Wisdom Teeth Removal in St. Louis

Wisdom teeth, also known as third molars, are the last teeth to erupt — and for many patients, they cause more problems than benefits. Whether they’re impacted, painful, or causing overcrowding, our team at Gateway Oral and Maxillofacial Surgeons of St. Louis provides trusted, safe, and efficient wisdom teeth removal in St. Louis MO.

Led by Dr. Fernando, our board-certified surgeons offer both routine and complex extractions for teens and adults in the Greater St. Louis area.

Why Wisdom Teeth Need to Be Removed

Wisdom teeth often cause complications due to lack of space or improper eruption. Common reasons for removal include:

• Impaction (teeth trapped under gum or bone)
  
• Infection or cyst formation
  
• Pressure on adjacent teeth
  
• Gum inflammation or decay around the area
  
• Orthodontic spacing concerns
  
• Jaw discomfort or difficulty opening the mouth
  

If left untreated, impacted wisdom teeth can damage nearby teeth and bone, increase infection risk, or lead to long-term bite issues.

Symptoms of Impacted Wisdom Teeth

Not all wisdom teeth cause immediate pain, but symptoms that may signal a problem include:

• Swollen or bleeding gums at the back of the mouth
  
• Jaw stiffness or discomfort
  
• Persistent bad breath or unpleasant taste
  
• Headaches or earaches
  
• Shifting or crowding of other teeth
  

If your dentist has identified severely impacted wisdom teeth on an X-ray, timely referral to an oral surgeon is recommended.

Our Surgical Process

We take every step to ensure your procedure is safe, smooth, and clearly explained.

1. Consultation and Imaging

We’ll review your X-rays or take 3D scans if needed to assess root position, impaction level, and risk factors.

2. Sedation Options

We offer IV sedation, nitrous oxide, and local anesthesia to make the procedure stress-free. Your surgeon will recommend the best option based on your health and preference.

3. Surgical Extraction

Using minimally invasive techniques, we remove the tooth and any surrounding bone as needed. Most wisdom teeth extractions are completed in under an hour.

4. Post-Op Care

You’ll receive detailed instructions for managing swelling, eating, oral hygiene, and pain relief at home. Recovery typically takes 5–7 days.

If you're preparing for surgery and have other teeth that need to be removed, we also offer tooth extractions in the same visit when appropriate.

Who Should Consider Early Removal?

Teens and young adults between the ages of 16–25 are the best candidates for early removal. At this age:

• Roots are not fully developed, making extraction easier
  
• The risk of complications is lower
  
• Recovery tends to be faster
  
• Preventive removal may reduce future orthodontic issues
  

Even if you’re not experiencing pain, early evaluation can help avoid more serious problems later on.

Why Choose Gateway Oral Surgery?

Patients from across the metro region — including those searching for wisdom teeth removal near me — choose our practice for:

• Board-certified oral and maxillofacial surgeons
  
• Personalized consultation and sedation options
  
• Convenient location in Clayton, MO
  
• Experience with both routine and complex cases
  
• Trusted care in collaboration with your general dentist or orthodontist
  

With a reputation for surgical precision and clear communication, Dr. Fernando and our team are recognized among the best oral surgeons in St. Louis for wisdom teeth procedures.

Frequently Asked Questions About Wisdom Teeth Removal

Is wisdom teeth removal painful?
No. The procedure is performed under anesthesia or sedation, so you won’t feel pain. Some soreness and swelling afterward is normal and well managed with medication.

What is the recovery time for wisdom tooth extractions?
Most patients return to normal activity within a few days. Full healing of the gum tissue takes about two weeks, while deeper bone healing may take longer.

Can I go back to school or work the next day?
We recommend resting for at least 24–48 hours. Most patients take 2–3 days off to allow for initial recovery.

Do I need all four wisdom teeth removed at once?
In most cases, yes. Removing all four at once reduces the need for multiple surgeries and allows for a single recovery period.

How do I know if my wisdom teeth are impacted?
A panoramic X-ray or 3D scan will reveal the position of your teeth. Impacted teeth are those that are blocked from erupting or growing at an angle inside the jaw.

Schedule a Wisdom Teeth Consultation in St. Louis

If you or your teen has been referred for wisdom teeth removal — or you're experiencing symptoms — our team is here to help. We serve patients throughout Clayton, Florissant, and the entire St. Louis metro area.

Gateway Oral and Maxillofacial Surgeons of St. Louis
165 N Meramec Ave, Suite 300
Clayton, MO 63105
Phone: (314) 726-2755
Hours: Monday – Friday: 8:00 AM – 4:00 PM

To schedule your visit, go to our Contact Page.