Wisdom Teeth (Third Molars) 

By the age of 18, 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 (molar teeth) are used to grind food up into a consistency suitable for swallowing.

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

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.”

Call our offices in West Orange NJ at West Orange Office Phone Number 973-736-7616, West Caldwell NJ at 973-575-8575 or Parsippany NJ at 973-335-3777, today!

Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally occur. 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). Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt. These poorly positioned impacted teeth can cause a variety of problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The position of an impacted wisdom tooth, may prevent eruption of the adjacent tooth and/or cause damage to that tooth, which could ultimately result in its premature loss. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted teeth usually resolves these problems. Early removal of wisdom teeth is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Oral Examination

With an oral examination and panoramic x-ray of the mouth, the doctors of the Metropolitan Craniofacial Center can evaluate the position of the wisdom teeth and predict if there are present or may be future problems. Based on the panoramic x-ray, your surgeon may order a 3-D Cone Beam Scan to further evaluate the proximity of any vital structures. 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. Dr Henry Falk, Dr Gary Vitale, and Dr Theodore Niebloom have the training, license 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, nitrous oxide/oxygen analgesia (laughing gas), intravenous sedation or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you at your consultation appointment. Once the teeth are removed, the gum is sutured.  You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotic prescription if required, ice pack, gauze and a follow-up appointment in one week for post-operative evaluation. If you have any questions, please do not hesitate to call us at one of our three office locations.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are experienced in anesthesia techniques.

Learn More About Wisdom Tooth Removal

For more information, or to schedule a consultation appointment, call our offices in West Orange NJ at West Orange Office Phone Number 973-736-7616, West Caldwell NJ at 973-575-8575 or Parsippany NJ at 973-335-3777.

Metropolitan Craniofacial Center, P.A.

5 out of 5 stars based on 4 Wisdom Teeth reviews.

Our Latest Patient Testimonial

Staff was great, they are very informative from beginning to end. They made sure they provided all options with all costs so I could be informed to make a decision that was best for my care and pockets. As far for doctor, OMG!! great skills, great doctor in explaining what will be done and great sense of humor to calm me down. Dr. Falk is great and highly recommend him.

- Lazaro D

5 out of 5 stars on

Our Latest Patient Testimonial

Overall our experience with Dr. Niebloom and his office was very positive. He and his staff were amazing with my daughter! He was kind and compassionate and listened to all concerns prior to surgery as well as post op. He was able to make my daughter feel comfortable when she was very nervous and he went above and beyond what most doctors would do. We were always able to get an appointment quickly and the office staff was always pleasant and accommodating. Wouldn't go anywhere else!

- Kerri F

5 out of 5 stars on

Our Latest Patient Testimonial

The technique was highly organized and well-executed by Dr. Vitale and other staff I encountered. The procedure went really quickly and involved only a little tugging sensation (with just local anaesthesia). The doctor himself called that evening to make sure things were going well. No swelling, no pain. Overall excellent people, excellent service.

- Dr. Carol P

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Henry Falk is the only oral surgeon I would trust for my Family. His compassion, kindness, gentleness and clinical expertise make him stand out among other doctors in his field. You need only meet him once to understand what a wonderful surgeon and person he is.

- Ellen S

5 out of 5 stars on