Wisdom Teeth

By the age of 18 the average adult has 32 teeth: 16 teeth on top and 16 teeth on 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 into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that is meant to hold only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth”.

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 is not what generally happens. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, only partially emerge from the gum, or can even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt. An impacted tooth simply means that it is “stuck”.

These poorly positioned impacted teeth can cause many 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 pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. 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 impacted teeth usually resolves these problems. Early removal is recommended to avoid complications.

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.

Oral Examination

With an oral examination and x-rays of the mouth, Drs. Famiglio or Chun can evaluate the position of the wisdom teeth and predict if there are present or future potential problems. 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. Drs. Famiglio or Chun is trained, licensed, and highly experienced in providing various types of anesthesia for patients.


In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia), or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding bite down on the gauze placed in your mouth. 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, antibiotics, and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us at Exton: 610-383-7000 and Exton: Exton Office Phone Number 610-363-7000.

Wisdom Tooth Removal Overview

For a brief narrated overview of the wisdom tooth removal process, please click the image below. It will launch our educational MiniModule in a separate window that may answer some of your questions about wisdom teeth.

Our services are provided in an environment of optimum safety. We utilize modern monitoring equipment and our staff are experienced in anesthesia techniques.

Dr. Peter M. Famiglio & Associates - Brandywine Oral Surgery

5 out of 5 stars based on 83 Wisdom Tooth Extraction reviews.

Our Latest Patient Testimonial

My experience with Brandywine Oral Surgery was great!!! We scheduled at the Coatesville office. The office was clean and comfortable. We felt at ease from the start. We were greeted promptly by the friendly office staff. Dr. Famiglio even came out to talk with us before the procedure. I brought my 16 yr old daughter in to get all four of her wisdom teeth extracted. The procedure was quick. Afterwards while my daughter was recovering, Doctor Famiglio and his assistant Shelley came in, sat down, talked and made sure she was comfy several times. I would HIGHLY recommend Brandywine Oral Surgery!!!!

- Jennifer P

5 out of 5 stars on

Our Latest Patient Testimonial

I had all four of my wisdom teeth extracted under a local anesthetic and Dr. Famiglio and his assistants were very careful and professional. Every few minutes Dr. Famiglio would check on me and ask if I am doing ok. His assistants were cheering me on telling me I was doing great! I would definitely return if I needed any future oral surgery procedures.

- Sherri D

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. F and his staff were awesome. Our family would highly recommend him. He is was so kind to our daughter. ( She was completely freaked about the entire thing) Thank you Dr Familgio!!!

- Laura D

5 out of 5 stars on