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Wisdom Teeth Extractions

Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt (surface) in the mouth, generally making their appearance between the ages of 17 to 25. They are located at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” stems from the idea that the molars surface at a time typically associated with increased maturity or “wisdom”.

In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cause cysts or tumors.

There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth’s crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.

Partial Bony Impaction: The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it is difficult to keep the area clean, infection will commonly occur.

Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques.

Reasons to remove wisdom teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

  • Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (cavities), periodontal disease (gum disease) and possible bone loss.
  • Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.
  • Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger.
  • Tooth Crowding: It has been theorized that impacted wisdom teeth can put pressure on other teeth and cause them to become misaligned (crowded or twisted). This theory isn’t universally accepted by all dental professionals, and it has never been validated by any scientific studies.

Wisdom teeth examination

As with any dental procedure, we will want to initially conduct a thorough examination of the wisdom and surrounding teeth. Panoramic or digital X-rays will be taken in order for him to evaluate the position of the wisdom teeth and determine if a current problem exists, or the likelihood of any potential future problems.  The X-rays can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment (typically in the mid-teen years) is recommended in order to identify potential problems and to improve the results for patients requiring wisdom teeth extractions. Only after a thorough examination can we provide you with the best options for your particular case.  In some cases, we will refer you to an oral surgeon for further evaluation or removal of the teeth.


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After many years of being self-conscious about my smile due to an overbite and overlapping teeth, I decided to have a consult about having braces (preferably Invisalign). Due to all the correction needed, wire braces were my only option. After 5 years of various correction procedures I am now proud of my smile. Dr. Jeff and the staff were always prompt and very encouraging during each visit.

~Sandy V.S.

I had an appointment this morning for a crown prep. I was seated a few minutes before my actual appointment time. I was seen immediately by the assistant who prepped me for my local anesthetic. The anesthetic was given gently and painlessly. When I was thoroughly numb the procedure was started and finished in a shorter time than I had thought it might be. I was happy with all the services I received. Everyone from office staff to those assisting and performing the services were courteous and efficient. Dr. Dahm was his usual friendly professional self. I would recommend this dental practice to anyone needing dental care.

~Sue S. (October 2016)

I know, through my own work experience, that working with the public can be trying at times, and sometimes it is difficult not to fall into a "negative" mode, which really does none of us any good. I am not sure whether a "negative" atmosphere shows its face when dealing with people, as much as a "positive" atmosphere does, or not. I am inclined to think not, but anyway, I would like to say that I am proud of everyone in your office, for creating and keeping that "positive" atmosphere, for all of us patients, because it truly does make a difference in the way we feel while we are there, and when we leave the office. I don't ever remember giggling several times during a dentist appointment, but couldn't help myself yesterday morning, as Dr. Dahm moved through the office, greeting, reassuring, and caring for people. The girls who helped me through the x-rays, molds, and other necessary procedures were awesome, as well! "Good Job", "You're doing great", etc., while in a place where most people are a little uncomfortable, at best, is so nice to hear. And, when I was confused about just where in my mouth my filling would go, the girls were so kind in explaining that they really were going to work on the correct tooth. LOL! I am running on here, but I think too often in business, the main feedback that people get, is the negative stuff. I have always tried to counter that, by letting people know when I really do appreciate what they have done "for" me, instead of "to" me, and I will be the first to admit that trust does not always come easy for me - just the way I am. And, I feel that an establishment's "true colors" show in instances like I had yesterday, when I needed some reassurance that everything was okay. I am so appreciative of the way everyone handled that (sorry that I took up precious time), but now I know, that if/when I truly do need help, it will be there, and given in a kind and understanding manner. That means a LOT to me! So, in closing, in the middle of the night, during my usual "awake" time, I just kept thinking WOW! I just don't know of a better way to express my feelings! And, of course, THANK YOU to everyone in that office, because it takes every person in an environment like that to maintain a caring and positive atmosphere! I notice and I appreciate all of it, and I would recommend anyone I know to become a patient there!

Pam B.

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