Surgical Dentistry
Extractions, wisdom teeth, implant placement and gum grafting.
Planned, not rushed
Some problems cannot be fixed with a filling or a crown. Surgical dentistry covers taking a tooth out, removing wisdom teeth, placing an implant in the jaw, and rebuilding gum tissue that has receded.
These appointments are planned, not rushed. We assess first, explain what is involved and what healing looks like, and only then book the treatment.
What this covers
- Extraction of a decayed, broken or crowded tooth
- Wisdom tooth removal, including teeth that are impacted
- Assessment and surgical placement of dental implants
- Bone grafting where there is not enough bone to hold an implant
- Gum grafting for receded gums and exposed roots
- Written aftercare instructions and a follow up plan
What actually happens at the visit
This is the part most people want to know before they book, so here it is in order.
Images before anything is planned
The assessment includes images, so we can see the roots, the nerve and the bone before anything is planned.
On the day
On the day, the area is frozen. You feel pressure and movement, not sharpness. Tell us if that changes.
How long a simple extraction takes
A simple extraction is often over in fifteen to thirty minutes.
What you leave with
You leave with written aftercare, a number to call, and a clear idea of what the next few days should feel like.
If sedation is part of the plan
Arrange for someone to drive you home if you are having sedation. We tell you in advance if that applies to you.
Before treatment starts
We go through the options with you and what each one costs, and you decide what to go ahead with. Nothing is done to a tooth before you have said yes, and you can have the plan in writing.
Good to know
- Swelling usually peaks about two days after surgery and then settles. A cold pack held against the outside of the face on the first day helps.
- Soft food, and no vigorous rinsing, for the first twenty four hours. Your written instructions cover this in detail.
- Healing after a simple extraction is usually a few days. Implant treatment takes months, because the bone has to grow around the implant.
- Call us if pain gets worse after day three instead of better, or if swelling keeps growing. Those are the things we want to hear about early.
Who this is for
Teenagers and young adults having wisdom teeth assessed, adults needing an extraction or an implant, and seniors managing gum recession or preparing for dentures.
If something does not feel right after an appointment, phone the clinic on (416) 744-6323. It is easier to sort out early than late, and we would rather hear from you.
Common questions
Will I be awake?
Most surgical appointments are done with local freezing and you stay awake. If sedation is appropriate for you, we discuss it at the assessment, not on the day.
How much time will I need off?
Most people take the rest of the day after a simple extraction. Wisdom teeth and implant surgery often mean a couple of quieter days. We tell you what to plan for.
Do wisdom teeth always have to come out?
No. Some sit fine and are left alone. We take an image and look at the position, the space and the gum around them before recommending anything.
I am nervous about surgery. What can you do?
Tell us at the assessment. We can book a longer appointment, explain each step as we go, or agree a signal that stops us.
Book this visit
Book an assessment first. Nothing surgical is booked until you have seen the images and know what is involved.
Open seven days a week, evenings until 9:00 pm on weekdays.
Not sure what your plan covers?
Bring your insurance card, or your program card, to your appointment. The front desk checks your coverage before treatment starts and tells you plainly if something is not covered.
Insurance and programs