Glendale, Arizona

Surgical Dental Services in Glendale, AZ

From wisdom tooth removal to complex extractions, tori reduction, and root-end procedures, Dr. Dawson performs advanced surgical dentistry in-house at SmileScience -- with CBCT imaging, IV sedation, and same-day restorative care available under one roof.

ICOI Fellowship-Level Surgical Training
CBCT 3D Imaging for Surgical Planning
IV Sedation Available On Request
Written by Richard Dawson, DMD ICOI Fellow Reviewed by John Turke, DMD Clinical Reviewer Updated May 2026
400+ Five-Star Reviews Google verified
CBCT 3D Imaging Precise pre-surgical planning
IV Sedation Available Board-certified anesthesiologist on-site
Restorative Care In-House Same-day crowns, implants, and bridges

Advanced Surgical Procedures -- No Specialist Referral Required

Dr. Dawson performs a full range of surgical dental procedures as a general dentist with fellowship-level surgical training through the International Congress of Oral Implantologists (ICOI) -- the world's largest organization for implant and surgical training in general dentistry. He has performed thousands of surgical extractions and wisdom tooth procedures at SmileScience.

Patients in Glendale searching for oral surgery services are often surprised to learn that most common surgical procedures -- extractions, wisdom teeth, tori reduction, apicoectomy -- do not require a specialist referral when performed by a fellowship-trained general dentist with the right imaging and anesthesia support. Keeping surgical care in-house means fewer appointments, consistent care under a provider who knows your full dental history, and restorative work completed in the same practice.

Dr. Dawson uses CBCT cone beam 3D imaging for pre-surgical planning on complex cases, ensuring accurate anatomy assessment before any surgical procedure begins. IV sedation is available for patients who prefer to be deeply relaxed -- administered by a board-certified anesthesiologist, not the dentist.

Some procedures genuinely require a specialist. When they do, we will tell you honestly and send you to the right provider. But most surgical dental procedures that patients assume require a referral can be handled here, more conveniently and with full continuity of care.

-- Richard Dawson, DMD
Dr. Dawson reviewing CBCT 3D imaging before a surgical dental procedure at SmileScience Dental Spa

Surgical Dental Services at SmileScience

From planned procedures to urgent extractions, these are the surgical services available at our Glendale practice.

Tooth Extractions

Simple and surgical extractions for teeth that cannot be saved due to decay, fracture, infection, or periodontal disease. Sedation available. Replacement planning included.

Tooth Extractions →

Wisdom Teeth Removal

Erupted and impacted third molar extractions, including full bony impactions. CBCT imaging for difficult cases. IV sedation for anxious patients or multi-tooth procedures.

Wisdom Teeth →

Tori Reduction

Surgical reduction of mandibular or palatal tori -- bony growths that interfere with denture fit, speech, food trapping, or oral hygiene. Typically a single outpatient procedure.

Tori Reduction →

Apicoectomy

Surgical root-end treatment when root canal retreatment is not feasible or has failed. The infected tip of the root is removed and sealed from the outside to allow healing.

Apicoectomy →

What to Expect

Most surgical procedures at SmileScience follow this general sequence. Specific steps vary by procedure.

  1. Dr. Dawson reviews your dental history and takes digital X-rays or a CBCT 3D scan depending on the procedure. For complex extractions, impacted wisdom teeth, or apicoectomy, 3D imaging provides anatomy detail that 2D X-rays cannot. You receive a clear explanation of findings and treatment options before anything is scheduled.

    Consultation and Imaging

  2. Treatment Planning and Sedation Selection

    A surgical plan is created, including whether local anesthesia alone is sufficient or whether nitrous oxide, oral conscious sedation, or IV sedation is appropriate. IV sedation is administered by a board-certified anesthesiologist and is available for anxious patients, multi-tooth procedures, and any case where you prefer to have no awareness of the procedure.

  3. You will be numb and comfortable before any instrument is used. Surgical extractions use luxators and elevators to minimize bone stress. Wisdom tooth surgery uses sectioning when needed to reduce trauma. Tori reduction reshapes bone under local or IV sedation. Apicoectomy accesses the root tip through a small gum incision. Most procedures take 30 to 90 minutes.

    Day of Surgery

  4. Closure and Post-Operative Instructions

    The surgical site is sutured when appropriate. You receive written post-operative instructions, a prescription for pain management if needed, and any required antibiotics. You leave with our direct contact information for questions or concerns after hours.

  5. A post-operative check confirms healing. If the surgical procedure involved tooth removal, Dr. Dawson or Dr. Turke discusses replacement options -- dental implant, bridge, or other restorative solutions -- so you have a complete treatment plan before you leave the surgical appointment.

