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 505 Wisdom Teeth reviews.

Our Latest Patient Testimonial

VERY PLEASED WITH OVERALL PROCEDURE, CARE , APPOINTMENT SCHEDULING AND FOLLOW UP

- Jodi S

5 out of 5 stars on

Our Latest Patient Testimonial

Super efficient process and easy to schedule appointments

- Meredith R

5 out of 5 stars on

Our Latest Patient Testimonial

nothing to add

- Michael

4 out of 5 stars on

Our Latest Patient Testimonial

Everything went smoothly. Everybody in the office was clear and I knew what to expect.

- Tolga K

5 out of 5 stars on

Our Latest Patient Testimonial

Were on time, friendly and informative

- Mary M

5 out of 5 stars on

Our Latest Patient Testimonial

Amazing experience. Dr & nurses/receptionist where super friendly. Just a warm kind atmosphere.

- Kenya B

5 out of 5 stars on

Our Latest Patient Testimonial

This place is great I would recommend to anyone

- Jenny F

5 out of 5 stars on

Our Latest Patient Testimonial

Very professional.

- Lisa L

5 out of 5 stars on

Our Latest Patient Testimonial

Friendly staff, quick scheduling

- Aleko P

5 out of 5 stars on

Our Latest Patient Testimonial

Always helpful and accommodating

- Theresa O

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Horne was fantastic. Everything was well explained and went very smoothly the day of the procedure.

- Raymond S

5 out of 5 stars on

Our Latest Patient Testimonial

The process for wisdom teeth extraction was easy and stress-free. The Dr. and staff were helpful and friendly, and really knew what they were doing.

- Melanie H

5 out of 5 stars on

Our Latest Patient Testimonial

Doctor and staff were wonderful!

- Alyssa S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr A is wonderful and the whole process was very easy

- Natalie C

5 out of 5 stars on

Our Latest Patient Testimonial

I appreciate how Dr. Twersky was friendly and very informative.

- Lindsay S

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience

- Kevin

5 out of 5 stars on

Our Latest Patient Testimonial

Very professional and courteous office and staff.

- Donna B

5 out of 5 stars on

Our Latest Patient Testimonial

The whole experience was very positive. I was treated with kindness,understanding, respect and was given lots of information.

- Sharon M

5 out of 5 stars on

Our Latest Patient Testimonial

We had great experience with Dr Horne. He took good care for my daughter during and after surgery. He accommodate us very well with school timing.

- Renu V

5 out of 5 stars on

Our Latest Patient Testimonial

My tooth became impacted rather suddenly and OSA was able to fit me in same day. I am older so the procedure wasn't easy but Dr. Twersky (sp?) was very easy going and explained the whole procedure ahead of time. Also, he must have done a really clean job of getting the tooth out because the pain afterward was minimal.

- Brian M

5 out of 5 stars on