Wisdom Teeth Removal in Texarkana & Paris, TX

Oral Examination

With an oral examination and x-rays of the mouth, our oral surgeons can evaluate the position of the wisdom teeth and predict if there are present or future potential problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid-teenage years by their dentist, orthodontist, or by an oral and maxillofacial surgeon.

All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Our doctors are trained, licensed, and highly experienced in providing various types of anesthesia for patients.

Ready to have a bright & healthy smile?

Contact us with any questions or to schedule an appointment.
Our caring and dedicated staff can't wait to hear from you!

Texarkana: 903-794-3331 Paris: 903-785-2541 Request an Appointment

Why Should I Have My Wisdom Teeth Removed?

If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients, it is as early as 12 or 13, and in others, it may not be until the early twenties. Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:

A representation of a pericoronitis infection on a wisdom tooth


The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.

An example of a cyst formation on a wisdom tooth

Cyst Formation:

Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.

An illustration of teeth crowding caused by a wisdom tooth

Possible Crowding:

Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.

A visual of a wisdom tooth damaging an adjacent tooth

Damage to Adjacent Teeth:

If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.

What If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?

As wisdom teeth develop, the roots become longer and the jaw bone more dense. When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate. Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops. In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.

What Happens On The Day Wisdom Teeth Are Removed?

Most people prefer to be unaware of the experience when they have their wisdom teeth removed and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation. All outpatient surgery is performed under appropriate anesthesia to maximize your comfort. Our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Texas Society of Oral and Maxillofacial Surgeons on a regular basis. Dr. Bunel, Dr. Duke, Dr. Legan, Dr. Hastings or Dr. Burks have unrestricted Level 4 anesthesia permits from the Texas State Board of Dental Examiners.

On the day of your procedure, you will take medications to help minimize post-operative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes. Recent advances in medicine and technology allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times.

smiling teenage son with his mother

The Day of Treatment

Be sure to have an adult with you at the time of removal. Make plans to have a parent or responsible adult stay with you for the rest of the day, following wisdom tooth removal.

On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one “last meal” exactly six hours before your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines. We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance. When you are seated in the surgical room, we will make every effort to make you as comfortable as possible. If you are going to be sedated, we usually will place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day.

If your surgery requires stitches, these are usually the type that dissolve in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery, and will subside in several days.

Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first, to see if that adequately treats your pain. If not, begin your other prescription pain medication. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits.

We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.

The Day of Treatment

Please do not eat or drink anything prior to your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications.

A smiling woman

What Does Wisdom Tooth Removal Cost And Is It Covered By Insurance?

The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon’s office staff will help you obtain maximum insurance coverage for your treatment.

What If I Have Questions Before Surgery?

At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our Texarkana office at Texarkana Office Phone Number 903-794-3331 or Paris office at Paris Office Phone Number 903-785-2541 to speak to one of our patient care coordinators.

Oral & Facial Surgery of Northeast Texas

5 out of 5 stars based on 13 Wisdom Teeth reviews.

Patient Review By Andrea B

This practice was recommended by a friend. From the ease of making an appointment, (to my surprise) friendly front desk staff, and to Dr. Legan and his team’s bedside manner, professionalism, and skills, Oral Maxillofacial Surgeons of Northeast Texas went above and beyond my expectations. I highly recommend them to family and friends.

- Andrea B

5 out of 5 stars on

Patient Review By Joshua P

Dr. Hastings is very thorough. She spent a lot of time with me for pre-op consultation and made sure I did not have any unanswered questions. Great clinic staff. She has a very kind bedside manner. My operation was uneventful and with minimal post-op pain. Definitely less post-op pain than expected. Great doctor!

- Joshua P

5 out of 5 stars on

Patient Review By Tammy L

My 17 and 18 year old had their wisdom teeth removed on the same day and Dr. Leegan and the nursing staff took wonderful care with of my kids.

- Tammy L

5 out of 5 stars on

Patient Review By William C

I cant say enough good things about Dr. Duke and staff. Very positive experience. Very Clean facilities. Will recommend him to anyone in fact I already did.

- William C

5 out of 5 stars on

Patient Review By Kaylyn P

I’m not the type to leave recommendations but if I could I would leave a 100 for the care I received. In the Texarkana location & the Paris location. The staff from the front desk ladies to the x-Ray techs to the scheduling ladies. They were all very nice, very informative & made sure I felt comfortable. Dr Burks did my wisdom teeth plus 2 other teeth & placed 2 implants all at one time. He & the staff was very sweet helped me out to the car (where my husband was waiting for me) they gave me extra gauze. Dr Burks called me the night after my surgery at 8pm (after hours) to check on me and make sure I was okay & to see if I had any questions. The best care I have ever received. Thank y’all so much.

- Kaylyn P

5 out of 5 stars on

Patient Review By Sarah C

Dr Duke and his staff (Ashley, Audra and Lyndi) explained everything to me and answered all my questions. I was nervous at first and they took the time to make my visit a great one.

- Sarah C

5 out of 5 stars on

Patient Review By Zoë A

I was so nervous to have my wisdom teeth removed. Dr. Bunel and his staff eased my nerves. He was wonderful and did a great job!

- Zoë A

5 out of 5 stars on

Patient Review By Kaci M

Dr. Legan was so kind throughout the whole process. I was an absolute nervous wreck and his kindness helped to calm my nerves! I don’t remember much after waking up, but my parents said I repeatedly said how kind he was. I would 10 out 10 recommend him to anyone! The work up girl was even so kind to help talk me anxiety away! She was too sweet, I wish I would’ve got her name to give her the credit she deserves!

- Kaci M

5 out of 5 stars on

Patient Review By Melanie S

This staff was so nice and inviting. They took me through my son’s procedure step by step. There were no surprises and everything went to plan.

- Melanie S

5 out of 5 stars on

Patient Review By Ashley B

At 34 years old, I had put off having my wisdom teeth pulled until I just couldn't delay anymore. I was dreading the procedure after having heard horror stories from so many people, especially those older than 30! Dr. Hastings did a FANTASTIC job with my procedure! The procedure was painless, and I woke quickly from the anesthesia with no side effects. I had very minimal pain afterwards (was able to control with ibuprofen and Tylenol), and I had no swelling (I used ice packs for the first 36 hours, which I'm sure helped). The anxiety and stress leading up to my procedure was much, much worse than the actual surgery! Again, I highly recommend Dr. Hastings and the staff at OMS!

- Ashley B

5 out of 5 stars on

Patient Review By Piffany C

Everyone was awesome. It was very easy. I was at ease by the information that was provided to me. Dr. Legan called and checked on me the same day, made me feel like someone cared about my well-being.

- Piffany C

5 out of 5 stars on

Patient Review By Angie S

Overall great experience. I highly recommend this office!

- Angie S

5 out of 5 stars on

Patient Review By Vanessa S

Very friendly staff and Doctor

- Vanessa S

5 out of 5 stars on