    Follow-Up and Restorative Planning

Typical Recovery by Procedure

ProcedureProcedure TimeReturn to Normal ActivityFull Healing
Simple extraction10 -- 20 min1 -- 2 days1 -- 2 weeks
Surgical extraction30 -- 45 min2 -- 3 days2 -- 4 weeks
Wisdom teeth (1 -- 4)30 -- 90 min3 -- 5 days2 -- 4 weeks
Tori reduction30 -- 75 min3 -- 5 days4 -- 8 weeks
Apicoectomy45 -- 90 min2 -- 3 days6 -- 18 months (bone fill)

Times are estimates. Your dentist will give a specific expectation based on procedure and case complexity.

Sedation Options for Surgical Dentistry

Anxiety about surgical procedures is normal. We offer sedation at every level so you can get necessary care without dreading the experience.

Nitrous Oxide

Light relaxation through a nasal mask. You stay awake and responsive. Effects clear within minutes. You can drive yourself home.

Nitrous Oxide →

Oral Conscious Sedation

A prescription sedative taken before your appointment. You are drowsy and deeply relaxed with little memory of the procedure. A driver is required.

Oral Sedation →

IV Sedation

Deeper sedation by a board-certified anesthesiologist -- not the dentist. You are deeply relaxed with essentially no awareness or memory. A driver is required. Recommended for multi-tooth surgery and highly anxious patients.

IV Sedation →

Full details on our sedation dentistry page.

Surgical Dental Recovery

Most patients are back to normal activity within 1 to 3 days. Recovery varies by procedure and complexity.

  • Mild swelling and tenderness is expected for 24 to 72 hours
  • Use ibuprofen and ice packs in the first 24 hours to control swelling and discomfort
  • Eat soft foods and avoid straws, spitting, and smoking for 48 to 72 hours
  • Take any prescribed antibiotics for the full course if given
  • Keep the area clean -- gentle rinsing with warm salt water after 24 hours
  • Contact us if you develop worsening pain after 3 days, fever, or signs of spreading infection

Specific instructions depend on the procedure performed. You will receive written post-operative instructions before you leave, and we encourage you to call with any questions during recovery.

Patient in recovery after a surgical dental procedure at SmileScience Dental Spa in Glendale

Medical Review & Evidence

Richard Dawson, DMD
Author: Richard Dawson, DMD Medically Reviewed by: John Turke, DMD Last Updated: May 2026

Surgical dental procedures performed in a general dental office by a fellowship-trained general dentist have comparable outcomes to specialist-performed procedures for most common indications. Patient selection, pre-surgical imaging, and appropriate anesthesia management are the primary factors in outcome quality.

  1. Bagheri SC, Meyer RA. When to refer a patient with a dental implant or oral surgery concern to a specialist. J Am Dent Assoc. 2014. PubMed -- Guidance on appropriate scope of care for general dentists performing surgical procedures.
  2. American Dental Association. Oral Surgery: What Is an Oral Surgeon? ADA.org -- ADA guidance on surgical dental procedures and when specialist referral is appropriate.
  3. Curley A, Hatcher DC. Cone beam CT -- Anatomic assessment and legal issues. J Calif Dent Assoc. 2009. -- CBCT imaging for pre-surgical planning reduces intraoperative complications in complex extraction and implant cases.

Interactive wisdom tooth decision tool

Should your wisdom teeth come out?

Not every wisdom tooth needs to come out — and not every case is urgent. Walk through the same questions a dentist uses: current symptoms, eruption position, space, root formation, and risk to the teeth in front. Most patients finish in under two minutes.

  • 8questions
  • ~2minutes
  • 5decision paths
  • In-housesurgical team

Created by Dr. Richard Dawson, DMD · Reviewed by Dr. John Turke, DMD · ICOI Fellow · No login

Final decision requires an X-ray and clinical exam. Impaction angle, root formation, and proximity to the inferior alveolar nerve cannot be assessed without imaging. This tool helps you understand the clinical reasoning before your appointment.

Reference

Five wisdom tooth decision paths

Every wisdom tooth case lands in one of five categories. The sign pattern on the left is what a dentist looks for; the description and recommended next step are on the right. Only an in-person exam with a current panoramic X-ray can confirm your category.

Signs and criteria

  • Swelling extending into the cheek or jaw
  • Difficulty opening the mouth fully
  • Fever or feeling systemically unwell
  • Trouble swallowing or breathing

Emergency Extraction

Active spreading infection from a wisdom tooth is a dental emergency. Swelling that moves into the face or neck, jaw stiffness, or trouble swallowing require immediate treatment — call now or go to urgent care.

Learn more Wisdom tooth care at Smile Science →

Signs and criteria

  • Recurring swelling or bad taste in the wisdom tooth area
  • Gum flap over a partially erupted tooth that gets infected
  • Pain that returns every few weeks
  • X-ray shows cavity forming on the tooth in front

Extraction Recommended Soon

Recurring pericoronitis (infection under the gum flap) or early damage to the adjacent tooth are indications for extraction within weeks. Waiting increases the risk of a more serious infection or permanent damage to the second molar.

