Advanced Oral Surgery

Wisdom Teeth, Extractions & Impacted Canines

When a tooth is causing pain, infection, pressure on nearby teeth, or erupting the wrong way, timely surgical treatment can prevent bigger problems and make the entire process smoother, safer, and more comfortable.

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Accurate diagnosis before extraction

Not every wisdom tooth needs to be removed. The right decision depends on symptoms, position, hygiene access, and the risk of future complications.

A precise surgical approach

Careful planning helps reduce unnecessary trauma, protect surrounding tissues, and support a smoother recovery.

A plan for what comes next

When a tooth does need to come out, it helps to think ahead about healing, bone preservation, and future replacement when relevant.

When should you come in for an evaluation?

Pain, pressure, or swelling around a wisdom tooth
Repeated gum infections or difficulty opening the mouth
A broken tooth or a tooth that cannot be predictably restored
Orthodontic concerns or significant crowding
An impacted canine that has not erupted properly

Wisdom teeth

Wisdom teeth do not always need to be removed. But when they are impacted, difficult to clean, causing pain, infection, decay, or damage to the adjacent tooth, extraction may be the best way to prevent more serious issues later.

Tooth extractions

Sometimes a tooth can no longer be predictably saved because of extensive decay, a deep fracture, advanced infection, or significant loss of support. In these cases, the goal is not only to remove the problem tooth, but also to set the stage for proper healing and the best long-term restorative outcome.

Impacted canines — expose and bond

When a permanent canine does not erupt properly, surgical exposure and orthodontic bonding may help guide it into the arch in coordination with your orthodontist. This kind of treatment benefits from careful imaging, timing, and precise execution.

What does the process look like?

Evaluation and imaging

A clinical exam and appropriate imaging help clarify the exact tooth position, anatomy, and complexity of treatment.

Personalized treatment planning

You will receive a recommendation based on your symptoms, the condition of the tooth, and the long-term effect on your oral health.

Surgical treatment

The procedure is performed with a focus on precision, comfort, and safety.

Recovery and follow-up

You will leave with clear post-operative instructions and a follow-up plan when needed.

Why patients choose Dr. Agatstein

Dr. Agatstein combines advanced surgical training with a calm, clear, and thoughtful approach to treatment. The goal is not only to remove a problem tooth, but to do so carefully, comfortably, and with a clear plan for healing and long-term stability.

Frequently Asked Questions

Do all wisdom teeth need to be removed?

No. Many wisdom teeth can simply be monitored when they are healthy, functional, and easy to clean.

Is extraction always painful?

The procedure itself is performed with appropriate anesthesia. Some soreness and swelling afterward can be expected, but most patients do well with standard recovery instructions.

How quickly can I get back to normal?

That depends on the type of extraction and your healing response, but many patients start easing back into routine activities within a few days.

What if the tooth needs to be replaced later?

If replacement is needed, future restorative options such as an implant can be discussed based on the condition of the bone and surrounding tissues.

Not sure whether the tooth really needs to come out?

A thorough consultation can save you pain, confusion, and avoidable complications.

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