Wisdom Teeth

Overview

While the removal of wisdom teeth is the most well-known type of oral surgery, there are many reasons why oral surgery may be required. For example, to:

  • Diagnose, repair, or treat serious conditions affecting a patient’s teeth, palate, lips, jaw, or face
  • Alleviate problems due to obstructed sleep apnea, infections, or facial pain
  • Augment a treatment plan prescribed by a Dentist or Specialist
  • Repair maxillofacial region damage caused by a serious accident or injury

About Oral Surgeons

Oral Surgeons, also known as Oral and Maxillofacial Surgeons, are qualified Dentists who have completed an additional 4-6 year of surgical residencies. Their advanced education and training include anesthesiology and the diagnosis and surgical treatment of defects, injuries, and diseases of the mouth, jaw, teeth, neck, gums, and other soft tissues of the head. An Oral and Maxillofacial Surgeon will work closely with your Dentist to improve your oral health.

Reasons for Referral

Based on an examination or a dental treatment plan, your Dentist or Orthodontist may refer you to an Oral and Maxillofacial Surgeon for a consultation.

BY YOUR DENTIST:

Your Dentist may recommend that you or your child see an Oral Surgeon when:

  • A tooth is impacted. This means that a permanent (adult) tooth has not yet erupted from the bone but is moving into or pushing against an adjacent tooth. This commonly occurs with wisdom teeth.
  • A lesion, tumor or another tissue of the mouth or jaw requires biopsy or removal, or if oral cancer is suspected
  • A dental implant is required to replace a missing tooth or support a bridge
  • One or more teeth must be removed
  • A tooth breaks off at the gum line, and it (or its root fragments) must be removed
  • Corrective surgery to soft tissues or bones in the maxillofacial region is needed
  • Diagnosis and treatment of infections in the maxillofacial region are needed
  • Facial pain exists, including pain suspected from TMJ (Temporomandibular Joint Disease)
  • Obstructive sleep apnea is suspected

BY YOUR ORTHODONTIST

Your Orthodontist may recommend that you or your child have a consultative exam by an Oral Surgeon-related to an orthodontic procedure if there is:

  • An open bite (space between the upper and lower teeth when the mouth is closed)
  • An unbalanced facial appearance from the front or side
  • A facial injury or birth defect that affects the maxillofacial region
  • A receding chin or protruding jaw
  • A problem that causes lips not to meet without straining

Most Common Surgeries

TOOTH EXTRACTION

After the application of anesthetic to the area, special tools are inserted between the tooth and gum that surrounds the tooth. The tooth is moved back and forth within its socket (the bone that encases the tooth’s root) until it separates from the ligament that holds the tooth in place. Sometimes a tooth is cut into small pieces (sectioned) before it is removed.

IMPACTED TOOTH EXTRACTION

The method for removing an impacted tooth will depend on how many roots it has and its location under your gum. Patient sedation is often used in addition to the application of an anesthetic to the impacted area.

A gum tissue flap is created to access bone tissue, and a small opening is made in the bone that covers the impacted tooth. The impacted tooth is then cut into small pieces (sectioned) and removed through the opening. The gum tissue flap is then repositioned and sutured in place.

WISDOM TEETH EXTRACTION

Third molars, also called wisdom teeth, are the last set of permanent teeth to erupt in a person’s mouth and are the ones least needed for good dental health. Wisdom teeth can endanger a patient’s dental health when:

  • They erupt through your gum, but your jaw is too small to hold them. As a result, they force other teeth out of alignment and can damage your bite.
  • They do not erupt through your gum and are not in a normal position. As a result, they crowd the roots of other teeth, force them out of alignment, and can damage your bite.

When your jaw is too small to accommodate normal wisdom teeth, gum or jaw discomfort and swelling often occur. In addition, there is a greater risk of developing gum disease.

Surgery to remove wisdom teeth is typically the best course of action. If a wisdom tooth has fully erupted through the gum, a standard tooth extraction is performed. If the tooth has not erupted through the gum, an impacted tooth extraction method is used.

Paul Freeman, DDS

Cosmetic Dentist located in Buckhead, Atlanta, GA

Dr. Paul Freeman, DDS is a leading general and cosmetic dentist at Atlanta Dentistry by Design and serves patients from in and around Atlanta Georgia. He provides a wide variety of dental services to his patients including regular checkups, professional cleanings, fillings, bridges, crowns, CEREC® One-Day Crowns, veneers, dental implants, endodontic treatments, root canals, tooth extraction, oral surgery, and orthodontics.

