Wisdom Teeth Removal

Oral Examination for Extraction of Wisdom Teeth

With an oral examination and x-rays of the mouth, Dr. Morales, Dr. Shaikh, Dr. Alicea, Dr. Antonos, and Dr. Moore 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.

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?

Please call the office number you are scheduled to be seen to speak to one of our surgical assistants.

Orofacial & Dental Implant Surgery

5 out of 5 stars based on 21 Wisdom Teeth reviews.

Our Latest Patient Testimonial

Dr. Shaikh is the most gentle and kindhearted dental surgeon I have ever met. Having had a previous bad expirience with a dentist, he was able to put my mind at ease and made me feel comfortable in everyone's most feared chair. He made this expirience for me as smooth as possible, this is the bed side manner all physicans should exhibit to their patients.

- Ashley L

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Morales did the wisdom teeth removal surgery for my husband and myself many years ago. We were very impressed with the courtesy and professionalism of his office. He is a fantastic oral surgeon.Now, I came back as both of my children needed to have their wisdom teeth remove. Once again we received great patient service, courtesy and professionalism. I have referred many friends and family to Dr. Morales' office. Thank you for everything!!!

- Blanquita R

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Zakir Shaikh is THE BEST! Our experience was THE BEST. He has the sensitivity component to connect with his patients. He took the time to talk to me and my daughter and he answered all our questions. No other doctor has done that with me for the last 20 plus years that I have leaved in Orlando. Thank Dr Zakir for treat us as humans not as one more number. God keeps blessing you and your practice

- Diana M

5 out of 5 stars on

Our Latest Patient Testimonial

My son, who is 15 recently had his wisdom teeth extracted. He was very nervous about having the procedure, and everyone on the staff was friendly and caring. Dr. Morales was kind and thorough in explaining the process. Feeling like he was cared about, my son and I felt better about a procedure that we were both nervous about. Everyone was friendly and took time to answer our questions. Thank you for a positive experience!

- Heather M

5 out of 5 stars on

Our Latest Patient Testimonial

This was my first trip to the office (East Orlando). I didn't have my surgical experience yet, but the consultation was great. The wait time was very short, the Dr. explained the process in a way I could understand. Sofia was the best. She is such an asset to the office. She really took her time explaining things to me. From scheduling, to pre surgical instructions as well as insurance. Sofia made everything seem so easy. She was able to answer all my questions in great detail. What I most appreciated was how she worked with me on the scheduling. Time was of the essence for me and she was able to make it happen!

- Catherine B

5 out of 5 stars on

Our Latest Patient Testimonial

Silvia and Melissa took care of everything they were professionals and care about my issues

- DARIEN B

5 out of 5 stars on

Our Latest Patient Testimonial

Melissa and Silvia took care us and made this a great experience. Both of them were knowledgeable, gentle and very professional with us

- Marcos B

5 out of 5 stars on

Our Latest Patient Testimonial

Our 15 year old daughter had her 4 wisdom teeth extracted by Dr. Shaikh. Both Dr. Shikh and Nurse Sara took excellent care of our daughter. The procedure was clearly explained to us at the consultation. We received specific post-care instructions which mirrored their website information. We were very relieved that our daughter was only receiving "Twighlight sedation". We were able to be with our daughter up until the procedure began. They had the appropriate monitoring equipment in place. Dr. Shaikh is also an MD and Board Certified in the use of Anesthesia. This is critically important. Our daughter did not experience any significant swelling...she did have an ice pack on her face once we got home. Rotating 20 minutes on and 20 minutes off. The next day she was fine, as if nothing had happened. She went back to school on Monday. We are extremely pleased with the care that our daughter received. We would definitely return to OraFacial for a dental procedure and recommend them to family and friends. Thank you!

- Diane M

5 out of 5 stars on

Our Latest Patient Testimonial

- Alexis G

5 out of 5 stars on

Our Latest Patient Testimonial

worked my daughter in for an appointment the same day. thanks.