Learn more Wisdom tooth care at Smile Science →

Signs and criteria

  • Impacted tooth pressing against the adjacent molar
  • Difficult to clean around the wisdom tooth
  • Tooth is fully or partially impacted below the gumline
  • No active infection but X-ray shows risk to adjacent tooth

Extraction Recommended, Routine

An impacted or difficult-to-clean wisdom tooth that is not causing acute symptoms but represents a predictable future problem. Extraction is simpler, heals faster, and has fewer complications the earlier it is done.

Learn more Wisdom tooth care at Smile Science →

Signs and criteria

  • No current symptoms but wisdom teeth have never been assessed
  • Mild occasional discomfort in the back of the mouth
  • Wisdom teeth present on X-ray but eruption status unknown
  • Recent orthodontic treatment completed

Evaluation Recommended

Current symptoms do not point clearly to extraction, but a clinical exam and panoramic X-ray are needed to assess impaction angle, root formation, proximity to the nerve canal, and risk to adjacent teeth. Many patients discover an impaction they were unaware of.

Learn more Wisdom tooth care at Smile Science →

Signs and criteria

  • Wisdom teeth fully erupted and in good alignment
  • No crowding or pressure on adjacent teeth
  • Cleanable and cleaned regularly
  • X-rays show no pathology or impaction risk

Watch and Wait

Fully erupted wisdom teeth with good position, no signs of gum disease, and no crowding risk may not need removal. Annual X-ray monitoring confirms they remain in a stable, maintainable state.

Learn more Wisdom tooth care at Smile Science →

Surgical Dentistry FAQs

Yes. Dr. Dawson performs all surgical dental procedures at SmileScience. He holds fellowship training from the International Congress of Oral Implantologists (ICOI), which includes surgical implant placement, complex extractions, and related hard and soft tissue procedures. For procedures that genuinely require an oral and maxillofacial surgeon -- such as jaw surgery or pathology biopsies -- he will refer appropriately and explain why.

Most patients referred out for surgical procedures can be treated in a general dental office by a dentist with the appropriate training and equipment. Advantages include continuity of care with a provider who knows your complete dental history, fewer appointments, restorative work completed in the same office, and often shorter wait times than specialist practices. The quality of outcome depends on the provider's training and imaging capability -- not the practice type.

No. Routine simple extractions and most soft tissue procedures are performed with standard dental X-rays. CBCT 3D imaging is ordered when anatomy is complex or unclear -- including impacted wisdom teeth with unusual angulation or proximity to the inferior alveolar nerve, suspected root fractures, pre-surgical implant planning, and apicoectomy cases.

A simple extraction takes 10 to 20 minutes. A surgical extraction of a single broken or infected tooth typically takes 30 to 45 minutes. Impacted wisdom tooth removal ranges from 30 minutes for a single erupted tooth to 90 minutes for four fully bony-impacted thirds. You will receive a time estimate when you schedule.

Most surgical procedures can be performed comfortably with local anesthesia alone. IV sedation is available and recommended for highly anxious patients, multi-tooth procedures, complex impacted wisdom tooth surgery, and patients who prefer to have no awareness of the procedure. Your dentist will discuss options at your consultation and help you choose the level of sedation that fits your case and preferences.

Tori are benign bony growths on the floor of the mouth (mandibular tori) or the roof of the mouth (palatal torus). They are common and usually require no treatment. Reduction is recommended when tori interfere with denture fabrication or fit, cause food trapping, impede oral hygiene, or cause discomfort. The procedure is performed under local or IV sedation and typically heals in 2 to 4 weeks.

An apicoectomy is a surgical procedure to remove the tip of a tooth root and seal it from the outside. It is used when root canal treatment has not resolved an infection or when retreatment is not technically feasible due to posts, calcification, or access limitations. A small incision is made in the gum, the infected root tip is removed, and the canal is sealed with a biocompatible material. Most apicoectomies heal in 2 to 4 weeks.

Most dental plans that include oral surgery benefits cover common surgical procedures such as tooth extractions, impacted wisdom tooth removal, and apicoectomy. Coverage amounts vary significantly by plan -- many plans cover 50 to 80 percent of surgical fees after the deductible, subject to annual maximums. Tori reduction is often covered when performed to enable denture fabrication. We recommend requesting a pre-authorization from your insurance carrier before scheduling so you have a clear estimate of your out-of-pocket cost. Our front desk assists with the pre-authorization process and can provide a fee estimate at your consultation.

What Our Patients Say

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Ready to Schedule or Have Questions?

Dr. Dawson offers consultations for all surgical dental procedures at SmileScience Dental Spa in Glendale. Call or book online -- we will review your imaging, explain your options, and give you a clear plan before any procedure is scheduled.