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 159 Wisdom Teeth reviews.

Our Latest Patient Testimonial

I am very fond of Doctor Twersky. I think he is efficient, accurate, kind, and he helps to make sure his patients are comfortable.

- Madeleine T

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Our Latest Patient Testimonial

Very impressive staff

- Janice S

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Our Latest Patient Testimonial

I was able to get an appt quickly. I appreciated the call later that afternoon to see how I was feeling. The Doctor and staff were terrific. They made me feel comfortable and at ease with the procedure.

- Terri P

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Our Latest Patient Testimonial

I am very pleased with my experience with Oral Surgery Associates. The procedure was explained in detail, scheduled promptly to accommodate our needs, completed as expected and post-surgery instructions were very thorough.

- Dorina P

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Our Latest Patient Testimonial

I would highly recommend Dr. Horne and the staff at the Bridgeport office. My son had his wisdom teeth extracted and everyone including the receptionist, the nurses and the doctor were prompt, courteous, caring and very informative. 5 stars!!

- Kathy N

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent Service from making appointment to surgery. Dr. Twersky made my daughter feel comfortable and thoroughly explained the procedure based on her questions. I highly recommend him.

- Maria N

5 out of 5 stars on

Our Latest Patient Testimonial

This is day 7 of my recovery and so far I think I have been healing very well! The staff was very kind and helpful especially in regards to all of the prescriptions prescribed after the surgery as the instructions on the bottle are not too thorough. I would (and have already!) recommended them to friends and family.

- Lauren B

5 out of 5 stars on

Our Latest Patient Testimonial

I was nervous going into the appointment, but the courteous and professional staff eased my nerves and Dr. Alkhatib was wonderful. He and the staff made the experience easy. I am grateful for their expertise and kindness.

- Christine G

5 out of 5 stars on

Our Latest Patient Testimonial

Was procedure was not painful. The doctor and nurse kept informing me during the procedure as to what to expect and what was coming next, it was very helpful. I woul definitely recommend Dr. Alkhatib for oral surgery!!!!!

- Terry M

5 out of 5 stars on

Our Latest Patient Testimonial

Great office - on time, organized, helpful. Dr. Twersky is warm, informative and took the time to address my concerns.

- Terry E

5 out of 5 stars on

Our Latest Patient Testimonial

I loved the enthusiasm of the employees and the physician.

- Kimberly H

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Our Latest Patient Testimonial

Could not have been more convenient and stress free!

- Mary Ellen H

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Horne hands down amazing! the woman in office really caring, and amazing very very happy i FINALLY took wisdom teeth out.

- Amanda W

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone there is so friendly and knowledgeable. I have now taken all three of my kids there for wisdom teeth removal.

- Christine M

5 out of 5 stars on

Our Latest Patient Testimonial

I didn't feel no pain.

- Ariana R

5 out of 5 stars on

Our Latest Patient Testimonial

Daughter had a good experience and minimal pain with wisdom teeth removal. Very happy

- Norma Z

5 out of 5 stars on

Our Latest Patient Testimonial

Procedure went great, Dr. A did a great job. Shout out to Brenda and the rest of the staff who were very kind and comforting.

- Ryan K

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Horne removed both of my sons' wisdom teeth. He is excellent with his patients and very personable. His nurse is wonderful...they took great care of us.

- Tracey L

5 out of 5 stars on

Our Latest Patient Testimonial

My son had a great experience. Recovery from 4 wisdom teeth was quicker than expected. I highly recommend Dr. Horn.

- Janet G

5 out of 5 stars on

Our Latest Patient Testimonial

This procedure went even more smoothly that I could've hoped. Minimum pain after the wisdom teeth surgery. I also received a clean set of instructions along with the necessary medication to help me recover as quickly as possible. Highly recommend Dr. Twersky and his staff!

- Irina M

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