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Theodore J. Grellner DDS, PA

15310 Amberly Dr #195, Tampa, FL 33647

Call us today! (813) 972-3478

WISDOM TOOTH PAIN - (This page is under construction)

What Causes Wisdom Tooth Pain?

The most common source of pain first suffered from the wisdom tooth area comes from the gum covering the wisdom tooth.

Once the wisdom tooth gets close enough to the surface of the gum to start breaking through, bacteria in the saliva that can now get under the gum can contaminate and infect the gum tissue. Infection usually announces itself as swelling of the gum along with pain from the gum. When someone says that their wisdom tooth is giving them trouble, this is a common cause for it, but not the only.

Teeth that can't be brushed well develop cavities. You probably already know this. While it should be common sense, the wisdom teeth being the teeth farthest back in the mouth are the hardest ones to clean, therefore they often decay faster than all the teeth in front of them that are easier to clean. 

Just like any other cavity, once it gets deep and close to the center of the tooth, signs of tooth infection start: sensitivity to temperature, pressure, or spontaneous pain. Once this last sign appears, your tooth is likely abscessed and will either need a root canal in order to keep the tooth, or will need to be removed to eliminate the source of infection.

Unless you've had a tooth removed in front of the wisdom tooth that allowed it to come all the way in and is a functioning tooth, there might not be a justification to do a root canal on a wisdom tooth, if you can even find someone who will do it.

Since the wisdom teeth are the youngest/newest teeth in the mouth, since they generally come in last, there is little reason to invest in a root canal since it has shown itself to be a very hard tooth to keep clean and cavity-free.

While these are the two most common sources of wisdom tooth pain, they are not the only so you will need a panoramic x-ray to see if there is any other reasons for your pain if not one of these two.



Better timing of the removal of the wisdom teeth for fewer surgical complications, a shorter, more comfortable course of treatment, and less damage to adjacent structures because of generally easier surgery.


Better pain management for a more productive, perhaps more fun recovery, and ....


Kinder surgery resulting in a much more comfortable and less complicated recovery. This comes, in part, from experience and attention to detail.


Much more advanced anesthesia resulting in a recovery from anesthesia that is amazingly quick. No lengthy recovery, many fewer side-effects upon discharge than ever seen before, and the ability to be more productive later in the day that would have previously been devoted to sleep and "awareness-avoidance".:

Timing Is Also Important When An INFECTED Wisdom Tooth Needs to Come Out!

Although it might seem obvious that you want to have a wisdom tooth out before the cavity starts to abscess the tooth causing severe toothache pain, a gum abscess is a much different animal.

Once the gum covering a wisdom get infected, it is much more risky to make an incision through that infected gum to expose the impacted wisdom tooth enough to remove it. The gum, up to that point, may actually have prevented the infection from spreading into the back of the jaw, down into the neck or cheek. Lift the gum away from the tooth while the gum is infected may allow the untreated infection to spread into any of those areas much more quickly. 

Generally the safest thing to do is treat the infection with antibiotics until it resolves so the gum can be more safely opened. Keep in mind that the first antibiotic tried might only partially work, requiring the addition or replacement with another antibiotic. 

When you have had an infection come and go until the point comes where it won't go away on its own and gets worse, it will often be far more difficult to treat with only one antibiotic.

Infections are very unpredictable as to how they will respond, if they do at all to an oral antibiotic. They can certainly worsen quickly enough that oral antibiotics won't be able to control them, requiring IV antibiotics in a hospital setting.

By getting the timing right, you can hopefully lose less time from your schedule.

Waiting until an infection shows itself is never a good idea because once it does, it will instantly double the amount of time you will lose to treating it since you will likely have to wait 5-7+ days for your antibiotics to resolve the infection before the affected tooth can be removed.


Soon-to-be patient

If you (or your loved one) is experiencing pain from either a wisdom tooth or the gum around it, you may be dealing with an infection.

