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 355 Wisdom Teeth reviews.

Our Latest Patient Testimonial

Everything was great. My son had 2 separate surgeries for wisdom teeth. All recoveries were uneventful, absolutely no complications and virtually no discomfort.

- Lisa W

5 out of 5 stars on

Our Latest Patient Testimonial

Oral Surgery Associates were outstanding! The appointments were exactly on time, Dr. Twersky was patient, informative and very efficient. My sons recovery from having his 4 wisdom teeth removed, was extremely fast and without any concern; clearly due to Dr. Twersky's expertise and skills. His staff were equally as wonderful and efficient. I highly recommend Oral Surgery Associates and Dr. Twersky.

- Leslie S

5 out of 5 stars on

Our Latest Patient Testimonial

Fantastic from start to finish

- katrina h

5 out of 5 stars on

Our Latest Patient Testimonial

Felt very welcomed and all procedures were explained thoroughly and questions were answered Very well. I had an awesome experience here

- Hannah R

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Twersky and his staff were wonderful. They provided me with excellent care throughout my visits. This was my second procedure, very little pain both times. I would recommend Dr. Twersky to anyone!

- Nicole D

5 out of 5 stars on

Our Latest Patient Testimonial

I was particularly impressed with my Surgeon, Dr Horne. He was very thorough and explained everything in detail before, during and after the procedures. My recovery was quick and uneventful. It is re assuring to see such young, smart, and caring professionals as Dr Horne. We need many more just like him in Medicine and Dentistry.

- John F

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience for my daughter

- Loretta M

5 out of 5 stars on

Our Latest Patient Testimonial

Very happy with my daughter's procedure. Dr. Horne and his staff were so attentive and efficient. The whole experience was very easy.

- Loretta M

5 out of 5 stars on

Our Latest Patient Testimonial

excellent experience

- Gary L

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Alkhatib eased my concerns about the procedure. I had two teeth removed and experienced no pain before or after the extraction. Highly recommended!

- Rebecca S

5 out of 5 stars on

Our Latest Patient Testimonial

The whole experience went so much better than I thought. We were well informed and my son did fantastic! One day of recovery that was not that bad at all.

- Sue V

5 out of 5 stars on

Our Latest Patient Testimonial

Have had 4 children all get wisdom teeth removed by Dr. Twarsky, has been a positive experience. Would highly recommend.

- Christine Y

5 out of 5 stars on

Our Latest Patient Testimonial

Doctor was great. If I had to get my wisdom teeth pulled again I'd definitely go to him.

- Cynthia F

5 out of 5 stars on

Our Latest Patient Testimonial

When people hear that you are getting your wisdom teeth out, they need to come up with every horror story they can think of about the procedure and what happened to them or to someone they knew. I have to say that I couldn't believe how easily the whole thing went for me! The doctor and staff put me at complete ease and everything was finished before I even knew it. I had very little down time and no complications. Every person that I encountered along the way was so nice and helpful. I would highly recommend Oral Surgery Associates to anyone in need of an oral surgeon.

- Peggy F

5 out of 5 stars on

Our Latest Patient Testimonial

I liked the office, the doctor was excellent, everyone very professional and friendly. I would go there myself and recommend to friends

- Faye A

5 out of 5 stars on

Our Latest Patient Testimonial

I was in and out of my appointment in a timely fashion. I the office, waitin room and the bathroom were the cleanest I've ever seen in a doctors office.

- Kerry C

3 out of 5 stars on

Our Latest Patient Testimonial

I had a wisdom tooth removed with Dr. Alkahtib and he was excellent. While I did develop dry socket (which is not fault of the drs) they were quick to help with alleviating the pain and making sure I was comfortable. I would recommend them to anyone.

- Jillian Y

5 out of 5 stars on

Our Latest Patient Testimonial

I thought everyone was very professional. I was very impressed when I received a follow-up call from the Dr. checking to see how my kids were doing after their surgery.

- Julie P

4 out of 5 stars on

Our Latest Patient Testimonial

Needed an immediate extraction around Christmas and the staff was so accommodating and the dr did a great job. Thank you!

- Maggie B

5 out of 5 stars on

Our Latest Patient Testimonial

Had an amazing experience here. Would absolutely recommend to anyone going through this procedure.

- Nicole J

5 out of 5 stars on