Wisdom Teeth Removal in Milwaukee




Extractions can be performed to remove problematic wisdom teeth. For Dr. Ruba Khader, the specialist at Community Oral and Maxillofacial Surgery, wisdom tooth removal is quick and straightforward.

What Are Wisdom Teeth?


Wisdom teeth are the four adult molars that grow at the back four corners of the mouth. They tend to grow between ages 17 and 25, making them the last permanent teeth to appear in the mouth. Some people have their wisdom teeth develop and become functional with no problems. Others don’t develop wisdom teeth at all.

For those who develop wisdom teeth, issues arise when the teeth grow at an angle or when there isn’t enough room for the teeth to grow correctly. These conditions cause the wisdom teeth to become impacted, and develop cavities, or gum disease, which necessitates their extraction. Several factors influence whether or not you need to remove wisdom teeth:

Illustration of an wisdom tooth under the gum line
  • Age
  • Jaw size
  • Form
  • The functionality of the wisdom tooth
  • Level of impaction
  • The health of the tooth and surrounding teeth and gums

Removing impacted wisdom teeth can help prevent decay, swollen or painful gums, gum disease, and, on rare occasions, jaw pathologies, including tumors and cysts. However, it is possible to keep your wisdom teeth in your mouth. Therefore, removing them is only recommended if their continued growth will cause significant oral health problems and if the risk of surgical intervention doesn’t outweigh the benefits.

How Is A Wisdom Tooth Extraction Performed?

During a routine dental visit, your dentist will likely obtain digital radiographs to evaluate the growth of your wisdom teeth. If necessary, they will refer you to an oral and maxillofacial surgery specialist for a consultation regarding removing these teeth. Your doctor will discuss all anesthesia options available for your procedure and the steps you may need to take before and after.

Most wisdom tooth removal procedures can be performed safely and comfortably in the office with local anesthesia or intravenous sedation. General anesthesia can be used for wisdom tooth removal, when the procedure is performed in a hospital setting. However, even with a general anesthetic, you should still be able to go home on the same day.

If the wisdom tooth hasn’t fully grown in, the surgeon will make a small incision in the gum tissue to access the tooth. An impacted wisdom tooth could still be partially or fully covered by bone, so the doctor will remove the bone covering tooth using a surgical drill. The surgeon will then gently loosen and remove the wisdom tooth. The surgeon may also cut the tooth into smaller pieces to facilitate easier removal. 

Due to the use of local anesthetic (and sometimes sedatives), wisdom tooth removal should not be painful. However, following the surgery, you may develop inflammation and swelling. These conditions peak around 72 hours after the extraction and will slowly subside from there. Medications such as Tylenol or Ibuprofen can help reduce discomfort if not otherwise contraindicated.

In addition, Dr. Khader may recommend the placement of Platelet Rich Fibrin (PRF) in the wisdom tooth extraction socket to promote healing. PRF is produced by obtaining a blood sample from the patient and using a centrifuge to condense the fibrin clot. The fibrin portion of the clot can then be used in the socket to help initiate the first step of healing. Be sure to ask your doctor about PRF to see if you are a good candidate for it.

Side Effects of Wisdom Tooth Extraction


Wisdom tooth extraction, if performed well, should not produce side effects. However, as with any oral surgery procedure, there are risks to consider. These include:

  • Excessive pain
  • Bleeding
  • Swelling
  • Infection
  • Damage to adjacent teeth and vital structures of the mouth
  • Bone loss

Illustration of an impacted wisdom tooth

In addition, there is a risk of developing a condition called dry socket. This painful condition occurs when the blood clot in the socket comes loose or dissolves prematurely, leaving the socket open and exposed. The pain usually starts around 4-5 days after the surgery, and it can be intense enough to wake patients from sleep. Unfortunately, pain medications aren’t very effective at relieving the discomfort of dry socket.

If this condition develops following a wisdom tooth extraction, we advise patients to call us to be seen and assessed. If a dry socket is detected, the wound is washed with antibiotic mouthwash, and a packing containing an analgesic is placed. These dressings need to be changed every few days until the pain subsides. A dry socket can take up to two weeks to resolve. During that time, your surgery team will see you frequently and ensure that you are in no pain.

Trust The Experts With Wisdom Teeth Removal


x-ray of a wisdom tooth extraction patient in Milwaukee WI

At Community Oral and Maxillofacial Surgery, your oral health is just as important to us as it is to you. And wisdom tooth extraction can be a procedure that causes anxiety and concern. That’s why Dr. Ruba Khader and her team are dedicated to providing a caring environment for patients and their families. In addition, Dr. Khader’s years of experience with pain management after wisdom tooth extractions will ensure an improved recovery with minimal opioid use.

So, if you have problems with your wisdom teeth, please don’t hesitate to get in touch with us for a consultation today.