While there are a host of other problems that can also arise from wisdom teeth, pain is frequently an indicator of infection that may need to be dealt with first.

Please call: (813) 972-3478 for a wisdom tooth consultation

So we can see you to diagnose your problem and start treating the source of your discomfort.

We will also plan for the removal of your wisdom teeth as quickly as it can safely be done, and will help you to choose the anesthetic most comfortable for you and your situation.


Want to avoid this last minute emergency situation that never comes at a time convenient for either you or your young adult?

Once a problem starts to appear with wisdom teeth, it adds time, expense, risk, and inconvenience to the entire experience.

The older the patient and the more valuable his/her time is when problems appear, the costlier the loss of time to fix the problem (as well as your time accompanying him/her). He also strives to keep the cost of wisdom tooth extraction affordable for your budget. You can know you made a good decision choosing Dr. Grellner as your surgeon.

I would like to highly recommend Dr. Theodore J. Grellner and his staff. All four of my children have had their wisdom teeth extracted by Dr. Grellner. All were treated with great care and all had no difficulties after their teeth were extracted. They were back in their routines in a very timely manner. All have beautiful smiles. My husband and I couldn't be happier with all four of their results! Thank you Dr. Grellner!

Guthrie and Shannon N.

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Choosing the Best Doctor for Your Wisdom Tooth Surgery

Finding the right surgeon for a wisdom tooth extraction can ensure an easy recovery and lower your risk of post-surgical complications. With extensive surgical training and decades of experience, Dr. Theodore Grellner can reliably perform accurate, comfortable wisdom tooth surgery for patients. Furthermore, his development of the QuickRecover anesthesia technique has almost completely eliminated post-procedural discomfort caused by general anesthesia.

Choosing the Best Doctor for Your Wisdom Tooth Surgery

The most important qualifications for any oral surgeon are board certification and experience. Even with the best intentions, an uncertified or inexperienced surgeon can severely mismanage your treatment. A poorly executed tooth extraction can leave patients with nerve damage, serious infection, and weeks of pain during their healing period.

‘’Certified by both the American Board of Oral and Maxillofacial Surgery and the National Dental Board of Anesthesiology, Dr. Grellner has been practicing as an oral surgeon for more than three decades..’’

Another important factor is specialization. Many general dentists perform tooth extractions as part of a broad spectrum of dental services. But while they are capable of performing the procedure, oral surgery is not their specialty. Oral and maxillofacial surgeons, however, have considerably more experience performing extractions and other surgeries on a regular basis. Consequently, they can offer more accurate, reliable results than general dentists can.

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A Qualified Wisdom Tooth Surgeon

Certified by both the American Board of Oral and Maxillofacial Surgery and the National Dental Board of Anesthesiology, Dr. Grellner has been practicing as an oral surgeon for more than three decades. Furthermore, he is considered an authority on wisdom tooth removal, in particular. In thirty plus years of practice, Dr. Grellner has successfully treated a huge range of cases. He regularly deals with damaged, infected, and impacted wisdom teeth.

Since 2012, Dr. Grellner has also served as Courtesy Clinical Assistant Professor of Oral Maxillofacial Surgery at the University of Florida College of Dentistry. This honor has not only given him the opportunity to further hone his technique through demonstration, but has also allowed him to incorporate more accurate technology into his regular practice. The more precise the treatment, the more comfortable and successful it is for the patient.


The QuickRecover Technique

Like all oral surgeons, Dr. Grellner is licensed to administer anesthesia to minimize discomfort during a procedure. But as part of his ongoing effort to make wisdom tooth extraction a more comfortable patient experience, Dr. Grellner has developed a special anesthetic technique called QuickRecover. Using a specialized pump, he can deliver micro-doses of anesthesia throughout treatment rather than a continuous flow. Consequently, he can customize doses as needed.

