Wisdom Teeth

The Christiana Center for Oral & Maxillofacial Surgery P.A. – Newark & Middletown DE

By the age of 18, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

The Christiana Center for Oral & Maxillofacial Surgery P.A. Trust Your Care to an Oral Surgeon. Call us Today!
Newark DE
Christiana Hospital Location Phone Number 302-292-1600
Newark DE
Map & Directions
An Appointment
Middletown DE
Middletown Location Phone Number 302-376-3700
Middletown DE
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Our office hours are Newark Mon-Fri 8:30am-5pm. Middletown Mon-Fri 8:30am-5pm, Sat 9:30am-1pm.

Wisdom Teeth Presentation

To provide you with a better understanding of wisdom teeth, we have provided the following multimedia presentation. Many common questions pertaining to wisdom teeth are discussed.

Wisdom Teeth Presentation

Oral Examination

With an oral examination and x-rays of the mouth, Dr. D’Amico can evaluate the position of the wisdom teeth and predict if there are present or may be future 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. D’Amico III, Dr. D’Amico, Dr. Kosa or Dr. Spencer have the training, license and experience to provide various types of anesthesia for patients to select the best alternative.


In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia) or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, if necessary, the gum is sutured. To help control bleeding, bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in about one week for suture removal. If you have any questions, please do not hesitate to call us at Christiana Hospital Location Phone Number 302-292-1600.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are experienced in anesthesia techniques.

The Christiana Center for Oral & Maxillofacial Surgery P.A.

5 out of 5 stars based on 42 Wisdom Teeth reviews.

Patient Review By Annmarie S

The doctor was very attentive to my son's medical problems and how they relate to the wisdom teeth extraction.

- Annmarie S

5 out of 5 stars on

Patient Review By Casey I

Really appreciated the attitude of the nurses and doctor, as it was my first time going under. The procedure was quick and I felt so comfortable.

- Casey I

5 out of 5 stars on

Patient Review By Irene T

Well done thank you

- Irene T

5 out of 5 stars on

Patient Review By Dawn B

Love, love, love this place! The doctor & his staff were very professional and courteous. I would definitely recommend going to this establishment. My son got 4 wisdom teeth pulled and it took less than 30 minutes. The Míddletown office staff was excellent as well. We went to that office for the consultation. The staff was so kind and pleasant as well.

- Dawn B

5 out of 5 stars on

Patient Review By Aaron N

Everyone is patient with explaining things, great personalities in the back that we have dealt with and the doctors are amazing!

- Aaron N

5 out of 5 stars on

Patient Review By Chermel B

They were all really nice and kept me at ease. The procedure was really fast too, no more than 30 minutes. They were great!

- Chermel B

5 out of 5 stars on

Patient Review By Jantrea W

Jantrea has severe aurtism. Dr. Michael D. Amico & his staffs were wonderful with him, very friendly, understanding & accommodated. Everyone treated with compassions, made he was comfortable. As a parent, that meant a lot me. Thanks so much Dr. Michael D’Amico & surgical team and his great stuffs for done wonderful job & gave an excellent care to Jantrea. I’m glad I chose you as his surgeon! San Willey

- Jantrea W

5 out of 5 stars on

Patient Review By Tom Turcol T

Dr.Kosa, Skyler and Lisa made the surgery a much easier experience than I ever anticipated. Having heard unpleasant stories about wisdom teeth extractions,, I went into the surgery with trepidation. I was amazed that the surgery was so quick and painless. I would recommend Dr. Kosa to anyone. .

- Tom Turcol T

5 out of 5 stars on

Patient Review By Deborah R

Everyone was very nice and accommodating

- Deborah R

4 out of 5 stars on

Patient Review By Rachel S

They made my wisdom teeth extraction very easy, calming, and fast! The nurses and dentist were extremely nice and cheerful and helpful. I would definitely recommend! Thanks guys!

- Rachel S

5 out of 5 stars on

Patient Review By Charlene K

Everyone was courteous & made my son feel at ease for his procedure. I highly recommend this practice.

- Charlene K

5 out of 5 stars on

Patient Review By Dee M

Great staff , prompt service

- Dee M

5 out of 5 stars on

Patient Review By Elaina k

I was so nervous for my wisdom teeth removal. Dr.Kosa and his team made me feel comfortable with the consultation, the putting to sleep and the surgery. surgery was at 1030 I was out of surgery by 11:10. I have had no pain, I barely was swollen and that was the easiest surgery ever !!

- Elaina k

5 out of 5 stars on

Patient Review By Lisa A

The entire team from scheduling, front desk staff to Assistant and Doctor were all pleasant, helpful, seemed concerned about our visit and were all very informative, helpful and knowledgeable about every aspect of the issue. They would ask if we had any questions but for the most part they had already detailed all of the steps too us and did not leave anything to questioning. We feel confident that the procedure will be completed without any issues. I would recommend Dr D’Amico and his Staff to everyone.

- Lisa A

5 out of 5 stars on

Patient Review By Justin G

Great experience! Staff was wonderful and very professional. Back home and settled nicely after procedure.

- Justin G

5 out of 5 stars on

Patient Review By Daniella C

Clean office, good staff!

- Daniella C

4 out of 5 stars on

Patient Review By Kylie B

The dental techs were very talkative and relaxing and the doctor was competent and nice. All was done efficiently and smoothly.

- Kylie B

5 out of 5 stars on

Patient Review By Susan T

My daughter had her wisdom teeth removed. Our appt was at 9:30. We were there a little early and they took her back right away. She was done in under an hour. Staff was very friendly.

- Susan T

5 out of 5 stars on

Patient Review By Tamie H

Very pleasant experience. Everyone was friendly and kind to me and my son.

- Tamie H

5 out of 5 stars on

Patient Review By Alexis B

I was able to get an appointment within two days of calling. Went in for consultation and had an appointment the very next day to have my wisdom teeth removed. The staff was overly friendly, answered all my questions and did not rush my visit. I would highly recommend.

- Alexis B

5 out of 5 stars on