Removal of wisdom teeth could be done while you are sedated and being carefully monitored. 1) An incision is made in the gums 2) The overlaying bone is removed to expose the crown of the tooth. 3) The tooth is then extracted as a whole or under certain circumstances, it may be necessary to be removed in pieces. This is generally done for severely impacted wisdom teeth. 4) The area is stitched closed and allowed to heal.