Wisdom teeth (third molars) are the last teeth to develop, typically emerging between ages 17 and 25. When they lack adequate space to erupt properly, they become impacted — trapped beneath the gum line or growing at angles that threaten adjacent teeth, nerves, and bone. Dr. Kahwach removes wisdom teeth under IV sedation or general anesthesia, ensuring a comfortable experience even for the most complex impactions.
Types of Impaction
Soft tissue impaction — the tooth has penetrated bone but not the gum. Partial bony impaction — the tooth has partially erupted but a portion remains embedded in the jawbone. Complete bony impaction — the tooth is entirely encased in bone, often requiring surgical sectioning for removal. Horizontal or angular impaction — the tooth grows sideways into the second molar, risking damage to adjacent teeth and nerves.
When Removal Is Recommended
Recurring pain or infection around partially erupted teeth, cyst or tumor formation around impacted teeth, damage or crowding of adjacent teeth, periodontal disease in the third molar region, and as preparation for orthodontic treatment or full-arch implant planning.
Recovery
Most patients return to normal activities within 3–5 days. Post-operative discomfort is managed with prescription or over-the-counter medication. Dr. Kahwach uses PRF (platelet-rich fibrin) therapy to accelerate healing and reduce the risk of dry socket. Socket preservation grafting is available for patients who may need future dental implants in the extraction area.
Schedule a wisdom tooth consultation — including a 3D CBCT scan to map the exact position of your teeth relative to nerves and sinuses.