Oral Surgery in Wilmington, NC

One of the reasons patients drive in from Ogden, Porters Neck, and Leland is that they’d rather not collect a referral every time something needs more than a filling. Our Market Street office keeps the common surgical work in-house — wisdom teeth, extractions, implant placement, and minor bone grafting — so a problem tooth gets handled by the team that already has your records, not a surgical practice across the bridge that’s meeting you for the first time.

Sore wisdom tooth or a tooth that can’t be saved? Call (910) 377-6453 — we’ll image it, explain the options, and get you on the schedule.

Surgical Care Under One Roof

Wisdom teeth — third molars already through the gum, and many that stay impacted
Extractions — uncomplicated removals plus surgical extraction of fractured teeth and retained roots
Dental implants — placed here, with cone-beam 3D planning; see our Wilmington implants page
Minor grafting — keeping socket and ridge bone after a removal, and small additions when an implant is set
Ridge contouring — shaping the bone as teeth come out to ready it for a denture
Tori (bony growth) removal — in select situations

Wisdom Teeth — Done Here, Within Reason

Wisdom teeth surface in the late teens and early twenties, and a jaw without space leaves them stuck below the gum or angled into the tooth ahead of them — a recipe for swelling, soreness, and infections that return. For most coastal patients, that’s a removal we take care of in this office, erupted teeth and many impacted ones alike.

What we won’t do is overstate it. A third molar buried very deep, or with roots pressed against the lower-jaw nerve or up into the sinus, is genuinely higher-risk — and those belong with an oral surgeon. We scan every case in 3D precisely so we can see that ahead of time, and if your tooth falls into that category, you’ll get a clear recommendation to have it done by a specialist. For the majority, it’s handled right here, no second office required.

Keeping You Comfortable

Local anesthesia keeps the area completely numb during surgery. For the nerves that tend to show up beforehand, we offer nitrous oxide — light, adjustable, and gone within minutes of removing the mask — and an oral anti-anxiety medication we can prescribe to take before your appointment. We don’t provide IV sedation; a procedure that genuinely needs general anesthesia is referred to a surgeon set up for that.

What we send out. Telling you our limits up front is part of the job. We pass corrective jaw surgery, facial-fracture repair, sinus augmentation, and tissue biopsies to an oral and maxillofacial surgeon — and likewise the deepest wisdom teeth, those bordering the nerve or sinus, and an infection that has spread to the neck or firmed up around the site. We handle the referral and forward your imaging so nothing has to be redone.

Cost and Insurance

Most plans pay toward removals that are medically necessary, wisdom teeth included, frequently at a solid percentage. Since the fee turns on the specific tooth and its difficulty, we don’t list a flat price — we verify your coverage and set out the costs in writing once we’ve reviewed the scan. Implant pricing lives on the Wilmington implants page. For any remaining balance, CareCredit and Sunbit, or the O2 Advantage Plan, break it into monthly payments.

Oral Surgery— Wilmington – Frequently Asked Questions

Can I avoid a referral to another office?

For routine cases, yes — wisdom teeth, removals, implants, and small grafts are done in our office. Jaw surgery, facial injuries, sinus lifts, biopsies, and the trickiest molars are referred, with us managing the handoff.

Do you take out every wisdom tooth?

No. We lift out erupted molars and many buried ones after a 3D scan. When one is lodged deep or hugs the nerve or sinus, a surgeon is safer, and we flag it ahead of time.

What sedation is available?

You’re fully numbed, laughing gas is on hand for nerves, and a calming pill can be prescribed for beforehand. We don’t offer intravenous sedation.

Will insurance help?

Necessary removals are covered on most plans. We confirm your benefits, give a written estimate at the visit, and spread any balance through CareCredit and Sunbit, or the O2 Advantage Plan.

How long is recovery?

Most people turn the corner within a few days and feel normal in about a week. Shield the clot for the first 24 hours and dry socket stays off the table.