Wisdom teeth (third molars) erupt between ages 17 and 25. Due to lack of space in the modern dental arch, they are frequently impacted (trapped in bone), malpositioned (mesioversion, horizontal position), or only partially erupt — exposing surrounding gum tissue to recurring infections called pericoronitis.
Evaluation and clinical decision: The dental panoramic is the first-line examination to visualize wisdom tooth position. In complex cases — particularly when proximity to the inferior alveolar nerve is concerning — a 3D CBCT precisely evaluates anatomical relationships and enables surgical planning while minimizing risks. Preventive extraction between ages 16 and 25 — before root completion — is associated with simpler surgery and faster healing.
Impacted teeth and orthodontics: Upper canines are, after wisdom teeth, the most frequently impacted teeth (approximately 2% of the population). When a canine or other permanent tooth doesn't erupt naturally, surgical exposure followed by orthodontic traction allows the natural tooth to be preserved in the majority of cases. We establish, when required, direct communication with your orthodontist to ensure treatment plan coherence.
Procedures we offer
Extraction of Impacted or Partially Impacted Wisdom Teeth
Surgical extraction under local anesthesia or IV sedation. Panoramic imaging or CBCT depending on complexity.
Extraction of Malpositioned Wisdom Teeth
Teeth in mesioangular, horizontal, or rotated positions that pressure adjacent molars or cause pericoronitis.
Surgical Exposure of Impacted Teeth for Orthodontics
Exposure and bracket placement on canines, premolars, or incisors that fail to erupt naturally.
Surgical Bracketing
Placement of orthodontic bracket during surgical exposure for progressive orthodontic traction.