Dear Sir/Madam, I would like your opinion. I have impacted lower wisdom teeth. I am 39 years old and supposedly wisdom teeth are more difficult to remove with age. I have had problems for about 1.5 years. I had pain and was sent from one doctor to another; most recently I was told the teeth are responsible. Because Sjögren's syndrome was also suspected, I have been taking Medrol 4–8 mg daily for a year, although I had also taken it occasionally before during asthma exacerbations. I should now gradually discontinue it, but when I reduce the dose I have more problems—wheezing, painful and difficult swallowing... Because I currently have painful lymph nodes on the right side under the jaw and difficulty swallowing, I was prescribed Hiconcil 500 every 8 hours. I have already taken a box and a half, but the condition is hardly any better. I have pain in the jaw towards the ear, feel pressure, etc. The surgeon is currently away and I do not know what to do. The teeth are right next to the nerves; the report says they are in a very unfavourable position, tilted towards the tongue, so the jaw is very thin on the lingual side. At the University Medical Centre Maribor ENT-Maxillofacial Surgery department I was offered removal of both at once under general anaesthesia, while my oral surgeon would remove them one at a time. I therefore do not know which option to choose and what you recommend. Also, how does Medrol affect the procedure, am I taking high doses, and what are the consequences of taking it before and after surgery? I should also mention that with the first oral surgeon I had already been scheduled for surgery last year. I brought him the panoramic X-ray and he scheduled me for November and December; I waited approximately several months, and then one week before the operation he cancelled it, saying he would not do it. I feel he could have told me that at the examination instead of making me wait almost a year, so now I have to look for another surgeon and wait again. Please understand that I have written at length. I am frightened, psychologically I am completely exhausted and I have lost 12 kg because of the pain and the way I have had to eat—liquid and puréed food. I hope you can send me an opinion and tell me what kind of procedure awaits me. Kind regards, Simona from Maribor