Wisdom Teeth in Toronto

Wisdom Teeth (Third Molars)

Wisdom teeth, or third molars, are teeth that begin to develop within the jawbones in the early teenage years. If there is adequate space in the jawbones, these teeth are able to successfully erupt in a healthy fashion, and do not need to be removed. In many instances, there is insufficient space to allow for successful eruption of wisdom teeth. When is the case wisdom teeth can cause pain, become infected, cause damage to adjacent teeth or lead to the development of jaw cysts. Studies show that, over time, the likelihood of having problems from impacted teeth is significantly higher than not having problems. Early removal is recommended to avoid such future problems and to decrease the surgical risks involved with the procedure. The American Association of Oral and Maxillofacial Surgeons (AAOMS) states that: “the standard of care is to consider removal of third molars prior to the development of pathology (on a preventative basis), when there is insufficient space for eruption and maintenance, at a time when the post-surgical healing is optimal and the risk of complications is low”.


A consultation is required prior to wisdom tooth surgery. Dr. Freilich performs an examination of your mouth, and will review a current radiograph. This will help determine the condition of your wisdom teeth, and whether there is existing pathology or disease that may not be causing symptoms. Based on the findings of this evaluation, the recommendation may be made for further imaging with a cone beam CT scan.

Wisdom Tooth Surgery

The removal of wisdom teeth is typically performed under general anesthesia. At your consultation, if removal of your wisdom teeth is recommended, Dr. Freilich will discuss the type of anesthesia you would be given, the rationale for recommending surgery, as well as what to expect after surgery. The recovery usually involves facial swelling, jaw stiffness, adherence to a soft diet, antibiotics and pain medications, and diligent mouth rinsing. Dr. Freilich uses sutures that will self-dissolve. Our surgical team provides detailed post-surgical instructions on the day of surgery.

A Word About Pineapple Juice

We are aware of the abundance of videos on Social Media, and TikTok in particular, advocating that patients consume large volumes of pineapple juice on the day prior to wisdom tooth surgery. While these videos present the message that doing so will avoid the potential for swelling after surgery, please note that there is no validity to these claims. Ingestion of 64 ounces of pineapple juice equates to 214 grams of sugar! Dr. Freilich does not support the information conveyed in these videos and does not recommend that our patients drink pineapple juice prior to their surgery.