Wisdom Tooth Removal — San Luis Obispo, CA

Get wisdom teeth out, in expert hands

Understand when and why wisdom teeth need to come out, as well as options for your comfort. Patients say this is a much easier procedure than they anticipated.

3D illustration of an impacted wisdom tooth in the lower jaw

Overview

What are wisdom teeth?

Wisdom teeth are the third molars at the very back of your mouth, and they usually show up in the late teens or early twenties. The problem is there’s often no room for them. When they can’t come in straight, they get “impacted” or stuck under the gum or angled into the tooth in front. Impacted wisdom teeth can cause pain, infection, crowding, or damage you can’t see without an X-ray.

Removing wisdom teeth is one of the most common procedures in oral surgery, and for most people it’s far more routine than the internet makes it sound. We take a scan to see exactly how the teeth are positioned, then plan the removal around your case so the procedure is easy to get through. Dr. Janette walks you (or your teen) through all of it first.

Urgent? Call 805-541-5611

Candidacy & Indications

Am I a Candidate for Wisdom Teeth Removal?

For nearly everyone, we recommend having wisdom teeth removed. It’s rare that we’d advise keeping them.

You should have them removed if you have:

  • Impacted or angled teeth, stuck under the gum or pushing into the next tooth.
  • Pain, swelling, or repeated infection around the back of the jaw.
  • Crowding that threatens your other teeth or your orthodontic results.

Removing them in the late teens or early twenties is easier. The roots often aren’t fully formed, and it’s the peak of bone healing: the jaw is at its most flexible and has its highest concentration of the cells that build bone. That capacity declines as you get older. Patients this age hurt less and heal faster. At your consultation we’ll show you the scan and explain what removal involves.

Dr. Janette’s Approach

Our approach to wisdom teeth removal

This is surgery, so it’s worth having a surgeon do it. Dr. Adam Janette is a board-certified oral and maxillofacial surgeon. He is a Diplomate of the American Board of Oral & Maxillofacial Surgery, and wisdom teeth, including the tricky impacted ones, are everyday work for him. Just as important, our office administers IV anesthesia to make the procedure more comfortable for you. Patients tell us the part they dreaded was over before they knew it.

Office Technology

The technology we use for wisdom teeth removal

3D / panoramic imaging

Panoramic dental scan used to plan wisdom teeth removal

A scan that shows exactly how the teeth and roots sit relative to important anatomy, like your nerves.

Why it matters: we plan with your anatomic features before we start, which makes the surgery safer and faster.

IV anesthesia

IV anesthesia syringes prepared for in-office sedation during wisdom teeth removal

Our team administers and monitors your sedation, in-office, with the surgical team watching over you throughout.

Why it matters: your teen (or you) stays comfortable throughout the procedure.

What to Expect

How the wisdom teeth procedure works

Before: the consultation

Your first visit is often an evaluation, not surgery. Sometimes, we can do consultation and surgery the same day. We take a scan, look at how the teeth are positioned, and explain what removal involves. We’ll explain what removal will involve and provide a written estimate before anything is scheduled. We’ll go over your anesthesia plan and the instructions for day of surgery, including arranging a driver. If you (or your teen) are nervous, say so, because it changes how we go through the consultation.

During: the removal

Wisdom tooth removal is an outpatient procedure. You’re numbed, and IV anesthesia keeps you comfortable, with the surgical team monitoring you throughout. Dr. Janette removes the teeth, generally all four in one visit, working from the scan so it goes quickly. Most patients are surprised how fast and routine it feels for something they were anxious about. You go home the same day with a driver.

After: the first few days

Expect swelling, some soreness, and a stiff jaw for the first few days. This is normal. We send you home with a plan to stay ahead of it. Stick to soft foods, rest, and follow the rinse instructions to protect the healing sockets. Most people take it easy for a couple days and then are back to school or work, though it varies.

Recovery & Post-Op

Your first weeks after surgery

  • The first couple days are the peak: swelling, tenderness, and a sore jaw are expected, and not a sign anything’s wrong.
  • Keep to soft, cool foods, rest, and follow the rinse routine we send home to keep the sockets clean.
  • Don’t smoke. It slows healing and makes a painful “dry socket” much more likely.
  • Keep your mouth clean: rinse gently, brush your teeth but avoid the surgical sites, and use mouthwash as directed.
  • Most people feel noticeably better within about a week.
  • These are general guides. Follow the specific instructions your surgeon gives you.

When to call us

Contact the office for things like bleeding that won’t stop with gentle pressure, swelling that worsens after a few days, fever, or severe pain that medication isn’t affecting. Call the office with any concern.

Full post-op instructions: Surgical Instructions for wisdom teeth →

Cost & Insurance

Cost of wisdom teeth removal

The cost depends on how many teeth, whether they’re impacted, and your anesthesia. Our front office checks your dental coverage ahead of your visit, and you’ll leave the consultation with a written estimate. If it helps to pay over time, we can set you up with third-party financing.

Frequently Asked

Questions patients ask us about wisdom teeth removal

Patient Experiences

In our patients’ words

★★★★★
April 2026

“Both bottom wisdom teeth removed with no pain — am forever grateful to y’all!”

Verified Patient · Google
★★★★★
April 2026

“After being bumped twice by another oral surgeon, I called Dr. Janette’s office. They made me an appointment right away and removed my wisdom teeth without issue. The recovery was almost painless.”

Verified Patient · Google

Ready to talk through your case?

Request a consultation. CBCT imaging, clinical exam, and a written treatment plan with fee quote at your first visit.

Call Now Request Consultation
Call Request Consultation