Wisdom Teeth

By the age of 18, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

If Your Wisdom Teeth Don’t Have Room to Grow, They May Need to Be Removed

Schedule a Consultation Today to Discuss Pulling Your Wisdom Teeth!

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Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Wisdom Teeth Presentation

To provide you with a better understanding of wisdom teeth, we have provided the following multimedia presentation. Many common questions pertaining to wisdom teeth are discussed.

Wisdom Teeth Presentation

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Press or Dr. Silvermancan evaluate the position of the wisdom teeth and predict if there are any present or may be future 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. This can be earlier depending on the clinical situation.

All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Drs. Press and Silverman have the training, license and experience to provide various types of anesthesia for patients to select their best alternative.


In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia) or intravenous sedation. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured usually with resorbable suture material. To help control bleeding, bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in one week. If you have any questions, please do not hesitate to call us in Morristown at / in Bedminster at .

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are experienced in anesthesia techniques.


Madison Avenue Oral & Maxillofacial Surgery Associates, LLC

5 out of 5 stars based on 4 Wisdom Teeth reviews.

Our Latest Patient Testimonial

I was in mild pain for many weeks. My dentist did a full set of X-rays showings nothing. She suggested a mouthguard and thought it was TMJ even though I never had that Physical Therapy.. At some point it was getting worse. I went to a dentist/md at University hospital in Newark. He said the mouth guard was a wrong fit and type. Back to dentist. Pain became unbearable. My MD put me on oral antibiotics for 48 hours and if not better needed a ENT doctor as it might be a salivary gland problem or stone. Went to ENT..In 2 minuets, he said not salivary but teeth. He had his assistant walk me over to Dr Press' office. I had no appointment. He saw how bad my situation was and took out my wisdom tooth which an X-ray showed was over a nasty infection. He was very thorough and accommodating and pro active with my situation. He thought I might need intravenous at this point and had me back in 36 hours. At that point, the pain was unbelievable and I needed to be admitted to Morristown Medicatl Center. He called over to the on call oral surgeon and got me on intravenous meds quickly. I was in the hospital 6 days. Dr Press came and put an outside drain in and then took it out 4 days later. I have been followed by his office and just discharged. I cannot say enough good things about Dr. Press. He has an impeccable reputation and I can see why.

- Marlene G

5 out of 5 stars on

Our Latest Patient Testimonial

Going into my appt. for a wisdom tooth extraction, I was highly anxious. From the moment I met the first medical team member, my fears were tamped down and everyone treated me with warmth and kindness and answered all of my questions honestly and with concern. Dr. Press reviewed the entire procedure and the post-procedure expectations clearly. The procedure itself was so quick and so painless (truth!); I am so appreciative of everyone who took care of me from arrival through check out.

- Kara M

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone in the office is so kind and caring. Dr Press is very professional and an excellent surgeon.

- Erin T

5 out of 5 stars on

Our Latest Patient Testimonial

Overall, a great experience!

- John S

5 out of 5 stars on