Surgical Extractions
Oral Surgery Extractions in Apex, NC with Your Family Dentist
Being told that a tooth needs to come out, or that you need a graft before an implant, can bring up a lot of questions fast. At Tomasheski Family Dentistry, oral surgery is a regular part of the care we provide at our Apex, NC office, and for us it mostly means three things: taking out teeth that can’t be saved, preserving the bone with a socket graft, and placing implants to replace missing teeth. Most of these visits use local anesthesia, and many routine procedures are finished in a single appointment.
Before any surgery, we review your medical history and medications, take diagnostic images, and explain why surgery makes sense, what the pros and cons are, and what your options look like. You will never be rushed into a decision. When a case calls for IV sedation, involves extra medical risk, or is more complex than a general dental setting should handle, we refer you to an oral surgeon we trust.
Oral Surgery Services Available at Our Office
Our surgical services center on removing a problem tooth and rebuilding the space it leaves behind. Each procedure below has its own page with more detail.
- Tooth extractions for teeth damaged beyond repair by decay, fracture, or infection
- Simple extractions for teeth that can be lifted out with elevators and forceps, with no bone removal needed
- Bone grafting and socket preservation to protect the jawbone after a tooth is removed
- Dental implant placement to replace a missing tooth with a post anchored in the bone
Already know which procedure you need? Call or text (919) 500-7088 and our team will get you scheduled.
What Is Oral Surgery, and When Do You Need It?
Oral surgery is any dental procedure that removes a tooth, treats the bone or gum beneath it, or places something into the jaw, such as an implant post. You may need it when a tooth can no longer be repaired. Common reasons include:
- A tooth broken below the gumline or too decayed to hold a crown
- An infection or abscess that keeps returning around the same tooth
- Advanced gum disease that has loosened a tooth
- A missing tooth you want to replace with an implant
Not every problem tooth needs dental surgery. During your exam, we first look at whether a filling, crown, or root canal from our full range of family dental services can save it. You can also read about common oral surgery procedures and what recovery involves before your visit.
Oral Surgery Services Available at Our Office
Our surgical services center on removing a problem tooth and rebuilding the space it leaves behind. Each procedure below has its own page with more detail.
- Tooth extractions for teeth damaged beyond repair by decay, fracture, or infection
- Simple extractions for teeth that can be lifted out with elevators and forceps, with no bone removal needed
- Bone grafting and socket preservation to protect the jawbone after a tooth is removed
- Dental implant placement to replace a missing tooth with a post anchored in the bone
Already know which procedure you need? Call or text (919) 500-7088 and our team will get you scheduled.
What Is Oral Surgery, and When Do You Need It?
Oral surgery is any dental procedure that removes a tooth, treats the bone or gum beneath it, or places something into the jaw, such as an implant post. You may need it when a tooth can no longer be repaired. Common reasons include:
- A tooth broken below the gumline or too decayed to hold a crown
- An infection or abscess that keeps returning around the same tooth
- Advanced gum disease that has loosened a tooth
- A missing tooth you want to replace with an implant
Not every problem tooth needs dental surgery. During your exam, we first look at whether a filling, crown, or root canal from our full range of family dental services can save it. You can also read about common oral surgery procedures and what recovery involves before your visit.
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Which Procedures Do We Handle Here, and When Do We Refer to a Specialist?
We perform many extractions, socket preservations, and implant placements right here in our office. We refer to an oral surgeon when a case falls outside what is safest or most comfortable in a general dental setting. Three factors guide that call:
- Your medical history and medications, since some health conditions and drugs change how surgery should be planned and where it should happen
- The complexity of the surgery, such as a deeply impacted tooth or an unusual root position
- Your preference for IV sedation, since patients who want to be asleep for treatment need an oral surgeon who offers it
Most wisdom teeth are referred for that last reason. When we refer, we explain why and remain your dental home for everything that follows.
What Are the Benefits of Having Surgery with Your Own Dentist?
You get great care in a place where you already feel comfortable, with all of your treatment done by the same dentist. You know the team, the office, and the person treating you, which takes a lot of the unknown out of a surgical visit.
Continuity matters clinically, too. Your dentist already has your X-rays, your history, and a sense of how you have healed in the past. When an extraction is the first step toward an implant, the person removing the tooth is also the person planning its replacement, so decisions about grafting and timing are made with the final result in mind. You also skip the paperwork of starting over at another office.
