Wisdom teeth extraction

Wisdom teeth are the third set of molars at the very back of the mouth. Most people have up to four. Many jaws simply do not have enough space for them, which is why they so often come in partway, at an angle, or not at all.

• Pain or pressure. An ache at the back of the jaw that comes and goes.
• Swollen gums. Tender, puffy gums behind your last molars.
• Trouble opening your mouth. Stiffness or soreness in the jaw.
• A bad taste or bad breath. Food and bacteria trapped under a partly erupted tooth.
• Problems with the next tooth. Decay or damage on the molar right in front.

A wisdom tooth is impacted when it is stuck under the gum or bone, or growing in at an angle. An impacted tooth may cause no symptoms at first, but it can lead to infection, damage to the neighboring tooth, or other problems over time. Imaging shows exactly where each tooth sits.

No. Wisdom teeth that come in fully, sit in the right position, and can be cleaned well may be fine to keep. We keep an eye on them at your regular checkups. The decision to remove them is based on your exam and imaging, not on age alone.

The area is numbed first, and Dr. Balani talks with you about pain management and sets a plan around your comfort level. Sedation is available if you feel anxious. Some complex cases may be referred to an oral surgeon.

During recovery:

• Expect some swelling. It usually peaks around the second or third day.
• Use a cold compress. Hold it against the outside of your cheek.
• Eat soft foods. Stick to soft, cool foods for the first few days.
• Protect the area. Avoid straws, smoking, and forceful spitting.
• Manage soreness. Over-the-counter pain relief, taken as the label directs, usually helps.