Blake Nelson, DDS
Wisdom Teeth Removal
Wisdom Tooth Removal in Winston-Salem

Don't let your wisdom teeth cause problems with your bite or damage to your smile. Book a wisdom tooth consultation with our dentists in Winston-Salem.

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Wisdom Teeth Removal in Winston-Salem

Do I need to get my wisdom teeth out?Model of Wisdom Teeth or Third Molars

Your dentist in Winston-Salem, NC, checks your wisdom teeth during your preventive exam. We typically recommend extraction if we notice a partial eruption or wisdom teeth encroaching on their neighbors. 

But don't worry! You don't need wisdom teeth to enjoy a full and healthy smile. These teeth, located at the back of the mouth, are not seen and never used. 

What are some signs and symptoms that I should have my wisdom teeth removed?

  • Pain: Persistent pain coming from one or both sides of the jaw behind your last visible molar.
  • Swelling: Swelling in your lower jaw without any apparent cause.
  • Soreness: Chronic soreness behind the last visible tooth that lasts for a few days and then goes away only to come back a couple of months later.
  • Partial eruption: You can see part of your wisdom tooth poking through the gums, but it does not come in fully.
  • Impaction: Your dentist tells you your wisdom teeth are "impacted." This term means that your wisdom teeth will not come in normally because they are stuck in bone, against other teeth, or gum tissue.

Benefits of Wisdom Tooth Removal

Wisdom teeth can often cause discomfort, overcrowding, or even serious dental problems if left untreated. Our expert wisdom teeth removal in Winston-Salem provide a safe, effective solution to prevent complications and protect your oral health.

Prevent Future Problems

Removing impacted or problematic wisdom teeth can help prevent issues like overcrowding, infections, and damage to adjacent teeth. Early removal often avoids more complex problems later on.

Relieve Pain and Discomfort

Wisdom teeth can cause pain, swelling, or jaw stiffness as they try to erupt. Removal alleviates these symptoms and prevents future complications like cysts or abscesses.

Minimize Risk of Infection

Partially erupted wisdom teeth can trap food and bacteria, leading to decay and gum disease. Extraction eliminates these risks and helps preserve your teeth, gums, and surrounding tissues.

Thank You for Letting Me Feel Seen and Heard.

Could not recommend here more!! I am an autistic adult who had never had the opportunity to go to the dentist prior, and this office genuinely squashed all the fear I had held. Dr. Nelson is incredibly kind and is more than willing to explain things to you as they happen. This office is very LGBTQ* friendly, their paper forms are very thorough and thoughtful, and I could not sing higher praises.

I was terrified of getting my wisdom teeth taken out, the procedure itself took less than ten minutes, and I left telling Dr. Nelson how cool and awesome he was for helping me.

Thank you for letting me feel seen and heard, new things and autism don’t usually work out well, you made me feel like I wasn’t stupid for being different.

- Edith Edwards

How will my wisdom teeth be evaluated for removal?

Consultation

If you are not a regular patient in our office, a consultation with the dentist who took the panoramic x-ray (the x-ray that goes around your head and shows your entire jaw and all teeth) is needed. However, if you are a regular patient, no consultation is necessary as your wisdom teeth will be evaluated at your cleaning visits. 

Radiographic Evaluation

Dr. Nelson can evaluate your wisdom teeth here in Winston-Salem with their digital, low-dose X-ray machine.

What are the disadvantages of not having my wisdom teeth removed? 

Dr. Nelson Explains Wisdom Teeth in Winston Salem OfficeDamage to nearby teeth: Impacted wisdom teeth can damage adjacent teeth by running into them as they attempt to enter your mouth. Bone can be lost around adjacent teeth, which weakens the support those teeth have.

Changes to teeth alignment: When wisdom teeth erupt, they push into the adjacent teeth and can cause teeth to become crooked or maligned. For this reason, many orthodontists will recommend wisdom tooth removal shortly after braces treatment is completed. 

Cyst formation: Cysts can form around impacted wisdom teeth trapped in the bone or gums, destroying teeth and jaw bone.

Gum disease in adjacent teeth: Gum disease (periodontal disease) can develop around the second molars due to impacted wisdom teeth because proper hygiene and cleaning cannot occur.

Infections (pericoronitis): Infections can develop around wisdom teeth. Infections can range from minor that resolve independently to severe that require hospitalization and surgery.

Pain: Pain can develop if food debris or bacteria can access wisdom teeth sites.

Prone to cavities or gum disease in the future: Symptom-free (non-painful) wisdom teeth can still harbor disease or cause a significant problem later in life. Wisdom teeth are the last tooth in the mouth and are exceedingly difficult to clean properly. As a result, these teeth are very prone to get cavities or gum disease in the future. 

Frequently Asked Questions

Scheduling the procedure: 

If Drs. Benton or Nelson determine that you could benefit from wisdom tooth extraction, it is recommended that you have the procedure either at our office or at an oral surgeon. Our office will work with you to schedule the procedure at the most convenient time. 

Painless numbing techniques and optional sedation: 

The area is numbed with local anesthesia.  Many patients will also elect be sedated for the wisdom tooth removal procedure.

