Wisdom Teeth Removal Plainview, Massapequa & Levittown, NY
Oral Examination for Extraction of Wisdom Teeth
With an oral examination and x-rays of the mouth, Dr. Bass, Dr. Scharfenberger, Dr. Hirsch, Dr. Rosenberg, Dr. Jurman, Dr. Kneller, Dr. Fleischman and Dr. Bacigalupo can evaluate the position of the wisdom teeth and determine if there are present or any possible 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.
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.
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 8 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly eight 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 Plainview office at Plainview Oral and Implant Surgery Phone Number 516-822-7880 our Massapequa office at Massapequa Oral and Implant Surgery Phone Number 516-798-4143 or our Levittown office Levittown Oral and Implant Surgery Phone Number 516-735-8723 to speak to one of our patient care coordinators.
The Day of Treatment
Please do not eat or drink anything 8 hours prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.
Plainview Massapequa Levittown Oral and Implant Surgery
Patient Testimonial by Sigalit K
I had pain the morning of, went to my dentist immediately. He recommended me to this group and stated any one of the doctors there is great. I called and spoke with Michelle. I explained to her the situation and that I must be seen today. She was so pleasant and kind and said not to worry I will be seen and she will take care of it all quickly. She did exactly that. She also informed me how to get all the new patient forms online and to fill them out and will call my dentist for the films and reports. She will be looking out for them. She really set the tone for the office. Upon arriving my check in was very quick and pleasant. Dr. Kneller and his entire staff are just incredibly kind and patient. Let me also mention he's a very talented surgeon and knowledgeable. The gentleman who took my panorama x-ray explained everything in detail as he was taking the x-ray with such kindness. The assistants in the room as the procedure was being done were truly caring. Kept asking if I was ok and if I need anything at all. upon check out I was told if I experience any discomfort, pain etc. to just come on in. No office does this in todays world. I know this is a very long review but very well deserved from a very happy patient who happens to work in the medical field.
- Sigalit K
Patient Testimonial by Stephen G
This office is amazing from the initial appointment over the phone to Dr.Bacigalupo and his surgery staff all knowledgeable and courtesy throughout the whole procedure and how comfortable they make you feel,best choice I made.
- Stephen G
Patient Testimonial by Steven B
Dr Bacigalupo and his staff were just amazing. Very professional, Extremely considerate of giving me a pain free experience.What a wonderful experience Thank you all
- Steven B
Patient Testimonial by Mike L
I got all 4 wisdom teeth taken out by Dr. Bacigalupo at the beginning of the year. From the first visit to the end of the procedure I was impressed by the professionalism of the Doctor and his staff. Smooth recovery with little to no pain which speaks volumes for this procedure.
- Mike L
Patient Testimonial by Namrata N
I am very happy with the service and office ambience and cleanliness. I had 2 wisdom tooth removed and both times I had great experience. The service is great, the doctors are caring and great. I would definitely recommend their service. I wish there are more doctor's service like Plainview Oral.
- NAMRATA N
Patient Testimonial by Ariel C B
I have never been in worse pain in life then I was before my surgery. I did not have an appointment, but I was taken in as an emergency. The staff and nurses were so supportive and comforting, they did everything they could do fit us in despite not having an appointment. Dr. Scharfenberger explained exactly what he was going to do, clearly and succinctly, and then did it perfectly. I cannot express how grateful my wife and I are for everything that was done for us. This practice is undeniably the best around, and I would recommend it to anyone and everyone!
- Ariel C B
Patient Testimonial by Noori N
My co worker referred me and was able to make a quick appointment, called on Wednesday 2pm and made an appointment for Friday 10am. Went for a consultation and came out with my wisdom tooth out. Was able to go back to work in 1 hour and able to work painlessly till 5. Totally nice and friendly staff especially the lady in front.
- Noori N
Patient Testimonial by Malgorzata P
Someone recommended this office to me and I'm very satisfied with the surgery and my follow up visits . I had extraction of my two wisdom teeth and will be happy to return for the third one once I'm completely healed. The doctor did a great job and I will recommend the place to all my friends. Staff is knowledgeable, nice and helpful. The whole experience exceeded my expectations.
- Malgorzata P