Wisdom Teeth

Wisdom Teeth

Have you got your wisdom teeth yet? They are the last set of teeth to emerge and usually surface when you are in your late teens or early twenties. But, sometimes, the wisdom teeth do not emerge as expected due to certain oral issues. They could get stuck, or what dentists call ‘impacted,’ between the jawbone and gums. Such a condition can be very painful and lead to serious oral infections.

We have a solution to this issue. The best way to treat an impacted wisdom tooth is to extract it from the mouth completely. However, this can be a tricky process and requires trained hands to do it successfully. Dr. Puffer is one of the best dentists in Nacogdoches, TX, and has treated numerous patients with impacted wisdom teeth over the years.

What are the symptoms?

  • Extreme pain near the impacted tooth
  • The release of pus and blood near the tooth
  • Bad breath
  • Inability to bite and chew food on the side of the impacted tooth
  • Swelling and inflammation of the impacted site

What are the types of wisdom tooth impaction?

Soft tissue impaction: The tooth wouldn’t emerge out of the gums at all. It would stay completely under the gums as a result of early impaction. A small cut has to be made on the gums to expose the tooth underneath, and then, it will be extracted.

Partial impaction: The tooth starts to emerge naturally. But, midway through the process, it gets impacted. Meaning, the tooth would partially emerge and partially stay under the gums.

Complete impaction: Sometimes, the entire tooth (or almost all of it) would emerge out of the gums but still cause pain and discomfort. Chances run high for this to be an impacted wisdom tooth despite complete emergence. The best way to treat it is by extracting it.


We would thoroughly screen the impacted tooth during your initial visit to our dental clinic and may even take X-rays and scans. It helps us understand the internal structure of the tooth root and the jawbone as well. A customized treatment plan will be drawn out based on the type of impact and discussed with you.

Since the procedure involves the removal of an entire tooth from the socket, it would be painful. Hence, to prevent you from enduring the pain and discomfort, we would administer local anesthesia. It would numb the entire oral cavity, including the teeth, gums, soft tissues, and jawbone. The dentist would expose the tooth by making a small slit on the gums. In case the tooth can’t be extracted in one piece due to certain difficulties, it may have to be sectioned and removed in smaller fragments. Post extraction, the dentist would advise you on how to take care of the wound and facilitate ideal healing.

Call us at (936) 564-2439 or schedule an online appointment with Dr. Puffer at Puffer Dental in Nacogdoches for your personalized dental care.

1211 Park St
Nacogdoches, TX, 75961

Puffer Dental

1211 Park St

Tel: (936) 564-2439

MON : 8:00 am - 1:00 pm, 10:30 am - 5:00 pm

TUE - THU : 8:00 am - 5:00 pm

FRI : By appointments only.

SAT - SUN : Closed