Portland Oral Surgery Specialists

Wisdom & Impacted Tooth Removal

Our Portland-based oral surgeons are all board-certified medical and dental professionals with extensive experience performing advanced oral surgeries including wisdom teeth & dental extractions, jaw alignments, & trauma reconstructions.

With advanced training and residencies specializing in oral cavity conditions and associated systemic disease, our oral surgeons perform both routine and highly complex dental procedures for our patients.

What To Expect

When consulting with our oral surgeons regarding wisdom teeth and other impacted teeth, we will provide you any options and recommended treatments for the current alignment and any recommended procedures for the future alignment of the teeth. On your first visit, our oral surgeons will X-rays and then discuss with you your options for treatment. In general, the wisdom tooth is not a critical tooth to have, and keeping them can cause teeth crowding, infection and oral problems down the line. Most oral surgeons will recommend the removal of any impacted teeth, buy your situation may vary. Consult with one of our highly-experienced oral surgeons today to learn more about your options.

The typical person is born with 4 wisdom teeth, but about 25% of the population is born with less than 4 wisdom teeth, due to their genetic makeup. For most people, the eruption process occurs in the late teens or early twenties, around high school and college for most kids.

When wisdom teeth are aligned properly and the gum tissue is healthy, they do not need to be removed. Unfortunately, this is rarely the case. The extraction of wisdom teeth is necessary when they are prevented from erupting properly within the mouth—partially erupted or impacted teeth can cause many problems including excess bacteria and infection.

Through an oral examination and x-rays of the mouth, our surgeons are able to evaluate the position of wisdom teeth and predict if there may be present or future problems. Patients are typically evaluated as teenagers and early removal is recommended to avoid future problems and decrease surgical risk.

Preventing More Serious Conditions Down The Road

The typical person is born with 4 wisdom teeth, but about 25% of the population is born with less than 4 wisdom teeth, due to their genetic makeup. For most people, the eruption process occurs in the late teens or early twenties, around high school and college for most kids.

When wisdom teeth are aligned properly and the gum tissue is healthy, they do not need to be removed. Unfortunately, this is rarely the case. The extraction of wisdom teeth is necessary when they are prevented from erupting properly within the mouth—partially erupted or impacted teeth can cause many problems including excess bacteria and infection.

Through an oral examination and x-rays of the mouth, our surgeons are able to evaluate the position of wisdom teeth and predict if there may be present or future problems. Patients are typically evaluated as teenagers and early removal is recommended to avoid future problems and decrease surgical risk.

Types Of Tooth Extraction

Severely broken down teeth, impacted teeth, teeth located in dense bone, teeth that have had prior root canal therapy, and teeth that are fused to the bone most often require surgical extraction. The recovery for surgical extraction is characterized by oozing, pain, and swelling. These symptoms typically subside within 1-3 days.

There are several types of single tooth impactions, from soft tissue impaction (penetrate the bone but not the gum) to full bony impaction (the tooth is fully encased by bone).  In between there are many degrees of impaction, some of which require little to no surgery, and other cases requiring a more complex procedure.

Wisdom Tooth Removal Benefits

wisdom-tooth-extraction-portland-oregon

Wisdom tooth removal is most commonly performed during the teenage and young adulthood years, typically from 16-25. The benefit to removing wisdom teeth at this age becomes all the avoided problems wisdom teeth and impact teeth can cause. Wisdom teeth tend to grow later in life, once the adult teeth have already come in, and this causes crowding that can lead to crooked teeth, infections, and a multitude of other oral complications. It’s just easier to remove these teeth entirely and avoid the issues down the line.

Impacted Teeth Impact Life

Portland oral surgery practice for impacted wisdom teeth removal

It may seem easy to ignore an impacted tooth, but over the long term, wisdom teeth can lead to issues such as:

  • Jaw swelling
  • Bleeding gums
  • Crooked teeth
  • Bad breath due to infection
  • Loss of bone and/or supporting tissue
  • Loss of healthy teeth

Most of the time, we see patients that have the first symptoms of an impacted tooth. However, the best way to prevent these issues from occurring is to visit an oral surgeon in your area to find out the impact these teeth can have on your oral health.

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Head & Neck Surgical Associates
Average rating:  
 5 reviews
by TJ R. on Head & Neck Surgical Associates
Forever grateful

I’m forever grateful. You guys gave me my life back. Im forever grateful the hours you’ve spent repairing me and giving me the ability to swallow again

by Grant C. on Head & Neck Surgical Associates
Was in and out quickly with no pain during the procedure

Cannot recommend Dr. Patel enough. Got two impacted wisdom teeth extracted earlier today, one was very close to nerve so slightly more tricky. Was in and out quickly with no pain during the procedure, and very little pain so far compared to my previous extraction. Staff is confident and helpful, and they even played my favorite band for the procedure. Thank you!

by Mez M. on Head & Neck Surgical Associates
Amazing Experience

Amazing experience. Had my wisdom tooth pulled here and the Dr and staff did a great job!

by Bob W. on Head & Neck Surgical Associates
My experience went extremely well!

I recently moved from out of state. My new dentist referred me to Head & Neck Surgical Associates to consider extraction of my wisdom teeth, plus an unrelated procedure.



The bottom line is that I received excellent care from Head & Neck Surgical Associates, and recommend the clinic- and Dr. Allen Cheng in particular- to anyone seeking professional, high quality, competent medical care.

by Tyler H. on Head & Neck Surgical Associates
Best wisdom tooth removal experience I could have possibly had.

Best wisdom teeth removal experience I think I could have possibly had.



Dr. Allen Cheng was straight forward, and knew what he was doing. He even called me a couple of days after the surgery to see how I was doing.



If you're looking into wisdom teeth extractions, I would highly recommend Dr. Cheng!