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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Overall was a good experience, but any surgery will be painful. The staff was very friendly and the doctor was great. He made me feel comfortable.

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Any form of dentistry always makes us cringe. It would seem to be a natural reaction. We dread even making the initial call for an appointment. However, I can honestly say that after my tooth extraction, I would have no hesitation contacting this office again. Extremely busy, but well organized staff. From the moment you enter and approach the check-in counter, they are ready for "you". Very friendly and professional.

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Overall - - The receptionist, staff, & dental assistant were very pleasant & made me feel @ ease & comfortable in facing a tooth extraction. The Doctor (Dentist) made me feel at peace & felt real confident in his expertIse. The tooth extraction was done in a shorter period of time than I expected.

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Dr SanGiacomo rescued me by doing an unanticipated extraction shortly before an international flight. I was very grateful.

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Highly recommend this office. Great staff and dentist.

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The staff was wonderful you can tell they care about there patients.

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Very professional crew. Amazed at how painless the procedure was... The pain two days after was pretty bad, but following directions given by your office was very helpful....

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My surgery went well. I was very pleased with this office.

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I was anxious and the nurse as well as Dr. SanGiacomo assured me I would be fine. Through their caring ways and kind words, I was able to have my extractoin and bonegraft without any sedation. I highly recommend this office for needed oral procedures.

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Very warm and caring staff.They took me in on the same day I called and in 1 hour I was done.Wonderful Surgeon who was polite and very skilled.Will surely return if needed.

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I needed an emergency wisdom tooth extraction, but no one in the syracuse area was available. Dr. SanGiacomo's office explained the options I had if I wanted to have the procedure done immediately, and they were able to schedule me THAT DAY! Although I was hesitant to only use Novocain, the procedure was extremely quick and pretty much painless as far as tooth extraction goes.

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My experience with Cortland Oral Surgery was very enjoyable under the circumstances. I would definitely recommend them to anyone needing oral surgery.

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I could not have been more thrilled with the extraction of my wisdom tooth. I was very anxious, but the office staff were quick to put me at ease. Dr. SanGiacomo was friendly, fun, and expedient- and made a very stressful situation quite pleasant. My wisdom tooth extraction only took a few minutes, and I had very little pain. THANK YOU for a great experience!

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My 15 year old daughter had all four wisdom teeth extracted. The staff and doctor were so kind and funny and made her feel at ease. I was extremely happy with the entire experience. I would recommend this office over and over again.

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