During a wisdom teeth procedure, once you are sufficiently anesthetized, Dr. Geisler makes an incision in the gum tissue to expose the tooth and bone. She removes any bone that is blocking access to the tooth root and begins breaking down the tooth into smaller pieces to remove it. When she has finished removing the tooth, she cleans the surgical site and stitches the wound closed if needed. Finally, she places a piece of gauze over the extraction site to begin the process of forming a blot clot.