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 296 Wisdom Teeth reviews.

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

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience. Front desk staff were friendly, polite and courteous. Doctor’s assistant was friendly, had a very calming manner, answered all my questions, and helped alleviate any fears. Dr. Twersky was fantastic. He pulled my wisdom tooth. I opted for novacain and It was a fast, pain-free experience. I highly recommend OSA, especially Dr Twersky.

- Beverly D

5 out of 5 stars on

Our Latest Patient Testimonial

Appreciate the follow up phone call from Michelle post surgery! Dr Twersky very friendly and answered all questions with no judgement.

- Gretchen P

4 out of 5 stars on

Our Latest Patient Testimonial

Everyone was super friendly and gave us all the information we needed. My son felt very comfortable with Dr.Horne and his assistant.

- Anira C

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent!!!!!

- Sharon T

5 out of 5 stars on

Our Latest Patient Testimonial

Clean, competent and great staff and office. Excellent doctor.

- S G

5 out of 5 stars on

Our Latest Patient Testimonial

This was my first experience at your office with my oldest child needing to get her wisdom teeth out at age 15. Dr. Twersky was very kind, informative (and calming!) during our initial consultation and took all four of her wisdom teeth out two weeks later. She recovered very well and when we returned for her follow up visit a week later, Dr. Alahabid was a pleasure to meet! I would highly recommend either doctor! Thank you for making this is positive experience!

- Allison R

5 out of 5 stars on

Our Latest Patient Testimonial

Great service, made me comfortable and less nervous for the extraction

- Cameron L

4 out of 5 stars on

Our Latest Patient Testimonial

Very good experience.

- James Q

4 out of 5 stars on

Our Latest Patient Testimonial

Wonderful staff and Doctors

- M R

5 out of 5 stars on

Our Latest Patient Testimonial

Thank you for making the extraction of 4 impacted wisdom teeth for our daughter as smooth as possible! We were worried about the procedure occurring so close to starting freshman year in college (and potential complications) but thankfully these have not occurred 🙂

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

I would never say that I liked going to the oral surgeon..but it was far more pleasant than I expected!

- Dan M

4 out of 5 stars on

Our Latest Patient Testimonial

Staff and Dr. Horne were wonderful. Made my daughter felt very comfortable.

- Robin S

5 out of 5 stars on

Our Latest Patient Testimonial

My daughter’s wisdom teeth extraction went perfectly - no issues whatsoever. Dr. Horne and his staff are very friendly and efficient. Highly recommend!

- Kerry M

5 out of 5 stars on