Wisdom Teeth

By the age of 18, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Wisdom Teeth Presentation

To provide you with a better understanding of wisdom teeth, we have provided the following multimedia presentation. Many common questions pertaining to wisdom teeth are discussed.

Wisdom Teeth Presentation

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Kikuchi can evaluate the position of the wisdom teeth and predict if there are present or may be future 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. Dr. Kikuchi has the training, license and experience to provide various types of anesthesia for patients to select the best alternative.


In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia) or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding, bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us at VENTURE PROFESSIONAL CENTER Phone Number 702-876-6337.

Wisdom Tooth Removal Overview

For a brief narrated overview of the wisdom tooth removal process, please click the image below. It will launch our educational MiniModule in a separate window that may answer some of your questions about wisdom teeth.

Wisdom Tooth Removal Overview

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are experienced in anesthesia techniques.


5 out of 5 stars based on 14 Wisdom Teeth reviews.

Patient Review By Shanya E

The staff and doctor went above and beyond to make me feel comfortable when I had to get my wisdom teeth removed. Very professional and overall friendly. I will definitely be recommending to friends and family.

- Shanya E

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Patient Review By Jerlin L

You'll never find an oral surgeon like Dr. Matt Kikuchi. The service can be compared with that of a small hometown office wherein you are treated like a friends they see every day in the community. The office is beautiful and comfortable. It has sofas, TVs, literature, and a pleasant smell. The check in process is pleasant. The office is clean. My son's wisdom teeth extraction went smoothly. The doctor began by thoroughly explaining to my son what to expect during the surgical preparation and the process. He comforted me by preparing me for the recovery process. The staff assisted with the post-surgical care. The most unexpected and exceptional service that was provided however happened post surgery about two hours later when a valid prescription for pain medication issued by Dr. Kikuchi was denied by five CVS pharmacy locations - one of which is my regular pharmacy. Narcotic pain medication requires a written prescription and identification. It can't be dispensed prior to the surgical procedure. A patients need for medication and society's need to combat narcotic pain medicine abuse have created a conflated situation that is hurting people in genuine pain. After driving to five pharmacy locations and being denied my son's pain medication while being provided with no information on where it could be obtained, I called Dr. Kikuchi who had provided me with his direct line - as it was after hours when I called. His office ensured that my son's delay in receiving his pain medication ended. Dr. Kikuchi was equally upset by the refusal of CVS pharmacy's to fill my son' prescription. His staff went above and beyond the call of duty and met me at a pharmacy of my choosing with alternative prescription choices and stayed to ensure they were filled. This is a practice you only hear about - usually in days long gone. It was truly refreshing to have received this level of care. I am a fan and will refer business!

- Jerlin L

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Patient Review By Maria S

This office is amazing. The girls in the office are fantastic, all of them very caring and attend any needs that you would need. Dr. Matt Kikuchi was the one who performed the surgery on me, and his pre-car was stellar. He walked me through the entire process with a calm and soothing voice. I had to have two wisdom teeth removed, top and bottom on the same side. It's been approximately 8 hours since the procedure, and I barely feel any pain. To me, this is a sign of excellent skill, because none of the muscles or nerves around the offending tooth were agitated. I would highly recommend this office to anyone else that is looking to have excellent care with excellent people.

- Maria S

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Patient Review By Tianna D

Dr. Kikuchi is awesome and has a solution for all of my dental needs. All the staff is very friendly and professional.

- Tianna D

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Patient Review By Brent M

Dr. Kikuchi and his staff are amazing. He did both our daughters wisdom teeth and was there before, during and after to make all of us feel so comfortable. This staff is absolutely amazing, their is no one better. Thank you so much.

- Brent M

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Patient Review By Dominick G

the staff was very caring and comforting. they insured that i understood exactly what was going to take place and how the procedure would be done. Doctor Kikuchi is amazing and made me feel at home and did a great job.

- Dominick G

5 out of 5 stars on

Patient Review By Terry S

Super friendly staff and the Doctor was one of the best. I've never enjoyed any dental experience until now.

- Terry S

5 out of 5 stars on

Patient Review By Marisol S.

Dr.Kikuchi and his staff where amazing, my wisdom teeth where coming in really causing a lot of pain. Dr. Kikuchi's office where amazing and took me in the same day! Very informative and explained every detail from being to end. By far one of the best experience I've ever had a dental office I was so nervous but his staff made me feel safe and informed every step of the way. Thank you!

- Marisol S.

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Patient Review By Travis F

Went to get my wisdom teeth pulled as well as a fifth tooth and a bone graft. Excellent top notch care from the entire staff making sure I was confortable the entire time! I recommend iv sedation to anyone that needs this procedure as it was painless i when i awoke the surgery was all over! Thanks again for making the surgery quick and painless! Thanks to the entire staff and a special thanks to the amazing Dr. Kikucki for making my experience as pleasant as possible!

- Travis F

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Patient Review By Juan L

I was worried being my first surgery, but Dr. Kikuchi and his staff were so friendly and such a great team, they made me feel comfortable, and before I knew, it was all over. I would recommend this facility to everyone... Thanks again...!

- Juan L

5 out of 5 stars on

Patient Review By Jacqueline M

Thank you for making my wisdom teeth removal so comfortable. I was absolutely terrified, but you all were amazing with me. I would definitely recommend your office to everyone! Thanks again!

- Jacqueline M

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Patient Review By Manuel M

I would refer this facility to anyone and everyone in a heartbeat.

- Manuel M

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Patient Review By J T

I must say that Dr. Kikuchi and his staff are wonderful! Having oral surgery in any form can be stressful and nerve racking as it was for me today! However Dr. Kikuchi took the time to explain everything in full he did not in any way rush through the procedure. Him and his staff are very personable with their patients. From check in all the way through check out everyone is caring and just do what they can to make their patients feel comfortable and at ease. I would not wish oral surgery on anyone however if the need arises I would certainly refer my friends and family to this office as I know they will be well cared for. My appreciation and gratitude to Dr. Kikuchi and entire staff!

- J T

5 out of 5 stars on

Patient Review By Michelle H

I absolutely love this office. There was not a detail that was not addressed prior to my wisdom teeth removal, Dr. Kikuchi explained everything with such care, addressing my nerdy curiosities and answering my endless questions with so much sincerity. After the procedure, his staff sent me home with a "goody bag" with gauze, my prescriptions, instructions for post-care, etc. They called at 8:00pm on a Friday (the day of my procedure) to check in on my pain and swelling and if I was having any bleeding or anything. On that Saturday, I found I was allergic to the antibiotics (not his fault, I didn't know), so I called (Dr. Kikuchi's cell phone) and he called in something new right away. He was unable to call me back a few hours later so he texted to make sure it all went fine at the pharmacy and I got a new prescription. Then, that evening (this is still Saturday!) called me again to make sure everything was going fine. If that is not exemplary patient care, I just don't know what is. The staff is great, the office is beautiful, and my dentist also said Dr. Kikuchi did a magnificent job getting my teeth out in one piece. They have literally nothing left to improve on that I could find. It almost makes me sad that I don't have to go there often!

- Michelle H

5 out of 5 stars on