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.

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.
Often comes and goes, and may spread to the jaw or ear.
Called pericoronitis; food and bacteria collect under the gum flap.
The back of the mouth is hard to clean, so cavities are common.
A tilted wisdom tooth can damage the root or bone of the tooth in front.
Usually found on a routine X-ray before it causes symptoms.
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.
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.
Upright but blocked by bone or gum. Often the simplest to remove.
Tilted forward toward the second molar. The most common type.
Lying on its side, pushing on the molar in front. Usually needs surgery.
Tilted back toward the jaw joint. Can be harder to reach.
The crown is under the gum only. Hard to clean and prone to infection.
Part of the tooth is still in the jawbone. Repeated infections and decay are common.
The whole tooth is in the bone. Removal may prevent cysts or damage to nearby teeth.
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.
Its angle and depth decide how it’s removed.
Measured on the 3D scan, not estimated.
Temporary numbness can happen after surgery; lasting changes are rare. We’ll go over your specific risks at your consultation.
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.
The area is completely numb and you’re fully awake. Suits simpler extractions. You can usually go home on your own.
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.
Provided in our office by an anesthesiologist, with our nursing team. Same fasting and escort rules as IV sedation.
Most patients recover quickly. Here’s a typical timeline.
Bite on gauze for bleeding, ice your cheeks, and take your medication as directed.
Some swelling, mild bleeding and soreness are normal. Cool, soft foods only.
You may notice mild bruising or jaw stiffness. Pain should be improving.
Many patients return to normal activities and most foods.
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 instructionsYour surgeon may place PRF, made from your own blood, in the sockets to support healing.
Teeth that don’t hurt can still cause problems over time. These are approximate risks for impacted wisdom teeth that are left in place.
develop a gum infection around the tooth (pericoronitis)
develop decay in the wisdom tooth or the molar beside it
develop gum and bone problems around the second molar
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.
Oral and maxillofacial surgeons complete years of hospital-based surgical and anesthesia training after dental school.

Oral and maxillofacial surgeon. Trained in oral and maxillofacial surgery and anesthesia at the University of Toronto.
Read profile
Oral and maxillofacial surgeon. Completed a four-year residency in oral and maxillofacial surgery.
Read profileGeneral anesthesia is provided in our office by an anesthesiologist, with our nursing team.
Sedation & anesthesiaYou’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 & CDCPOften 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.
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.
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.
Most people take two to four days off. Plan a quiet few days and avoid strenuous exercise for about a week.
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.
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.
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.
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.
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.
No. You can book a consultation directly. If your dentist has X-rays, ask them to send them to us.
Your consultation includes an exam, imaging if needed, and a clear plan with a written estimate. No referral needed.