Wisdom-teeth <em>removal.</em>
Most third molars come out cleanly in a 60–90 minute office visit. Sedation if you want it, local-only if you don't.
When to remove them
Not every wisdom tooth needs to come out. If they erupt cleanly and you can keep them clean, leave them. If they're impacted, sideways, or causing problems for the next tooth — they need to go.
We do most extractions in-house under local anesthetic or IV sedation. A small number of cases (deeply impacted lower wisdom teeth near the nerve) we refer to an oral surgeon. We'll tell you which group you're in after the CBCT.
One visit, planned recovery.
Wisdom teeth come out at one appointment. The first three days after are the part that needs planning.
-
01
Plan
CBCT scan to see the roots and nerve position. Choose your anesthetic (local, nitrous, or IV).
Consult visit -
02
Remove
The extraction itself — 60–90 minutes for all four, less for fewer. Most patients don't remember IV cases.
~ 90 minutes -
03
First 72 hrs
Ice, soft food, no straws. Written instructions plus a phone number for the on-call doctor.
3 days -
04
Follow-up
A week later — quick visit to remove any stitches and check healing. Most patients are fully back to normal by then.
~ 15 minutes
Anesthesia options, your call.
Each option below is available in-house — quoted in writing, no surprises.
Local anesthetic only
Awake but numb — fastest recovery, no sedation cost. Best for one or two simple teeth.
Nitrous oxide (laughing gas)
Local + light inhaled sedation. Awake but very relaxed. Drive yourself home.
IV sedation
Asleep through the procedure. Need a ride home — preferred for all four at once.
Bone graft (if needed)
If we're planning a future implant in that spot, we graft the socket at extraction.
Wisdom Teeth Removal FAQs.
Don't see your question? Send us a note — we'll answer plainly.
- Does it hurt?
- During the procedure, no — local anesthetic handles it. The next 48 hours are sore but manageable with over-the-counter meds for most patients. Prescription pain meds available if needed.
- Can I work the next day?
- Desk work, probably. Anything physical, give it two or three days. The first 24 hours you'll want to be home with ice on your cheeks.
- What about dry socket?
- Less than 3% of our cases. Avoid straws, smoking, and aggressive rinsing for the first 72 hours. If it happens we see you same-day for a medicated dressing.
- What does it cost?
- Simple extractions $200–$400 per tooth, surgical extractions (impacted) $400–$700 per tooth. IV sedation adds $400–$600 for the appointment. Quoted in writing before the day of.
More from the practice.
All under one roof, all planned together.
Ready to book wisdom teeth removal?
We'll confirm by text within one business day. No upsells, no pressure.