Oral Surgery in Mission Valley, San Diego

If you've been told you need oral surgery, the word itself can feel bigger than it is. For most patients, oral surgery means a planned, well-managed procedure — wisdom tooth removal, an implant placement, a bone graft to prepare for one — handled in the same chair where you get your cleanings. At Dentistry at the Promenade in Mission Valley, our team plans every oral surgery around your comfort: thorough imaging, clear conversation, oral sedation when it helps, and recovery support that doesn't end when you walk out the door.

When do you need oral surgery?

You'll usually hear "oral surgery" when a tooth or bone-level concern can't be solved with restorative dentistry alone. The most common reasons we see in Mission Valley:

• A tooth that can't be saved — deep decay, fracture, or an impacted wisdom tooth that needs to come out.
• Replacing a missing tooth with an implant — surgical placement of a titanium post that becomes the foundation for a crown.
• Rebuilding bone for an implant — when the jawbone has shrunk after tooth loss, a graft restores the volume needed to support an implant.

If a more complex condition comes up — jaw realignment surgery, facial trauma, or cleft repair — we'll refer you to a trusted oral and maxillofacial specialist and coordinate the follow-up. We do what we do well, and we're honest about when a specialist is the right call.

What we handle in-house

For the surgical care we provide ourselves, you stay with our team — same office, same familiar faces, and all the planning notes from your previous visits.

• Tooth extractions, including wisdom teeth
• Dental implant placement
• Bone grafting to prepare for implants or preserve bone after extraction
• All-on-X full-arch implant restorations

Each of those pages goes deeper on the specific procedure — what the appointment looks like, recovery timelines, what affects cost. This page is the overview; tap any link above for the procedure-specific details.

What to expect at your visit

Every oral surgery starts with a planning conversation, not a procedure. Here's how it generally unfolds:

1. Consultation and imaging. We sit down to understand what's going on, review your medical history, and take whatever 3D imaging (CBCT) is needed to plan precisely. You'll see the same scans we do.
2. A treatment plan you understand. Before scheduling, we walk through what's happening, why, what the recovery looks like, and what it costs. Questions get answered before paperwork.
3. The day of surgery. You're seated, numbed (and sedated if that's the plan — more on that below), and the procedure begins. Most single extractions and implant placements are over in well under an hour.
4. Recovery in our care. You leave with written instructions, a direct number to reach us, and a clear sense of what's normal versus what to call about.

Comfort and sedation — including oral sedation

We don't expect patients to power through dental anxiety. For oral surgery, we offer:

• Local anesthesia — the standard for most procedures; you're fully awake and comfortable, with the surgical area completely numb.
• Oral sedation — a prescription medication taken before your appointment that takes the edge off. You're awake and responsive but deeply relaxed; many patients describe the visit as feeling like a quick nap. You'll need a ride home.
• Local plus nitrous oxide — gentle, fast-onset relaxation that wears off quickly so you can drive yourself home.

If you've avoided oral surgery because of anxiety, a previous bad experience, or a strong gag reflex, please tell us at the consultation — we'll plan around it.

Recovery, simplified

Recovery from most in-office oral surgery is more straightforward than people expect. For a typical extraction or single implant placement:

• First 24 hours: rest, soft foods, cold compresses to manage swelling, and the pain control plan we'll send you home with.
• Days 2–5: gradually back to regular meals, gentle saltwater rinses, normal-but-easy daily routines.
• Weeks after: healing continues quietly. For implants, the bone integrates with the post over several months before the final crown goes on.

We follow up — by check-in call or scheduled visit — to confirm everything's healing the way it should. If something feels off, we'd rather hear from you early.

Why Mission Valley patients trust us with surgical care

You don't want to meet your oral surgeon for the first time on the day of your procedure. At Dentistry at the Promenade, the team that handles your surgery is the same team you see for cleanings, exams, and restorative work — so your full history is in the room. We use modern 3D imaging (CBCT) for surgical planning, the Medit intraoral scanner for precise digital workflows, and we keep evening hours Monday through Wednesday plus select Saturdays for visits and follow-ups that fit around real schedules.

Our practice is locally rooted in Mission Valley and centered on what oral surgery should feel like for the person in the chair: prepared for, explained clearly, and supported through recovery.

Ready to talk about your oral surgery?

If a dentist or specialist has recommended oral surgery, or you're weighing an implant or extraction and want to understand your options first, we'd be glad to sit down with you.

Book your consultation online or call our Mission Valley office, and we'll help you take the next step with clarity.