Wisdom Teeth Removal NYC & NJ
Third Molar Extractions In Queens (Flushing), Brooklyn (Brighton Beach), & Westfield
Wisdom teeth removal, also known as third molar extraction, is a common surgical procedure performed to remove the third molars, commonly called wisdom teeth. These teeth typically emerge during the late teenage years or early adulthood. However, they often cause problems due to insufficient space in the mouth, improper alignment, or their tendency to become impacted (trapped beneath the gum line).
The primary purpose of wisdom teeth removal is to address potential complications and prevent oral health issues. By removing these problematic teeth, we can alleviate pain, reduce the risk of infection and inflammation, and prevent damage to adjacent teeth and surrounding structures.
Ensure long-term dental health—schedule your wisdom teeth extraction today
Online Resources
New patients may register with our office prior to their appointment by filling out our secure online patient registration form. Or, check out our Wisdom Teeth FAQs and patient testimonials.
5 Reasons to Remove Wisdom Teeth
- Impaction: Wisdom teeth often don’t have enough space to fully erupt properly in the mouth. When they become trapped or partially emerge through the gumline, they are considered impacted. Impacted wisdom teeth can lead to pain, infection, and other dental problems.
- Crowding: Wisdom teeth can exert pressure on adjacent teeth as they try to erupt, leading to crowding or shifting of the surrounding teeth. This can result in misalignment or orthodontic issues.
- Infection or Gum Disease: Wisdom teeth are located at the back of the mouth, which can make them difficult to clean properly. This makes them more susceptible to infection, gum disease (periodontal disease), and cavities. Infections can cause pain, swelling, and discomfort.
- Cysts or Tumors: In some cases, cysts or tumors may develop around impacted wisdom teeth. These growths can cause damage to the surrounding bone and tissue and may require surgical removal.
- Decay or Damage: Wisdom teeth are located at the back of the mouth, which can make them difficult to clean thoroughly. This can result in a higher risk of tooth decay and damage to neighboring teeth.
I just had my wisdom tooth extracted and couldn’t be happier with Dr. Li as my oral surgeon. He and his team were amazing, they’ve made me feel comfortable from start to finish. Everything was explained clearly, the procedure went smoothly, and my recovery has been excellent. I highly recommend Dr. Li and his team for their skill and care!
Patient Experience: Wisdom Teeth Removal
Step 1: Consultation and Preparation
During your initial consultation, we will take x-rays and use specialized imaging tools to get a clear picture of the positioning of your wisdom teeth.
Making Your Experience Great
We are committed to making your experience a great one! Thanks to rapidly advancing technology, new medicines, sterilization and infection control options, Dr. Li and Dr. Fan are able to perform the procedure in a way that promotes quicker healing and minimizes pain.
The Day of Your Procedure
Prior to your wisdom teeth removal surgery, we will send you home with very specific pre and post-surgical instructions so that you know what to expect.
A few key items:
- Don’t eat or drink the day of your procedure. (Pre-approved medications may be taken with a sip of water.)
- Anesthesia: Most people prefer to be sedated for the procedure, however, we do offer a variety of levels of anesthesia to accommodate personal preferences. We are trained and highly experienced with anesthesia to provide you with a safe and comfortable experience.
- Bring a Parent (or responsible adult): It is necessary that you bring a responsible adult with you to the office and that they remain with you throughout the day. We will not be able to release you alone.
- Medications: Make sure you have your pain medications (over the counter and prescription if necessary) ready to go for when the anesthesia starts to wear off at home.
- When You Get Home: You will feel sleepy for the remainder of the day. You may have numbness in the jaw (which shouldn’t be confused with nerve damage) and possibly a sensation of your gums feeling swollen and pulling away from your teeth – all of this is a normal part of the healing process.
- Foods: Specific instructions will be sent home with you regarding the reintroduction of foods. But, as a general rule, start with clear liquids and progress to other soft foods slowly. Avoid dairy products the first day, as they tend to interact with anesthesia, sometimes causing nausea.
- NO Straws: Throughout the healing period, you may not use straws (or tobacco). Using straws can dislodge the clot that is covering your extraction site, resulting in a very painful condition called “dry socket”.
