Extraction of Erupted and Impacted Teeth

New York Oral, Maxillofacial, and Implant Surgery Scarsdale NY

Wisdom Teeth Removal Scarsdale NY

By the age of eighteen, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth, or molar teeth, are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your Third Molars, also known as “wisdom teeth.”

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Why Should I Remove My Wisdom Teeth?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and the gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain and illness. The pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted tooth or teeth usually resolves these problems.

Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure. In fact, in some children, the teeth can be removed from ages 7-10 (wisdom tooth “buds”) when they are minimally developed. This significantly minimizes the risks and postoperative recovery for the child.

Wisdom Teeth Presentation

To provide you with a better understanding of wisdom teeth, we have provided the following multimedia presentation. Many common questions pertaining to wisdom teeth are discussed.

Wisdom Teeth Presentation

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Orentlicher, Dr. Horowitz and Dr. Steinberg can evaluate the position of the wisdom teeth and predict if there may be present or future 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. Drs. Orentlicher, Horowitz and Steinberg have the training, licenses and experience to provide various types of anesthesia for patients to select the best alternative.


In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia), intravenous sedation, or general anesthesia. These options, as well as the potential surgical risks (i.e. sensory nerve damage, sinus complications) will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured, usually with a dissolvable suture.

To control bleeding, biting down on a gauze pad placed over the surgical site helps. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your post-operative kit will include postoperative instructions, prescriptions for pain medication and/or antibiotics, and a follow-up appointment in one week. If you have any questions, please do not hesitate to call us at New York Oral, Maxillofacial, and Implant Surgery Phone Number 914-472-0100.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff that are experienced in anesthesia techniques. If you have any questions, please don’t hesitate to ask us.

Read Our Patient Reviews on this Procedure

New York Oral, Maxillofacial, and Implant Surgery

5 out of 5 stars based on 9 Extraction of Impacted Teeth reviews.

Patient Review By S. G.

When I was nine months pregnant with my first child, I was in great pain and in need of a wisdom tooth extraction. Dr. Gary Orentlicher removed my tooth painlessly and with ease and took extra precautions to prevent exposing my unborn child to any potential risks. I knew that under his care I was in the best of hands. He answered all of my questions, and had a superb bedside manner, making sure that I was comforable at all times. His assistant and staff were very kind as well. I would highly recommend Dr. Orentlicher and his practice.

- S. G.

5 out of 5 stars on

Patient Review By Peter R.

The staff makes you feel very cared for. Very friendly, recognize me as soon as I walked in through the door. I have been bringing my family to these doctors forever and they never fail with me. The doctor is very knowledgeable, great bedside manner. The staff always reassuring and always greet you with a smile and know your name.

- Peter R.

5 out of 5 stars on

Patient Review By Dana G.

From the front desk to the doctor and assistants, everyone was very friendly, having a child with special needs, the staff made everything very easy for us.

- Dana G.

5 out of 5 stars on

Patient Review By Gene D.

Dr. Horowitz extracted #13 tooth on Wednesday morning. He offered me pain medication, which he said I may need. I passed on the pain medication. He did such a wonderful extraction that I didn't even need Tylenol. I have had NO pain since. How does a doctor pull a tooth out of your head and you have NO pain ?!? I have had teeth pulled prior,with other dentists/surgeons and always some pain. Not this time . Doctor Horowitz is the man !! Thank you Doc ! Gene Dubicki

- Gene D.

5 out of 5 stars on

Patient Review By Rona F.

I would highly recommend them to anyone. Going to the dentist/oral surgeon has never been easy for me. But they were the only ones who made it just that-easy!

- Rona F.

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Patient Review By Marcos O.

I was referred to Dr. Orentlicher by a friend who has been a patient of his for years and I could not be more grateful. I was dealing with some high levels of pain and needed help promptly. During my visit, Dr. Orentlicher was able to put me at ease with his calm demeanor. The procedure went great and I had minimal pain afterwards. I would highly recommend Dr. O to anyone.

- Marcos O.

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Patient Review By Jessica S.

Dr. Orentlicher and his staff made my teens and their mama comfortable, well- informed and well prepared for the procedure as well as what to expect post-operatively. They consistently provide great care, skill and follow-up.

- Jessica S.

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Patient Review By Stephanie M.

I found out that I had four impacted wisdom teeth and was frightened about the procedure. Dr. Gary Orentlicher went above and beyond to explain the procedure in detail, ease my fears and follow-up to see how I was doing afterward. I knew several people who went elsewhere and had pretty bad bruising and swelling, but not me. In fact, I was even well enough to go out later that night with family and have a little something to eat. The pain was minimal because of the care I received prior to, during and after surgery. I would highly recommend this practice and would not hesitate to go back if I need any additional treatment.

- Stephanie M.

5 out of 5 stars on

Patient Review By Talia O.

I came to see Dr. Orentlicher to remove both of my wisdom teeth recently. It was a procedure I put off as long as I possibly could as I had been warned by friends how painful it could be. Dr. Orentlicher was incredibly thorough, explaining every step of the process as he went - and so gentle I could hardly believe it! I'm not a person who usually handles pain very well, but the procedure went so smoothly and the recovery time was truly minimal. He even answered my calls over the weekend when I had questions about follow up care and medication. Highly recommended!

- Talia O.

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