Preserving Your Oral Health
Wisdom teeth, called third molars, are the very last teeth to grow into the mouth. They develop in the back of the mouth behind the second molars. In teenagers, impacted wisdom teeth commonly cause discomfort when they erupt through the gum tissue. Rarely, is there enough space it the mouth for these teeth to fully erupt. This lack of room is associated with swollen gums, discomfort and tooth decay. In some instances, wisdom tooth removal is recommended to prevent crowding of the front teeth. Additionally, wisdom teeth impactions can cause tenderness which makes tooth brushing more difficult.
Frequently wisdom teeth should be removed in order to prevent the potential for damage to the adjacent teeth and gums. The ideal time to examine third molar development is between the ages of 14 – 19 years old. Early check-ups can simplyfy any treatment that may be needed. Schedule a consultation with Dr. Roman today to discuss wisdom tooth position and development.
Why Choose Roman Dental for Wisdom Tooth Extractions?

We Accept Dental Insurance

In-House Wisdom Tooth Extractions

Sedation Dentistry Available
What are Wisdom Teeth?
Wisdom teeth are your last set of teeth to grow into your mouth, and they emerge between the ages of 16 and 25. You can be born with no wisdom teeth, or one, two, three, or all four-it all depends on your genetics. In your teenage years, your dentist should be able to spot them and keep an eye on them, determining whether they’ll be impacted below your gumline, are growing in sideways, or whether there will be enough room for them in your mouth.
What People Say
About Our Houston Dental Practice
EXCELLENT Based on 463 reviews Posted on Google Marilyn HeneryTrustindex verifies that the original source of the review is Google. Best Dentist and Hygienist. Thanks Janine for all the great work and professionalism. Dr Roman you're the best
Owner's reply
Marilyn: Thanks for posting this 5 star review of Roman Dental. From all of us at Roman Dental - Have a great day!Posted on Google Holly HortonTrustindex verifies that the original source of the review is Google. Everyone was super nice and the doctor and nurses were so informative and helpful!
Owner's reply
Holly: You are super nice to share these kind words about Roman Dental. We are all pleased to hear that you had a good dental visit.Posted on Google Maria WylieTrustindex verifies that the original source of the review is Google. Dr. Kotlarek of Roman Dental and all his staff are wonderful, caring professionals. My family has been going to Dr. Kotlarek for many years, for all our dental needs, from cleaning to cavities, crowns, and my recently broken molar. They have my trust.
Owner's reply
Maria: Thanks for trusting us with your families dental care for all these years. Have a great weekend.Posted on Google Monica BetancourtTrustindex verifies that the original source of the review is Google. I have been seeing Dr. Roman and Janie for over 10 years! I moved away from TX and keep coming!
Owner's reply
Monica: Thanks for the great review of Roman Dental and especially for trusting us to help with your dental care when you travel to Houston. Have a nice weekend while here in Texas.☀️Posted on Google Roger DrushelTrustindex verifies that the original source of the review is Google. I have been using Roman Dental for over 6 years. Dental Hygienist Rebecca did an excellent job deep cleaning my teeth. She was meticulous & took her time to make sure all tartar was removed. All staff is exceptionally friendly & nice. Dr. Mark makes sure the customer is taken care of completely. Super organized & thorough. Can’t go wrong having them as your dental office.
Owner's reply
Roger: As always, thanks so much for your kind comments. Have a nice week. Best Regards, Mark Kotlarek, DDSPosted on Google Georgia BrownTrustindex verifies that the original source of the review is Google. Dr. Kotlarek and ALL of the staff are friendly and caring! I cannot say enough good things about them all. From pain management to checkout , I give them all 5 stars!
Owner's reply
Georgia Brown: Thanks for the Roman Dental review. We all enjoy helping and trying to make the treatment as pleasant as possible. Have a great week!Posted on Google Herbert EilenderTrustindex verifies that the original source of the review is Google. I have been a patient of Dr. Kotlarek for many years and I am always very satisfied with the procedures. Danielle Eilender
Owner's reply
Danielle Eilender: Thanks for your kind review and for trusting us, for so many years, with your dental care. It's always a pleasure to see you and to be of help. Best, Mark KotlarekPosted on Google Todd FreedTrustindex verifies that the original source of the review is Google. Rebecca G. is very concerned about each patient's comfort. This concern shows through her approach and focus on the patient during teeth cleanings and treatments. I highly recommend her for anyone who doesn't enjoy dental appointments like myself.
Owner's reply
