Wisdom Teeth Removal
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:
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.
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.
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.
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 denser. When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the postoperative 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 for 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 afterward to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.
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 and we will gladly help!
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.
Orofacial & Dental Implant Surgery
Patient Review by Kyle K
Did a wonderful job coordinating with my dentist and orthodontist
- Kyle K
Patient Review by Melanie M
Really loved the office! The doctor and staff were incredibly nice. They made me feel very comfortable when I was being seen for my wisdom teeth.
- Melanie M
Patient Review by Magaly Herrera
The dedication, attention and professionalism from the staff of this office is amazing. I do recommended with my eyes closed. They are excellent in all they do. Thank you Dr. Antonos and staff
- Magaly Herrera
Patient Review by Veronica C
Everyone was very nice and explained all information clearly!
- Veronica C
Patient Review by Giovanni S
Dr Alicea answered all my questions needed to know. He seems like a wonderful Dr
- Giovanni S
Patient Review by Riley L
We would not hesitate to recommend this office, doctor, and staff to anyone needing this kind of dental work. They did everything right and turned scary anxiety into a a job well done. Thank you!
- Riley L
Patient Review by Elaine D
The staff is great the location extremely close to where I live, overall I had a great first impression.
- Elaine D
Patient Review by Roman K
Very good customer service. Treated me like family
- Roman K
Patient Review by Zach zavada
Sarah c and Dr Antonia made my wisdom teeth extraction an amazing experience
- Zach zavada
Patient Review by Omair U
Everyone from the service at the front desk upon walking in to care and helpfulness upon walking out after the procedure was superb. I would recommend anyone to choose Orofacial. You are in good hands!
- Omair U
Patient Review by Ashley L
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
Patient Review by Blanquita R
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
Patient Review by Diana M
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
Patient Review by Heather M
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
Patient Review by Catherine B
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
Patient Review by DARIEN B
Silvia and Melissa took care of everything they were professionals and care about my issues
- DARIEN B
Patient Review by Marcos B
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
Patient Review by Diane M
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
Patient Review by Alexis G
- Alexis G
Patient Review by shelley f
worked my daughter in for an appointment the same day. thanks.
- shelley f