.svg){kind=icon}
.svg){kind=icon}
.svg){kind=icon}
Wisdom Teeth Removal in Londonderry & Salem, NH
Safe, Expert Removal of Impacted and Problematic Wisdom Teeth
Wisdom teeth, or third molars, are the last set of teeth to erupt—and often the most problematic. At Curtin Oral Surgery & Associates, we specialize in the safe and efficient removal of wisdom teeth, including impacted or partially erupted molars that threaten long-term oral health.
We serve patients across Southern New Hampshire and the Merrimack Valley, including nearby communities like Derry, Windham, Pelham, and Methuen, MA. Whether you're referred by your general dentist or experiencing discomfort, we offer surgical expertise and compassionate care at both our Londonderry office near Londonderry Commons and our Salem location on Main Street.
Why Remove Wisdom Teeth?
Not all wisdom teeth need to be extracted, but many cause problems due to limited space in the jaw. Common reasons for removal include:
- Impaction (trapped beneath the gum or bone)
- Pain, swelling, or infection
- Damage to adjacent teeth
- Gum disease or tooth decay
- Orthodontic complications
- Cyst or tumor development around the tooth
Early evaluation is essential—removing wisdom teeth before roots are fully developed (typically in the late teens or early 20s) can reduce surgical risk and ease recovery.
Coronectomy: A Conservative Alternative When Needed
In select cases where the lower wisdom tooth is positioned close to the inferior alveolar nerve, we may recommend a coronectomy. This specialized procedure involves removing only the crown of the tooth while leaving the roots in place to avoid nerve injury.
When is coronectomy considered?
- When there's a high risk of nerve damage from full extraction
- In healthy, non-infected wisdom teeth with close nerve proximity
- For younger patients with fully developed tooth crowns but risky root anatomy
Dr. Curtin will use 3D imaging and cone beam scans to determine if coronectomy is the safest option for you.
Expert Surgical Care, Right Here in Southern NH
Dr. Jared Curtin, DDS, is a board-certified oral and maxillofacial surgeon with advanced training in wisdom teeth management and nerve-sparing surgical techniques. Whether your case is routine or complex, he ensures a smooth, minimally traumatic procedure from start to finish.
At both our Londonderry and Salem locations, we provide a full spectrum of sedation options, including:
- Local anesthesia
- Oral conscious sedation
- IV sedation
- General anesthesia (when needed)
This allows us to tailor each procedure based on your comfort, medical history, and anxiety level.
What to Expect: Wisdom Tooth Surgery & Recovery
- Evaluation & Imaging — We begin with digital X-rays and 3D cone beam imaging to assess tooth position, root development, and proximity to nerves or sinuses.
- Surgical Removal or Coronectomy — Wisdom teeth are carefully removed using minimally invasive techniques. In cases of coronectomy, only the crown is sectioned and removed.
- Post-Operative Care — You'll receive detailed aftercare instructions to manage swelling, discomfort, and healing. Access our general post-op care instructions online.
- Follow-Up — Most patients heal well within a week, with minimal disruption to daily routines. We remain available for support throughout your recovery.
FAQs
Do all wisdom teeth need to be removed?
No. If they are healthy, fully erupted, and don't pose a risk to nearby teeth or structures, they may not need removal. We'll evaluate your case with advanced imaging.
What is a coronectomy?
A coronectomy is a nerve-sparing surgical technique where only the top (crown) of the wisdom tooth is removed, and the roots are left in place to avoid nerve damage. It's used in high-risk lower molar cases.
How long does recovery take?
Most patients recover within 3–7 days. You may experience swelling and soreness for the first few days, which can be managed with medication and rest.
What sedation is available?
We offer several options based on your needs: local anesthesia, oral sedation, IV sedation, or general anesthesia. Dr. Curtin will help you decide which is most appropriate.
Can wisdom teeth cause problems if left alone?
Yes. Impacted or partially erupted wisdom teeth can cause infections, cysts, damage to adjacent teeth, and long-term crowding. Regular evaluation is key.
Act fast. Gently rinse the tooth (avoid scrubbing), place it in milk or saline, and contact our office immediately. Quick reimplantation can sometimes save the tooth.
Wisdom Teeth Removal with Surgical Precision and Comfort
Whether your wisdom teeth are causing pain or have been flagged for removal during a routine exam, Curtin Oral Surgery & Associates offers trusted, expert care. From standard extractions to coronectomy, our team is committed to making your experience safe and smooth—from consultation to follow-up.
