Impacted Wisdom Teeth

What Are Wisdom Teeth?

Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in the back of your mouth, behind your second molars. Their development is usually completed between the middle teenage years and early twenties, a time traditionally associated with the onset of maturity and the attainment of wisdom.

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

What Is An Impacted Tooth?

Although most people develop and grow 32 permanent adult teeth, many times their jaws are too small to accommodate the four wisdom teeth. When inadequate space prevents the teeth from erupting they are called impacted. This indicates their inability to erupt into the proper position for chewing and cleaning.

A diagram half mouth X-ray with teeth impaction and half digital graphic highlighting impacted teeth

Types Of Impactions

We will need to see you for a consultation to determine if you will benefit from wisdom tooth removal. A special x-ray of your mouth and jaws (panorex) will be taken to determine if your wisdom teeth are impacted, if there is room for them to erupt, and how difficult it will be to have them removed.

  • Soft Tissue Impaction: There is not enough room to allow the gum tissue to retract for adequate cleaning of the tooth.
  • Partial Bony Impaction: There is enough space to allow the wisdom tooth to partially erupt. However, the tooth cannot function properly in the chewing process, and creates cleaning problems, among others.
  • Complete Bony Impaction: There is NO space for the tooth to erupt. It remains embedded in the jaw bone or if even partially visible requires complex surgical techniques for removal.The impacted wisdom tooth may also be in an unusual position and difficult to remove. This situation can also arise when the shape or size of the jaw bone and other facial structures make removal of this tooth significantly more complex.
A representation of a wisdom tooth impacted by soft tissueSoft Tissue
An example of a wisdom tooth with a partial bony impactionPartial Bony
An illustration of a wisdom tooth completely impacted by boneComplete Bony

Cortland Oral Surgery

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Upon call to have a tooth extracted I received a appointment that week and a time that worked for me. I used the on line site to fill out the paper work so to speed up everything upon my arrival. The dr. and his assistant made me feel comfortable answered all my question and kept informed all through the procedure. After the procedure the assistant went over what I should expected and do now that the tooth was removed. I also received a hand out what she had gone over and said if I had any questions to call. The over all experience went smooth and the Dr. and staff were great.

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I was extremely happy with my experience in your office. Dr. SanGiacomo and his staff were excellent in terms of efficiency, courtesy and kindness. The procedure was flawless and pain free. I was expecting to awake the next day in pain, yet I was surprised to wake with little to no pain and no need to take any pain medication. Thank you all. Paul

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It was a great experience! Nobody likes the dentist but this office really made it comfortable, easy, and fast! The doctor/dentist was GREAT!!

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The visit was Great! When I called the day before and made appt. It was for 3:30 the next day and after filling out information on line for my appt. The receptionist called me back and was able to get me in that next morning at 8:30 instead! I was in alot of pain and my face was swellon. I was scared and the Dr was joking around with me and it helped me loosen up! Thank you for that!!

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I think I said it all love the quick service !!

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Doctor and staff was great

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It was recommended by my dentist to have one of my wisdom teeth removed to avoid complications in the future. They recommended Dr. SanGiacomo. After examination of my teeth, he carefully explained why there was no reason to remove two perfectly fine wisdom teeth at this time. I was very impressed by his professionalism and integrity (and at the same time very relieved).

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no problems, good at his job, laughed even... lol

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Very friendly staff and doctor that helped put me at ease and answered my questions .

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Scheduling was fast! The front office staff were very friendly. I did not have to wait! The dental assistant was so very nice and made me feel comfortable. Dr. SanGiacomo was welcoming and very friendly. This was probably the best visit to the dentist I have ever experienced! Thank you!

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If you have to have a tooth extracted, this is a great place day to have it done - everyone was both professional and friendly and Dr. SanGiacomo’s skill and experience along with his ability to clearly explain the process gave me confidence that all would be well. Thank you!!!

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I was totally pleased. It is so good to be able to feel so confident in a medical professional.Keep it up!!!!!

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I wrote a review. Debbie is wonderful and so efficient in making all the emergency arrangements. The Dentist was excellent!

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The Doctor there is the best and the staff super nice and efficient. Dental visits involving a significant procedure have always made me uncomfortable to say the least. My first visit was several years ago and I was amazed how great the Doctor and staff was. On my second recent visit I was very comfortable going because I knew I was in the best hands for the procedure and again very impressed with their professional work.

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Great experience! Friendly staff.

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Not sure if my previous review was received so have done a second one. Walked in after being referred by my dentist to get information on tooth extraction. Worked out that they could take me in that afternoon. With less time to worry, all the staff were professional, courteous and very calming. The doctor walked me through the procedure to extract a tooth and put my nerves at ease. Would recommend them to anyone, very pleased. Thank you to all.

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