Wisdom Teeth Removal

St. Lawrence Dentistry removes wisdom teeth awake or asleep. In 2002 Dr. Hawryluk Jr. completed a general practice residency with a focus on Wisdom teeth removal at the University of Colorado. He has removed thousands of wisdom teeth.

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Third molars, commonly known as your ‘wisdom teeth’, are typically the last teeth to erupt in your mouth. If healthy and functional your wisdom teeth can be useful. However, there are also reasons behind why you may need to consider removing your wisdom teeth.

Wisdom teeth can be ‘partially impacted’ which means the full crown of the wisdom tooth cannot fully penetrate through the gum. This configuration can cause swelling, pain and even infection of the surrounding gum.

They can also put pressure on the adjacent teeth, which can result in permanent damage to these otherwise healthy teeth and their surrounding bone. Often such an a configuration can lead to deep root decay of a second molar necessitating extensive treatment for the second molar if the wisdom tooth is not removed in a timely manner. Sometimes, impacted or partially impacted wisdom teeth can lead to the formation of cysts, and in rare scenarios even tumors, which can have drastic effects on your jaw bone. Lastly a fully erupted wisdom tooth sometimes needs to be removed because they are very hard to clean and can become severely decayed. So for these reasons sometimes it is prudent to consider wisdom teeth removal.

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The first step of treatment is to take a radiograph and to see what the status of your wisdom teeth are. In some cases Dr. Hawryluk may order a CT image which will give more information than a regular x-ray. In particular, the CT scan can tell exactly where the surrounding nerves are and give insight on how to safely remove your tooth. A discussion will ensue between you and your doctor about which teeth should be removed and the rationale behind the possible treatment. You will be may be given the option of doing the treatment awake, asleep, or with partial sedation.

If you elect to do the treatment awake you can expect to feel some controlled pressure but there should be no pain. The time it takes to remove is dependent on the tooth and the patient being worked on. Please keep in mind the procedures end goal is to ensure the best recovery and sometimes this means taking a slower methodical approach to the removal. Very mild sedation by Ativan tablets is an option if you are doing the wisdom tooth removal awake. If you would like Ativan for the procedure please let St. Lawrence Dentistry known in advance. We will dispense the Ativan to you when you arrive at our office. Since they are sublingual tablets they take effect quickly. Please note you cannot drive after taking Ativan and should arrange for a ride home.

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Removing teeth asleep is a very popular option at St. Lawrence Dentistry and we have been licensed by the Royal College of Dental to provide dental work asleep since 2006. The anesthetic services are provided by Board Certified Medical Anesthesiologists who work with Dr. Hawryluk to provide a safe relaxing environment for your wisdom teeth removal.

To learn more about dental work asleep please visit us here:

Preparing for Dentistry Asleep

Another possibility is removing wisdom teeth with Nitrous Oxide gas. This gas gives a floating feeling and can be helpful in helping patients relax. Dr. Hawryluk will discuss this option with you to see if it is right for you.

To learn more about nitrous oxide please visit us here:

Nitrous Oxide Dental Sedation Advantages

Sometimes there is an absolute need to removal a wisdom tooth such as in a case of infection. In other cases there can be a ‘relative need’. These are cases where there is no immediate need but leaving the wisdom tooth could pose problems which could be more difficult to deal with at a later date. In general, the younger you are, the faster you heal. The likeliness of short term complications also increases with age. This can be a rationale for removal. Dr. Hawryluk will go over all the pros and cons of removing wisdom teeth as it pertains to your individual situation so you can make an informed decision.

To learn more about wisdom teeth removal please visit us here:

Wisdom Teeth – Do They Need to Be Removed?

To learn more about after care following wisdom teeth (or any tooth extraction) please visit us here:

After Care Following Dental Extractions