Wisdom Tooth Removal in McKinney, TX

Not necessarily. Wisdom teeth that are fully erupted, properly aligned, healthy, and easy to clean may not require removal. Dr. Steven evaluates each tooth individually based on its position, the available space, and any symptoms or structural concerns. The goal is always the most conservative approach appropriate for your situation.

The late teens to mid-twenties is generally optimal. At this stage the roots are not fully formed, the surrounding bone is less dense, and healing tends to be faster and more predictable. That said, wisdom teeth can be removed at any age when they are causing problems. Earlier is easier, but it is never too late.

Local anesthesia is used for all extractions. Oral conscious sedation is available for patients who want a more relaxed experience. Dr. Steven will discuss both options and help you choose based on your comfort level and the complexity of the extraction.

Most patients experience two to four days of swelling, soreness, and mild fatigue. Swelling peaks around day two and then gradually resolves. Soft foods and limited activity are recommended for the first few days. Full healing of the surgical site takes approximately two weeks, though most patients feel close to normal within a week.

For post-extraction discomfort, taking acetaminophen (Tylenol, 500mg) and ibuprofen (Advil or Motrin, 800mg) simultaneously is more effective than either medication alone. This combination is safe for most healthy adults at these doses. Take as directed and with food. Antibiotics will be prescribed if indicated. Do not take both medications at the same time if you have contraindications; Dr. Steven will review your medications before treatment.

Dry socket occurs when the blood clot that forms in the extraction site is dislodged or dissolves prematurely, exposing the underlying bone. It causes significant pain typically starting two to four days after extraction. To prevent it: avoid straws for at least 72 hours, do not smoke, avoid spitting forcefully, and eat only soft foods for the first few days. Following the post-operative instructions carefully makes dry socket uncommon.

Standard two-dimensional X-rays show the shape of the roots but cannot reliably show the three-dimensional relationship between the tooth and the inferior alveolar nerve, which runs directly below the lower wisdom teeth. CBCT imaging gives Dr. Steven a three-dimensional view of that anatomy, which is important for planning safe extractions and avoiding nerve-related complications.

Yes. Impacted wisdom teeth can push against the adjacent second molars and cause root resorption (where the pressure dissolves the neighboring root). They can also shift the alignment of the front teeth over time. Monitoring wisdom teeth before they cause damage is one of the reasons Dr. Steven evaluates them at routine checkups.