Wisdom teeth removal · Oakville

Wisdom teeth removal, planned carefully and done in comfort

Our oral and maxillofacial surgeons remove wisdom teeth of every kind, from simple extractions to deeply impacted teeth close to the nerve. You can choose local anesthesia, IV sedation, or general anesthesia with an anesthesiologist.

  • Oral & maxillofacial surgeons
  • General anesthesia in our office
  • 3D CBCT imaging
  • No referral needed
Surgeon reviewing a treatment plan with a young patient
Your consultationAn exam and imaging, your anesthesia options, and a written estimate.
Do they need to come out?

Signs your wisdom teeth may need attention

Wisdom teeth, or third molars, usually appear between ages 16 and 25. When there’s enough room and they’re easy to clean, they can stay. When there isn’t, problems are common.

Pain or swelling at the back of your mouth

Often comes and goes, and may spread to the jaw or ear.

Gum infection around a partly erupted tooth

Called pericoronitis; food and bacteria collect under the gum flap.

Decay in the wisdom tooth or its neighbour

The back of the mouth is hard to clean, so cavities are common.

Pressure on the second molar

A tilted wisdom tooth can damage the root or bone of the tooth in front.

A cyst or change seen on an X-ray

Usually found on a routine X-ray before it causes symptoms.

Not enough room to come in

Teeth stuck partway are hard to clean and rarely improve on their own.

Not every wisdom tooth needs to come out. If yours are healthy, upright and easy to clean, we may recommend checking them with regular X-rays instead.

Types of impaction

How a wisdom tooth is positioned changes the surgery

An impacted tooth is one that can’t come in fully. Your surgeon looks at its angle and how deep it sits, and explains what that means for your treatment.

Vertical

Upright but blocked by bone or gum. Often the simplest to remove.

Mesioangular

Tilted forward toward the second molar. The most common type.

Horizontal

Lying on its side, pushing on the molar in front. Usually needs surgery.

Distoangular

Tilted back toward the jaw joint. Can be harder to reach.

Soft tissue impaction

The crown is under the gum only. Hard to clean and prone to infection.

Partial bony impaction

Part of the tooth is still in the jawbone. Repeated infections and decay are common.

Complete bony impaction

The whole tooth is in the bone. Removal may prevent cysts or damage to nearby teeth.

Planning in 3D

Close to the nerve? We measure before we operate

The nerve that gives feeling to your lower lip and chin runs through the lower jaw, often just below the roots of the wisdom teeth. A regular X-ray shows the tooth in two dimensions. When the roots look close to the nerve, a 3D CBCT scan in our office shows the exact distance, so your surgeon can plan the safest approach.

  1. The impacted wisdom tooth

    Its angle and depth decide how it’s removed.

  2. The distance to the nerve

    Measured on the 3D scan, not estimated.

  3. The nerve to the lip and chin

    Temporary numbness can happen after surgery; lasting changes are rare. We’ll go over your specific risks at your consultation.

Side view of the lower jaw showing an impacted wisdom tooth with its roots close to the nerve that supplies feeling to the lower lip and chin.123← front of mouth
Lower jaw, side view, simplified. The numbers match the list.
Your comfort

Choose how awake you want to be

All three options are available in our office. We’ll help you choose based on your teeth, your health and how you feel about the procedure.

Awake

Local anesthesia

The area is completely numb and you’re fully awake. Suits simpler extractions. You can usually go home on your own.

Relaxed and drowsy

IV sedation

Medication through a small IV in your arm. Most patients remember little of the procedure. No food or drink for 8 hours before, and a responsible adult takes you home.

Fully asleep

General anesthesia

Provided in our office by an anesthesiologist, with our nursing team. Same fasting and escort rules as IV sedation.

More about sedation & anesthesia

Recovery

What healing looks like

Most patients recover quickly. Here’s a typical timeline.

  1. 0
    Surgery day

    Rest and ice

    Bite on gauze for bleeding, ice your cheeks, and take your medication as directed.

  2. 1
    Days 1 to 2

    Swelling and soreness

    Some swelling, mild bleeding and soreness are normal. Cool, soft foods only.

  3. 3
    Days 3 to 5

    Swelling settles

    You may notice mild bruising or jaw stiffness. Pain should be improving.