Step 2: The Wisdom Teeth Procedure
The length of your surgery depends on a variety of factors including the level of impaction of your teeth and the number of teeth being removed. However, most wisdom teeth extractions can be performed in about an hour. During that time you will be kept comfortable with anesthesia.
Step 3: Recovery from Wisdom Teeth Extraction
Post-op soreness can typically be managed with over-the-counter medications, however, all medication options will be discussed ahead of your surgery to ensure that you have adequate pain relief at home as the anesthesia wears off.
Wisdom Teeth Removal FAQs
Does everyone have to get his or her wisdom teeth removed?
How common are impacted wisdom teeth?
9 Out of 10
Did you know that 9/10 patients have at least one impacted wisdom tooth? In fact, it’s the number one reason that we remove them!
32 Teeth, 28 Spaces
Our jaws have space for 28 teeth. That is enough room to accommodate the first and second, but not the third molars (another name for “wisdom teeth”). Because these are the last to show up, there often isn’t enough room for them to grow.
What does it mean if a tooth is impacted?
All of this crowding results in the wisdom teeth being unable to erupt through the gums properly – a condition commonly referred to as “impacted”. Often they grow in sideways, backward, tilted, and, sometimes, they may even remain completely under the surface of the jawbone.
While you may feel nothing out of place, impacted teeth are at significant risk for becoming infected, fracturing the jaw, or damaging neighboring teeth. For this reason, it is often necessary for Dr. Li or Dr. Fan to remove them.
What does “impacted” mean?
Impacted wisdom teeth are those that are not able to fully erupt through the gums. It is a very common condition, and the number one reason that wisdom teeth end up needing removal. In fact, 9 out of 10 people have at least one impacted wisdom tooth.
When is the best time to get wisdom teeth removed?
Between the ages of 17-25, before the roots have fully developed and entwined themselves in the nerves located in the jawbone, making wisdom teeth removal much more complicated.
Do all four teeth have to be pulled?
Sometimes we only need to remove one or two, and sometimes three or four. We will assess your case thoroughly to determine the best course of action.
What should I expect for removing my wisdom teeth?
The procedure begins with a thorough evaluation of your oral health, including X-rays, to determine the position and condition of your wisdom teeth. If removal is recommended, we will discuss the specifics of the procedure, addressing any concerns you may have.
How do I prepare the day of wisdom tooth removal surgery?
Prior to your wisdom teeth removal surgery, we will send you home with very specific pre and post-surgical instructions so that you know what to expect.
A few key items:
- Don’t eat or drink the day of your procedure. (Pre-approved medications may be taken with a sip of water.)
- Anesthesia: Most people prefer to be sedated for the procedure, however, we do offer a variety of levels of anesthesia to accommodate personal preferences. We are trained and highly experienced with anesthesia to provide you with a safe and comfortable experience.
- Bring a Parent (or responsible adult): It is necessary that you bring a responsible adult with you to the office and that they remain with you throughout the day. We will not be able to release you alone.
- Medications: Make sure you have your pain medications (over the counter and prescription if necessary) ready to go for when the anesthesia starts to wear off at home.
- When You Get Home: You will feel sleepy for the remainder of the day. You may have numbness in the jaw (which shouldn’t be confused with nerve damage) and possibly a sensation of your gums feeling swollen and pulling away from your teeth – all of this is a normal part of the healing process.
- Foods: Specific instructions will be sent home with you regarding the reintroduction of foods. But, as a general rule, start with clear liquids and progress to other soft foods slowly. Avoid dairy products the first day, as they tend to interact with anesthesia, sometimes causing nausea.
- NO Straws: Throughout the healing period, you may not use straws (or tobacco). Using straws can dislodge the clot that is covering your extraction site, resulting in a very painful condition called “dry socket”.
What is the procedure to remove wisdom teeth?
During the actual extraction, our skilled oral surgeon will administer local or general anesthesia to ensure your comfort throughout the process. Incisions may be made in the gum tissue to access the impacted wisdom teeth. The teeth are then carefully removed, sometimes in sections, and the incisions are sutured closed. You will be closely monitored throughout the procedure to ensure your safety.
Is it true that the surgery takes less than an hour?
Most often, yes! The length of your procedure depends on the number of teeth we are removing, the severity of impaction, and several other factors. However, the typical extraction does take less than an hour, and we will keep you comfortable the whole time.
