Wisdom Tooth Removal
With an oral examination and x-rays of the mouth, Dr. Krueger, Dr. Lenox and Dr. Peterson can evaluate the position of the wisdom teeth and predict if there are present or future potential 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. Our doctors are trained, licensed, and highly experienced in providing various types of anesthesia for patients.
Do You Need Relief from Wisdom Tooth Pain?
Don’t suffer any longer! Drs. Krueger, Lenox and Peterson can gently extract wisdom teeth to prevent future complications.
Why Should I Have My Wisdom Teeth Removed?
If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients it is as early as 12 or 13, and in others it may not be until the early twenties. Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:
The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.
Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.
Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.
Damage to Adjacent Teeth:
If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.
What If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?
As wisdom teeth develop, the roots become longer and the jaw bone more dense.When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate. Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops. In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.
What Happens On The Day Wisdom Teeth Are Removed?
Most people prefer to be unaware of the experience when they have their wisdom teeth removed and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation. All outpatient surgery is performed under appropriate anesthesia to maximize your comfort. Our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Board of Dental Examiners on a regular basis.
On the day of your procedure, you will take medications to help minimize post-operative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes. Recent advances in medicine and technology allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times.
On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly six hours before your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines. We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance. When you are seated in the surgical room, we will make every effort to make you as comfortable as possible. If you are going to be sedated, we usually will place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.
The Day of Treatment
Be sure to have an adult with you at the time of removal. Make plans to have a parent or responsible adult stay with you for the rest of the day, following wisdom tooth removal.
If your surgery requires stitches, these are usually the type that dissolve in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery, and will subside in several days.
Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first, to see if that adequately treats your pain. If not, begin your other prescription pain medication. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits.
We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.
What Does Wisdom Tooth Removal Cost And Is It Covered By Insurance?
The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon’s office staff will help you obtain maximum insurance coverage for your treatment.
What If I Have Questions Before Surgery?
At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our office at WEST OFFICE Phone Number 541-617-3993 to speak to one of our patient care coordinators.
The Day of Treatment
Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.
Krueger & Lenox Oral and Maxillofacial Surgery
Patient Review By Julie W
My son Mitchel (20 years of age) had all four wisdom teeth pulled by doctor Lenox during one office visit. Dr. Lenox built a rapport with my son immediately and I remember my son said, "He's cool" on our drive home after the first visit. There were no complications and Mitchel healed quickly. I appreciate that Dr. Lenox explained the home care instructions in detail and checked in on Mitchel while he recovered at home. Dr. Lenox's obvious expertise put Mitchel's mind at ease and he somehow took the tension out of the entire process for both Mitchel and me.
- Julie W
Patient Review By John S.
My husband is 62 and needed his wisdom teeth pulled. We were aware, given his age, the procedure could be a little more involved. We were a bit nervous going to Dr. Welch because there weren't too many reviews on his performance. BUT, after meeting with him, his kind, calm demeanor and confidence put us at ease. He did say that, with age, the sinus bone does get larger and the roots to my husband's wisdom teeth were very close to this bone, so there was a likely chance the bone could break making healing longer. Not only did the extractions go quickly, but the bone stayed intact. Dr. Welch checked in on him that night as well. He has such a kind demeanor, great at what he does; we were so pleased with him in every aspect. HIGHLY RECOMMEND DR. WELCH. As a side note, over 10 yrs ago, I went to Dr. Krueger for some involved surgery. He too was great - demeanor and skill. It's nice to see that from the ladies in the office to the doctors, there's a common thread. Again, highly recommend.
- John S.
Patient Review By Teasa J
I was in and out so quick. Doctor called and checked up on me the same day. Seriously amazing doctors.
- Teasa J
Patient Review By Lori C
My 14-year-old son had his wisdom teeth removed by Dr Lenox and had an extremely easy recovery. The entire procedure took only an hour and later that day Dr Lenox himself called to check up on him. Although I expected some complaints of pain, but my son never had ANY pain. I was very pleased with how the entire process went and would recommend Dr Lenox to anyone needing their wisdom teeth removed.
- Lori C
Patient Review By Jillian G
I was so impressed with Dr. Krueger. I was very nervous going into my procedure and his calm and positive demeanor made me feel so much better. He called the evening of my surgery to check up on me and make sure everything was okay. I would highly recommend him. Thank you so much!
- Jillian G
Patient Review By Zachary j J
They got me in ASAP and removed all 4 wisdom teeth and they acomadated to my needs, the staff was super friendly and made me feel really comfterble and like they were going to take care of me. Here I sit 4 hours after my operation and I’m completely better than I was before. Recommend time and time again.
- Zachary j J
Patient Review By Mary O
Great service! Everyone was very helpful, friendly and informative. My daughter kept saying how nice everyone was (she was still a little loopy but meant it).
- Mary O
Patient Review By Morgan J
Getting my wisdom teeth out was so simple, and almost painless! Dr. Krueger and his staff were very kind and made the whole procedure so much easier.
- Morgan J
Patient Review By Ashley L
Loved everything about the office setting. The professionalism was great, cleanliness, staff communication and knowledge really helped me feel at ease. I felt the communication about what to expect and the aftercare was good. My icepack contraption I was sent home with was a LIFESAVER! The entire care package was great and made me feel valued as a patient. Really like how you go out the back door when finished with procedure so you don't have to walk out through the waiting area. I have done nothing but raved about the experience, and highly recommend Dr Krueger and his practice. P.S. Loved falling asleep to Billie Holliday playing 🙂 Thank you so much! I have healed beautifully and couldn't thank you enough~
- Ashley L
Patient Review By Noah F
The experience of getting my wisdom teeth was very good. From setting up the appointment to waking up from the procedure, I had no problems getting my wisdom teeth removed. The staff and everyone was very friendly and seem to legitimately care for the patients. The post-operation instructions were also very clear. I also appreciated Dr. Krueger calling to check in on me the night I had the operation.
- Noah F