Wisdom teeth evaluation and removal surgery

A common rite of passage for many young adults, wisdom teeth removal can be a straightforward, in-office procedure. Ideally, these third molars are extracted before they cause problems. But when complications arise—whether due to impaction, nerve involvement, or when accompanied by issues like cysts or tumors—specialized care is essential.

At Penn Medicine Oral and Maxillofacial Surgery, we use the latest research-based techniques and draw on the resources and expertise of a comprehensive health system to navigate even the most challenging cases with care and precision. During a wisdom tooth consultation, we carefully evaluate your condition to determine the best approach, considering factors like jaw size, position and angle of impacted teeth, infection risk, and overall oral health. For those who don’t require immediate tooth extraction, we may recommend periodic monitoring to proactively address any emerging risks. Whether your case is common or complex, Penn Medicine provides personalized care focused on your long-term well-being.

Wisdom teeth removal can become more complicated as people reach age 25 and older. The more mature molar roots may grow bent or crooked without sufficient space, and they may become entangled with sensitive nerves. In these cases, precision is critical. We use 3D imaging to assess root and nerve positioning and plan the safest surgical approach. When needed, our surgeons have access to the operating room and a full team of specialists to provide a level of care not typically available in private practice settings.

Additional capabilities that set Penn Medicine apart from other providers include:

• Expert anesthesia care: While most uncomplicated procedures are done in-office, we prioritize safety by ensuring that Advanced Cardiovascular Life Support (ACLS) certified doctors and nurses are present for sedation. If general anesthesia is required, an anesthesiologist is always available for monitoring and support.
• Advanced and combined procedures: We’re able to perform specialized procedures such as bone grafting, ensuring comprehensive care for complex conditions. For patients needing multiple oral procedures, our multidisciplinary team can coordinate treatments efficiently.
• Deep experience in complex cases: We perform a high volume of complicated wisdom tooth extractions and regularly address unusual dental and oral conditions.

Advancing oral health and surgery through research

We’re dedicated to advancing the field of oral surgery through ongoing research. Our oral and maxillofacial surgeons are actively involved in research studies focused on post-operative pain management, with an emphasis on reducing the need for opioid pain medication following wisdom teeth removal. By exploring alternative pain relief options, we aim to improve patient care and promote safer recovery practices.