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Wisdom Teeth Removal

For most teens and young adults, wisdom teeth removal is simply part of growing up. It’s one of the most frequently performed procedures in oral surgery and knowing what to expect ahead of time makes the whole experience feel more manageable.

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Do You Need Your Wisdom Teeth Removed?

Wisdom teeth typically begin to emerge between the ages of 17 and 25. For some people, they come in with no issues. For many others, there isn’t enough room in the jaw to accommodate them properly.

Your dentist or surgeon may recommend removal if you’re experiencing any of the following:

  • Pain, swelling, or recurring infection around the back of the mouth
  • Impacted teeth that are trapped beneath the gumline and unable to erupt fully
  • Decay or gum disease developing around a partially erupted wisdom tooth
  • Pressure or crowding affecting the teeth in front of them

An evaluation, including X-rays to assess the position of the roots, is the best way to determine whether removal makes sense for your situation.

Why Wisdom Teeth Are Often Removed

Even when wisdom teeth aren’t causing obvious symptoms, removal is frequently recommended as a proactive measure. Because of where they sit in the mouth, wisdom teeth are difficult to clean thoroughly, making them more susceptible to decay and infection over time. Impacted teeth can also put pressure on adjacent roots and surrounding bone, causing damage that isn’t always felt until it has progressed.

Timing matters, too. Removing wisdom teeth in the late teens or early twenties tends to go more smoothly than waiting. The roots are less developed, the bone is more forgiving, and recovery is generally faster. Addressing them before problems develop is almost always the easier path.

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Our Approach to Wisdom Tooth Extractions

Every wisdom tooth extraction at our practice begins with a thorough exam and imaging to understand the position, depth, and root structure of each tooth. That information shapes the surgical plan and allows your surgeon to work efficiently and with precision.

Sedation options are available and encouraged for patients who want to feel completely relaxed throughout the procedure. Most patients have little to no memory of the experience itself and are surprised by how quickly it’s over. Your surgeon will walk you through the process before anything begins, so you and your family know exactly what to expect.

What the Procedure Involves

Once you’re comfortable and the area is fully numb, your surgeon will carefully loosen and remove each tooth. For wisdom teeth that are fully erupted, this is a straightforward process. Impacted teeth require a small incision in the gum and, in some cases, the tooth is sectioned into pieces for easier removal. The entire procedure typically takes under an hour, depending on how many teeth are being removed and their position.

After the teeth are out, the sites are cleaned and closed. You’ll be monitored briefly before heading home, and you’ll leave with detailed instructions for the first 24 hours and beyond.

A Team That Makes This Easy for You and Your Family

We see a lot of teenagers and young adults in this practice, and we know that parents have questions too. Our team communicates clearly with both patients and families, making sure everyone leaves the consultation with a full understanding of the plan, the timeline, and what recovery will look like at home.

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Common Questions About Wisdom Teeth Removal

Your surgeon will provide specific pre-operative instructions based on the type of sedation being used. In general, if you’re receiving IV sedation or general anesthesia, you’ll need to avoid eating or drinking for several hours beforehand. Wear comfortable clothing, arrange for someone to drive you home, and plan to take it easy for the rest of the day.

Most patients feel significantly better within three to four days. Swelling tends to peak around the second day and gradually improves from there. Keeping your head elevated, using ice packs during the first 24 hours, and resting as much as possible during the initial days all support a smoother recovery. Light activity can usually resume within a few days, though strenuous exercise should wait until your surgeon clears you.

Soft foods are your best option for the first several days. Think yogurt, mashed potatoes, smoothies without a straw, scrambled eggs, and soup that isn’t too hot. Avoid anything hard, crunchy, or chewy until the sites have had time to close. Your care team will go over specific dietary guidance before and after the procedure, so you’ll have a clear list to reference at home.

Dry socket happens when the blood clot that forms at the extraction site is dislodged or breaks down before healing is complete. It can cause a noticeable, lingering ache that typically sets in a few days after surgery. To reduce the risk, avoid using straws, smoking, and forceful rinsing for the first several days. Dry sockets are treatable, but prevention is much easier. If something feels off during recovery, reach out to our office rather than wait it out.

Yes, and it’s actually the most common approach. Removing all four at the same time means one round of anesthesia, one recovery period, and one set of post-operative instructions to follow. For most patients, it’s more practical than spacing the procedures out. That said, your surgeon will recommend the approach that makes the most sense based on your specific anatomy and health.

Dr. Brian Krost slider image | Center for Oral & Maxillofacial Surgery

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OUR SURGEON

Brian S. Krost, DMD

A founding presence at the Center for Oral & Maxillofacial Surgery, Dr. Brian Krost specializes in the full range of oral and maxillofacial surgery with particular focus on TMD treatment, reconstructive and cosmetic surgery, laser surgery, and dental implants. He is affiliated with Monmouth Medical Center and is proud to practice alongside his son, Dr. Daniel Krost.

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TESTIMONIALS

Patient Testimonials

The best measure of our care is the experience of the people we treat. Read what patients across New Jersey have to say about their time with our team.

What a great practice this place is! Dr Krost is amazing! He knows his stuff, he’s funny too! His staff is unreal! Sooo attentive and kind. Very professional and understanding. Not your usual office if you know what I mean.
Excellent place; the doctors and staff are amazing too. I had an absolutely best experience ! Thank you
Do you want your oral surgery to be swift and done extremely well? Look no further. I had a mucocele on my lower lip and was DESPERATE to get it out. When no other oral surgeon would take me for over a week, COMS took me within 24 hours. And Dr. Anderson just NAILED this operation. I understand it’s routine, but there was a calmness and a professionalism that he brought with him that you can’t find many places. Front desk staff was extremely helpful, too. Have to give them some love. They were quick and had me checked in and ready to go in no time. Thank you, COMS!

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