Surgical dentistry covers dental procedures that require cutting tissue, placing implants, or altering bone. It is performed by oral surgeons, periodontists, and some dentists with advanced surgical training. Patients may need surgical dentistry for problem teeth, rebuilding bone, replacing missing teeth, or treating infections that don’t respond to simple care. This short post explains common procedures, risks, recovery, and how to choose a provider.

Common Procedures In Surgical Dentistry

Tooth extractions (simple vs. surgical)

Simple extractions remove teeth that are visible and easy to access. Surgical extractions are needed when a tooth is broken, impacted, or below the gum line. Surgical removal may involve cutting gum tissue, removing bone, or sectioning the tooth. Recovery is usually 3–10 days for routine cases, but full healing of the socket can take several weeks. Pain and swelling are normal and are managed with medication and cold packs.

Dental implants

Dental implants replace missing teeth with a metal post anchored into the jaw and a crown on top. The basic steps are:

• Placement of the implant post into the jawbone.
• Healing period (osseointegration) where bone bonds to the implant — typically 3–6 months.
• Placement of an abutment and a final crown or bridge.

Some patients can get a temporary tooth the same day; others need time to heal before the final restoration.

Bone grafts and sinus lifts

Bone grafts add bone or bone-like material to areas that have lost volume. Sinus lifts raise the sinus floor to create enough height for upper jaw implants. These procedures are common when there isn’t enough bone to support an implant. Expect swelling and mild discomfort for several days, with most healing over a few months before implant placement.

Who Is A Candidate & How To Prepare

Medical history and medications

Your general health affects surgical success. Conditions like uncontrolled diabetes, bleeding disorders, and some heart conditions can raise risk. Tell your provider about:

• Blood thinners (warfarin, aspirin, clopidogrel)
• Diabetes and blood sugar control
• Immune-suppressing drugs or cancer treatments
• Allergies and previous reactions to anesthesia

Providers may coordinate with your physician to adjust medications before surgery.

Pre-op instructions and day-of expectations

Follow these common steps before surgery:

• Fasting if told (usually for general anesthesia or IV sedation).
• Arrange transportation — you won’t drive after sedation.
• Wear comfortable clothing and avoid jewelry.
• Bring a list of medications and emergency contact info.

On the day, expect a review of your medical history, consent forms, and discussion of anesthesia options (local, sedation, or general).

Risks, Benefits, And Recovery

Common side effects and possible complications

Most surgical dental procedures are safe, but risks include:

• Pain and swelling — usually short term.
• Infection — treated with antibiotics if needed.
• Bleeding — generally controlled with pressure and sutures.
• Nerve injury — rare, can cause numbness or tingling.
• Sinus complications after upper jaw work.

Discuss how your provider monitors and manages these issues.

Practical recovery tips

To recover well:

• Follow a soft-food diet for the first few days (yogurt, soup, smoothies).
• Take pain meds and antibiotics as prescribed.
• Keep the area clean but avoid vigorous rinsing for 24 hours.
• Use ice packs for swelling and rest for 48–72 hours.
• Call the office for heavy bleeding, fever, severe pain, or loss of sensation that lasts.

Choosing A Provider For Surgical Dentistry

Look for the right credentials and experience: board-certified oral and maxillofacial surgeons or periodontists for complex bone and implant cases, and dentists with advanced surgical training for other procedures. Ask about sedation certification, infection-control practices, and before/after photos of similar cases. Verify that the office provides clear treatment plans, written cost estimates, and defined follow-up care.

Schedule a consultation to review your options, risks, and timeline. A good provider will answer questions, explain alternatives, and help you plan recovery so you feel confident before treatment.