Wisdom Tooth Extractions in Plano, TX
What is Wisdom Tooth Extraction?
During your first visit you will be examined and checked if you need a wisdom teeth extraction at some point. It is rare for a person to have enough room for all of their wisdom teeth, and as a result, they tend to grow in impact. This can be uncomfortable, push your other teeth forward, and create a space for food to become trapped, increasing your risk of infection and decay.
This is why we often recommend that our Plano, TX patients have their wisdom teeth removed. When you schedule an appointment with Plano Family Dental, we can examine, take x-rays, and let you know if and when you should schedule an extraction procedure. You can reach us by calling (972) 867-5090.
What is the procedure like?
On your second visit, you will receive IV anesthesia in order to numb the area being worked on. Some dentists and oral surgeons may also offer nitrous oxide to help you relax or put you to sleep so you do not remember anything about the actual procedure.
If your wisdom teeth have grown straight, removing them is fairly easy. In this case, you would visit a Plano dentist to have them pulled out using dental tools. Most likely, no surgery would be required. However, if your teeth are impacted, the procedure requires oral surgery. In order to access the actual tooth, the gum tissue covering it will need to be cut open. After numbing the area, a flap will be created in the gum tissue. This allows the dentist or oral surgeon to view the tooth. If muscle or bone is covering it, that will also need to be cut away to provide clear access to the actual tooth. At this point, your Plano dentist may be able to grab the tooth and simply lift it out of the socket. If, however, it does not budge when being wiggled; the actual tooth will need to be broken into several pieces that can be extracted individually.
Once the tooth has been entirely removed, the area will need to be carefully cleaned. Afterward, the flap of gum tissue can lay flat and be sutured back in place. In order to stop the bleeding, the dentist will place gauze on the area.
Is wisdom teeth extraction really necessary?
We understand that each of our patients is unique and so are their teeth. Whether or not you need to have your wisdom teeth removed by a Plano dentist, it really depends on the size of your mouth and the ability to keep it clean. If you have plenty of room for all of your teeth and your third molars, they can stay in place. There is no point in removing something that grows straight and is healthy.
However, any tooth that grows in impact needs to be removed because it is posing a direct threat to your other teeth and roots in addition to being a target for infections. The best way to find out if your wisdom teeth should be removed is to call (972) 867-5090 and schedule an appointment with our Plano dentist office. We can make a recommendation and answer any other questions you have about the procedure itself.
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The Wisdom Teeth Removal Process
Step 1
Call us to schedule your consultation, or book online at your convenience.
Step 2
During your visit, we’ll perform an exam, discuss your symptoms, and take X-rays to evaluate your wisdom teeth and plan for extraction.
Step 3
On the day of your extraction, we’ll make sure you’re comfortable throughout your procedure. A follow-up post-op visit will be scheduled to monitor your healing and recovery.
Meet your Wisdom Tooth Extraction Expert, Dr. Scott Williams
Dr. Scott Williams is from Commerce, Texas, and did his undergraduate work at Texas A&M University. Dr Williams received his Doctor of Dental Surgery at the University of Texas Dental Branch, Houston. He has practiced dentistry for 26 years, and is married to his high school sweetheart. They have 4 children.
Dr. Williams visits Plano Family Dental to perform in-house oral surgery services as a convenient service to our patients. He uses his unique abilities to plan the most conservative treatment that will provide the best long-term solution to his patient’s dental needs. Due to the frightening nature of having oral surgery performed, Dr. Williams looks forward to the opportunity to change a patient’s mind and anxiety about oral surgery. He strives to provide that service in a gentle and caring atmosphere.
Education/Certifications
- Dental School Senior Class Vice-President
- D.D.S., University of Texas, Dental Branch – Houston
Memberships
- Dental School Senior Class Vice-President
- American Dental Association
- Texas Dental Association
- North Texas Dental Society
- International College or Oral Implantologists
- Two-Time recipient of the Young Dentist of the Year (North Texas Dental Society)
- Past President of the 4th District Dental Society
- Past President of the Allen Chamber of Commerce
- Founding board member of the Foundation of Allen Public Schools
- Founding board member and Past President of the Foundation for Lovejoy Schools
FAQs
Teeth that are partially or unerupted require surgery to remove. They are literally attached or grown to the underlying jawbone and can cause damage to the adjacent teeth, bone and nerve if left as is.
