Wisdom Teeth Removal | Leominster & Gardner MA

Oral Examination for Extraction of Wisdom Teeth

With an oral examination and x-rays of the mouth, Drs. Colarusso, Baran and Kobakov 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:

A representation of a pericoronitis infection on a wisdom tooth


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.

An example of a cyst formation on a wisdom tooth

Cyst Formation:

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.

An illustration of teeth crowding caused by a wisdom tooth

Possible Crowding:

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.

A visual of a wisdom tooth damaging an adjacent tooth

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.

smiling teenage son with his mother

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.

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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 Leominster Office Phone Number (978) 534-8300 to speak to one of our patient care coordinators.

A smiling woman

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.

Central Mass Oral Surgery

5 out of 5 stars based on 77 Wisdom Teeth reviews.

Patient Review by Kelly M

The least stressful appointment I ever had. Every member of the staff was terrific and informative.

- Kelly M

5 out of 5 stars on

Patient Review by Keanna G

Very beautiful accommodations and staff were compassionate, supportive and helpful.

- Keanna G

5 out of 5 stars on

Patient Review by Iliana B

Very friendly staff. Not a lot of waiting. Dr. Kobakov was very helpful and friendly.

- Iliana B

5 out of 5 stars on

Patient Review by Olivia M

Very easy to give 5 starts based on the staff alone. All of them. Super friendly, informative and made me feel at ease.

- Olivia M

5 out of 5 stars on

Patient Review by Brandon F

Doctor seemed to know his stuff, and was friendly. However, before meeting him I could hear him cursing about his workday in the hallways, then he appeared to not want to give any time to my consultation, and was walking out the door while I was asking a question. In the end he answered my questions, but it appeared as though he was rushing onto the next thing.

- Brandon F

4 out of 5 stars on

Patient Review by Tea F

They made me feel at ease and took care of me very nicely. I appreciated everyone there they did a nice job and I would for sure go back 🙂 thank you guys!!

- Tea F

5 out of 5 stars on

Patient Review by Julia A

Very friendly and professional staff!

- Julia A

5 out of 5 stars on

Patient Review by Kristen S

Really kind

- Kristen S

5 out of 5 stars on

Patient Review by Jane F

Have been to this office multiple times. Always a pleasant experience!

- Jane F

5 out of 5 stars on

Patient Review by Jay W

Very courteous and professional, put me at ease and helped me to relax

- Jay W

5 out of 5 stars on

Patient Review by Jami C

Couldn’t have been happier with everyone I came in contact with at CMOS today. They took me right away and were so friendly and easy to talk to and made me feel at ease from start to finish. The Dr. made sure I was never feeling any pain and asked me how I was doing multiple times throughout the procedure. Highly recommend CMOS!

- Jami C

5 out of 5 stars on

Patient Review by Jaiynessa C

This is to be the most cleanest& friendliest,Oral Surgeon Dentist Office Ives ever encountered in my time..as wells it's located right the corners from my house& I dds indeed gives ur facility's phine number& address to Masshealth to spreads the words about ur Practice.

- Jaiynessa C

5 out of 5 stars on

Patient Review by Shamus G

It was a fantastic experience as far as staff and environment over all. Thank you.

- Shamus G

5 out of 5 stars on

Patient Review by Brian D

Central Mass Oral Surgery made what can often be a difficult procedure as easy and pleasant as possible. The staff members we met were all incredibly informative and friendly and the facility itself is very clean and truly lovely. My son required that his wisdom teeth be extracted rather suddenly and CMOS was able to fit us in quickly, getting the whole process completed from initial phone call to post surgical appointment in a 2-week span. We are very appreciative of the service we received and would highly recommend them to family and friends.

- Brian D

5 out of 5 stars on

Patient Review by Grace B

The office all around is fantastic.

- Grace B

5 out of 5 stars on

Patient Review by Kristin B

Very friendly staff Doc was very thorough in his exam and explanation of surgery

- Kristin B

5 out of 5 stars on

Patient Review by Greg B

Great service, cared about you needs.

- Greg B

5 out of 5 stars on

Patient Review by Blue F

This is our families 4th tooth extraction at CMOS. Each experience has gone smoothly.

- Blue F

5 out of 5 stars on

Patient Review by Quinn L

Everyone was incredibly kind and professional, and everything was explained to me extremely well, from the procedure to the billing. I'm very happy with my experience!

- Quinn L

5 out of 5 stars on

Patient Review by Christian G

In and out fast, got follow-up appointment as requested. All great for first visit.

- Christian G

5 out of 5 stars on