Todd Freed: Having worked with Rebecca for over ten years, I too can testify that you're right. Rebecca is sincerely concerned about dental hygiene, teeth cleaning and each patient's comfort. Thanks for your nice review. I'm happy that your visit was comfortable, if not enjoyable.🥳 Have a good evening, Roman Kotlarek,DDS
When Do Wisdom Teeth Need to be Extracted?
The most common reason why wisdom teeth need to be removed is for prevention. If there isn’t enough room in your jawbone for them to grow in, it could increase your chances of experiencing crowding and other orthodontic issues down the road. If they’re growing in sideways or impacted below the gumline, it could increase your risk of developing an infection or experiencing jaw damage. By removing your third molars, you can avoid needing additional oral treatment down the road.
Wisdom Tooth Extraction Process
In most cases, patients are sedated intravenously during the tooth removal process. This makes the treatment very comfortable. Because of the anesthesia, wisdom tooth removal patients have very little memory of the procedure.
Because most third molars are impacted beneath the gum tissue, surgical extraction involves the removal of obstructing bone and suture placement. As a result minor post operative bleeding, bruising and swelling may occur. However, medications are often delivered intravenously, during the time of surgery, to minimize discomfort and inflammation. Afterward, patients are given a cold compress to further limit swelling. Following the oral surgery it’s recommended that patients have a light, bland and soft meal with water for hydration. Rest and limited activity provide the most comfort on the path to recovery.
Wisdom Tooth Extraction FAQs
How long does it take to recover from wisdom tooth extraction?
At what age should I get my wisdom teeth removed?
Will getting my wisdom teeth removed hurt?
How should I prepare for my wisdom tooth extraction?
- Arrange for a trusted friend or family member to drop you off and pick you up from your appointment.
- Purchase soft foods and hydrating liquids to sustain you throughout your healing process.
- Wear comfortable clothes to your appointment.
- If you’re receiving IV sedation, please wear a short sleeve shirt, or a shirt that allows you to easily roll up your sleeves.
- Refrain from smoking or using tobacco products before and after your treatment.
What are the signs that my wisdom teeth need to be removed?
- Pain at the back of your mouth
- Swelling around the jaw
- Red or swollen gums
- Bad breath
- Difficulty opening your mouth
Can wisdom teeth cause sinus problems?
Yes, wisdom teeth can cause sinus issues.
The upper wisdom teeth are located close to the sinuses. When these teeth become impacted or grow improperly, they can place pressure on the sinuses. This can lead to pain, headaches, and congestion.
If you notice sinus problems coinciding with wisdom tooth discomfort, the two issues might be related. An evaluation at Roman Dental can provide clarity and relief.
Are there any risks of not removing impacted wisdom teeth?
- Damage to adjacent teeth
- Cyst formation
- Infections
- Gum disease
Impacted wisdom teeth can also result in crowding of other teeth. This may lead to misalignment and the need for orthodontic treatment.
By consulting with Dr. Kotlarek at Roman Dental, you can avoid these risks and maintain optimal oral health.
Can wisdom teeth grow back after extraction?
What are dry sockets, and how can they be prevented?
A dry socket (alveolar osteitis) occurs when the blood clot at the tooth extraction site does not develop, dissolves, or becomes dislodged. When this happens, it exposes the underlying bone and nerves. This condition can lead to severe pain, delayed healing, and potential infection.
You can prevent dry sockets by following these guidelines:
- Avoid Straws and Smoking: These actions can dislodge the blood clot.
- Maintain Oral Hygiene: Gently rinse with a saline solution as directed.
- Adjust Your Diet: Stick to soft foods and avoid chewing near the extraction site.
How can I manage swelling after the extraction?
- Apply an ice pack for 20 minutes on and 20 minutes off for the first 24 hours
- After the first day, switch to warm compresses to help reduce swelling
- Keep your head elevated when lying down
- Avoid strenuous activity
- Use over-the-counter pain relievers and anti-inflammatory medications
Why Choose Roman Dental?
The Roman Dental staff prioritize each patient’s unique needs, their age, medical history, and lifestyle are considered when treatment is recommended. This small dental practice located in West Houston provides thoughtful and personalized care.
Dr. Roman Kotlarek is all about clear communication. He listens closely to patients’ concerns and thoroughly answers questions. He also discusses treatment options and makes tailored recommendations to meet immediate needs.
Dr. Kotlarek’s expertise is backed by memberships in prestigious organizations, including the American Society of Dental Anesthesiology, the American Society of Dental Aesthetics, the American Dental Association, the Texas Dental Association, the International Congress of Oral Implantologists, reflecting his commitment to continuing education and high-quality dental care.