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 271 Wisdom Teeth reviews.

Our Latest Patient Testimonial

Extremely helpful and responsive.

- Lisa D

5 out of 5 stars on

Our Latest Patient Testimonial

The staff was amazing and made a really anxious girl feel safe. I was having the same procedure done at another location and had a panic attack because of the staff there. The staff made me very comfortable here.

- Elaine C

5 out of 5 stars on

Our Latest Patient Testimonial

I recovered so well after Dr. Hornes procedure!!!

- Emma S

5 out of 5 stars on

Our Latest Patient Testimonial

i returned again to get 2 wisdom teeth out. they are great. the oral surgeon is very caring. it make you feel comfortable and less nervous.

- Dolly O

5 out of 5 stars on

Our Latest Patient Testimonial

I was so nervous to get my wisdom teeth out, the staff was so comforting and made me feel so much better. Holding my hand and making me assured that everything was going to be ok really helped, especially for someone who is nervous.

- Sophia G

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience all around

- JoAnn S

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience

- Daniel F

5 out of 5 stars on

Our Latest Patient Testimonial

The staff was great. I needed an updated x-ray and they were very patient allowing me to contact my dentist and have it emailed over. The doctor explained everything he was doing and made it an overall comfortable environment/experience.

- Toni-Ann T

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Alkhatib is a very nice and patient doctor. He explained everything in details, and offered all possible options.

- Laura B

5 out of 5 stars on

Our Latest Patient Testimonial

Office was professional and personal

- Meredith D

5 out of 5 stars on

Our Latest Patient Testimonial

I was very nervous prior to my appointment but the staff and Doctor made me feel more relaxed

- Angela G

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone was very friendly from the receptionist Tina and even in the back with Brenda. I was nervous to get my wisdom teeth removed without sedation but Brenda talked me through it and held my hand. I would highly recommend this office!

- Carole W

5 out of 5 stars on

Our Latest Patient Testimonial

Great service

- Courtney G

5 out of 5 stars on

Our Latest Patient Testimonial

Love Dr. Horne --- he is just terrific at explaining procedures, risks, and overall in taking excellent care of our family. My son, Colin, who had his wisdom teeth extracted this week, said he felt so at ease prior to the procedure and on the ride home (and with a mouth full of gauze) kept saying how comfortable the whole experience was (I expected more crazy talk!). Stacy was so good to him and explained everything / all instructions clearly afterward including a telephone follow up later the same day to check in on Colin. Colin is doing great this week and has had no problems -- even attended his first jury duty commitment the following day (even though he didn't have to!). Kudos the the entire staff!

- Diane M

5 out of 5 stars on

Our Latest Patient Testimonial

Staff is so friendly and welcoming. Nicest staff in any office. Even my teenager noticed.

- Terri E

5 out of 5 stars on

Our Latest Patient Testimonial

Best experience that I have ever had at a Dentist! Extremely friendly, professional, and quick! Highly recommend!

- Jan R

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Horne's instructions and explanation of procedure were very clear. Very reassuring. Dr. Horne's assistant was extremely helpful and reassuring from the minute my granddaughter, Carly, sat in the chair until she walked her to our car.

- Judy L

5 out of 5 stars on

Our Latest Patient Testimonial

Caring, convenient, prompt

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

OSA made the process very easy and they were very nice, got the job done, and I would go back to them any time.

- Emily D

5 out of 5 stars on

Our Latest Patient Testimonial

Very pleased with the ease of making an appointment. I didn't have to wait weeks to get in. Everyone was so friendly from the front desk to the nurse to the doctor.

- Jaime M

5 out of 5 stars on