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 375 Wisdom Teeth reviews.

Our Latest Patient Testimonial

Great experience

- Jennifer L

5 out of 5 stars on

Our Latest Patient Testimonial

I was expecting the worst. I had all 4 teeth extracted, the procedure was easy with minimal pain, swelling, and/or bruising. I am only 3 days post op but feel great besides very minimal swelling. I would highly recommend to anyone needed wisdom tooth extraction.

- JENNIFER R

5 out of 5 stars on

Our Latest Patient Testimonial

N/A

- Mylaris S

5 out of 5 stars on

Our Latest Patient Testimonial

Wonderful girls in office. Dr Alkhatib explained everything to us so we could understand

- Julia M

5 out of 5 stars on

Our Latest Patient Testimonial

Overall experience was great. I will be back when is it time for my daughter to have her wisdom teeth out.

- Britney C

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Horne and his assistant were great with my son who was very nervous and anxious about the procedure.

- Mitchell B

5 out of 5 stars on

Our Latest Patient Testimonial

I had my wisdom teeth removed by Dr. Alkhatib and had no pain during my recovery.

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

Staff was very nice. We were accommodated after our morning appointment was canceled because of the snowstorm.

- Terri L

5 out of 5 stars on

Our Latest Patient Testimonial

We had a positive experience from start to finish. My sons recovery was very easy. Staff called a few hours after the surgery checking in to see how he was doing - i was impressed with the follow-up. Dr. Horne was awesome too 🙂

- Lisa P

5 out of 5 stars on

Our Latest Patient Testimonial

Easy and done perfectly

- Jason N

5 out of 5 stars on

Our Latest Patient Testimonial

I had my wisdom teeth removed and it was quick and painless. I was in and out in 45 minutes and only needed the nitrous and novocaine. My recovery was also shorter than I expected! Great overall experience!

- Kent J

5 out of 5 stars on

Our Latest Patient Testimonial

Procedure was quick and literally painless ! Everyone was nice and professional. I would recommend this office anyone looking for a great dentist

- Markesha C

5 out of 5 stars on

Our Latest Patient Testimonial

Your office staff was great and I really liked Dr. Horne.

- A J

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Twersky was very clear in his explanation of the procedure. I initially opted to have my wisdom tooth removed with just laughing gas. When I got to my appointment I realized that I couldn’t go through it while being awake. Dr.Twersky didn’t even hesitate, said that was fine, and to re-schedule for another day when I could come in to do it under sedation. He was completely accommodating, and was willing to work with me through all my fears.

- Kris S

5 out of 5 stars on

Our Latest Patient Testimonial

All members of the staff that we dealt with were professional, friendly, and attentive.

- J P

5 out of 5 stars on

Our Latest Patient Testimonial

This practice has been amazing to work with, especially the nurse who assisted in my daughter's wisdom tooth extraction and care before and after. Brenda, you are a Godsend! Everyone in the healthcare field should show the kind of empathy, compassion, and care you showed to my daughter. Dr Alkhatib was thorough and kind. My daughter had hardly any post operative pain whatsoever. She only took one dose of Ibuprofen immediately after surgery and said she didn't need any pain meds of any kind after that.

- Wendy C

5 out of 5 stars on

Our Latest Patient Testimonial

I was very pleased. Staff is excellent, and DR. Horne is top notch. He explained everything

- William K

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience

- Isabel B

5 out of 5 stars on

Our Latest Patient Testimonial

Yes, would recommend practice. Nurse Brenda was wonderful with my daughter. Dr. Alkhatib was great- kind, caring, explained everything.

- Denise T

5 out of 5 stars on

Our Latest Patient Testimonial

The Office was very accommodating with my daughter’s schedule. Also they were always very professional. Dr. Twersky was gentle,understanding and Quite professional. I would recommend the practice to anyone.

- Jermaine P

5 out of 5 stars on