Brought to you by Todd Gifford, DMD - Gifford Family Dentistry - DENTAL INSIDER

GIFFORD FAMILY DENTISTRY - Todd Gifford, DMDThird molars, also know as wisdom teeth, should arrive between ages 17 and 25. But often they cannot come in because they are impacted in the jaw. For those that do erupt, their location in the back of the mouth makes them difficult to keep clean, which can lead to problems as well.

Reasons to extract:

Painful gum infections




Adjacent teeth damage


Elective - "child heading to college soon"

General Dentist or Oral Surgeon?

A general dentist with training and experience can perform most extractions. Difficult cases are often referred to an oral surgeon

Local anesthetic, sedation options and cost:

Local anesthetic to numb you is required with or without sedation. Many patients do well with numbing alone.

Feeling moderately anxious? Your general dentist can provide a prescription for an oral sedative. Your local pharmacy can fill that prescription for a minimal cost.

Feeling extremely anxious? Referral to an oral surgeon for IV sedation may be advised. Budget for an additional expense and two separate visits to the surgeon's office - one for consultation and one for surgery.

Adding oral or IV sedation also requires a responsible adult driver to accompany you to and from your appointment and stay with you for several hours after to keep you safe.

Talk with your general dentist about all of your options. Consider your level of comfort or anxiety, the relative difficulty of your case, and the associated out-of-pocket expense.

Most importantly, make an informed decision that is right for you.

You can also learn more today at

Gifford Family Dentistry

1616 SW Sunset Blvd., Suite E

Portland, OR 97239


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