Wisdom Teeth Removal

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Fraser 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?

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 Gahanna Office Phone Number (614) 471-6600 to speak to one of our patient care coordinators.

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.

Patient Reviews

Patient Review By Ellen D

I received excellent care from start to finish. Dr. Fraser and his staff truly cared about my comfort. Dr. Fraser called a day after my surgery to check in on my healing process. Overall very satisfied.

- Ellen D

5 out of 5 stars on

Patient Review By Armani Anderson s

great service

- Armani Anderson s

5 out of 5 stars on

Patient Review By Sumaiya S

I had my procedure done on 04/20 which involved removing all my four wisdom teeth. I had a consultation session prior and it was amazing how Dr Fraser walked me through the entire process, pros and cons, pre op procedure and post op care. That day the staff had me schedule for the surgery and they were extremely helpful with the insurance work and scheduling the appointment. The day of the procedure went smoothly, Dr Fraser's guidance helped me navigate the initial days with minimal pain management and issues. He did call the evening to check up on me, which i thought was amazing! I have been doing extremely well one week out now without any issues. He is an awesome doctor and a wonderful human being, and his staffs are wonderful. I would definitely recommend him for wisdom teeth procedure and specially if it's you're first surgery of any kind.

- Sumaiya S

5 out of 5 stars on

Patient Review By Erika k

Thank you for your kindness, thorough attention to detail, and concern for my son's well-being. Dr. Frazier and his staff are top-notch.

- Erika k

5 out of 5 stars on

Patient Review By Mollie M

I’ve never been more impressed with a patient-care facility. I originally called just to ask a few questions but after speaking with the receptionist I immediately knew they would take care of me and were so supportive. It’s very hard to come by a doctor now a days that doesn’t make you feel rushed so I thank you from the bottom of my heart for being so dedicated and caring! The whole staff was outstanding, positive, and truly put me at ease. Dr. Fraser was phenomenal. I’ve never had a doctor call afterwards to check in. That speaks volumes! Love everything about my experience and will absolutely recommend. Thank you!!! -Mollie

- Mollie M

5 out of 5 stars on

Patient Review By BryceBraden C

Great staff - very friendly and caring! Highly recommended

- BryceBraden C

5 out of 5 stars on

Patient Review By Kyler

I am very satisfied with the care

- Kyler

5 out of 5 stars on

Patient Review By Diana

Staff and doctor very friendly and helpful.

- Diana

5 out of 5 stars on

Patient Review By Maria m

The entire experience was easy, convenient, and stress-free.

- Maria m

5 out of 5 stars on

Patient Review By Collin w

Very friendly and nice job

- Collin w

5 out of 5 stars on

Patient Review By Marian A

I am happy with the procedure and hoping you offer a family discount for when my second daughter comes.

- Marian A

5 out of 5 stars on

Patient Review By Chad m

Everyone so professional! Thank you for your care

- Chad m

5 out of 5 stars on

Patient Review By Dave C

Friendly Receptionist, competent doctor, friendly environment and extremely professional staff, Overall experience was fantastic

- Dave C

5 out of 5 stars on

Patient Review By Cindy S

Awesome experience!

- Cindy S

5 out of 5 stars on

Patient Review By Rachel C

WONDERFUL experience considering the pain I was in. I developed a very painful dry socket and Dr. Fraser cared for me on every single day squeezing me into his busy schedule, meeting me after office hours on his birthday to pack my mouth and on Christmas Eve just so I wasn't in any pain. I highly recommend going to Dr. Fraser as he took excellent care of me and all of his staff were very nice.

- Rachel C

5 out of 5 stars on

Patient Review By Taylor A

Very good experience!

- Taylor A

5 out of 5 stars on

Patient Review By Sydney l

So impressed!

- Sydney l

5 out of 5 stars on

Patient Review By Elizabeth H

n/a

- Elizabeth H

5 out of 5 stars on

Patient Review By Jensen l

Wonderful place. Great help. Great information. Made me feel at ease.

- Jensen l

5 out of 5 stars on

Patient Review By Debra c

Very pleasant office. Both of my children had their wisdom teeth removed by this practice and I would recommend them to family and friends.

- Debra c

5 out of 5 stars on

Patient Review By Beatriz D

I am afraid to death of the dentist. This was a pleasant experience. I was in and out.

- Beatriz D

5 out of 5 stars on

Patient Review By Pat M

great experience! My third child to have wisdom teeth removed by Dr. Fraser. Very kind doctor, Really nice staff, available for any emergency. Would recommend to anyone! 2 thumbs up.

- Pat M

5 out of 5 stars on

Patient Review

Great experience. Courteous staff and outstanding service.

- Anonymous

5 out of 5 stars on

Patient Review

Great experience! Everyone has been very helpful, and the doctor took the time to explain everything personally.

- Anonymous

5 out of 5 stars on

Patient Review By Cara B

Everyone was extremely kind and the procedure was way easier than I thought it would be. I'd highly recommend this place

- Cara B

5 out of 5 stars on

Patient Review By Wanda k

Very nice throughout our appts

- Wanda k

5 out of 5 stars on

Patient Review By Barb H

Oral surgery done highly satisfied. Would recommend to everyone*****

- Barb H

5 out of 5 stars on

Patient Review By Maria m

The entire experience was easy, convenient, and stress-free.

- Maria m

5 out of 5 stars on

Patient Review By Wanda k

Very nice throughout our appts

- Wanda k

5 out of 5 stars on

Patient Review By Wanda k

Very nice throughout our appts

- Wanda k

5 out of 5 stars on

Patient Review By Barb H

Oral surgery done highly satisfied. Would recommend to everyone*****

- Barb H

5 out of 5 stars on

Patient Review By Lucy I

Wonderful experience

- Lucy I

5 out of 5 stars on

Patient Review By Cassie W

That staff and Dr. were very friendly and very helpful to my needs, I recommend all my friends here

- Cassie W

5 out of 5 stars on

Patient Review By Caryn B

Great service! Everyone was very nice, especially Cindy!

- Caryn B

5 out of 5 stars on

Patient Review By Suzanne G

very nice experience

- Suzanne G

5 out of 5 stars on

Patient Review By Caitlin G

Everyone was very friendly and my surgery couldn't have gone better! Thank you everyone!

- Caitlin G

5 out of 5 stars on

Patient Review By Nicole A

I love this office, everyone is so nice an the doctor did an excellent job!!

- Nicole A

5 out of 5 stars on

Patient Review By Judy W

Everything went well, staff friendly and helpful.

- Judy W

5 out of 5 stars on

Patient Review By Craig T

performed procedure even though we were late. Procedure was quick and went well

- Craig T

5 out of 5 stars on

Patient Review By Brad D

Quick and easy - thank you!

- Brad D

5 out of 5 stars on

Patient Review

Thank you very much!

- Anonymous

5 out of 5 stars on

Patient Review

Wonderful staff!

- Anonymous

5 out of 5 stars on

Patient Review

Amazing!

- Anonymous

5 out of 5 stars on

Patient Review By Dalton P

Very polite and helpful

- Dalton P

5 out of 5 stars on

Patient Review By Tim B.

I was back to work the next day. The doctor was very nice

- Tim B.

5 out of 5 stars on