Wisdom Teeth Removal
With an oral examination and x-rays of the mouth, Dr. Moya or Dr. Maida can evaluate the position of the wisdom teeth and predict if there are present or future potential 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.
All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Our doctors are trained, licensed, and highly experienced in providing various types of anesthesia for patients.
Why Should I Have My Wisdom Teeth Removed?
If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients it is as early as 12 or 13, and in others it may not be until the early twenties. Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:
The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.
Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.
Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.
Damage to Adjacent Teeth:
If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.
What If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?
As wisdom teeth develop, the roots become longer and the jaw bone more dense.When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate. Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops. In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.
What Happens On The Day Wisdom Teeth Are Removed?
Most people prefer to be unaware of the experience when they have their wisdom teeth removed and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation. All outpatient surgery is performed under appropriate anesthesia to maximize your comfort. Our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Board of Dental Examiners on a regular basis.
On the day of your procedure, you will take medications to help minimize post-operative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes. Recent advances in medicine and technology allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times.
On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly six hours before your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines. We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance. When you are seated in the surgical room, we will make every effort to make you as comfortable as possible. If you are going to be sedated, we usually will place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.
The Day of Treatment
Be sure to have an adult with you at the time of removal. Make plans to have a parent or responsible adult stay with you for the rest of the day, following wisdom tooth removal.
If your surgery requires stitches, these are usually the type that dissolve in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery, and will subside in several days.
Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first, to see if that adequately treats your pain. If not, begin your other prescription pain medication. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits.
We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.
What Does Wisdom Tooth Removal Cost And Is It Covered By Insurance?
The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon’s office staff will help you obtain maximum insurance coverage for your treatment.
What If I Have Questions Before Surgery?
At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our office at Houston Office Phone Number 713-457-6337 to speak to one of our patient care coordinators.
The Day of Treatment
Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.
Houston Oral Surgery Associates
Patient Review By Linda B
I am actually posting a pre-surgery review! Unfortunately, my daughter was sick on the morning of her wisdom teeth surgery. I spoke with Terri and she was SO understanding and helpful with our situation! Just the TLC the staff has given us every time we have called or spoken with the office, confirms why we are so comfortable with our daughter having her surgery here! We know she will be in extremely good hands when we are able to reschedule!
- Linda B
Patient Review By Bernard N
The staff and doctors go above and beyond to explain each step, follow up after the surgery and take a personal attitude in ensuring patients feel like family.job well done
- Bernard N
Patient Review By Anthony G
I was leaving for the summer and wanted to have my wisdom teeth removed so there would not be an issue when I was away. I made the appointment and was see the same week. The surgery went perfect and there were no complications. So glad I saw Dr. Moya! My dad is a dentist and only refers to the best.
- Anthony G
Patient Review By Cheryl B
Very happy with services and the friendliness of the staff and the doctors.
- Cheryl B
Patient Review By Kay K
- Kay K
Patient Review By Sara G
The staff is caring and professional always greeting you with a warm smile. Great team work.
- Sara G
Patient Review By Ben C
My experience at Houston Oral Surgery Associates was easy. I had no trouble scheduling on short notice, and everyone from the staff to the doctors paid close attention to me and made sure I was comfortable and well taken care of.
- Ben C
Patient Review By Conrado P
I had my last wisdom tooth extracted by Dr. Blake Maida. I was referred to his office by my dentist due to this tooth and also because I have TMJ issues. The staff was very friendly through the whole process. They did x-rays to determine the best option for the extraction and the Dr. explained the process as detailed as possible. He them explained the reasons why TMJ disorder might happen and what to do to correct it. After the appointment Terri went through all the financial details (how much would the insurance cover and all that). She then asked me when would be an appropriate time to call me again to see if I was going to proceed with the extraction. She called me two weeks later and we arranged everything for the extraction. Two days prior to surgery (Monday the 6th) I was having issues with opening my mouth, so I wanted to make sure that it wouldn't be a problem the day of the surgery, so I called at the office and they accepted to have me the next day to make sure everything was fine, with the remark that if there was any problem with my mouth that would prevent the surgery from happening the scheduled day and it needed to be rescheduled there would not be a rescheduling fee. Luckily everything was fine for surgery. The only thing I would mention was that the surgery started later than scheduled, but it went well. They gave me gauze pads and an oral hydrogel wound dressing in a very nice bag with instructions. One week later I went to see Dr. Maida to follow up on my recovery. Everything looked nice and the wound was healing properly. The way I see it, everybody contributes in it's own way to make this office an amazing place. Everybody from Mallory, Terri, Corinna and Dr. Maida and the rest of the staff thanks for all your time and attention!
- Conrado P
Patient Review By Natalia M
I had a very good experience with Dr. Moya and the staff, they were very friendly, warm and professional, they made me feel sure and confident about the procedure, they answered my calls of pain and treated me with care when I needed it. I’m very thankful!
- Natalia M
Patient Review By Bretagne L
- Bretagne L
Patient Review By Michelle W
Highly recommend Dr. Moya and his team. Professional and efficient and kind
- Michelle W
Patient Review By Laquandra A
Wonderful staff, very caring & attentive! Appreciate the entire team for their excellent work & service.
- Laquandra A
Patient Review By Camelia A
I felt no pain after getting two upper wisdom teeth pulled. He is awesome and Terri is amazing.
- Camelia A
Patient Review By Ana A
Oral surgery was something I had tried to avoid but Dr. Moya and his entire team made this experience extremely pleasant for lack of a better word. Everyone in his team was very nice and polite and answered all the questions I needed. Dr. Moya is wonderful and made me feel at ease in regards to the procedure. I do hope he does not retire soon so my own daughters can come to him when it's their turn to go through this. Thank you.
- Ana A
Patient Review By Danny G
I researched different options, but decided on Dr. Moya. He and his staff are first class and perform great work. I was well-informed and well treated.
- Danny G
Patient Review By Sebastian T
Dr. Moya and his staff are synonymous of professionalism and excellent customer service. The way they treat the patients is very warm and also they fully inform you and prepare you for the procedure required. I would totally recommend Dr. Moya to someone who is looking for an affordable and professional practitioner.
- Sebastian T
Patient Review By Hazel H
I would highly recommend Dr. Moya for any oral surgical procedure. Came in concern about my wisdom tooth procedure and within the first visit I left knowing I would be in safe hands. And sure enough I had no complications and both Dr. Moya and his staff were incredibly friendly and approachable.
- Hazel H
Patient Review By Michelle N
The service the staff and Dr. Moya offered to patient is exceptional. I felt very comfortable and secured despite my nervousness. I was scared to death just thiking about the surgery. However, Dr. Moya is very thorough and calming. He is an expert in this field!!! I had all three wisdom teeth pulled with no pain or problems, just amazing work!!!! 100% satisfied customer.
- Michelle N
Patient Review By Vicky C
Dr. Moya was very great ! Friendly and caring staff. Very pleasant indeed. He took the time to explain the procedure he was going to perform. I felt great after surgery I would definitely recommend him to everyone.
- Vicky C
Patient Review By Candy M
The staff and Dr. Moya were so wonderful and friendly to work with. So glad I came here to have my wisdom teeth removed.
- Candy M