- shelley f

5 out of 5 stars on

Our Latest Patient Testimonial

For wisdom teeth removal, this was a quick and orderly operation. I received many calls in the upcoming days to my operation where questions were sorted out appropriately. I didn't have to wait long and Dr. Morales did an incredible job. Highly recommended!

- Elliott N

5 out of 5 stars on

Our Latest Patient Testimonial

Doctor Shaikh was professional and did an excellent job on my surgery this morning. Would recommend to anyone.

- Taylor F

5 out of 5 stars on

Our Latest Patient Testimonial

Luis F. Alicea was a very good doctor. Very gentle and very nice

- Monica O

5 out of 5 stars on

Our Latest Patient Testimonial

My younger son had four wisdom teeth removed on 3 July 2015. He had no problems whatsoever from the procedure. My older son had four wisdom teeth removed on 22 July 2015. I have nothing but words of praise, gratitude and awe for Dr. Zakir Shaikh and his staff. This office has to be in the running for the number one orafacial and dental implant surgery office in Orlando, possibly central Florida. On any standard or criteria of assessment, the office and its associated healthcare professionals rank exemplary. Dr. Shaikh is a humble, modest, caring, and skilled medical professional. Moreover, not only is he a skilled oral surgeon, he is a Board certified medical doctor as well. For me, that provided added assurance that my sons were in good hands for their oral surgery and its associated IV sedation. I highly recommend Dr. Shaikh and his staff. My sons are both doing well, post-operative, and our family is grateful. Thank you Dr. Shaikh, Brittany, and Joanna (attending during procedures) for your outstanding and professional care.

- Dr. E

5 out of 5 stars on

Our Latest Patient Testimonial

Great Place! Took my daughter to Dr. Zakir Shaikh to remove all 4 wisdom teeth in July. I was expecting her to be in a lot of pain after the surgery specially with all the horror stories that I had heard others to have gone through. But to my surprise she was in little pain and was back to normal the next day with minimal need of taking any pain pills. The office also called the same day to check on her and answer any questions that we might have, even though they answered all the questions prior to procedure. I will definitely recommend Dr. Shaikh and his office to any body who is in need of skilled Oral Surgeon as he was extremely caring and a true professional in his field, and that is sometimes very hard to find nowadays.Thank you Dr. Shaikh.

- Bernard S

5 out of 5 stars on

Our Latest Patient Testimonial

We were referred to Orofacial & Dental Implant Surgery by Premiere Orthodontics, Waterford Lakes, and Dr. Jason Battle. It is clear that the quality of care our family has received from Dr. Battle and his team is well replicated by Dr. Zakir Shaikh and his staff. It is comforting to know that such caring professionals are attending to the dental/orthodontic/orofacial surgery needs of my family. We had the opportunity to interact with Sylvia (front desk), Sara (intake), Joanna (attending), Jessica (Finance), and Dr. Zakir Shaikh. We were pleased all around.

- Ruby E

5 out of 5 stars on

Our Latest Patient Testimonial

I REALLY LIKE THIS PLACE. GREAT SERVICE ALWAYS!

- Bileika C

5 out of 5 stars on

Our Latest Patient Testimonial

Amazing service, looking forward to my surgery visit .

- Abiel P

5 out of 5 stars on

Our Latest Patient Testimonial

Michelle , Dr. Morales are very professional and the front desk lady, very welcome with the treatment

- Margarita O

5 out of 5 stars on

Our Latest Patient Testimonial

I was very nervous about having 2 of my wisdom teeth removed this week, but the staff quickly put me at ease. I found the nurse to be very kind and comforting. I'd also like to recognize Dr. Shaikh, because only after one day of surgery I have very little pain/discomfort and minimal swelling. A credit to his experience and skill as a surgeon. I would whole heartedly recommend your office to my friends and family. Well done!

- Christopher D

5 out of 5 stars on

A 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.