Fully erupted 3rd molars are rarely seen. In most cases there is some type of entrapment. Treatment is usually done in the young adult years, as the teeth are much easier to remove than in older adults, whose bone is more hardened.
Wisdom Teeth are also known as 3rd molars because they erupt behind the 2nd molars. They are the furthest back in the mouth and often do not have enough room to erupt normally like our 1st and 2nd molars do as children. They usually begin to appear at around 17 yrs. of age but can erupt at any age (assuming when one has more “wisdom”).
When a wisdom tooth does have enough room to come in normally it is termed “erupted”. When the tooth is formed, but unable to erupt due to position or space, it is termed “impacted”. Full bony (or complete) impaction means that the whole tooth is buried in the jawbone. Partially impacted means that part of the tooth has broken through the bone but cannot erupt fully. This generally leaves a flap of skin that can trap food and bacteria and will be susceptible to infection and discomfort, and decay.
Wisdom teeth that are fully erupted out of the jawbone and able to be accessed easily are often able to be extracted like any other erupted tooth in the mouth, using a local anesthetic or numbing agent much like the numbing used for any dental procedure.
Usually during a routine cleaning and checkup your family dentist will advise you based on your x-rays showing the position and formation of the wisdom teeth. Very rarely can you keep the third molar clean enough to prevent infection and decay should you decide to keep them. This almost certainly leads to problems at some point later in life. Many patients are motivated to extract their wisdom teeth due to the discomfort of teeth that are trying to erupt, but “stuck.”
Possibilities include:
- Jaw damage: Cysts can form around the new teeth. If they aren’t treated, they can destroy the jawbone which will not regenerate and damage nerves.
- Sinus Issues: Problems with upper wisdom teeth can lead to sinus pain, pressure, and congestion.
- Inflamed Gums: Tissue around the area can swell and may be hard to clean, often trapping food and debris under a flap of tissue that cannot be accessed with home oral hygiene measures.
- Cavities: Swollen gums can create pockets between teeth that help bacteria grow and cavities form. Since these teeth are notoriously hard to clean and keep free of food and bacteria, decay which can affect adjacent teeth as well is very common.
Not permanently. Many patients report that their pain is intermittent, but the only permanent solution is to remove the offending teeth.
This is a highly individual situation, depending on many factors including the position of the tooth, its proximity to the other oral structures, and your jaw size.
The fee varies according to the type of surgery, complexity of the surgery, number of teeth needing extraction and type of sedation (if any) used. More complex surgery is most often performed by a licensed dental specialist or oral surgeon with additional surgical training and experience. At our office in Plano, you will be given a complete, detailed treatment estimate with any insurance considerations before any work is scheduled.
Dr. Joseph employs a dentist with extra training and experience as a surgical specialist to take care of your wisdom teeth extractions in our own Plano office.
This varies too depending on the number of teeth, and the complexity of the surgery, but average extractions take from 45 min to an hour actual surgery time.
Generally, there is some discomfort associated with any surgical procedure. This is easily managed with local anesthesia and sedation (if desired). Post operative discomfort is dependent on several factors unique to each surgery, including the complexity of the surgery and manipulation required to remove the teeth as well as (most importantly) your willingness to strictly adhere to post operative instructions given to you.
You'll likely have swelling and mild discomfort for 3 or so days. Your mouth may need a few weeks to completely heal. You will probably not want to return to normal activities for 1-3 days but let your comfort dictate your activities. It is suggested to avoid elevating your heart rate and jumping around for the first 48-72 hours after surgery, depending on your individual surgery. Regular erupted tooth removal does not require these measures, as most people return to normal activities after the first 24 hours. Your Plano family dental office will provide you with specific instructions pertaining to your individual tooth extraction recovery.
Follow your doctor’s instructions for a quicker recovery.
If you are not careful with gentle rinsing and spitting, straw use or smoking after surgery, the clot that covers the space where the tooth was can be lost. This is like taking off a bandage on an open wound. The clot is there to seal off and protect the space, and aid in tissue regeneration eventually filling in the space created by tooth removal. Loss of this protective clot can result in increased pain and discomfort, resulting in an emergency visit to your dentist.