Wisdom Teeth Removal in Salem OR

Why Choose Us for Your Wisdom Teeth Removal?

Dr. Swiderski has been performing third molar surgery (also referred to as wisdom teeth removal) for over 12 years in the Salem, Oregon area. In addition to routine wisdom teeth removals, he is one of the few surgeons in the Willamette Valley that performs a unique procedure referred to as coronectomy – a treatment performed on complex impacted lower third molars that are high risk for nerve injury.

Alongside Dr. Swiderski‘s many years of experience and high level of skill, we pride ourselves on our incredible staff & modern technology. Our surgical assistants are certified by the Dental Anesthesia Assistant National Certification Examination (DAANCE) and our Salem Oregon office has state-of-the-art anesthesia equipment. Rest assured you are in capable and safe hands.

Oral Examination

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

Do You Want Your Wisdom Teeth Removed?

If your wisdom teeth are causing you pain or you want to avoid future problems, contact our office to schedule an appointment.

Call us: 503-581-0223

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:

Infected wisdom tooth diagram

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.

Cyst forming around impacted wisdom tooth diagram

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.

Cysts 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.

Crowding of teeth from impacted teeth diagram

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.

Impacted tooth damaging adjacent tooth diagram

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 afterward 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 to speak to one of our patient care coordinators.

Do You Want Your Wisdom Teeth Removed?

If your wisdom teeth are causing you pain or you want to avoid future problems, contact our office to schedule an appointment.

Call us: 503-581-0223
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.



Mid-Valley Oral, Maxillofacial & Implant Surgery

5 out of 5 stars based on 177 reviews.

Patient Testimonial

Having never had a tooth extracted, I was a bit apprehensive. Everyone involved made it a professional experience.

- Jay C

5 out of 5 stars on

Patient Testimonial

I hadn't seen a dentist or doctor in around 11 years but from the first phone call and appointment with Dr. Swiderski's office I felt comfortable and safe, not only with his office staff, but with him and the procedure that needed done. I really never expected to be needing my teeth cut out of my gums and drilled just for this procedure as I thought in time they would grow out, so when they didn't I was terrified that I needed such an invasive procedure. After a lot of childhood trauma in medical settings, it was no easier preparing myself for surgery until I encountered Dr Swiderski and his team. I've never felt safer or more cared for by medical professionals and for once in my life I didn't even feel the needle for general anesthesia as it went in thanks to the ethyl chloride spray! I have a lot of phobias, but this team made them easy to face. I wish I could go back to this team for every medical procedure I ever needed, so I can say without a doubt if I do ever need any oral surgery again this would be the place I come to. I never even felt a thing until I was taking ibuprofen to ease the swelling 5 hours after the surgery once feeling finally returned and I could swallow properly. I've never encountered anyone better and I always, rather embarrassingly, brag about it to my friends who need this procedure, right before I recommend his team. If you're gonna go anywhere go with these guys! They'll not only make you feel safe and comfortable, even when you have a lot of questions, but they'll make the procedure seem easy in all their experience. I never had a serious problem when all was said and done, yet they still let me come in just for a checkup a week later. They answered all my questions without making me feel ashamed and best of all they did an amazing job!!

- Braden W

5 out of 5 stars on

Patient Testimonial

I'm only ever here when I have something catastrophic going on with my teeth (stating the obvious), and this last time it was a very infected tooth where the infection was taking out bone, affecting my sinuses, etc. I was a mess, because my teeth hate me. Dr. Swiderski told me that TWO teeth needed to be pulled, because the one next to Bad Tooth was loose (fine, just a little) and the infection had basically caused too much bone loss. As is my way, I tried to air a grievance about this, noting that my Googling was surely as good as Dr. Swiderski's several advanced degrees and his prestigious residency at the Mayo Clinic. Perhaps not surprisingly, I was shot down, albeit nicely considering I was of course talking nonsense. All of the assistants are wonderful too, as I kept warning them that "I'm a baby about this stuff" and "it takes a lot of novocaine to work" and making the sad face of dread. Oh, and the x-ray apparatus they have is very high-tech! Regular plates hurt my mouth because I have mandibular tori (which I didn't even know weren't normal until I was an adult), but here they have a whirring machine that rotates and magically takes x-rays. So, the point. This was a complicated dental surgery because so much of the bone was eaten away and it involved two teeth and I'm a wimp about anything dental-related....but I'll have to go back for follow up and probably bone grafting, and I actually don't dread it. That's how nice everyone there is, and how hard they work to make sure this is as pain-free as possible, so much unlike the root canal sadistic nightmares of my youth. It's also nice of Dr. Swiderski to check in the evening of surgery to make sure we're doing okay. Overall, if you need dental surgery, I highly recommend Dr. Swiderski and crew!