Dr. Grellner will closely monitor your dosage to ensure you receive the right amount. Because the amount of anesthesia tailored to the individual’s needs, this approach substantially reduces post-procedure recovery time. Rather than wait out the effects over several hours, patients often recover in as little as 10 to 20 minutes. With QuickRecover, patients can avoid prolonged periods of uncomfortable dizziness and nausea.

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A Compassionate Approach

Empathetic treatment forms the foundation of Dr. Grellner’s practice. He not only understands patient anxiety, but has lived through it. Like many dental patients, he has dealt with a number of uncomfortable and unpleasant treatments. As many of our patients can testify, your comfort is considered on equal footing with your overall health in all treatment plans.

In addition to developing more comfortable techniques, Dr. Grellner strives to remain as responsive as possible to patient concerns. If you are uncertain or anxious about treatment, he will walk you through it beforehand, answering any questions to help you prepare. He can also make adjustments to accommodate your needs.

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Receive the Best Care

Dr. Grellner’s practice places patient comfort at the forefront of oral surgery. If you or your child needs a wisdom tooth removed, contact our office today to schedule an appointment and discuss your situation.

Ensuring the Best Wisdom Tooth Removal Experience Possible

Although wisdom tooth removal is a health-oriented procedure, there is no reason it should not be a comfortable one. Dr. Theodore Grellner strives to ensure the best wisdom tooth removal experience possible in a comfortable environment at his specialized Tampa, FL, office. Your surgery will be planned and executed to minimize post-surgical discomfort and reduce the risk of potential complications.

A Comfortable Experience

Many patients are anxious about even simple dental treatments. The risk of oral surgery adds a layer of further discomfort. With a history of unpleasant experiences in the dentist’s chair himself, Dr. Grellner deeply emphasizes with that anxiety. Consequently, patient comfort forms a cornerstone of his practice. To this end, he focuses on three specific factors: timing, anesthesia, and technique.


With their awkward placement in an already crowded mouth, wisdom teeth almost always complicate a patient's oral health. Consequently, they almost always need to be extracted. The question is usually not if but when: should all patients have their wisdom teeth removed early or should they wait until problems appear?

Dr. Grellner and his team encourage removing wisdom teeth as soon as possible, usually when a patient is still a teenager. This is recommended even if problems have not already developed. The reason is simple: early wisdom tooth removal considerably reduces the risk of surgery. Complications of wisdom teeth can range from mild pain to jaw fracture, permanent nerve damage, and injury to the joint connecting the jaw and skull. However, there is a two to three year period when patients are teenagers during which risk is much lower. By operating during that brief window, Dr. Grellner reduces both surgical risk and post-procedural discomfort.

No matter your age, however, Dr. Grellner will do everything possible to ensure a successful and gentle procedure. Many of our patients have appreciated his level of care and attention. Even if you have put off having wisdom teeth removed, you can benefit from his efficient, compassionate care.


All oral surgeons typically administer anesthesia so as to minimize discomfort during a procedure. But patients often have to deal with a range of unpleasant side effects afterward including, dizziness, nausea, sore throat, and occasionally vomiting. Depending on the dose and your metabolism, these effects can last anywhere from several hours to several days.

In order to minimize side effects and speed recovery, Dr. Greller has developed a special anesthetic technique called QuickRecover for faster, easier recovery. Using a special pump, he can deliver micro-doses of anesthesia to a patient throughout their appointment rather than administering it all at once. This method allows more customized doses and, consequently, a smoother experience. Not only does QuickRecover virtually eliminate prolonged dizziness or nausea, it can reduce post-anesthesia recovery to as little as 10 to 20 minutes.

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Dr. Greller focuses on advanced techniques that offer the most conservative surgery. The less surgical interference the mouth is subjected to, the less time it takes to recover. Consequently, he focuses on preserving the bone and surrounding tissue as much as possible. The extraction itself is done gently to minimize damage as much as possible.


Theodore J. Grellner DDS, PA

15310 Amberly Dr #195
Tampa, FL 33647

Call us today!
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