Gentle removal: 

The tooth is gently removed. The site is then cleaned of all infected or inflamed tissue. The area is rinsed thoroughly with sterile saline to remove the most harmful bacteria that were residing close to the wisdom tooth.

Fast, easy recovery: 

You will recover with a customized healing protocol that includes antibiotics, pain medicine, and anti-inflammatory medicines.

The cost of wisdom tooth removal depends on whether the tooth is in the mouth (erupted) or trapped in the jawbone (unerupted).  Most patients elect to be sedated during wisdom teeth removal.  To learn more about wisdom teeth removal or dental sedation, visit our services pages. 

  • Removal of erupted wisdom tooth: $246 per tooth
  • Removal of unerupted wisdom tooth: $324-410 per tooth
  • Intravenous (IV) dental sedation: $421

 

Some patients are able to keep their wisdom teeth their entire lives, but many benefit from their removal. 

We check your wisdom teeth at every cleaning visit. 

Just like the check for cavities and gum disease, Dr. Nelson will always evaluate your wisdom teeth at your cleaning visits. 

For some, removal is not needed. 

Though some lucky people are missing their wisdom teeth, most people have 4 that begin erupting (coming into the mouth) around age 17. Occasionally, patients will have enough room to let their wisdom teeth come in without complications.

For most, removal is the best option. 

Most people would benefit from the removal of their wisdom teeth to prevent future complications. If this is the case, Dr. Nelson will talk to you about the removal process. 

Signs such as pain, swelling, and soreness may be a sign that it's time to have your wisdom teeth removed.

Pain

Persistent pain coming from one or both sides of the jaw behind your last visible molar.

Swelling

Swelling in your lower jaw without any obvious cause may be an indication that it's time to have your wisdom teeth out.

Soreness 

Chronic soreness behind the last visible tooth that lasts for a few days then goes away only to come back a couple of months later.

Partial eruption

You can see part of your wisdom tooth poking through the gums, but it does not come in fully.

Impaction

Your dentist tells you that your wisdom teeth are “impacted." This term means that your wisdom teeth will not come in normally because they are stuck in bone, against other teeth, or gum tissue.

Please visit our page on wisdom teeth to learn more! 

Wisdom teeth are the molars in the very back of your jaw.

Most people have four wisdom teeth, located the furthest back in their jaw.  Another term for wisdom teeth is "third molars" as they are the third set of permanent molars in adults, typically coming in between ages 16-21 years.  

What is the wisdom tooth extraction process like?

First, we schedule your procedure and provide instructions for pre- and aftercare. Wisdom tooth removal in Winston-Salem is performed under anesthesia (a numbing agent), but you can talk to the dentist about sedation dentistry if you're still anxious.

Wisdom tooth removal is image-guided and always gentle. We also rinse and clean the site to prevent infection. After removal, follow the aftercare instructions to promote faster healing.

How do you ensure the wisdom tooth removal process is as comfortable as possible? 

We use modern dental technology and powerful anesthesia to provide a comfortable dental experience. Your treatment is guided by imaging for precision, and we even offer an aftercare protocol to ease pain and swelling. 

Meet Our Doctor:

Dr Blake Nelson Sedation Dentist Winston-Salem

Dr. Blake Nelson DDS

Dr. Nelson knows how stressful dental care can be, and prioritizes a comfortable, painless experience

He’s had a lot of dental work, too. Like many people, Dr. Nelson has a lot of unpleasant memories of dental work as a child. From the age of 4 to 18, he had just about every dental treatment procedure from fillings to crowns to extractions.  

Because of his personal experiences, he’s committed to prioritizing patient comfort. Dr. Nelson is extremely motivated to provide dental ...

How much does it cost to have my wisdom teeth taken out?

Person with Wisdom Tooth Pain in Winston Salem

Cost varies for several reasons, including the number of teeth needing extraction, the complexity, and your insurance coverage. Please see our frequently asked questions for more information. 

How can I afford to have my wisdom teeth taken out? 

Our dental office offers quality dental care, and we work to make it affordable. We file all billings with your insurance company and advocate for you. We can also talk about financing plans, and remember to ask one of our team members about potential discounts for those without insurance (cash payments). 

We look forward to helping you enjoy a pain-free smile again! Call today to get started

Featured Blog Posts - Wisdom Teeth Removal

June 17, 2024

5 Essential Foods You Must Eat (and Avoid) After Wisdom Tooth Removal

Woman holding her jaw in pain, winston-salem nc

Updated May 22nd, 2025

Typically, you’ll eat soft foods for the first 24 to 48 hours after wisdom tooth removal. Then, you’ll slowly add regular foods back into your diet. Of course, it’s different for everyone, so your Winston-Salem dentist will provide aftercare instructions, including when you should resume normal eating and chewing.

Best Foods to Eat After Wisdom Teeth Removal

We recommend the following types of foods to start with:

  • Mashed potatoes
  • Low-fat yogurt
  • Creamed soups
  • Cream-of-Wheat
  • Custard or Pudding

Foods and Habits to Avoid

To promote healing and prevent complications like dry socket, it's crucial to ...

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