Wisdom Teeth 

Issaquah Implants and Oral Surgery

Call us today at ☎ Issaquah Office Phone Number 425-391-8284 to make an appointment.

By age eighteen, the average adult has 32 teeth; 16 on top and 16 on bottom. Each tooth has a specific name and function. Those in front (incisors, canines and bicuspids) are used to tear food from its source so the molars in back can grind it into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth, so naturally it can be painful when 32 are attempting to fit. Those four extra teeth are your Third Molars, or your “Wisdom Teeth.”

Why Should I Remove My Wisdom Teeth?

Wisdom teeth are the last teeth to erupt in the mouth. When they align properly and gum tissue is healthy, they do not need to be removed. Unfortunately, this is not usually the case. They often grow sideways, partially emerge from the gum or even remain trapped beneath tissue and bone. Impacted wisdom teeth can take many positions as they attempt to find a pathway that will allow them to erupt successfully.

These poorly positioned teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually give way to infection. Consequences include swelling of the gum tissue, pain at the site, jaw stiffness, and illness. An erupting wisdom tooth may push against neighboring molars and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted tooth, resulting in the destruction of the jawbone. Therefore, early removal of wisdom teeth is recommended to avoid the onset of these issues and to decrease the surgical risk involved with the procedure.

Oral Examination

Dr. Narra will examine x-rays and the physical mouth to make diagnoses and/or determine the likelihood that a patient’s wisdom teeth will cause complications in the future. Patients are generally evaluated for the first time in mid-adolescence by their dentist or orthodontist and then referred out to an oral and maxillofacial surgeon for treatment.

All surgical procedures are performed under the conditions necessary for optimal comfort and safety. Dr. Narra has the training, license and experience to provide various types of anesthesia so patients can select the option best suited to their needs.


In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia) or general anesthesia. The format of administration as well as the risks involved (i.e. sensory nerve damage, sinus complications) with each of these options will be discussed in full with you before the procedure is performed.

Afterwards, you will rest under our supervision in the office until you are ready to be taken home. Upon discharge, you will receive postoperative care instructions and prescriptions for pain medication and antibiotics. If you have any questions, please do not hesitate to call us at (425) 391-8284 at any time throughout your treatment and recovery.