thank this office enough for how kind and helpful they were and have been.

- Kyle H

5 out of 5 stars on

Patient Reviews

Where do I begin? For years I had been putting off my wisdom teeth surgery because of such horrible experiences I had heard about the procedure. When it became time to finally get the procedure done, I was dreading the experience. This experience that I was so fearful of could not have been any further from the true experience I had with Dr. Kirsch's office. From the first time I called, they were friendly, efficient, and incredibly responsive (they were even more responsive than I was, which was amazing to see). I had my consultation on March 4, 2021, which was handled very efficiently and very safely (regarding the COVID-19 pandemic). Dr. Kirsch explained my options clearly and we decided that I should remove all four of my impacted wisdom teeth. Promptly after, I met with the schedule person, and she helped me choose a date for my surgery that worked with my schedule. (I was in and out of the consultation with a surgery date in roughly 30 minutes, which was fantastic considering how busy my personal schedule is). On Friday, March 12, I went in for my surgery. I have never seen such an efficient process in a doctor's office in my entire life. Within minutes, I finished filling out my paperwork was being prepped by the incredibly professional staff. I met Dr. Kirsch in the operating chair and he, as well as everyone else on his team, made me feel very comfortable as I was going under conscious sedation for the first time. The entire surgery took roughly 60 minutes and honestly felt like a routine dentist's visit (from what I remember). When it was time to leave, I was helped to my ride by one of Dr. Kirsch's staff members where she clearly explained to both me, and my guardian, the proper protocol for the first few hours of recovery. Within those first few hours, Dr. Kirsch called to check on how I was feeling, and against everything I had heard in the past, I was feeling great. I had very minor pain the first day, but by Sunday I felt as if I never even had surgery. The next week, Dr. Kirsch's office once again checked up on me to ask how my recovery was going, something I very much appreciated. I could not be more grateful for the efficiency and professionalism showed by Dr. Kirsch and his staff throughout the entire process of my wisdom teeth extraction. If I ever need additional oral surgery, I know where I will be getting it done, for I can be guaranteed I will be in good hands.

- Christopher L

5 out of 5 stars on

Patient Reviews

I cannot speak highly enough about Dr. Kirsch. I was scheduled to have a wisdom tooth extracted at noon. I was seated at 11:55, and Dr. Kirsch walked in at noon. I am needle-phobic but I never felt any of the 3 injections he gave me. Within minutes he started to work on my tooth and with no pain, I was literally walking out of the office at 12:15. Dr. Kirsch and the nurses and assistants were so calming and reassuring that I felt completely at ease. I have already recommended them to several of my friends.

- George D

5 out of 5 stars on

Patient Reviews

The entire experience felt like it was routine. I never had IV sedation before or any sort of procedure so I was a bit nervous going in. The speed and ease with which their team handled everything made it seem like they've done it a thousand times which is great. This is a review the same day of the procedure so I have yet to see my own healing ability and if I have any problems but the procedure itself, excellent. You get knocked out and its done like nothing.

- Alex C

5 out of 5 stars on

Patient Reviews

When I met Dr. Schuessler I had 1 infected wisdom tooth and 3 very impacted wisdom teeth. Dr. Schuessler's clear expertise and calm bedside manner made the procedure very easy for me. I was comfortable the entire time, felt absolutely no pain, and assured that I was in good hands. Every time I have seen Dr. Schuessler, both before, during, and after my procedure, he has been patient and taken the time to answer all of my questions and address my concerns. Dr. Schuessler is a professional, kind, and confident surgeon, and I would gladly recommend him to anyone who needs their wisdom teeth extracted.

- Gabriella R

5 out of 5 stars on

Patient Reviews

Dr. Kirsch and his staff are top notch! My son needed his wisdom teeth removed June 2020. This was an extensive procedure- not your ‘normal’ extraction. From the initial consultation, to the courteous staff, excellent communication, friendliness, efficiency, cleanliness, attention to health and safety to my son’s day of surgery we couldn’t have asked for anything better. He was prepared and knew what to expect as he watched a video in Dr. Kirsch’s office prior to his procedure. We were also provided with clear instructions after his surgery. He came home with minimal pain, and did not require any pain meds other than Motrin. He didn’t have any swelling or pain the next day and was back to work in two days! Dr. Kirsch is an amazing surgeon, has an excellent work ethic and is so very caring. We would never think to go anywhere else!

- Debbie R

5 out of 5 stars on

Patient Reviews

I was impressed by the length of the recovery, it went way faster than I had anticipated!

- Bill W

5 out of 5 stars on

Patient Reviews

The wisdom teeth removal process is great, no pain at all.

- Hui Z

5 out of 5 stars on

Patient Reviews

made me feel very comfortable, easy procedure, and very friendly throughout the whole process

- Nicole R

5 out of 5 stars on

Patient Reviews

It was a lovely experience

- Daniel R

5 out of 5 stars on

Patient Reviews

Very great experience, made removing all 4 wisdom teeth weirdly enjoyable!

- Kaileen C

5 out of 5 stars on

Patient Reviews

Great experience!

- Matthew O

5 out of 5 stars on

Patient Reviews

I had no complications and staff was very friendly and professional!

- Michelle J

5 out of 5 stars on

Patient Reviews

Felt safe and informed through the whole process!

- Lindsay B

5 out of 5 stars on

Patient Reviews

Good vibe in the office, nice people

- Danny G

5 out of 5 stars on

Patient Reviews

Staff and doctors were all very friendly and professional

- Ennis W

5 out of 5 stars on

Patient Reviews

Great experience! Glad I picked NJ center for Oral Surgery.

- Barbara S

5 out of 5 stars on

Patient Reviews

good experience recovering

- Edward I

5 out of 5 stars on

Patient Reviews

Great experience

- Amelia N

5 out of 5 stars on

Patient Reviews

Everyone has been extremely helpful. I was thrilled with the doctor answering all of my questions and the insurance department helping me navigate the referral and insurance process. I cannot thank you guys enough.

- Kelsey C

5 out of 5 stars on