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Wisdom Teeth Extractions

Wisdom Teeth Extractions in Austin

 

Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt (surface) in the mouth, generally making their appearance between the ages of 17 to 25. They are located at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” stems from the idea that the molars surface at a time typically associated with increased maturity or “wisdom”.

In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors.

There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth’s crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.

Partial Bony Impaction: The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it is difficult to keep the area clean, infection will commonly occur.

Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques.

Reasons to remove wisdom teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

  • Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (cavities), periodontal disease (gum disease) and possible bone loss.
  • Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.
  • Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger.
  • Tooth Crowding: It has been theorized that impacted wisdom teeth can put pressure on other teeth and cause them to become misaligned (crowded or twisted). This theory isn’t universally accepted by all dental professionals, and it has never been validated by any scientific studies.

Wisdom teeth examination

As with any dental procedure, your dentist will want to initially conduct a thorough examination of the wisdom and surrounding teeth. Panoramic or digital X-rays will be taken in order for your dentist to evaluate the position of the wisdom teeth and determine if a current problem exists, or the likelihood of any potential future problems.  The X-rays can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment (typically in the mid-teen years) is recommended in order to identify potential problems and to improve the results for patients requiring wisdom teeth extractions. Only after a thorough examination can your dentist provide you with the best options for your particular case.

What does the removal of wisdom teeth involve?

Wisdom teeth removal is a common procedure, generally performed under local anesthesia, intravenous (IV) sedation, or general anesthesia by a specially trained dentist in an office surgery suite. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication (if necessary), to help manage any swelling or discomfort.

Testimonials.

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Testimonials

If you are reading this testimonial, I assume you are looking to alleviate pain in one or more of your teeth or to improve your smile cosmetically. Either way you can save yourself some time, stop right now and go make an initial evaluation appointment with Dr.Gotun and his staff at their cozy, comfortable office with a relaxing peaceful view of Eanes Creek. You can search the 1200 or more listings in the Austin area and the BEST you could hope for would be to find another dentist equally as skilled and talented as Dr.Gotun. I do NOT think it is possible to get BETTER quality dental work than what you will get at this office.

The one thing that made everything so simple for me was the photographs. During the initial exam Dr.Gotun takes a series of photographs of your teeth along with x-rays. You then get to see your teeth on a laptop screen, in color, up close and larger than life. If you can live with what you see then you can count your blessings and Dr.Gotun will let you be on your way, unless of course you would like to schedule a cleaning!

In my case I could see the damage, decay and buildup from many years of poor oral hygiene and neglect. In addition to the problem teeth that brought me to the dental office I could easily see that most of my teeth were in need of some type of restoration work. Dr. Gotun has my permission to show all of my records to anyone interested in seeing them. I am sure you will be as amazed as I still am at what Dr. Gotun was able to accomplish considering the very poor condition my teeth were in at the start of the process.

The cost was substantial in my case due to amount of work that was required. However, the work was spaced out over several years which made the cost much easier to budget. Dr.Gotun was not on my dental insurance plan, so I accessed some savings and my credit to finance the work and paid it off like any other significant asset I have purchased. My teeth are the most rewarding investment I have ever made.

If I could give anyone one bit of advice other than my story, it would be “do NOT let dental insurance be the major factor that guides your decision-making”. I was never happy with any of the experiences or results I had when I tried to use the dentists that were covered under my plan. I am proof that 12 years on with regular flossing and brushing, the investment in your restoration work done by Dr.Gotun can still be yielding satisfaction and compliments from friends and random strangers.

I have never gone to bed without flossing and brushing after seeing those photographs in my initial visit. Good luck and I hope to be reading your success story here sometime in the future.

Chuck M. Austin, TX

Dr. Tor Gotun probably saved my life and he's added some years to it. You don't usually say that about your dentist, but I believe it in my case.

More than 10 years ago, after many years of neglecting my teeth and an unhealthy life style, I went to Tor, my neighborhood dentist, even though he wasn't on my State of Texas dental insurance network.

I soon learned of the challenges to getting my gums and teeth back to a healthy status. The way Tor explained it, I knew it was complex and that Tor had the skills and vision to get me there, as long as I did my part. I also knew it would take time and not be cheap.

Now, years later, I still have most of my original teeth and only a few very nice, state-of-the art crowns. I am following Tor's advice for taking care of my teeth and gums, including his regular cleaning schedule. What my dental insurance didn't cover, I was able to use Austin Smile Creations' association with Care Credit to finance the costs without any interest charges as long as I pay off balances within a year of each charge.

By the way, we had only one procedure that didn't work out as planned, but Tor made good on it and the solution turned out as good or better.

As a bonus, all of Tor's top flight members are both professional and personable, always considerate of my needs, interests, and schedule.

Bottom line, Tor is better than my expectations. He pays attention to more than just how my mouth looks; he's concerned about my overall health and how my life-style affects, and is affected by, the health of my teeth and gums.

Bill H. Austin, TX

I have been going to Dr. Gotun since he used to have his practice on William Cannon Drive ( 20 years now). Now he is located in Bee Caves. He is an excellent dentist.

The thing I like best about Tor Gotun is he is relatively pain free when administering his shots to numb your mouth. Dentists I have had before always seemed to be a bit heavy handed in this activity.

He is very up to date with modern dental technology. He can make a crown or cap in his office at the moment of your appointment and have you leave with a fully functioning mouth. I have friends who use other dentists who must wander the city of Austin for at least a week with a hollowed out molar stuffed with gauze as they await their topping to arrive by mail to their dentist's office.

The staff is very friendly, and Dr. Gotun will never talk down to you. He is very good at explaining why he is doing something or why he wants to do a procedure. He may have gotten two of my wisdom teeth, but I will still try to hold onto the remaining two regardless of his explaining the safety factors of hanging on to them as you get older.

Randy S. Austin, TX

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Austin Smile Creations
2724 Bee Cave Rd
Austin, TX 78746
Phone: (512) 329-5555 URL of Map
Austin Smile Creations Rated 4.7 / 5 based on 25 reviews. | Leave Us a Review