San Diego Oral Surgery and Tooth Removal
Treating severe tooth pain, advanced decay, or gum disease may sometimes require oral surgery. A dental extraction is the removal of a tooth when it can no longer be saved or when keeping it would compromise your oral health.
At Smile Arc Dental Group, we provide safe and comfortable tooth extractions and oral surgery services for patients throughout the San Diego area. Whenever possible, we aim to preserve natural teeth. However, extraction may be necessary in cases of extensive decay, advanced periodontal disease, trauma, or infection.
When Is a Tooth Extraction Necessary?
A tooth may need to be removed if it is:
- Severely decayed beyond repair
- Loosened due to advanced gum disease
- Fractured below the gum line
- Infected and unresponsive to root canal treatment
- Causing crowding or alignment issues
Wisdom teeth are also commonly removed if they are impacted or affecting surrounding teeth.
Comfortable & Safe Extraction Procedures
Dental extractions are performed in our office using local anesthesia to ensure you remain comfortable. For patients who feel anxious or require more complex treatment, sedation options such as nitrous oxide (laughing gas) or general anesthesia may be available.
Recovery time is typically short. Most patients experience mild swelling or discomfort for a few days, which can be managed with prescribed or over-the-counter pain relief. We provide detailed aftercare instructions to support a smooth healing process.
Wisdom Teeth Removal
Wisdom teeth, also known as third molars, usually erupt between the ages of 17 and 25 , often called the “Age of Wisdom.” While some individuals have adequate space for proper eruption, many do not.
Why Do Wisdom Teeth Often Need Removal?
In many cases, the jaw does not have enough room to accommodate wisdom teeth. When they cannot erupt properly, they may:
- Grow sideways
- Partially emerge through the gum
- Remain trapped beneath the gum and bone (impacted)
Impacted wisdom teeth can lead to infection, swelling, jaw stiffness, and pain. Partially erupted teeth create openings where bacteria can accumulate, increasing the risk of infection and gum disease.
Potential Complications of Impacted Wisdom Teeth
If left untreated, impacted wisdom teeth may cause:
- Damage to neighboring teeth
- Shifting of natural alignment
- Cysts or tumors around the tooth
- Jawbone destruction
Early removal is often recommended to reduce surgical risks and prevent future complications.
What to Expect After Wisdom Tooth Surgery
Wisdom tooth removal may be performed under local anesthesia, nitrous oxide, or general anesthesia depending on your needs. After surgery, mild swelling and discomfort are normal. Cold compresses and prescribed medication help manage symptoms.
You may need to follow a modified diet initially and gradually return to normal eating habits as healing progresses. Our team is always available to answer questions and support your recovery.
Frequently Asked Questions
If you’ve been told you may need a tooth extraction or wisdom teeth removal, it’s natural to have questions. Below are answers to common concerns to help you feel prepared and confident about your care.
How do I know if my wisdom teeth need to be removed?
Wisdom teeth may need removal if they are impacted, causing pain, swelling, infection, or affecting the alignment of neighboring teeth. Even if you are not experiencing symptoms, digital imaging may reveal potential issues that make early removal a safer option.
Is wisdom tooth removal painful?
The procedure itself is performed under local anesthesia, and sedation options are available to help you feel relaxed and comfortable. After surgery, mild swelling and soreness are normal, but these symptoms are typically manageable with medication and proper aftercare.
How long does recovery take after a tooth extraction?
Most patients recover within a few days to a week, depending on the complexity of the extraction. Swelling usually peaks within 48 hours and gradually improves. Following post-operative instructions carefully helps promote smooth healing.
What can I eat after wisdom tooth surgery?
Soft foods such as yogurt, smoothies, mashed potatoes, and soups are recommended during the first few days. As healing progresses, you can slowly return to your normal diet based on comfort and your dentist’s guidance.
Does dental insurance cover extractions?
Many dental insurance plans provide coverage for medically necessary extractions, including impacted wisdom teeth. Our team can help verify your benefits and provide a clear estimate of costs before your procedure.