  4. 7
    One week

    Back to routine

    Many patients return to normal activities and most foods.

  5. 14
    Two weeks

    Gums healed

    Most soft-tissue healing is complete. The bone keeps filling in over the coming months.

Call us if pain gets worse after day three, if you have a fever, or if swelling increases after day three.

Post-operative instructions

Your surgeon may place PRF, made from your own blood, in the sockets to support healing.

If you keep them

What the research shows about impacted wisdom teeth

Teeth that don’t hurt can still cause problems over time. These are approximate risks for impacted wisdom teeth that are left in place.

1–5%per year

develop a gum infection around the tooth (pericoronitis)

1–4%per year

develop decay in the wisdom tooth or the molar beside it

25–50%over 10–20 years

develop gum and bone problems around the second molar

<0.1%per year

develop a cyst or benign tumour

The risk of needing removal is highest between ages 20 and 25 (about 3–6% per year) and lower between 26 and 35 (about 1–3%). Removing problem teeth earlier usually means an easier surgery and faster healing.

Your surgical team

Wisdom teeth removed by oral and maxillofacial surgeons

Oral and maxillofacial surgeons complete years of hospital-based surgical and anesthesia training after dental school.

Dr. Martin Cloutier
DMD, MSc, FRCD(C), Dipl. ABOMS

Dr. Martin Cloutier

Oral and maxillofacial surgeon. Trained in oral and maxillofacial surgery and anesthesia at the University of Toronto.

Read profile
Dr. Justin MacRae
DDS, MSc

Dr. Justin MacRae

Oral and maxillofacial surgeon. Completed a four-year residency in oral and maxillofacial surgery.

Read profile

General anesthesia is provided in our office by an anesthesiologist, with our nursing team.

Sedation & anesthesia
Cost & insurance

What affects the cost

  • How many teeth are removed
  • How deeply they’re impacted
  • Local anesthesia, IV sedation or general anesthesia

You’ll get a written estimate after your consultation. Most dental plans cover part of wisdom tooth removal, we can send a pre-determination to your insurer, and we accept the Canadian Dental Care Plan.

Fees, insurance & CDCP
Before & after

Instructions for your surgery

Questions

Wisdom teeth FAQ

Don’t see your question? Call us at (905) 582-2188.

What’s the best age to remove wisdom teeth?

Often between the late teens and mid-20s, when the roots aren’t fully formed and healing tends to be faster. We base our recommendation on your X-rays and symptoms, not age alone.

Do all four need to come out?

Not always. We recommend removing the teeth that are causing problems or are likely to. Many patients have all four removed in one visit so they only recover once.

Will I be awake?

That’s your choice. With local anesthesia you’re awake but numb; with IV sedation you’re relaxed and drowsy; with general anesthesia, provided by an anesthesiologist, you’re fully asleep.

How much time off school or work will I need?

Most people take two to four days off. Plan a quiet few days and avoid strenuous exercise for about a week.

Can I drive myself home?

Only if you had local anesthesia alone. After IV sedation or general anesthesia, a responsible adult must take you home and stay with you for 24 hours, and you shouldn’t drive for 24 hours.

What can I eat afterward?

Cool, soft foods for the first few days, such as yogurt, smoothies eaten with a spoon, eggs, pasta and soup that isn’t hot. Avoid straws, crunchy foods and alcohol. Most people are back to a normal diet within about a week.

What is dry socket?

It happens when the blood clot is lost from a socket, usually two to four days after surgery, causing pain that gets worse instead of better. Avoid smoking, straws and vigorous rinsing. If it happens, call us; we can treat it in the office.

Is wisdom tooth removal covered by insurance?

Most dental plans cover part of it, and we accept the Canadian Dental Care Plan. We can send a pre-determination so you know your share before booking.

What happens if I leave them in?

Many impacted teeth cause no trouble, but some lead to infection, decay, gum disease around the second molar or, rarely, cysts. If you keep them, have them checked with regular X-rays.

Do I need a referral?

No. You can book a consultation directly. If your dentist has X-rays, ask them to send them to us.

Next step

Have your wisdom teeth checked

Your consultation includes an exam, imaging if needed, and a clear plan with a written estimate. No referral needed.