Wisdom Teeth Removal

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Alijanian can evaluate the position of the wisdom teeth and predict if there are present or future potential problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid-teenage years by their dentist, orthodontist, or by an oral and maxillofacial surgeon.

All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Our doctors are trained, licensed, and highly experienced in providing various types of anesthesia for patients.

Why Should I Have My Wisdom Teeth Removed?

If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients it is as early as 12 or 13, and in others it may not be until the early twenties. Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:

A representation of a pericoronitis infection on a wisdom tooth

Infection:

The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.

An example of a cyst formation on a wisdom tooth

Cyst Formation:

Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.

An illustration of teeth crowding causes by a wisdom tooth

Possible Crowding:

Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.

A visual of a wisdom tooth damaging an adjacent tooth

Damage to Adjacent Teeth:

If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.

What If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?

As wisdom teeth develop, the roots become longer and the jaw bone more dense.When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate. Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops. In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.

For more information about Wisdom Teeth Removal or to schedule an appointment with Dr. Alijanian call our office at Walnut Creek Oral Surgery Office Phone Number 925-934-7888.

What Happens On The Day Wisdom Teeth Are Removed?

Most people prefer to be unaware of the experience when they have their wisdom teeth removed and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation. All outpatient surgery is performed under appropriate anesthesia to maximize your comfort. Our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Board of Dental Examiners on a regular basis.

On the day of your procedure, you will take medications to help minimize post-operative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes. Recent advances in medicine and technology allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times.

On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly six hours before your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines. We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance. When you are seated in the surgical room, we will make every effort to make you as comfortable as possible. If you are going to be sedated, we usually will place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.

smiling teenage son with his mother

The Day of Treatment

Be sure to have an adult with you at the time of removal. Make plans to have a parent or responsible adult stay with you for the rest of the day, following wisdom tooth removal.

If your surgery requires stitches, these are usually the type that dissolve in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery, and will subside in several days.

Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first, to see if that adequately treats your pain. If not, begin your other prescription pain medication. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits.

We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.

What Does Wisdom Tooth Removal Cost And Is It Covered By Insurance?

The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon’s office staff will help you obtain maximum insurance coverage for your treatment.

What If I Have Questions Before Surgery?

At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our office at Walnut Creek Oral Surgery Office Phone Number 925-934-7888 to speak to one of our patient care coordinators.

smiling woman

The Day of Treatment

Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.

Ali Alijanian DDS

5 out of 5 stars based on 45 Wisdom Teeth reviews.

Patient Testimonial

Would definitely recommend. Absolutely loved the staff

- Isabella E

5 out of 5 stars on

Patient Testimonial

Everyone was very helpful with any questions asked and very friendly as well!

- Keegan C

5 out of 5 stars on

Patient Testimonial

Thank you for a great procedure for removing my wisdom teeth! Everything went well and office answered all questions via periodic calls and at a follow up.

- Ryan E

5 out of 5 stars on

Patient Testimonial

Great service!

- Jolie L

5 out of 5 stars on

Patient Testimonial

Thanks for the warm and professional service.

- Ben P

5 out of 5 stars on

Patient Testimonial

Great,

- Amanda B

5 out of 5 stars on

Patient Testimonial

I was so scared of getting my wisdom teeth pulled out. But the staff and doctor made feel comfortable. They care for their patients and it shows. If I need something done again I will be back.

- Michelle D

5 out of 5 stars on

Patient Testimonial

My son felt in good hands right away, and Dr. Alijanian recognized how complicated the procedure was going to be - an impinged nerve where a wisdom tooth had grown sideways - but while the 6 fast and dentists consulted before shied back from the treatment, Dr. Alijanian just looked thoroughly at the x-ray and the affected teeth and offered the treatment choices, clearly sure of his competence and the reassurance that it would go well. It did, the doctor worked fast and painlessly; my son did very well. Follow up care was timely and thorough. Both my son and I recommend Dr. Alijanian in every way, financially speaking as well. We will be back!

- Jutta C

5 out of 5 stars on

Patient Testimonial

I had a great overall experience. I will definitely return with future dental needs!

- Maria T

5 out of 5 stars on

Patient Testimonial

The experience was quick fast and went very well, two thumbs up =)

- Ashley O

5 out of 5 stars on

Patient Testimonial

All work was completed thoroughly and with minimal impact to me. Recovery was quick and painless after the first day. Thank you for taking good care of me.

- Maxim D

5 out of 5 stars on

Patient Testimonial

Great experience! Dr. Alijanian was great! Would highly recommend him.

- Kellee T

4 out of 5 stars on

Patient Testimonial

Procedure was easy going and very efficient!

- Alex M

5 out of 5 stars on

Patient Testimonial

Had a great experience here.

- Danielle V

5 out of 5 stars on

Patient Testimonial

My wisdom teeth surgery was an overall great experience which is something people don't usually get to say about oral surgery! The surgery was quick, clean, and comfortable. The staff and doctor are extremely courteous and experienced. I experienced no problems whatsoever after surgery and all four extractions healed in less than a week!

- Rose M

5 out of 5 stars on

Patient Testimonial

Very professional and courteous staff. My procedure was quick and painless. I will have all my future procedures done here.

- Jason B

5 out of 5 stars on

Patient Testimonial

Dr Alijanian is the best! Had minimal swelling after my procedure! Loved my experience with him, would recommend to anybody!

- Michelle B

5 out of 5 stars on

Patient Testimonial

Service was great, the post surgery meeting was pretty quick with the doctor. If it weren't for the hands outs I was given I would felt uniformed.

- Daniel E

5 out of 5 stars on

Patient Testimonial

Everyone was very kind. The procedure went flawless and received all the information I need

- Ryan P

5 out of 5 stars on

Patient Testimonial

Amazing business/practice.

- Alec M

5 out of 5 stars on