What is the recovery process after wisdom teeth removal?
Following the extraction, a period of recovery is necessary. You may experience some swelling, discomfort, and possible mild bleeding for a few days. Our team will provide you with detailed instructions for post-operative care, including pain management techniques, proper oral hygiene practices, and dietary restrictions. It is important to follow these instructions closely to promote healing and minimize the risk of complications.
The recovery period typically lasts about a week, although individual healing times may vary. During this time, it is important to rest, avoid strenuous activities, and maintain good oral hygiene as directed. If any concerns arise, such as excessive bleeding, severe pain, or signs of infection, it is crucial to contact our office promptly.
Wisdom teeth removal is an effective and proactive measure to maintain your oral health and prevent future problems. By addressing the potential complications associated with wisdom teeth, we aim to provide you with lasting relief and preserve the integrity of your smile.
Does it hurt to have your wisdom teeth removed?
During the procedure, you won’t feel a thing. However, you may have soreness for a few days following the surgery as the anesthesia wears off. We will discuss pain control methods and set you up with any necessary prescriptions ahead of time so that you remain comfortable at home as well.
Will I be awake for the extraction?
We have a variety of levels of anesthesia to accommodate different patients’ needs. We will discuss your anesthesia preferences prior to your surgery day.
What is a “dry socket”?
Dry socket is a temporary complication that arises when a blood clot becomes dislodged from the extraction site, exposing tissue. The condition can be painful, but luckily most cases can be avoided by following home-care instructions including the avoidance of straws and smoking.
As a parent, how can I prepare my child?
Check out our blog post: Prepare your Child for Wisdom Teeth Removal
How much does it cost for wisdom teeth removal?
Check out our blog post: The Cost of Wisdom Teeth Extraction
Can I be too old to remove wisdom teeth?
No, there is no upper age limit for wisdom teeth extraction. However, the procedure and recovery become more complex as you age:
- Twenties & Younger: Roots are not fully formed and jawbone density is lower, making extraction easier and recovery faster.
- Thirties & Older: Roots are fully anchored in denser bone, increasing the risk of surgical complications, nerve proximity issues, and longer healing times.
If wisdom teeth are fully erupted, functional, healthy, and easy to clean, dentists often recommend leaving them alone in older adults rather than performing preventive surgery.
Can I touch my wisdom tooth socket with my tongue?
You should strictly avoid touching or probing the socket with your tongue during the first week of recovery. Tongue movement creates suction and friction that can dislodge the blood clot forming inside the extraction site. Losing this clot triggers a painful condition called dry socket, exposing the underlying bone and nerves to air, food, and bacteria.
Will insurance fully cover wisdom teeth removal?
It is rare for dental insurance to cover 100% of the cost, but significant partial coverage is common:
- Medically Necessary Extractions: If the teeth are impacted, infected, or causing damage to adjacent teeth, insurance typically covers 50% to 80% of the surgical cost after your deductible.
- Elective Extractions: Fully erupted, non-symptomatic teeth removed as a precaution may receive lower coverage or be denied.
- Anesthesia/Sedation: Coverage for IV sedation or general anesthesia varies and often requires pre-authorization demonstrating medical necessity.
When can I stop irrigating the socket?
You can typically stop using the plastic curved syringe to irrigate your socket after 2 to 4 weeks, or once the gum tissue has filled in enough that food no longer gets trapped.
- Start irrigating only when directed by your surgeon (usually 48 to 72 hours post-surgery).
- Continue gentle irrigation after meals until the visible hole closes up and rinsing with warm salt water alone clears any debris.
What is the hardest tooth to extract?
The impacted lower third molar (bottom wisdom tooth) is widely considered the most difficult tooth to extract.
- Bone Density: The mandibular (lower) jawbone is significantly denser than the maxillary (upper) jawbone.
- Impaction Angle: Bottom wisdom teeth frequently grow horizontally or angled directly into the root of the adjacent molar.
- Anatomical Risks: Their roots often sit directly adjacent to or wrapped around the inferior alveolar nerve, which provides sensation to your lower lip and chin, requiring precise surgical sectioning of the tooth.
Do you have a Wisdom Teeth Extraction Video Overview?
Yes, here’s one from AAOMS.