Independent · Doctor-Owned
Simple extractions and complex impactions handled in-office. IV sedation available so you sleep through everything. Back to normal in 4–7 days. Free evaluation to start.
Not every wisdom tooth needs to be extracted. But most do. The decision depends on whether the tooth can erupt properly and function without harming neighboring teeth, gums, or the jaw. Here is how we think about it.
Even symptom-free impacted wisdom teeth are often recommended for removal before they cause problems. We evaluate each case individually at your free consultation.
We offer three levels of sedation. There is no wrong choice. Pick whatever fits your comfort level and budget.
Not every wisdom tooth needs to come out. But impacted teeth that stay in can quietly cause problems over months or years. A 3D CBCT scan at your evaluation shows us exactly what is happening below the gumline.
Wisdom tooth recovery is predictable when you follow post-op instructions. Most patients are surprised by how manageable it is. Here is what the typical recovery looks like day by day.
Bite down on gauze as instructed. Expect some oozing. This is normal. Take prescribed or recommended pain medication before the anesthesia fully wears off. Rest at home. No driving if you had sedation.
Swelling typically peaks 48–72 hours after surgery. Ice packs applied in 20-minute intervals help. Stick to soft foods: yogurt, smoothies, mashed potatoes. Avoid straws. Swelling will noticeably reduce after day 3.
Most patients return to work or school in this window. Swelling and discomfort decrease significantly. You can introduce softer solid foods. Continue avoiding hard, crunchy, or sticky items. Rinse gently with warm saltwater after meals.
Gum tissue is fully healed. The bony socket continues to fill in over the following weeks. At your follow-up appointment we confirm healing is progressing normally. Most patients return to full normal diet by this point.
We do not routinely prescribe opioids after wisdom tooth removal. Our protocol uses a combination of long-acting local anesthetics, anti-inflammatory medications, and OTC pain relief that most patients find highly effective. The goal is to keep you comfortable through the first 48 hours without narcotics.
Before you leave the chair, we inject bupivacaine (Marcaine), a long-acting local anesthetic that keeps the surgical area numb for approximately 6 to 12 hours after surgery. The intent is simple: you are home and settled before the anesthesia wears off, easing the transition out of sedation and giving your OTC medications time to get ahead of any discomfort.
Dexamethasone (dex) is administered via IV during your procedure. It significantly reduces post-operative swelling and inflammatory pain for the first 2 to 3 days. Most patients notice the difference. We follow this with a Medrol (methylprednisolone) dose pack post-op for continued inflammation control through the first week. Together, this anti-inflammatory stack is often the difference between a difficult recovery and a manageable one.
Ibuprofen 800mg alternated with Tylenol Extra Strength, timed to overlap throughout the day, provides multimodal pain control using two different mechanisms. For most patients following this protocol, it is enough. We will walk you through the timing before you leave.
When wisdom tooth removal involves osseous (bone) removal, as is common with bony impactions, we prescribe antibiotics to reduce the risk of post-operative infection. Not every case requires them. We prescribe only when clinically indicated.
Following these guidelines is the single biggest factor in how smooth your recovery will be. Dry socket, the most common complication, is almost always preventable with proper post-op care.
A little preparation the day of your procedure makes everything smoother. Here is what we ask patients to do before coming in.
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Smile Science is an independent, doctor-owned practice -- not a DSO, not a franchise, not a corporate chain. Every treatment recommendation comes from the dentist who will perform your procedure, with no production quotas or outside investors in the room.
Your consultation and your procedure are with the same doctor.
Real patients. Real results. Unscripted.
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Mon–Thu: 9am–5pm
Fri: 9am–2pm
Sat: Closed
We take X-rays, review your case, verify your insurance, and give you a clear treatment plan, all at no charge. Come in knowing exactly what to expect.
Or call: (480) 530-3663