A panoramic X-ray shows exactly how your third molars are positioned before we recommend anything. Smile Center Dentistry assesses impaction type before recommending removal.

Not every wisdom tooth needs removal — we assess each one individually rather than pulling all four by default. A fully erupted, functional wisdom tooth causing no problems can often just be monitored.

We don't rely on a single small X-ray for a decision this significant. This single image gives us a complete picture of all four wisdom teeth at once.
From local anesthesia to oral or IV sedation, we discuss what fits your anxiety level and case complexity. We'll tell you honestly if your case would benefit from a higher sedation level.
We classify each wisdom tooth's impaction type, since that determines procedure complexity and recovery time. Classification happens per tooth, since it's common for one side to differ from the other.
You'll know realistic swelling and downtime expectations before surgery day, not discover them afterward. Recovery timelines differ meaningfully between impaction types, and we tell you which applies to you.
Every wisdom tooth case is different depending on position and impaction type — here's what's typically involved.
This imaging alone often answers whether removal is even necessary right now. We review the image with you directly, pointing out what we're seeing.
These cases typically involve shorter procedure and recovery times than bony impactions. We explain why your case falls into this category if it does.
When a tooth is angled or fully encased in bone, removal requires a more involved surgical approach. Recovery expectations are set honestly for these more involved cases.
Local anesthesia, oral sedation, or IV sedation are all discussed based on your anxiety level and case complexity. Pre-procedure instructions for sedation are given clearly in advance.
A follow-up check confirms healing is on track, especially for more complex bony impaction cases. We're reachable directly if recovery doesn't feel right.
When a wisdom tooth is fully erupted and functional, we may recommend monitoring rather than removal. If circumstances change, we revisit the removal conversation honestly.
We ask about symptoms — pain, swelling, crowding — to prioritize scheduling appropriately.
You'll see your own X-ray and understand exactly what we're recommending and why.
Simple cases may take under an hour; complex bony impactions take longer.
We're reachable directly during recovery if swelling or pain seems unusual.
"Only needed two of the four removed — they explained the other two weren't causing problems instead of pulling all four by default."
"Went with oral sedation since I'm anxious about dental work. They walked me through what to expect beforehand."
"Swelling peaked around day two exactly like they said it would. No surprises during recovery."
"Soft-tissue impaction turned out to be a quicker procedure than I braced myself for."
"Told me one of my wisdom teeth was fine to keep and monitor instead of removing all four automatically. Saved me an unnecessary procedure."
Some patients keep one or two wisdom teeth that are fully erupted and functional with no issues. We'll show you the panoramic X-ray and explain our reasoning for each tooth.
We discuss the trade-offs of each option at your consult rather than defaulting to the most involved one. We'll recommend a specific option based on your case, not upsell the most expensive one.
We give a realistic timeline specific to your impaction type, not a generic estimate. Swelling typically peaks around day two regardless of impaction type.
Late teens to early twenties is common, since roots aren't fully formed yet, but we evaluate based on your X-ray, not just age. We'll tell you honestly if waiting is reasonable for your specific case.
We prioritize scheduling for patients reporting active pain or swelling. Bad breath or a persistent bad taste near the back of your mouth can also signal a problem.
Cost depends on impaction type and how many teeth are involved — we quote this after your panoramic X-ray. We verify insurance benefits before treatment so you know your out-of-pocket cost.
Smile Center Dentistry provides Wisdom Tooth Removal to patients throughout Tyro and neighboring Tyro, NC communities, with panoramic imaging on-site. Whether it's one tooth or all four, our Tyro team handles assessment and most procedures in-house.
We'll tell you honestly which teeth actually need to come out.
Call +1-866-227-2801