Wisdom Teeth Extraction — Is It Necessary?

It seems to be a rite of passage for an older teen or young adult to have their wisdom teeth extracted. Swapping funny stories about what you said while coming out of anesthesia or discussing your post-procedural diet of soup and ice cream seem to be a “coming of age” story for the modern adult. Do all of our Carmichael dental patients need to have their wisdom teeth removed? What are the facts about wisdom teeth extractions?

How Many Teeth Do I Have?

Children have twenty baby teeth, followed by 32 for adults. The 32 adult teeth line up like this: eight incisors up front, four canines (or eye teeth), eight premolars and twelve molars (including four wisdom teeth if you still have them). If you’ve had your wisdom teeth pulled, that leaves you with 28 adult teeth to care for.

You may know people who never had their wisdom teeth pulled and they have no problems. Is it always necessary? What happens if you don’t get them out? And why might your dentist advise you to pull what seem to be perfectly healthy wisdom teeth?

Do I Get to Keep My Wisdom Teeth?

If you have the room in your jaw for four more big molars and if those molars are coming in straight and healthy, then congratulations are in order. You get to have 32 adult teeth instead of 28! If you have any of the following oral issues, however, you may need to be the next in line for wisdom tooth extraction:

  • Pain coming from the wisdom teeth
  • Infections in the soft tissue behind a wisdom tooth
  • Tumors
  • Cysts or abscesses
  • Damage or cracking of nearby teeth
  • Crowded teeth
  • Gum disease
  • Impaction or failure of wisdom tooth to erupt fully

But you may be in the small group of people who get to keep their wisdom teeth if they are:

  • Healthy
  • Fully erupted (grown in completely)
  • Easily cleaned at home
  • Positioned well in relation to other teeth

Everyone is different. Some people just have bigger jaws than others. Many dentists and doctors believe that jaw length may be related to breastfeeding as a child, but you cannot change that now that you are an adult! The most important point for an adult is that sacrificing the health of 28 teeth just to keep four wisdom teeth is not a good decision.

Wisdom Teeth Extraction Without Complications

Whether you get to keep your wisdom teeth and have bragging rights or get them pulled using the latest in pain free dentistry, this is a decision to make with your dental professional. The Marconi Dental Group is prepared for wisdom teeth extractions with sleep dentistry, also called conscious oral sedation, so that you can undergo the procedure without experiencing it. For those that want to tough it out with traditional methods for a better story to tell about what happened when their wisdom teeth were removed, our Carmichael dentists can help you too! Either way, if you need your wisdom teeth pulled, the Marconi Dental Group is here to help!

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Dr. Fischer

Dr. Fischer comes from Sandy City Utah, where he graduated from the University of Utah with a background in Medical Biology. Dr. Fischer then was awarded his DDS degree from Loma Linda University here in California. Prior to that, Dr. Fischer worked alongside his father for several years as a design engineer at his father’s dental company. Dr. Fischer has a strong passion for dentistry, he believes in providing his patients with the most modern and up-to-date procedures, and he truly enjoys the variations of procedures he gets to perform daily.

When not practicing dentistry, he can be found spending time with his family. Dr. Fischer and his wife Brittany have twins Kaitly and Kyle, and son Johnny. Outside of his professional activities, Dr. Fischer is also a true adventurist. He has travelled to many countries and enjoys backpacking, scuba diving, para gliding, camping, and hunting just to name a few.

Headshot of Dr. Y. Vinny Huang at Marconi Dental Group

Dr. Huang

Dr. Y. Vinny Huang received his Degree in Dental Surgery in his hometown of Taipei, Taiwan and then went on to receive his Masters in Science and Postgraduate Certificate in Prosthodontics from the University of Iowa in Iowa City, IA.

He has been practicing dentistry since 1992 and his area of specialty is Prosthodontics, the treatment and handling of dental and facial problems. Prosthodontics involves the restoration of missing teeth and jaw structure. Dr. Y. Vinny Huang is also a Diplomate of the (ABP) American Board of Prosthodontics and an active member of the (CDA) California Dental Association and the (AAFP) American Academy of Fixed Prosthodontics, and a fellow of the (ACP) American College of Prosthodontists. He is also fluent in Mandarin!

Dr. Y. Vinny Huang was fortunate enough to find his calling at a young age. He grew up watching his grandmother struggle with her dentures on many occasions and has been determined to help others just like her ever since. He is truly passionate about his work and finds great joy in creating beautiful smiles for his patients whether it be on their own or with the help of dental implants. Dr. Y. Vinny Huang makes it his personal mission to educate his patients and community on the importance of oral health and does so with honesty, professionalism and care.

When Dr. Y. Vinny Huang isn’t practicing dentistry or assisting the community, you will find him spending time with his wife and two daughters. He also enjoys being outdoors and staying active whether it be swimming, golfing or playing tennis.

Headshot of Dr. Visage of Marconi Dental Group

Dr. Visagé

Dr. Visagé graduated his dental degree from University of Pretoria in South Africa (1999). He practiced general dentistry in South Africa and England until 2002. He went on and completed a residency program in Periodontics and Oral Medicine, in South Africa to attain his Masters degree in 2006. He established a successful private specialist practice in Periodontics and Dental Implants. During that time he also served as secretary of the South African Society of Periodontology and still holds specialist registration with the Health Professions Council of South Africa.


In 2014, Dr. Visagé and his family relocated to California, and he was invited to the prestigious Program for International Dentists at University of California, San Francisco (UCSF). In 2015, he received the OKU Dental Honour Society Dr Kramer S Award from the UCSF School of Dentistry. In 2016 he received the Dental Honour Society Membership Award and also the Award for Clinical Excellence & Mentoring (UCSF).  He obtained his American Doctorate of Dental Surgery (UCSF) in 2016.


The most enjoyable part of his work is getting to know the patients and being able to play a role in improving oral health, which contributes to quality of life. He is truly passionate about dentistry, but strikes a balance between his professional and personal lives.  He maintains his fitness through running, biking and hiking with his family. 

Dr. Visagé and his wife Karlien, have  a  daughter and a son.  When time allows, he and his family enjoys travelling and spending time together. They travel to South Africa as often as time allows, but also enjoy road trips in the USA.