Wisdom Teeth • Blacksburg and Radford

Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in the back of your mouth, behind your second molars. Their development is usually completed between the middle teenage years and early twenties, a time traditionally associated with the onset of maturity and the attainment of wisdom.

Please call us at Blacksburg Office Phone Number 540-951-8777 (Blacksburg) or Radford Office Phone Number 540-633-5700 (Radford) with any questions or to schedule an appointment.

Impacted Wisdom Teeth | Types of Impaction | Wisdom Teeth FAQs | After Wisdom Teeth Removal | Patient Reviews

What Is An Impacted Tooth?

Although most people develop and grow 32 permanent adult teeth, many times their jaws are too small to accommodate the four wisdom teeth. When inadequate space prevents the teeth from erupting they are called impacted. When wisdom teeth are impacted, there is not enough space for them to erupt into the proper position for chewing and cleaning.

Diagrams of Impacted Wisdom Teeth

X-ray and diagram of impacted wisdom teeth

Types Of Impactions

We will need to see you for a consultation to determine if you will benefit from wisdom tooth removal. A special x-ray of your mouth and jaws (panorex) will be taken to determine if your wisdom teeth are impacted, if there is room for them to erupt, and how difficult it will be to have them removed.

  • Soft Tissue Impaction: There is not enough room to allow the gum tissue to retract for adequate cleaning of the tooth.
  • Partial Bony Impaction: There is enough space to allow the wisdom tooth to partially erupt. However, the tooth cannot function properly in the chewing process, and creates cleaning problems, among others.
  • Complete Bony Impaction: There is NO space for the tooth to erupt. It remains embedded in the jawbone or if even partially visible requires complex surgical techniques for removal.The impacted wisdom tooth may also be in an unusual position and difficult to remove. This situation can also arise when the shape or size of the jawbone and other facial structures make removal of this tooth significantly more complex.
Diagram showing Soft Tissue damage from impacted wisdom teethSoft Tissue
Diagram showing Partial Bony impact from wisdom teethPartial Bony
Diagram showing Complete Bony wisdom teeth impactionComplete Bony

Do You Need Relief from Wisdom Teeth Pain?

Don’t suffer any longer! NRV Oral & Maxillofacial Surgery, Ltd. can gently extract wisdom teeth to prevent future complications.

Wisdom Teeth FAQs

Why Wisdom Teeth Removal? | What Happens If I Don’t Have My Wisdom Teeth Removed? | What Happens the Day of Removal Surgery? | What Happens After Removal Surgery?

Why Should I Have My Wisdom Teeth Removed?

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. 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:

Diagram showing Infection caused by impacted wisdom teeth


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.

Diagram showing Cyst formed by impacted wisdom teeth

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 jawbone 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.

Diagram showing possible teeth crowding from impacted 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.

Diagram showing damage to adjacent teeth diagram from impacted wisdom teeth

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 If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?

As wisdom teeth develop, the roots become longer and the jaw bone more dense. When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative 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 Happens On The Day They Are Removed?

Most people prefer to be unaware of the experience when they have their wisdom teeth removed 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. 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.

On the day of your procedure, you will take medications to help minimize post-operative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you 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 allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times.

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 for 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. If you are going to be sedated, we usually will 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 afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.

happy and confident mother and son showing their great smiles

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 Happens Afterwards — What Will I Feel Like?

If your surgery requires stitches, these are usually the type that 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.

For more information, please refer to the post-surgery instructions for wisdom teeth removal. If you need assistance, please call our office: Blacksburg Office Phone Number 540-951-8777 (Blacksburg) or Radford Office Phone Number 540-633-5700 (Radford).

The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits.

We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.

Our services are provided in an environment of optimum safety. We utilize modern monitoring equipment and our staff are experienced in anesthesia techniques.

Do You Need Relief from Wisdom Teeth Pain?

Don’t suffer any longer! NRV Oral & Maxillofacial Surgery, Ltd. can gently extract wisdom teeth to prevent future complications.

Patient Reviews: Wisdom Teeth Removal

We invite you to read testimonials from our patients in their own words. Please visit the Patient Review Form page to leave a review about your wisdom teeth removal experience with this practice. Call our office if you would like more information: Blacksburg Office Phone Number 540-951-8777 (Blacksburg) or Radford Office Phone Number 540-633-5700 (Radford).

NRV Oral & Maxillofacial Surgery, Ltd.

5 out of 5 stars based on 9 Wisdom Teeth reviews

Patient Review by Alison H

I'm very thankful for Dr Boyle and all the staff at NRV Oral Surgery. My teenage son needed his wisdom teeth extracted, and the procedure and recovery went so well. I felt he was in caring and knowledgable hands through the entire process, and we had prompt support post surgery. Even though the healing process takes time, my son recovered as expected without complications. Thank you again, NRV Oral and Maxillofacial Surgery!

- Alison H

5 out of 5 stars on

Patient Review by Kali A

Even though i am still recovering from my procedure i am extremely happy with how everything went involving this office! definitely recommend them to anyone in need! 🙂

- Kali A

5 out of 5 stars on

Patient Review by Michael M

I honestly cannot say anything other than this was such a great experience (minus the obvious pain associated with wisdom teeth removal) staff listened to all of my needs and answered all of my questions. Never did I feel like a bother for anything I needed or requested. Will recommend to anyone and will go back for any future needs. Thank you so very much for all of this help getting through this pain in the butt part of life. Cheers everyone!

- Michael M

5 out of 5 stars on

Patient Review by Anthony H

Everything was explained very well,staff was awsome.

- Anthony H

5 out of 5 stars on

Patient Review by Michaela J

I have bad dental anxiety from past experiences as a kid. I’ve also been diagnosed with an anxiety disorder, which makes any sort of procedure or doctor visit and anxiety nightmare. The moment I stepped foot in the office for my consultation I was met with kindness and compassion. Everyone was so kind and you can tell they care about their jobs and every client. The day of my extraction the staff and doctor made sure I knew what they were going to do so that I had no surprises. I am absolutely thankful for everyone there making a stressful experience feel like I had nothing to worry about. The staff and doctors are not only kind and supportive, but very knowledgeable about what they do. They are also amazing at knowing how to make you laugh and keep your mind off the scary parts that come with wisdom teeth extraction. I would 100% recommend anyone come to this office for their surgical teeth needs.

- Michaela J

5 out of 5 stars on

Patient Review by Heather C

We have had the best possible experience with Dr. Van Gilder and the staff at both offices. We've had multiple appointments and have had a positive experience every time. Dr. Van Gilder reached out after procedures to check on the patient status and demonstrated genuine care and concern. When we had a complication, the staff supported us with concern and expeditiously took care of the patient with great care. I would highly recommend Dr. Van Gilder and both the Blacksburg and Radford offices. Thank you!

- Heather C

5 out of 5 stars on

Patient Review by Kaylee K

Everyone here was so nice and fun to be around! They worked so well together

- Kaylee K

5 out of 5 stars on

Patient Review by DONNA L

Had a wisdom tooth removed. This was the easiest & quickest procedure ever. Painless & stress free. Highly recommend & I am seriously impressed with the whole process & how easy the entire staff made it.


5 out of 5 stars on

Patient Review

Dr. VanGilder and his team were amazing-coming from someone who has had horrible experiences with a dentist and is terrified of dental work that means a lot!

- Anonymous

5 out of 5 stars on