- Tasha H

5 out of 5 stars on

Patient Testimonial

I was impressed with the follow up call the next day, checking in on my daughter. Very attentive and thorough!

- Jennifer H

5 out of 5 stars on

Patient Testimonial

We were very impressed with the cleanliness, professionalism, and efficiency of Dr. Swiderski’s office when my daughter had her wisdom teeth extracted. All of our questions were answered and the procedure went very smoothly. Dr. Swiderski called to check up on her afterward and the office staff was kind and helpful when we had further questions. Very positive experience!

- Michelle B

5 out of 5 stars on

Patient Testimonial

Great experience in every way!

- Gina F.

5 out of 5 stars on

Patient Testimonial

Had a problem Dr. Swiderski solved the problem very quickly. I am very satisfied. Dr. Swiderski and his staff did a great job. Thank you very much.

- William T

5 out of 5 stars on

Patient Testimonial

Dr Swiderski is kind and caring and very professional. The whole staff was amazing too. I can’t recommend him enough.

- Wynnie G

5 out of 5 stars on

Patient Testimonial

We had a great experience with Dr. Swiderski and his staff. My son had all 4 wisdom teeth removed and everyone was so helpful, and kind and made the whole process easy and fast. Highly recommend Dr. Swiderski!

- Michelle K

5 out of 5 stars on

Patient Testimonial

This medical team was amazing. I have a lot of fear going in for any care and they listened to me and took good care of me. I had to have teeth removed and the surgery went very fast and good. I am feeling much better than expected after surgery and I know if I have any trouble I will be able to reach out to them and receive care.

- Joy L

5 out of 5 stars on

Patient Testimonial

I just had two wisdom teeth pulled last week and the process could not have gone any better. Dr. Swiderski was kind, confident and compassionate and the whole office was warm and friendly. Highly recommend!

- Anonymous

5 out of 5 stars on

Patient Testimonial

I just completed my triple tooth extractions and dual implant procedures. From start to finish everything went very smoothly and without a glitch. I’m extremely happy with the results. Dr. Swiderski is a friendly, compassionate and highly skilled surgeon who I recommend without hesitation. All the procedures were completely pain free and done in an efficient, professional, cost effective and timely manner. The staff is fabulous as well, always highly concerned about your comfort and well being and always patient in answering all your questions. The Mid Valley is extremely fortunate to have such a superb facility in our midst.

- David G

5 out of 5 stars on

Patient Testimonial

We would not hesitate to recommend Dr. Swiderski and his team. Very happy with the care my son received for his wisdom teeth removal procedure. Very clear post-op care instructions were helpful and he had no problems at all after surgery.

- Lisa M

5 out of 5 stars on

Patient Testimonial

Doctor explained everything about surgery and recovery. Great office staff. My daughter felt at ease as she went back for procedure. Great experience for 1st dental procedure ever 😉

- Kimberly F

5 out of 5 stars on

Patient Testimonial

Thank you for making my experience a good one.

- Tristan

5 out of 5 stars on

Patient Testimonial

I was unsure about getting dental implants at first. I thought there would be a lot of pain and discomfort. Was I ever wrong! This is one of the best decisions I have ever made. Thank you Dr. Swiderski!

- Doug B

5 out of 5 stars on

Patient Testimonial

This office is one of the most friendly offices I have been in, I was not there because I wanted to be but was there because I needed to be there. As soon as you walk in the door to greeting you to take you back - everyone is friendly, caring, and happy to see you. Dr. Swiderski is happy to see you with a genuine smile on his face and then will explain everything so you know exactly what is going on. This office makes an unpleasant experience easy and painless. Caring, professional, excellent are 3 words I would use to describe this office.

- Lisa Y

5 out of 5 stars on

Patient Testimonial

I loved it. The staff was amazing and it was just a great experience. I knew exactly what was happening and I felt very comfortable during the whole experience

- Stephen U

5 out of 5 stars on

Patient Testimonial

Doctor Swiderski is very professional caring doctor with a great sense of humor, which helps to take anxiety away at the appointment. He cares and calls his patient at night after the surgery to see if you are ok. I had 3 implants done and will not go to anybody else if I need another one. He also has a great team working with him.

- Iryna F

5 out of 5 stars on

Patient Testimonial

Two of my children have required multiple extractions for pre-orthodontic treatment, and I have had one surgery myself. We have experienced a total of 5 office procedures so far and have had an excellent experience every time. The entire staff is welcoming and compassionate, the office is beautiful and comfortable, and the care is top notch. I highly recommend Dr. Swiderski and his staff for any care you may need.

- Dana M

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