Extractions & Wisdom Teeth Removal

Wisdom teeth often cause problems long before pain develops. In fact, most issues happen quietly beneath the gums, without any warning signs. By the time pain appears, damage is usually already advanced.

Here are the most common silent problems caused by wisdom teeth:

1. Hidden Infection Around the Tooth (Pericoronitis)

Even partially erupted wisdom teeth leave small openings where bacteria collect deep under the gums.
This often leads to chronic low-grade infection that patients can’t feel, until it suddenly becomes severe.

2. Cavities on the Tooth in Front (Second Molar Damage)

Wisdom teeth frequently press against the second molar, trapping bacteria and causing large cavities from the back side — a place impossible to clean.

By the time it hurts, it’s often too late and patients end up losing two teeth instead of one.

3. Cysts and Bone Damage

Impacted wisdom teeth can develop cysts (fluid-filled sacs) that slowly expand and cause:

• Bone destruction

• Root damage on nearby teeth

• Facial or jaw structural changes

These form silently and are usually discovered on X-rays.

4. Gum Disease Around the Second Molar

Wisdom teeth are the #1 cause of gum disease behind the second molars in young adults.

This leads to:

• Bone loss

• Gum recession

• Persistent inflammation

Removing the wisdom tooth stops the disease from progressing.

5. Future Surgical Difficulty Increases With Age

Removing wisdom teeth is simplest between ages 15 and 25 because:

• The roots are not fully formed

• The bone is softer

• Healing is quicker

• Complications are fewer

Waiting increases risk of:

• Nerve irritation

• Bone removal

• Longer recovery

• More swelling and pain

6. They Rarely Function as Useful Chewing Teeth

Even if they erupt fully, they sit far back and are very difficult to clean — leading to decay or infection later.

Simple Extractions Surgical / Complex Extractions

For broken, fragile, or heavily decayed teeth requiring sectioning or flap elevation.

Wisdom Teeth Removal

Including:

• Full bony impactions

• Partial impactions

• Horizontal impactions

• Soft tissue impactions

Urgent / Same-Day Extractions

For severe pain, infection, or fractured teeth.

IV Moderate Sedation

A fully monitored sedation where most patients:

• Do not remember the procedure

• Are comfortable and relaxed

• Recover quickly

Deep Sedation (With an Anesthesiologist)

Provided when requested or medically appropriate.
This offers complete unconsciousness.

Safety First

Sedation is monitored with:

• Cardiac monitoring

• Blood pressure

• Oxygen saturation

• Capnography

You are cared for by a trained surgical sedation team including registered nurses and anesthesiologist when deep sedation is selected.

Click here to read more about our sedation options.

Because each case depends on complexity, impaction type, and imaging, pricing varies. Most patients fall into the ranges below:

Simple Extraction: $300-$350

Surgical Extraction: $300–$350

Wisdom Teeth Removal: $350–$700 per tooth

IV Moderate Sedation Fee: $600-$800

IV Deep Sedation Fee: $800-$1100

Insurance coverage
Many plans cover part or all of surgical extractions.
We help you navigate benefits and provide detailed estimates beforehand.

Does wisdom tooth surgery hurt?
With sedation and local anesthetic, most patients report minimal discomfort.

How long does recovery take?
Usually 5-7 days for moderate impactions, longer for complex cases.

Do all wisdom teeth need to be removed?
Not always — we evaluate your imaging and discuss options.

Can I return to work or school after?
Most patients take 1–2 days off.

Will I need someone to drive me?
Yes, if sedation is used.

Do I need to fast? If sedation is used, you need to fast for 8 hours prior to the procedure.