San Fernando Valley Oral Surgery&Implant Center

Wisdom Teeth: What You Need to Know

Wisdom teeth, also known as third molars, are the last set of molars that usually emerge between the ages of 17 and 21. Removing wisdom teeth is a common procedure to maintain oral health and overall wellness. Due to the potential complications associated with wisdom teeth, nearly 85 percent of people have had them removed by adulthood. Regular dental check-ups are essential for those who keep their wisdom teeth, as issues can arise over time.

Reasons for Wisdom Teeth Removal

Periodontal Disease

Wisdom teeth can contribute to the development of periodontal disease, a severe gum condition that damages gums and destroys the jawbone. This disease can spread bacteria to other teeth.

Infection

Bacteria can accumulate in hard-to-reach areas, leading to infections.

Pain

Erupting wisdom teeth often cause significant pain.

Decay

Wisdom teeth can lead to decay in neighboring teeth or their own surfaces.

Sinus Problems

The eruption of wisdom teeth can cause sinus pain, pressure, and congestion.

Impaction

Impacted wisdom teeth cannot erupt properly and are unusable for chewing.

Crowding

Emerging wisdom teeth can cause crowding, potentially undoing the effects of orthodontic treatments like braces.

Cysts and Tumors

Untreated wisdom teeth can develop fluid-filled cysts or tumors, which can hollow out the jaw and damage nerves and surrounding structures.

What to Expect During the Procedure

Length of Procedure

The duration of the procedure depends on factors such as the degree of impaction, root curvature, and infection level. Typically, wisdom teeth removal takes 30 to 60 minutes. You can expect to be in our office for 1.5 to 2 hours, including consultation, procedure, and recovery time. Please inform your doctor about any medications you are currently taking before the procedure.

IV Sedation

IV sedation puts you in a twilight sleep, where you are asleep but can still breathe independently and respond to instructions. You will not feel any pain or remember the procedure. Our registered nurses will provide care before, during, and after the procedure to ensure your comfort and safety.

For any questions regarding IV sedation, visit our IV Sedation page or call our office at 402.327.9400. Our team, including registered nurses, surgical assistants, and doctors, is here to help.

Preparing for Your Appointment

At Home

Do not eat or drink anything for at least 8 hours before your IV sedated procedure. This includes food, water, mints, and gum.
Arrange for someone to stay with you at the office, through the procedure, and to drive you home afterward.
Wear glasses instead of contacts on the day of the procedure and choose a short-sleeve shirt.
Complete patient paperwork online before your appointment and arrive 5 to 10 minutes early. If you prefer to fill out paperwork at the office, arrive 20 minutes prior.

At the Office

Patients under 19 will need a guardian to sign a consent form.
Bring any X-rays from your dentist or physician, or have them sent to our office. Additional X-rays can be taken if needed.
A dental assistant will review your medical history, and your doctor will address any questions or concerns. If you have medication concerns, please call us beforehand so we can consult your physician.

Tips for a Smooth Recovery

Recovery Instructions

After the procedure, a nurse will escort you to a recovery room with advanced monitoring equipment. We will notify your driver and review recovery instructions with them.

Your nurse will answer any remaining questions before you leave and provide printed recovery instructions. At home, rest, apply ice, and take pain medication before the numbness wears off. You will receive a recovery kit with extra gauze and gloves for managing bleeding.

Post-Procedure Care

Some tingling of the lip, chin, and tongue is normal and temporary.
Take the day off from work or school, and possibly the following day, depending on how you feel.
Enjoy a complimentary cup of gourmet ice cream after your procedure!
Watch our recovery video for a review of post-op care instructions and tips to avoid complications and promote healing.

Managing Common Post-Procedure Symptoms

Expect some pain, swelling, and bleeding after wisdom teeth removal. Follow your doctor’s post-op care instructions to aid the healing process. Use clean gauze and apply pressure to control bleeding. Rest and avoid strenuous activities for at least 24 hours. Apply ice to minimize pain and swelling. Follow your doctor's instructions for pain relief.

Avoiding Dry Sockets

Avoid touching the wound, except when changing gauze.
Do not smoke for at least 72 hours after the procedure. We recommend quitting smoking altogether.
Avoid foods that leave particles in your mouth, such as popcorn, peanuts, rice, and pretzels, for four days.
Stick to soft foods like clear soup, mashed potatoes, and pudding.
Avoid carbonated drinks.
Inform your doctor about all medications you are taking before the procedure.
Do not drink through a straw or suck on hard candies for one week.
Avoid vigorous sports and heavy lifting for five days.
Refrain from jogging or playing wind instruments for four days.

Wisdom Teeth