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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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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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.
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.
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.
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.
With an oral examination and x-rays of the mouth, Dr. Kirsch, Dr. Jacobs and Dr. Schuessler 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.
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 Schuessler 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.
NJ Center for Oral Surgery
I would definitely recommend anyone to get their wisdom teeth out here. It was so great. The procedure went very smooth and everyone was helpful and very kind afterwards and they really care about your comfort level at all times.
- Kevin B.
The experience here has been top notch. The staff is friendly and help you in any way possible. There is no way an establishment can be run any better.
- Michael S.
It's probably weird to say that I'm thrilled with my oral surgeon, but I had a really great experience. I was trepidatious about having a wisdom tooth extracted, mostly because of the nightmare stories I've heard from others. The staff and Dr. Jacobs were very kind and patient and took time to answer all of my questions. The extraction was surprisingly quick, and I had no swelling afterward. Although I had a prescription for pain pills, I never needed one--the ibuprofen was enough. Overall, and all things considered, the experience was excellent and I would not hesitate to come back or to recommend you to family and friends.
- Kelly T.
I was nervous getting my wisdom teeth removed, but the doctors and staff were very helpful with all my questions. After my procedure the doctor personally called to make sure I was feeling ok, they made me really at ease. They were all great!!
- Melissa M.
The best dental experience I have ever had in my entire life. I would prefer to continue to receive care here and would recommend all of my family do the same. Thanks a ton!
- Kiran T.
I came to the office afraid because I had to pull out four of my wisdom teeth. I came out very happy and smiling after the surgery. The surgery went very well, I can say that I barely felt any pain after the surgery. Bleeding stopped within the second day. Dr Sandau is the best so far, I would recommend his practice to anyone. He cares, he is friendly and he will give the best work ever.
- Patrick L.
Everyone was great
- Vanley M.
The entire experience was enjoyable. I have only positive things to say. I would definitely recommend Dr. Kirsch to anyone.
- Jake S.
Doctor, staff and office is excellent
- Susan D.