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Oral Surgery

Oral surgery is the branch of dentistry focused on diagnosing and surgically treating conditions of the mouth, teeth, jaw, and surrounding facial structures that require surgical intervention. The specialty takes its name from 19th-century dentist James E. Garretson, whose work later became A System of Oral Surgery; its professional body today, the American Association of Oral and Maxillofacial Surgeons, traces back to 1918.

In La Jolla and the greater San Diego area, patients typically need oral surgery when a tooth is beyond saving with a filling or root canal, when wisdom teeth are impacted, or when infection calls for extraction. At Center for Dental Health La Jolla, Dr. Sandhya Hegde, D.D.S., B.D.S. and a specialist team handle everything, coordinating care when a case overlaps with implant dentistry or other specialties.

Meet the Doctor

Dr. Thomas Brislin serves as the oral surgeon at Center for Dental Health La Jolla, bringing a strong clinical foundation from his graduation from Temple University School of Dentistry in 2011. His background before dentistry included experience in sports and accounting, giving him a practical, patient-centered perspective that extends beyond the operatory. Dr. Brislin works alongside a specialist team that includes a periodontist, endodontist, and orthodontist, all practicing under one roof to coordinate care for patients who need more than a single procedure. If your oral surgery connects to a broader treatment plan, such as an extraction followed by implant placement or bone grafting, the specialists involved in your care are already working together.

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Surgical Dental Services We Provide

IV Sedation

For patients who feel anxious about dental work or need a more involved procedure, IV sedation is administered directly into the bloodstream to produce a deep, relaxed state throughout treatment. Most patients have little to no memory of the procedure afterward, and sedation levels can be adjusted quickly if needed. It’s a common option for wisdom teeth removal, surgical extractions, and other longer procedures where staying comfortable matters most.

Wisdom Teeth Extraction

Wisdom teeth often don’t have enough room to come in properly, leading to impaction, crowding, or infection around the surrounding gum tissue. Dr. Brislin evaluates the position of each wisdom tooth using imaging to determine whether it can be removed with a simple extraction or requires a surgical approach. Most patients have all four wisdom teeth removed in a single visit, often under I.V. sedation for added comfort.

Dental Extractions

When a tooth is too damaged by decay, trauma, or infection to be saved with a filling, crown, or root canal, extraction becomes the most reliable way to protect the rest of your mouth. Depending on the tooth’s condition and position, this may be a straightforward simple extraction or a surgical extraction requiring a small incision. Either way, the goal is to remove the problem tooth while preserving as much healthy bone and tissue as possible for future restorative options.

Conditions That Lead to Oral Surgery

Impacted wisdom teeth are among the most common reasons patients need surgical treatment, especially when they press against neighboring molars or fail to emerge fully. Severely decayed or structurally damaged teeth that can’t be saved with a filling, crown, or root canal may need extraction to prevent infection from spreading to surrounding tissue and bone.

Untreated decay is common: the CDC’s 2024 Oral Health Surveillance Report puts it at about 3% of children aged 6 to 11, rising to roughly 22% among adults aged 20 to 34. For patients anxious about surgical procedures, IV sedation allows treatment to move forward comfortably.

Recognizing the Problem

Jaw pain, pressure at the back of the mouth, gumline swelling, or trouble fully opening your mouth can signal that a tooth or the surrounding bone is under stress that won’t resolve on its own. Partially erupted wisdom teeth trap bacteria beneath a flap of gum tissue, a condition called pericoronitis, while fractured, deeply decayed, or previously root-canaled teeth can also progress to needing extraction.

A peer-reviewed study on impacted wisdom teeth notes they often stay symptom-free at first, but left untreated can lead to pericoronitis, decay, gum disease, root damage to neighboring teeth, or cysts, complications that early diagnosis helps prevent.

When should you seek a professional?

Fever with tooth pain, a persistent bad taste after rinsing, or swelling spreading toward the jaw or neck call for prompt attention, since dental infections can progress quickly. Partially erupted or crowding wisdom teeth are worth evaluating before they damage neighboring tooth roots, and a tooth flagged as non-restorable or with a history of failed root canal treatment is worth discussing sooner rather than later.

NIH’s clinical reference on odontogenic infections notes that these are among the most common infections of dental origin and can spread along tissue planes into the face and neck if not treated early. Waiting for pain to become severe usually means a longer, more complex recovery.

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Prevention and Hygiene Education

Routine cleanings let hygienists catch calculus buildup and early periodontal changes before they progress to bone loss, and early orthodontic evaluation can flag crowding patterns likely to cause impacted wisdom teeth.

The CDC recommends at least a yearly check-up and cleaning, plus additional visits as advised, to catch decay and gum disease early. Patients who keep up with visits are more likely to need a filling, periodontal treatment, or a crown rather than an extraction, since problems get caught while conservative care is still an option.

Popular Home Remedies

Many patients try at-home relief before seeking care: saltwater rinses to reduce bacteria and soothe inflamed tissue, clove oil (which contains eugenol) for temporary numbing, and over-the-counter anti-inflammatories for pain and swelling.

A peer-reviewed cross-sectional study found 70% of people with dental pain used home remedies, most often warm salt water and herbal preparations, before seeking treatment. These offer temporary relief but don’t address the underlying cause.

