Do You Need an Oral Surgeon for Wisdom Teeth Removal?

Wisdom teeth, or third molars, typically emerge in the late teens or early twenties. While some people have no issues, many experience pain, infection, or crowding due to limited space in the jaw. If you’re unsure whether your wisdom teeth need to be removed, an evaluation by an oral surgeon can help assess for potential complications and risks that may arise with your wisdom teeth. 

Why Choose an Oral Surgeon for Wisdom Teeth Removal in Richmond, VA? 

While some general dentists perform wisdom teeth extractions, oral and maxillofacial surgeons have advanced training in complex surgical procedures, including impacted or difficult-to-remove wisdom teeth. Choosing an oral surgeon offers several key advantages: 

• Comprehensive Evaluation – An oral surgeon will assess your wisdom teeth through advanced imaging to determine if extraction is necessary. 

“Early evaluation and assessment are key to avoiding painful complications,” says Dr. Mark Gardner, oral surgeon at Virginia Oral & Facial Surgery. “Wisdom teeth are often impacted or trapped under the gums or bone, and their position near nerves and sinuses can make removal tricky.” 

• Expert Surgical Techniques – When wisdom teeth are deeply impacted or close to nerves and sinuses, precise surgical expertise is necessary. Oral surgeons are trained to manage these complexities safely.  

• Advanced Anesthesia Options – Unlike general dentists, oral surgeons offer advances IV sedation or general anesthesia options for a more comfortable and stress-free procedure. 

“We prioritize patient comfort to ensure a smooth experience,” explains Dr. Gardner. “Although removal of wisdom teeth will only take around 30 minutes for most surgeons, the post operative discomfort and swelling can last 5-7 days.  We help manage this aspect of the recovery process through combination of anti-inflammatory and pain medicine.  There is also a non-opioid extended release anesthetic medicine, called Exparel, that can be injected around the extraction sites prior to the end of surgery. This helps to reduce or completely eliminate the need for narcotic pain medication during the first 2-3 days when symptoms are generally the worst.” 

• Reduced Risk of Complications – With specialized training and technology, oral surgeons minimize the risk of infection, nerve damage, and post-operative complications. 

Signs You May Need Wisdom Teeth Removed 

Not all wisdom teeth require extraction, but certain symptoms indicate potential problems: 

• Impaction – Wisdom teeth that don’t fully emerge can cause pain, swelling, and even cyst formation. 

• Infection – Partially erupted wisdom teeth create spaces where bacteria can thrive, increasing the risk of gum infections and periodontal disease. 

• Crowding & Alignment Issues – Emerging wisdom teeth can shift surrounding teeth, leading to misalignment and bite problems and can even damage nearby bone and nerves. 

If you experience any of these symptoms, scheduling a consultation with an oral surgeon can help determine the best course of action. 

What to Expect During the Wisdom Teeth Removal Process 

If extraction is recommended, your oral surgeon will provide pre-surgery guidelines, such as fasting before anesthesia and reviewing medications. The procedure itself is typically completed in under an hour, with most patients under sedation or anesthesia for a comfortable experience. 

Post-Surgery Care: Tips for a Smooth Recovery 

Recovery is an important part of the process. Dr. Gardner shares these key aftercare tips: 

• Follow Post-Op Instructions Carefully – Take prescribed or over-the-counter pain medications as directed and stick to soft foods for a few days. 

• Reduce Swelling with Ice – Apply ice packs for 20 minutes on, 20 minutes off during the first 24 hours. 

• Rest & Stay Hydrated – Avoid using straws, as the suction can lead to dry socket, a painful condition that delays healing. 

• Monitor for Complications – Severe pain, fever, or excessive swelling should be reported to your oral surgeon immediately. 

Schedule Your Consultation Today!

Wisdom teeth removal is a common procedure, but choosing an experienced oral surgeon ensures the best possible outcome. If you’re experiencing pain or have concerns about your wisdom teeth, contact Virginia Oral & Facial Surgery to schedule a consultation. Our team is here to provide expert care for a smooth and comfortable experience.