Dr. Freeman is a native of Memphis, TN and a graduate of the University of California, Berkeley where he graduated with honors in psychology. He went on to obtain his Doctorate of Dental Surgery at the University of TN, Memphis. Dr. Freeman has been in private practice in Atlanta, GA for over 15 years and has special interests in the application of advanced technology in dentistry. He is a past faculty member of the CEREC Institute in Scottsdale, Arizona where he taught other dentists in the use of CAD/CAM technology. He is also a member of the American Dental Association, Hinman Dental Society, and Georgia Academy of Cosmetic Dentistry. In the past five years, Dr. Freeman has taken over 10 times the required amount of continuing education in order to provide his patients the best dental care available and to stay at the forefront of technological advancement in his profession.

Dr. Freeman’s goal is to offer the finest dental care in a respectful and friendly environment. He is an advocate of preventive care and total wellness through educating his community about the relationship between dental conditions and overall health. He resides in Atlanta with his wife, Michelle, daughter and two dogs. When not attending dental related functions and courses, Dr. Freeman is an avid golfer, a practitioner of Bikram yoga, a supporter of Mutt Madd-ness, and for the MS Society in Atlanta.

New patients are welcomed by Dr. Freeman at Atlanta Dentistry by Design. Most major forms of insurance are accepted.

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Paul Freeman DDS, Atlanta Dentistry By Design

Dr. Paul Freeman, DDS is a leading general and cosmetic dentist at Atlanta Dentistry by Design and serves patients from in and around Atlanta Georgia. He provides a wide variety of dental services to his patients including regular checkups, professional cleanings, fillings, bridges, crowns, CEREC® One-Day Crowns, veneers, dental implants, endodontic treatments, root canals, tooth extraction, oral surgery, and orthodontics.

Dr. Freeman is a native of Memphis, TN and a graduate of the University of California, Berkeley where he graduated with honors in psychology. He went on to obtain his Doctorate of Dental Surgery at the University of TN, Memphis. Dr. Freeman has been in private practice in Atlanta, GA for over 15 years and has special interests in the application of advanced technology in dentistry. He is a past faculty member of the CEREC Institute in Scottsdale, Arizona where he taught other dentists in the use of CAD/CAM technology. He is also a member of the American Dental Association, Hinman Dental Society, and Georgia Academy of Cosmetic Dentistry. In the past five years, Dr. Freeman has taken over 10 times the required amount of continuing education in order to provide his patients the best dental care available and to stay at the forefront of technological advancement in his profession.

Dr. Freeman’s goal is to offer the finest dental care in a respectful and friendly environment. He is an advocate of preventive care and total wellness through educating his community about the relationship between dental conditions and overall health. He resides in Atlanta with his wife, Michelle, daughter and two dogs. When not attending dental related functions and courses, Dr. Freeman is an avid golfer, a practitioner of Bikram yoga, a supporter of Mutt Madd-ness, and for the MS Society in Atlanta.

New patients are welcomed by Dr. Freeman at Atlanta Dentistry by Design. Most major forms of insurance are accepted.


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Atlanta Dentistry by Design

Affordable Payment Plans

The cost of your treatment may vary depending on your individual needs and treatment plan. Dr. Freeman and his staff will discuss with you the cost of your treatment, and each of your available payment plan options, so that you are able to make the best choice for you, your smile, and your family.

Your smile is yours forever, and we want to make it as easy as possible for you to receive the best dental care whenever you need it.

** Our practice accepts most major credit cards and we are familiar with most major insurance plans. **

Our office staff is always available to help you with insurance claims and paperwork.

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Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Texas
Blue Shield of California
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CompBenefits
Testimonials

Words from our patients

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    "Dr. Freeman and his staff are fantastic. You are seen on time and by smiling, happy people who genuinely care about your oral health."

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    "I've had the privilege of having good dentist visits my entire life, but Dr. Freeman's office gave me the very best experience I've ever had at the dentist!"

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    "I love this practice! The office staff is extremely friendly and the dental service is attentive, efficient, and fast. Can't say enough great things about this office!"

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    "The attention to detail that Dr. Freeman applies to his patients leaves little to no room for error. Best. Dentist. Ever. Period."

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    "The Atlanta Dentistry by Design Team is the best. They are very friendly and professional. They provide excellent customer service. "

    Chandra Brown
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Paul Freeman, DDS
1800 Peachtree Street NW
Suite 200
Atlanta, GA 30309