Wisdom Teeth Removal in Temecula, CA & Across the Region

Pros & cons of wisdom teeth removal

In this video, Dr. Tsvetov speaks about the pros and cons of wisdom teeth removal.

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Schedule an oral examination with our wisdom teeth specialist in Temecula Valley

With an oral examination and X-rays of the mouth, Dr. Tsvetov 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. Dr. Tsvetov is trained, licensed, and highly experienced in providing various types of anesthesia for patients. Additionally, he will handle your wisdom teeth removal in the Temecula region with care and precision, ensuring that you have a comfortable experience.

Is it necessary to remove wisdom teeth?

If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients, it is as early as 12 or 13, and in others, it may not be until the early twenties.

Here at Temecula Facial Oral Surgery, Dr. Tsvetsov can offer treatment for impacted wisdom teeth. Patients who postpone getting the required treatment may experience a series of issues. Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:


The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.

Cyst Formation:

Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.

Possible Crowding:

Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.

Damage to Adjacent Teeth:

If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.

What happens if you wait too long to get wisdom teeth out?

As wisdom teeth develop, the roots become longer and the jaw bone denser. When it is necessary to schedule their removal in your thirties, forties, or beyond, the postoperative course can be prolonged and there is a higher complication rate.

Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased.

If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops. In general, you will heal faster, more predictably, and have fewer complications if treated in your teens or early twenties.

What to expect when getting wisdom teeth pulled?

Most of our patients in Temecula and the area prefer to be unaware of the experience during their wisdom teeth removal and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation. All outpatient surgery is performed under appropriate anesthesia to maximize your comfort.

If you are going to be sedated, we usually place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.

Here at Temecula Facial Oral Surgery, our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Board of Dental Examiners on a regular basis.

How long does it take to extract a wisdom tooth?

On the day of your procedure, you will take medications to help minimize postoperative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you for the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes.

Recent advances in medicine and technology that we use allow our patients to undergo wisdom teeth removal in a manner that promotes rapid healing and minimal postoperative discomfort. Additionally, we use state-of-the-art sterilization and infection control techniques at all times.

How do you prepare for wisdom teeth removal?

On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly six hours before your surgery.

Having anything in your stomach can increase the risk of serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines.

We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance. When you are seated in the surgical room, we will make every effort to make you as comfortable as possible.

smiling teenage son with his mother

The Day of Treatment

Be sure to have an adult with you at the time of removal. Make plans to have a parent or responsible adult stay with you for the rest of the day, following wisdom tooth removal.

What to expect after removing wisdom teeth?

Our patients in Temecula and Riverside County can expect the following after undergoing  wisdom teeth removal:

  • If your surgery requires stitches, they usually dissolve in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery and will subside in several days.
  • Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first to see if that adequately treats your pain. If not, begin your other prescription pain medication.
  • The local anesthesia may last until the following day, and should not be confused with an injury to your nerve.
  • If you are given antibiotics and you take birth control pills, please be aware that birth control pills might become ineffective and take appropriate precautions.

Dr. Tsvetov is an experienced wisdom teeth removal specialist who has handled this procedure on numerous occasions. He knows what you can expect during the healing process and will explain everything prior to your surgery.

Dr. Tsvetov also performs advanced dental implant procedures for patients in Temecula and beyond, including All-on-4 implants, one of the most in-demand procedures among patients across Temecula Valley. Procedures such as All-on-4 dental implants can change lives of patients across Murrieta and other parts of Temecula Valley. Consult Dr. Tsvetov to find out more about all the procedures he specialized in.

How much does wisdom teeth removal cost?

The fee for your treatment is determined by a number of factors. These may include

  • The difficulty involved in removing your teeth
  • Which type of anesthesia is best for you.

During your consultation appointment in Temecula, our wisdom teeth removal specialist will need to review your X-rays, complete an examination, and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. Our office staff will help you obtain maximum insurance coverage for your treatment.

What if I have questions before my wisdom teeth removal in the Temecula area?

At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask our trusted wisdom teeth removal specialist any questions you may have. Additionally, you can also explore our Wisdom Teeth FAQ Page for more information on this type of treatment and related recommendations.

If new questions arise after your consultation, please call our office at Temecula Facial Oral Surgery to speak to one of our patient care coordinators. We’re dedicated to providing you with the proper care and treatment to protect your dental health. Contact us at any time & we can schedule your appointment.

Additional Wisdom Teeth Removal Frequently Asked Questions

What should I avoid doing after wisdom teeth removal?

The Day of Treatment

Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.