Wisdom Teeth Removal Columbia MO

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Coyle can evaluate the position of the wisdom teeth and predict if there are present or future potential 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. Our doctor is trained, licensed, and highly experienced in providing various types of anesthesia for patients.

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Call us: 573 449-4900

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:

A representation of a pericoronitis infection on a wisdom tooth


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.

An example of a cyst formation on a wisdom tooth

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 jaw bone 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.

An illustration of teeth crowding caused by a wisdom tooth

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.

A visual of a wisdom tooth damaging an adjacent tooth

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 wisdom teeth 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 6-8 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly eight 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, and IV will be placed, usually in the arm or hand. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you after you are sleepy, to ensure comfort, and allow adequate time to travel home and rest. You may be sleepy for a significant portion of the day.

Smiling teenage son with his mother

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.

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. 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.

What does wisdom tooth removal cost and is it covered by insurance?

The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon’s office staff will help you obtain maximum insurance coverage for your treatment.

What if I have questions before wisdom tooth surgery?

At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our office at Show-Me Oral Surgery & Dental Implants Phone Number 573 449-4900 to speak to one of our patient care coordinators.

A smiling woman

The Day of Treatment

Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.

Patient Reviews for Wisdom Teeth Removal

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Show-Me Oral Surgery & Dental Implants, LLC

5 out of 5 stars based on 19 WISDOM TEETH REMOVAL reviews.

Patient Testimonial

They did a fabulous job working as a highly skilled team. The results were absolutely minimal discomfort for a person reluctant to experience this kind of procedure.

- Bob M

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Patient Testimonial

My experience with Dr. Coyle & his office staff was tremendous from my consultation all the way through my post surgery follow up visit. Everyone at this office is helpful & friendly. Dr. Coyle is knowledgeable, straight forward & in my book, a fantastic surgeon. A big thank you to Dr. Coyle & his office…

- Kim V

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3 out of 5 stars on

Patient Testimonial

Dr. Coyle and his team were absolutely phenomenal. I was incredibly nervous about getting an IV/sedated for the first time, but it was easy and painless and the whole team was very comforting the entire time and kept me distracted. Not to mention the fact that they completed my procedure in the midst of a…

- Emily B

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5 out of 5 stars on

Patient Testimonial

I NEVER write reviews, good or bad, but this is hands down the beat experience I have ever had with any kind of dental service. I live in rural MO and called at least 6 to 7 Oral Surgeons because I was in pain and needed to see a Dr ASAP. Katie was the first…

- Ashley J

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Patient Testimonial

My first choice, my only choice in the future. Will recommend highly to everyone. Thank you!

- Calvin C

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5 out of 5 stars on

Patient Testimonial

I would highly recommend Dr. Coyle and his team.

- Will D

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5 out of 5 stars on

Patient Testimonial

Dr. Lance and all the staff were amazing. They were all personable and seemed very grateful. Dr. Lance was hands down the BEST!!!

- Camrie B

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Patient Testimonial

I had a great experience! I was only “high” for less than an hour. Pain was less than expected. I am an active person who has difficulty relaxing long enough to heal, so some of it was probably self inflicted! Overall, excellently handled. All of the staff involved were patient and polite. Had I more…

- Hattie B

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5 out of 5 stars on

Patient Testimonial

Dr. Coyle has stood up for me since the beginning when working with my impacted wisdom tooth removal and insurance. Can’t thank Kristen enough for the help she’s provided in my situation. Highly recommend them! Even in such a stressful time, I was at ease knowing this team was behind the scenes making things happen!…

- Garrett

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5 out of 5 stars on

Patient Testimonial

I had no pain after wisdom tooth removal. Everything was A-1

- David R

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5 out of 5 stars on

Patient Testimonial

Dr. Coyle was competent, knowledgeable, and friendly. He described the procedure and followed through with what he said he would do. As the dental assistant told me, I felt and remembered nothing during the procedure. When I had follow-up questions, he took the time to meet with me and reassured me that all was going…

- Julaine K

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Patient Testimonial

The overall process was wonderful. Staff, especially Vickie was wonderful. We were in and out in about an hour. My son has not experienced much bleeding or pain. I am truly amazed at how fast his recovery has been. I would have liked to have been able to thank Dr. Lance in person, but i…

- Anonymous

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5 out of 5 stars on

Patient Testimonial

I used to hide from dentists and any Maxillofacial practice knowing I needed help but having a Major fear of dental work in general... Coyle and Lance really treated me with extra care and consideration for my fears and issues I always have had. I had 3 wisdom teeth and one lost tooth extracted through…

- Tyler B.

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Patient Testimonial

From beginning to end the experience was amazing. Having the paperwork to fill out beforehand from my referring dentist and the call for information from Dr. Coyles office was much appreciated. With such a busy and sometime hectic schedule, having it this way allowed time to fit it in where time allowed and to keep…

- Shari G

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Patient Testimonial

I would recommend any oral surgery that you need go to Coyle and Lance! I had excellent recovery with no pain. I am 78 years old and my wisdom tooth was embedded in my jaw bone.

- Clara D

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5 out of 5 stars on

Patient Testimonial

Dr. Lance was a great doctor! I was so worried about how the procedure would be considering it was my first time under anesthesia, but the surgery went great! I was very comfortable around the staff and they made it a great experience.

- Nicole S

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5 out of 5 stars on

Patient Testimonial

The overall experience was a really good one! I followed all of the instructions from the staff and Dr. Coyle and had no pain at all while recovering. My Mom and I appreciated their kindness and calling to check on me during my recovery.

- Nathan J

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Patient Testimonial

I have seen Dr Tim twice. My son has been there too. Only place I trust to have teeth extracted. Leave it to the professionals. Great practice.

- Tony L

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