What the Research Says

Eugenol’s analgesic and antibacterial properties are well studied, and it’s used in professional materials like dry socket dressings and temporary cements. A meta-analysis of randomized trials on lower third molar extractions found that less tissue trauma, antiseptic rinses, and following post-operative instructions meaningfully lower the risk of dry socket and surgical site infection.

A separate seven-year outcomes study found that intravenous sedation administered by the operating oral surgeon carries a low complication rate in trained hands. The evidence supports home care as a bridge to treatment, not a substitute for it.

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Cost and Insurance

Oral surgery costs vary by procedure type and complexity, but most fall within well-documented industry ranges, and many insurance plans cover part of medically necessary extractions and surgery.

Industry Average Pricing

These figures are national industry averages for reference only, not pricing at this practice. Per Cigna Healthcare’s dental cost guidance, a simple extraction runs about $70 to $250 per tooth, a surgical extraction of a harder-to-reach or impacted tooth about $180 to $550, and full wisdom tooth removal with anesthesia roughly $120 to $800 per tooth.

Common Insurance Providers

This is a general industry reference, not a guarantee of what this practice accepts. Market research identifies Cigna, Delta Dental Plans Association, UnitedHealth Group, MetLife, Aflac, and United Concordia among the leading national dental benefit carriers. Bring your plan details to your consultation so we can confirm coverage before treatment.

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What to Expect During Your Oral Surgery Visit

Evaluating Your Tooth and Symptoms

Your first visit centers on the tooth or teeth causing concern, not a general checkup. Dr. Sandhya Hegde, D.D.S., B.D.S. reviews your symptoms, takes imaging, and checks whether a wisdom tooth is impacted or a damaged tooth is truly beyond saving. You’ll know by the end of this visit whether extraction or another surgical option makes sense.

Mapping Out Your Extraction or Surgical Plan

Once we’ve confirmed what’s needed, your provider outlines the specific procedure ahead, whether that’s a simple extraction, a surgical removal, or a step toward bone grafting. This is also when sedation options come into the conversation, based on your comfort level and the complexity of the case. You’ll understand exactly what happens before you sit down for treatment.

Performing Your Extraction or Procedure

On the day of surgery, local anesthesia or I.V. sedation is administered first, so you feel little to no discomfort during the procedure itself. Dr. Sandhya Hegde, D.D.S., B.D.S. and the surgical team monitor you closely from start to finish. Most extractions and minor surgical procedures wrap up in under an hour.

Healing Guidance for the Days After

Before you leave, you’ll get clear written instructions covering swelling, diet, and how to protect the extraction site while it heals. Small habits, like avoiding straws and sticking to soft foods for a few days, make a real difference in preventing dry socket. Our team stays reachable if anything feels off during recovery.

Checking Your Healing Progress

A short follow-up visit confirms the site is healing as it should and gives you a chance to ask any lingering questions. If your case is building toward an implant or another restoration, this is also when that next step gets scheduled. Regular checkups after surgery help catch anything unusual early.

Get Out of Pain, Get Back to Living

A tooth that’s swollen, cracked, or crowding its neighbors rarely gets better with time. The longer it sits, the more it can affect the teeth around it. Dr. Sandhya Hegde, D.D.S., B.D.S. and the surgical team at Center for Dental Health La Jolla handle everything from routine extractions to impacted wisdom teeth and sedation-assisted procedures, so you’re seen by people who’ve done this before. Call 858.546.0100 to get on the schedule, or catch our latest patient stories on Facebook, Instagram, and X (formerly Twitter).

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FAQs

What is oral surgery?

Oral surgery is the branch of dentistry focused on diagnosing and surgically treating conditions of the mouth, teeth, jaw, and surrounding facial structures. It covers procedures like tooth extraction, wisdom teeth removal, and bone grafting, usually performed when restorative options like fillings or crowns aren’t enough. A dentist or oral surgeon typically recommends it once a tooth or surrounding tissue needs surgical, rather than conservative, treatment.

How long do you have to wait to fly after dental surgery?

Most patients are advised to wait at least 24 to 48 hours after a dental extraction before flying, though your provider may recommend longer depending on the complexity of your procedure. Cabin pressure changes can increase throbbing or discomfort at the surgical site during the first couple of days. Always confirm timing with your oral surgeon based on your specific treatment and any sedation used.

What to eat after dental surgery?

Soft foods like yogurt, mashed potatoes, smoothies, and scrambled eggs are recommended for the first few days after dental surgery. Avoid hot, crunchy, spicy, or hard foods that could irritate the extraction site or dislodge the healing blood clot. Gradually reintroducing firmer foods as swelling and tenderness subside helps protect your recovery.

How soon can I drink coffee after oral surgery?

Most providers recommend waiting at least 24 hours before drinking coffee after oral surgery, and avoiding it longer if you had a wisdom teeth extraction. Hot beverages can dissolve the healing blood clot and increase the risk of dry socket, while caffeine can also interfere with sedation medications still leaving your system. Let your coffee cool to room temperature or below before your first cup back.

Is oral surgery covered by medical insurance?

Oral surgery is typically covered by dental insurance rather than medical insurance, though some medically necessary procedures, such as jaw surgery after trauma, may fall under medical coverage. Coverage details vary widely by plan, so it’s worth checking your specific policy before treatment. Contacting your insurance provider and our office ahead of your appointment helps clarify what portion of the cost will be covered.

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