
Extractions & Oral Surgery
Wisdom Teeth Extraction
Wisdom Teeth Extraction Explained
Wisdom teeth, also called third molars, are the last set of teeth to develop and typically erupt between ages 17 and 25. At Nova Dental Care of Vienna, wisdom teeth extraction is one of the most common procedures we perform. While not every wisdom tooth needs to be removed, the majority cause problems either when they erupt or because they do not have enough room to come in properly. Removing them at the right time prevents pain, infection, crowding of other teeth, and damage to surrounding bone and tissue.
The need for wisdom teeth removal usually comes down to space. Modern human jaws are smaller than those of our ancestors, while wisdom teeth still try to erupt. This often means wisdom teeth do not have enough room and become impacted (stuck below the gum line) or partially erupted (pushing through but not fully). Impacted wisdom teeth can cause significant problems including pain, infection (a condition called pericoronitis), damage to the adjacent second molars, cyst formation, and crowding that can undo years of orthodontic work.
Wisdom teeth removal is a surgical procedure typically performed by a general dentist or oral surgeon. Simple cases involving fully erupted wisdom teeth can be done with local anesthesia alone. Impacted wisdom teeth, especially those requiring bone removal or sectioning of the tooth, are more complex and often performed under IV sedation or general anesthesia for patient comfort. We work with experienced oral surgeons for complex cases and perform routine extractions in our office when appropriate.

Wisdom Teeth Extraction Approach
Wisdom teeth are not always a problem, but when they are, addressing them at the right time saves a lot of trouble later. At Nova Dental Care of Vienna, we monitor wisdom teeth development through panoramic X-rays starting in the mid-teen years, watching for signs that removal will be needed. Early removal, before roots are fully formed, is typically easier with faster recovery than waiting until problems develop.
When extraction is needed, we explain exactly what is happening, what to expect, and what your sedation options are. For simple cases, we perform the extraction in our office. For more complex impacted wisdom teeth, we refer to oral surgeons we trust to ensure the best outcome. After extraction, we follow up to confirm proper healing and address any concerns that come up during recovery.

Four simple steps, every time.
From the moment you sit down to the moment you leave, here's what a routine cleaning and exam looks like at our Chantilly office.
Evaluate
Panoramic X-rays show the position, root development, and impaction status of each wisdom tooth, allowing us to plan the optimal time and approach for extraction.
Plan
We discuss the procedure, sedation options, post-operative expectations, and what to plan for in recovery. Complex cases may be referred to an oral surgeon.
Extract
Under appropriate anesthesia, the wisdom teeth are removed through gentle surgical technique. Most cases take 30 to 90 minutes total for all four wisdom teeth.
Heal
Detailed post-operative instructions support proper healing, and we follow up within the first week to confirm everything is on track.
Wisdom Teeth Extraction FAQs
Most wisdom teeth do not have enough room to erupt properly. They may become impacted (stuck below the gum), partially erupted (creating a flap of gum that traps food and bacteria), or pushed at angles that damage adjacent teeth or crowd other teeth out of position. Removal prevents pain, infection, damage to the second molars, cyst formation, and shifting of other teeth. Wisdom teeth that erupt fully and function properly may not need to be removed.
Most dental insurance plans cover wisdom tooth removal at 50% to 80% after the deductible when the procedure is medically necessary (such as for impaction, infection, or to prevent damage). Coverage may be reduced or denied for purely preventive removal of asymptomatic wisdom teeth. Medical insurance may also cover wisdom tooth removal in certain cases involving sedation or hospitalization. We verify benefits before treatment.
The ideal age for wisdom tooth removal is typically between 17 and 25, when the roots are partially but not fully formed. Removal at this age is generally easier, with faster healing and lower complication rates than waiting until later. Some patients have wisdom teeth removed earlier if X-rays show clear problems developing. Wisdom teeth can be removed at any age when problems arise, but procedures become more complex with age.
Simple wisdom tooth extractions typically cost $200 to $700 per tooth. Surgical extractions of impacted wisdom teeth range from $300 to $1,800 per tooth depending on complexity. Full mouth removal of all four wisdom teeth typically costs $1,500 to $5,000 total. Most insurance plans cover wisdom tooth removal at 50% to 80% after the deductible when medically necessary. Sedation is typically billed separately.
The procedure itself is not painful. Local anesthesia and sedation if used completely numb the area. Most patients experience moderate discomfort and swelling for 2 to 4 days afterward, well-managed with prescribed pain medications. By a week to ten days, most patients are back to normal. Following post-operative instructions reduces discomfort significantly and prevents complications like dry socket.
Most patients return to work or school within 2 to 4 days. Initial swelling and discomfort peak around day 2 to 3 and gradually improve from there. A soft food diet is recommended for 5 to 7 days. Complete healing of the surgical sites takes 3 to 4 weeks, with bone healing continuing for several months. Most patients can resume normal exercise around one week post-surgery.
When all four wisdom teeth need to be removed, doing them in one visit is typically more efficient than spreading them across multiple appointments. Single recovery period, single anesthesia event, single time off work or school. However, some patients prefer to space them out, or only some wisdom teeth may need removal. The decision depends on your specific situation, schedule, and how the teeth are positioned.
For the first 24 hours, stick to liquids and very soft foods like smoothies (no straws), yogurt, applesauce, pudding, broth, and ice cream. From days 2 to 5, expand to soft foods like scrambled eggs, mashed potatoes, well-cooked pasta, oatmeal, and soup. Avoid hot foods, hard or crunchy foods, sticky foods, spicy foods, and anything that requires significant chewing for at least a week.
Dry socket is a painful condition where the blood clot at the extraction site dislodges or fails to form properly, exposing the underlying bone and nerves. It typically develops 2 to 4 days after extraction and causes severe pain, bad breath, and an unpleasant taste. To prevent dry socket: do not use straws, do not smoke, do not spit forcefully, avoid vigorous rinsing for 24 hours, and follow all post-operative instructions carefully.
Sedation options range from local anesthesia only for simple cases, to nitrous oxide for mild relaxation, oral sedation for deeper relaxation, and IV sedation or general anesthesia for the most comfortable experience. For impacted wisdom teeth or anxious patients, IV sedation is the most common choice. The right level depends on the complexity of the procedure, your anxiety level, and your medical history.