What is wisdom teeth removal?
Wisdom teeth removal is the surgical extraction of the third molars at the back of each jaw. Most adults need them removed because there isn't room for them to erupt properly. The procedure is typically performed under IV sedation in a single office visit, and most patients recover within three to five days.
Why wisdom teeth come out
Wisdom teeth (third molars) erupt between ages 17 and 25, and most jaws don’t have room for them. When that’s the case, they get stuck — partially or fully impacted under the gum or against the neighboring tooth.
Impacted wisdom teeth are difficult to clean, prone to infection (pericoronitis), and can damage the second molar in front of them. Removing them in the late teens or early twenties — before the roots are fully formed and the bone is denser — makes for a faster, safer surgery and a smoother recovery.
How we evaluate
Your consultation includes a focused exam and a 3D CBCT scan when indicated. The CBCT shows us the exact position of each tooth in three dimensions — including how close the lower roots are to the inferior alveolar nerve, the nerve that supplies sensation to your lip and chin.
We use that information to plan the surgical approach for each tooth specifically and to talk you through the risks honestly. If we think a particular tooth carries an elevated nerve risk, we’ll discuss alternatives like coronectomy (removing the crown only) before recommending full extraction.
The procedure itself
Most patients choose IV sedation, which means you’ll be deeply relaxed and won’t remember the procedure. Local anesthesia is also used so you’re fully numb. Each tooth is removed with care for the surrounding bone and gum tissue. Stitches dissolve on their own. Plan for the visit to take 60–90 minutes from check-in to discharge.
What recovery looks like
Most discomfort peaks at 48–72 hours and improves quickly thereafter. Swelling on day two or three is normal. We provide written instructions, ice packs, and any needed prescriptions before you leave.
Plan to take it easy for 3–5 days. Soft foods, no straws, no smoking, no strenuous exercise. We see you back at one week to check healing and remove any non-dissolving sutures.
Common questions
Will I be awake during the procedure?
Most patients choose IV sedation and don’t remember the surgery at all. Local anesthesia alone is also an option for simpler cases or patients who prefer it.
How much pain should I expect?
Discomfort is most noticeable on day 2–3 and is well controlled with the medications we prescribe. Most patients are off prescription pain medicine within a few days.
When can I go back to work or school?
Many patients return to a desk job in 2–3 days. If your work is physical, plan for 5–7 days. We can write a note for your employer or school if needed.
Is the inferior alveolar nerve at risk?
For lower wisdom teeth with roots close to the nerve, there is a small risk of temporary or rare permanent altered sensation in the lip and chin. We use 3D imaging to assess this and will tell you honestly if your case carries elevated risk.