Framingham Cosmetic Dentistry - Oral Surgery

Wisdom Teeth:

Development - Wisdom teeth generally begin to form in your pre-teen years. By late teen years, the crown of the wisdom teeth will begin to erupt through the gums if there is adequate room. By mid twenties, your wisdom teeth will be able to fully erupt or have become impacted and will need to be removed. In your early forties, the wisdom teeth roots have become fully anchored to the jawbone and if required to be extracted, will be much harder and will need more time to heal.

Positions - Wisdom teeth under ideal circumstances should grow in straight like any other tooth. However, it is common for wisdom teeth to become impacted inside the jaw or just under the gums. If this occurs, your wisdom teeth should be removed.
Common Impactions:
1) Horizontal Impaction
2) Angular Impaction
3) Vertical Impaction
4) Soft Tissue Impaction

Problems - The problems involving your wisdom teeth may be caused by the size of your jaw and/or by how crowded your teeth are. Common warning symptoms that there is an un-natural problem in the development of your wisdom teeth could be Pain and Swelling.
Symptoms can be caused by:
1) Infection to the gums
2) A crowded tooth displacing neighboring teeth
3) A decayed wisdom tooth
4) Poorly positioned wisdom tooth
5) A cyst that destroys bone

Removal - Removal of wisdom teeth could be done while you are sedated and being carefully monitored.
1) An incision is made in the gums
2) The overlaying bone is removed to expose the crown of the tooth.
3) The tooth is then extracted as a whole or under certain circumstances, it may be necessary to be removed in pieces. This is generally done for severely impacted wisdom teeth.
4) The area is stitched closed and allowed to heal.

Patient Education (Audible/Visual)

Tooth Extractions
After Extraction Care
Wisdom Tooth Development
Wisdom Tooth Problems
Wisdom Tooth Positions
Wisdom Tooth Removal
Tobacco Risks
Pre-Cancer Soft Tissue
Pre-Surgical Instructions
Post-Surgical Instructions
- Patient Education Library