Wisdom teeth usually show up between ages 17 and 25, and for many people there just isn’t room for them. When they come in crooked, get stuck under the gum, or crowd the teeth in front, removing them can prevent pain and bigger problems. At Siena Dental, we remove wisdom teeth in our Leander office, with sedation available so you can relax.

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Do Wisdom Teeth Always Need to Come Out?

No. If your wisdom teeth are healthy, fully in, and easy to clean, you may be able to keep them. We’ll check them with X-rays at your regular visits and only recommend removal when there’s a good reason.

Signs Your Wisdom Teeth May Be a Problem

Pain or pressure at the back of your mouth
Swollen, tender, or bleeding gums behind your molars
Jaw stiffness or trouble opening your mouth
Bad breath or a bad taste that won’t go away
Food getting trapped around a partly erupted tooth
Crowding or shifting of your other teeth

Impacted Wisdom Teeth

A wisdom tooth is impacted when it can’t fully break through the gum. It may be trapped under the gum or bone, or growing in at an angle toward the tooth in front of it. Impacted teeth can lead to infection, damage to neighboring teeth, and cysts, so we often recommend removing them before problems start.

What to Expect

Consultation

We take X-rays, and a 3D CBCT scan when needed, to see the exact position of each tooth and its roots in relation to nearby nerves and sinuses.

Comfort

The area is fully numbed. You can also choose sedation: nitrous oxide, oral sedation, or advanced sedation with a local anesthesiologist. Many patients choose sedation for wisdom teeth.

Removal

Depending on the tooth, your dentist may make a small opening in the gum and remove the tooth whole or in sections. We close the area with stitches if needed.

Recovery

Expect some swelling and soreness for two to three days. Ice packs help.
Eat soft foods like yogurt, smoothies (without a straw), and soup for the first few days.
Don’t use straws, smoke, or spit forcefully for at least 72 hours to protect the healing sockets.
Take pain medicine as directed and rest for a day or two.
Rinse gently with warm salt water starting the day after surgery.

Most people are back to school or work in two to four days.

LOCATED IN LEANDER, TEXAS

Siena Dental is a full-service, one-stop dental office where patients receive comprehensive care for all of their dental needs under one roof. Your smile is the reason for everything we do. Our practice is led by Dr. Bashir Motamedi and Dr. Bruce Beheshtin, both board-certified dentists with extensive experience. Together, they are dedicated to providing exceptional, personalized care for every patient. We proudly serve the communities of Austin, Leander, and Georgetown, offering free parking and a multilingual team to ensure each visit is convenient, comfortable, and stress-free.

Monday	9:00am - 5:00pm
Tuesday	9:00am - 5:00pm
Wednesday	9:00am - 5:00pm
Thursday	9:00am - 5:00pm
Friday, Saturday, and Sunday	Closed
Emergency Services	By Appointment Only

Conveniently located in Leander, our practice sits in a growing and easily accessible area just northwest of Austin, making it simple for patients from Leander, Cedar Park, and surrounding communities to visit us.

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3D illustration of lower teeth and roots in a transparent jaw

Wisdom Teeth Removal FAQs

What's the best age to remove wisdom teeth?

Often in the late teens or early twenties, when the roots aren't fully formed and healing tends to be faster. Adults can still have them removed safely.
Will I be asleep?

With advanced sedation from our partner anesthesiologist, you'll be in a deep, relaxed state and likely won't remember the procedure. With nitrous or oral sedation, you'll be awake but calm.
Do all four have to come out at once?

Not always, but removing them in one visit means one recovery. We'll recommend what makes sense for you.
What if my wisdom tooth hurts right now?

Call us. We hold time for same-day emergency visits Monday through Thursday.
Does insurance cover it?

Most PPO plans cover part of wisdom teeth removal. We'll check your benefits for you. See our financial options.

SEE WHAT OUR CLIENTS ARE SAYING ABOUT US

    
 
 
      Trustindex verifies that the original source of the review is Google. I usually don’t enjoy going to the dentist, but this office made the experience really easy. Everyone was friendly, and the dentist explained what was going on without making it confusing. I never felt rushed, and they made sure I was comfortable the whole time. I’m glad I found this place.
  
  Posted on Google  
 
    
   Aria Shamestani 
 
 
 
 
     Trustindex verifies that the original source of the review is Google. Very professional and caring. They made the entire visit easy and stress-free! ☺️
  
  Posted on Google  
 
    
   Roxan Sh 
 
 
 
 
     Trustindex verifies that the original source of the review is Google. Great experience at Siena Dental! The staff was friendly, the office was clean, and Dr made me feel comfortable and well-informed throughout my visit. Quick, professional, and no long wait times. Highly recommend — five stars
  
  Posted on Google  
 
    
   Bahar Beheshtin 
 
 
 
 
  
  
 
 
     Verified by Trustindex  Trustindex verified that these reviews were published on Siena Dental's Google Business Profile. Learn more

Contact Our Dental Team

EXPERIENCE EXCEPTIONAL DENTAL CARE IN LEANDER, TX

The team here at Siena Dental is dedicated to providing the best patient experience possible. Our wide variety of dental services are designed to help you smile with confidence.

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We are here to help answer any questions or concerns you may have. Reach out to us today!

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Do Wisdom Teeth Always Need to Come Out?

Signs Your Wisdom Teeth May Be a Problem

Impacted Wisdom Teeth