Wisdom Teeth

By the age of 18, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food up into a consistency suitable for swallowing.


The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Oral Examination

With an oral examination and x-rays of the mouth, Drs. Fitzgerald, Twersky, and Alkhatib can evaluate the position of the wisdom teeth and predict if there are present or may be future 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. Drs. Fitzgerald, Twersky, and Alkhatib has the training, license and experience to provide various types of anesthesia for patients to select the best alternative.

Removal of Wisdom Teeth

In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia) or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding, bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us at (203) 371-5595 .

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are experienced in anesthesia techniques.

Oral Surgery Associates, LLC

5 out of 5 stars based on 309 Wisdom Teeth reviews.

Our Latest Patient Testimonial

HIghly recommend Dr. Horne and his team. Excellent and compassionate care

- Kirsti S

5 out of 5 stars on

Our Latest Patient Testimonial

I DON'T REMEMBER MUCH ABOUT THE PROCEDURE JUST LIKE I WANTED IT. OVERALL A GOOD EXPERIENCE WITH FIRST TIME OF 2 WISDOM TEETH REMOVED NO AFTER PAIN.

- TOSHA W

5 out of 5 stars on

Our Latest Patient Testimonial

Great practice!

- Merrie D

5 out of 5 stars on

Our Latest Patient Testimonial

Nurses and doctor were very nice and calming.

- Ellie S

5 out of 5 stars on

Our Latest Patient Testimonial

MY FIRST TIMR GETTING ANY TEETH PULLED AND IT WAS SUPER EASY! THANK YOU GUYS SO MUCH! YOU ARE THE VERY BEST! I couldn’t have been any happier! I was very comfortable during the surgery and I thank everyone so much!

- Isabel A

5 out of 5 stars on

Our Latest Patient Testimonial

Fantastic staff!

- Pru O

5 out of 5 stars on

Our Latest Patient Testimonial

The best! Literally that's all that I can say. The staff is very friendly and mannerable, the doctors and the nurses are awesome. They really do know how to properly care for their patients.

- Johnay E

5 out of 5 stars on

Our Latest Patient Testimonial

Great overall

- Ross M

5 out of 5 stars on

Our Latest Patient Testimonial

Very friendly staff and very well versed in surgery. Made the wisdom teeth removal process as easy as it can be.

- Steven A

5 out of 5 stars on

Our Latest Patient Testimonial

Procedure went well, everyone was very professional

- Loretta O

5 out of 5 stars on

Our Latest Patient Testimonial

Everything went smooth and quick. I thought the whole procedure was 5 minutes lol. Dr. Twersky is the BEST.

- Alina K

5 out of 5 stars on

Our Latest Patient Testimonial

Great staff

- A L

5 out of 5 stars on

Our Latest Patient Testimonial

Great staff--friendly and professional. Dr. Horne is wonderful! He explained the procedure and anesthesia protocol so that we were comfortable going forward. The entire process was carried out with competence and efficiency. I was also fairly shocked at the bill--I had expected a LOT higher fee! My sister recommended this practice and I'm really pleased that I followed through. Thanks, OSA. Great job all around and I have already recommended you!

- Rhonda

5 out of 5 stars on

Our Latest Patient Testimonial

Very friendly staff

- Magaly F

4 out of 5 stars on

Our Latest Patient Testimonial

Good Experience

- Maria R

5 out of 5 stars on

Our Latest Patient Testimonial

It was a pleasant experience from phone call to payment . Thank you for making me comfortable and no pain!

- William M

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Robert Horne was phenomenal and very personable! He took the time to walk me step by step through the surgery and the post-op procedure, and answer any and all questions that I (and my mom!) had. As for the wisdom teeth procedure itself, I had no swelling and no pain afterwards. I've already recommended him to friends in Fairfield!

- Kaitlin H

5 out of 5 stars on

Our Latest Patient Testimonial

Very professional

- Robert Z

5 out of 5 stars on

Our Latest Patient Testimonial

Very nice and able to fit in an appointment for me due to an insurance issue. open about the procedure and so far no complications.

- Maddie C

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Twersky and his staff taking a procedure that could be scary and painful and make it as pleasant as possible. I would not hesitate to refer anyone to Dr. Twersky and his staff.

- Jane G

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