Wisdom Teeth Removal in Salem
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.
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.
Don’t delay if you need to have your wisdom teeth removed.
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 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.
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 Oral Surgery Office in Salem Phone Number 503-581-0223 to speak to one of our patient care coordinators.
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.
Ready to Schedule your Consultation for Wisdom Teeth Removal with Dr. Swiderski? Call Oral Surgery Office in Salem Phone Number 503-581-0223 today to make your appointment!
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Mid-Valley Oral, Maxillofacial & Implant Surgery
I would highly recommend Dr. Swiderski and his staff to anyone who is considering dental implants, oral or maxillofacial surgery.
- David H
Dr. Swiderski is fantastic! He is a skilled oral surgeon that cares about his patients and their well-being. I have also been impressed with the professionalism of all of the staff. The office is community minded by being involved with programs that serve and help children.
- Alicia B
Dr. Swiderski is very well-trained and knowledgeable. He has done extensive quality work with our family. When I go see him I know that I can trust what is happening. I appreciate the way he does his follow up calls post-surgery. His staff is very good at getting correct estimates from the insurance company. Mid-Valley OMS is a very well-oiled machine.
- Karin K
We were very happy with our entire experience. Dr. Swiderski and staff are professional, and friendly. We will be going to Dr. Swiderski again for our dental surgery needs.
- Deon S
Dr. Swiderski and his staff were fantastic for my wisdom teeth removal! Everything went smoothly and I would definitely reccommend him for surgery.
- Jacy R
I was referred to Dr. Swiderski by my regular dentist. He first did bone grafting and then he performed my implant surgery, four of them. He also put on the abutments at that time so I didn't have to go back for a third time. He is very friendly and is very knowledgeable in his work. I trust his opinion and appears to be very honest.
- Lori D
My daughter was nervous but they took good care of her, and her recovery time was way shorter than we expected. My most favorite thing was that Dr. Swiderski took the time to call to call my daughter personally. Checking in to see if we had questions and to make sure she was recovering without complications. It's hard to find that kind of care these days!
- Ida B
Dr Swiderski is very well-trained and knowledgeable. He is very professional and efficient and has a caring attention to his patients that helps to make every procedure a positive experience. Having had three kids treated by him for the complete removal of all 4 impacted wisdom teeth, I think I can say he is extremely qualified and great at what he does!
- kathleen B
Getting all 4 of my wisdom terth removed was actually very relaxing and I would do it again if I had to. The staff were very friendly and sweet. They made sure I had the laughing gas on enough so there was no pain with the IV and it was all pain free. Thank you so much. 🙂
- Kayla H
My son needed his wisdom teeth taken out and the Dr. and his staff where fantastic. They took great care of my son and made him feel so comfortable with the whole situation. I really appreciated the follow up care as well. We felt very well taken care of.
- Katrina B
Had oral cancer over 18 years ago and for past 10 years my teeth have been falling apart 1 tooth at a time. Now I am onto needing bone grafts...oh joy! Thank you for making it as painless as you could. BTW...thanks again for the 2nd water bottle.
- Gayle C
Friendly and professional
- Doyle T
Everything has been extremely easy and always running on time.
- Sean C
Dr. Swiderski is so nice and professional. His staff goes above and beyond to provide a wonderful experience.
- Alison W
Did a great job on removal of a bad tooth, plus set up bone grafting. Great, nice, newly remodeled clinic.
- Lyal S
An experience made pleasant by a truly professional doctor and staff! Would recommend highly to anyone!
- Jack J
My gums have never looked better
- Kim S
This is the only place to go for oral surgery in my opinion...highest quality work with an office that is efficiently run and friendly and caring.
- Teresa W
Very efficient, friendly, and professional.
- Kim R
All of the staff was professional and sympathetic as well as kind and helpful
- Julia S