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
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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

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.

For more information about Wisdom Teeth or to schedule an appointment with Dr. D’Amico III, Dr. D’Amico, Dr. Kosa or Dr. Spencer , contact us today!

Newark office Newark Office Phone Number 302-292-1600

Middletown Office Middletown Location Phone Number 302-376-3700

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

5 out of 5 stars based on 119 Wisdom Teeth reviews.

Patient Review By Tier D

Would highly recommend this professional practice, for those in need.

- Tier D

5 out of 5 stars on

Patient Review By Alaia C

They were great. Really nice people.

- Alaia C

5 out of 5 stars on

Patient Review By Kevin W

Was very nervous having my first surgery and my first time under any type of anesthesia. The nurses eased my worries, and the procedure went well. Got all 4 extracted, and thankful for the kindness of the staff.

- Kevin W

5 out of 5 stars on

Patient Review By Kelly B

Friendliest staff. Dr. was thorough in explaining the procedure. Excellent customer service

- Kelly B

5 out of 5 stars on

Patient Review By Idayia Johnson i

Everybody thank you so much for everything, even down to the ice pack with my home instructions. Newark office really show how much they care for their patience health 100%. I felt happy coming in and happy going safely home. Thank you Heroes & Blessings.

- Idayia Johnson i

5 out of 5 stars on

Patient Review By Denise

I will definitely be recommending Dr. Kosa and his staff!

- Denise

5 out of 5 stars on

Patient Review By Winter W


- Winter W

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Patient Review By Elizabeth O

Incredibly glad the insurance coordinator knew what they were doing this time. We knew from our daughter's experience at this same office that the deductible for us was much higher than quoted. No issues this time around. Thank you for caring for my kids x2. Xoxo

- Elizabeth O

5 out of 5 stars on

Patient Review By Sierra K

Everyone was so friendly and helpful. My appointment was a consult for my wisdom teeth and I was very nervous to get them out, but the doctor eased my nerves. I am confident my surgery will go well!

- Sierra K

5 out of 5 stars on

Patient Review By Brandi B

Everyone was very friendly and caring!

- Brandi B

5 out of 5 stars on

Patient Review By Domanique G

Very nice, it's only been a few hours since the procedure but everything feels pretty good right now, not a lot of bleeding, just a little uncomfortable. I thank everyone involved in the process !

- Domanique G

5 out of 5 stars on

Patient Review By Sara C

I was extremely nervous about wisdom teeth extraction for obvious reasons (it being my first surgical procedure and all). On the day of my surgery, everyone was very sweet and understanding of my nervousness and made me feel comfortable the entire time I was there. Dr. D did an AWESOME job, and I was truly worried about nothing. Almost a week later and I have no complaints, no pain, and minimal swelling/bruising. 10/10

- Sara C

5 out of 5 stars on

Patient Review By Ingrith

todo el equipo fue bueno

- Ingrith

5 out of 5 stars on

Patient Review By Shavonte

Everyone was friendly. Doctor was polite and so were the assistants.

- Shavonte

5 out of 5 stars on

Patient Review By Tamarra D

I truly felt welcomed there, whatever nervousness or anxiety I had disappeared. You can truly trust in their care.

- Tamarra D

5 out of 5 stars on

Patient Review By Jevise F

I had a great experience, everyone was friendly and comforted me as neededI really Appreciated them because I definitely was a little nervous but everything went well. I would recommend!!

- Jevise F

5 out of 5 stars on

Patient Review By Keysha M

I was very nervous to get my tooth pulled. The staff and the surgeon were very kind, patient and gentle with me. I will definitely go back for any future procedures for my mouth

- Keysha M

5 out of 5 stars on

Patient Review By Maria P

I could not have imagined the wisdom tooth extraction experience going any better. Dr. D'Amico and the staff in the surgery room made me feel super comfortable prior to the appointment. I especially appreciated getting all of the prescriptions for my post-operation medication ahead of time so that they were filled and waiting for me when I got home. The desk staff took the extra time to deal with my pesky insurance company, too.

- Maria P

5 out of 5 stars on

Patient Review By Tyler M

I was extremely nervous. Once things began I was completely comfortable.

- Tyler M

5 out of 5 stars on

Patient Review By Rachel S

The staff is incredible, always helpful and accommodating. I appreciate the time the staff and Dr. D'Amico takes with us to explain the procedure, deal with the insurance and schedule us when requested. The office as a whole, does a great job!

- Rachel S

5 out of 5 stars on