How Do We Help Nervous Patients Stay Comfortable?
We start with education, because knowing exactly what will happen takes away much of the fear. Before your procedure, we explain each step and what you can expect to feel. Local anesthesia numbs the treatment area completely, and two additional options are available if you feel anxious:
- Nitrous oxide, a gas you breathe through a small mask that helps you relax and wears off quickly
- Oral anti-anxiety medication, such as Ativan or Valium, when it is appropriate for your health history
Mention your nerves at the consultation so we can plan around them. If you would rather be fully asleep, we will talk through a referral to an oral surgeon who provides IV sedation.
What Happens at an Oral Surgery Consultation?
Your oral surgery consultation is where we explain why the procedure is needed, weigh its pros and cons with you, and describe what recovery will involve. If a tooth is coming out, we also cover your options for replacing it, from an implant to a bridge or partial denture. We review your health history, examine the area, and take diagnostic images of the root and surrounding bone. You also get a cost estimate before anything is booked. The goal is an informed decision: you should leave knowing what we recommend, why, and what could happen if you wait. Taking time to think it over is always welcome.
What Should You Expect on Procedure Day?
On procedure day, we numb the area thoroughly, make sure you are comfortable, and complete the planned treatment while monitoring your vital signs throughout. Once the area is numb, patients typically feel pressure rather than pain. If you choose nitrous oxide or oral anti-anxiety medication, we start it before treatment begins. When the work is finished, we place gauze, check that bleeding is under control, and go over your home care in person before you leave. If you took oral medication to relax, plan to have someone drive you home.
What Should You Expect on Procedure Day?
On procedure day, we numb the area thoroughly, make sure you are comfortable, and complete the planned treatment while monitoring your vital signs throughout. Once the area is numb, patients typically feel pressure rather than pain. If you choose nitrous oxide or oral anti-anxiety medication, we start it before treatment begins. When the work is finished, we place gauze, check that bleeding is under control, and go over your home care in person before you leave. If you took oral medication to relax, plan to have someone drive you home.
How Should You Prepare, and What Aftercare Do You Get?
Preparation is simple: arrive on time and ready for your appointment, and follow any instructions we gave you at your consultation. Right after surgery, we review your oral surgery aftercare in the office and send you home with a bag that includes written instructions. Guidelines for the first few days usually include:
- Keep gentle pressure on the gauze, changing it about every 20 minutes until bleeding stops
- Take ibuprofen or Tylenol as needed for soreness
- Chew on the opposite side and keep food away from the treated area
- Skip heavy exercise for a day or so
Oral surgery recovery varies by procedure. A simple extraction often feels better within a few days, while a graft or implant site needs more time. We schedule follow-up visits to check healing and answer questions.
How Much Does Oral Surgery Cost, and Can You Finance It?
Oral surgery cost depends on the procedure and your insurance plan, so there is no single price we can quote ahead of an exam. Coverage varies by policy, so our team works to be transparent, giving you an accurate estimate of what insurance will pay and what you will owe before treatment begins. For the remaining balance, most of our patients use Cherry financing to split the cost into monthly payments, and we also accept CareCredit. If cost is a concern, bring it up at your consultation. We would rather talk through timing and options with you than see you put off treatment you need.
Why Choose Tomasheski Family Dentistry for Oral Surgery
Patients choose us because they don’t have to start over with a stranger when they need surgery. Dr. John Tomasheski and Dr. Kimberly Tomasheski pair hospital residency training with ongoing study through Spear Education and the Seattle Study Club, and they explain every option in plain language. Other reasons patients trust us with surgical dental care:
- Extractions, socket preservation, and implants handled in one office by one dentist
- Honest referrals when a specialist is the better choice for you
- Comfort options for anxious patients and a take-home aftercare bag
- Clear estimates up front and flexible financing
Our team treats every patient like family, and that doesn’t change when the visit involves surgery.
Plan Your Oral Surgery Visit with the Tomasheski Team
If a tooth is causing trouble or you are getting ready for an implant, you don’t have to figure out the next step alone. Tomasheski Family Dentistry provides oral surgery in Apex, NC with a team that explains your options first and keeps you comfortable throughout, including nitrous oxide and oral anti-anxiety medication for nervous patients. Call or text (919) 500-7088, or request an oral surgery consultation online, and we will find a time that works for you.