Wisdom Teeth Removal in Winston-Salem

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

We check your wisdom teeth at every cleaning visit.

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

For some, wisdom tooth 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, wisdom tooth 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, Drs. Benton and Nelson will talk to you about the removal process. 

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 obvious cause.
  • 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.

How will my wisdom teeth be evaluated for removal?


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. If you are a regular patient, no consultation is necessary as your wisdom teeth will be evaluated at your cleaning visits. 

Radiographic Evaluation

Dr. Benton and 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 come in 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 that are trapped in the bone or gums which can destroy 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 take place.

Infections (pericoronitis): Infections can develop around wisdom teeth. Infections can range from very minor that resolve on their own to very 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 major 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. 

What is the wisdom tooth extraction process like?

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.

How do you make sure the wisdom tooth removal process is as comfortable as possible? Person with Wisdom Tooth Pain in Winston Salem

Most effective, pain-free, and up-to-date numbing techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Quick, comfortable, and predictable treatment 

Our office has all of the latest equipment and your procedure will be completed in a quick, comfortable and predictable manner.

Medications to stay pain-free while recovering 

We will give you the best medications in a customized pain-control protocol to stay comfortable after the procedure. Our team will also review how to take care of your mouth in the days following extractions.

Calming nitrous oxide (laughing gas) 

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind.

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

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

There are many factors that determine the cost for wisdom tooth removal.  Most people have four wisdom teeth.  Typically, patients choose to have all four wisdom tooth removed, but some may elect to only have one or two removed during the visit.  The tooth removal fee ranges depending on if the wisdom tooth is erupted (present in the mouth) or unerupted (still in the jaw bone).  Also, many patients elect to be sedated for the procedure.  We will work with your dental insurance company to ensure you receive the maximum benefit and offer payment plans.

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

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

Our Office Accepts and Files All Dental Insurance Policies  

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.

Financial Plans are Available

We offer financing plans that allow you to fit your needs into your budget.

Discounts for Patients Without Dental Insurance (Cash Pay)  

We also offer discounts to patients without dental insurance or for those who prefer to pay in cash.