As an Oral and Maxillofacial Surgeon, Dr. Chmiel specializes in the treatment of diseases, malformation, infections and injuries of the mouth, face, jaws and teeth. Many procedures can be done in our office on an outpatient basis. For these procedures, anesthesia is performed using the most advanced anesthesia and pain management techniques. Patients can opt for local anesthesia, intravenous sedation or general anesthesia. Our goal is to provide you with the highest level of patient comfort and safety When a wisdom tooth (or third molar) is blocked or unable to erupt into a normal position, it is termed ?impacted?. These teeth may grow sideways, partially erupt through gums or remain fully covered by bone and gum tissue. Many problems can occur with these partially or fully impacted teeth as they try to erupt, but are unable to do so. Pain, infection, damage to adjacent teeth and crowding of teeth can occur. For completely impacted teeth, more serious problems can develop if the sac that surrounds the tooth enlarges to form a cyst or tumor. This enlargement can result in permanent damage to the jawbone, adjacent teeth or nerves. Removal of the associated impacted tooth or teeth usually resolves these problems. Early intervention is recommended (mid to late teens) to avoid such future problems and decrease the surgical risks involved. With an oral examination and appropriate x-rays, we can evaluate the development and position of the wisdom teeth and assist your dentist in determining a correct treatment plan. During this initial consultation, we will discuss your medical history, surgical risks and treatment and anesthetic options so that you can make an informed decision regarding your overall care.