Oral Surgery Portland, Oregon


Oral Surgery of some kind is one of the most frequently-performed surgical procedures, since the wisdom teeth are an unusually problematic part of the body – without extraction, there is often a very high chance that they could cause significant oral problems down the road. However, averting these problems is a straightforward procedure.

During the extraction itself, you will be offered either local or general anesthetic to numb the pain and improve the ease of the procedure. Broadly speaking, general anesthesia is more likely if you are having multiple wisdom teeth removed; if only one of the teeth is to be removed, then you may not need to undergo the additional trouble of going to sleep.

Once the anesthesia has been applied, the procedure will begin. Your surgeon will work through gum tissue and bone, either cutting or entirely removing parts in order to ensure that the teeth can be properly extracted. The teeth might be cut into smaller pieces to allow for easier removal, though this is not a certainty.

Once the extraction is completed, the surgical area will be closed (typically through the use of stitches). If you were put under general anesthesia, you will be woken up around this time. Some disorientation is normal.

What to Expect Afterwards

You will receive an informational packet detailing care instructions for dealing with pain, bleeding, any stitches, and other relevant information. Tooth extraction is a surgical procedure, and like most procedures there is a very high probability of minor complications for a few days.

Your mouth will almost certainly be numb for hours after the surgery, and during this time it is very important to be careful about when and where you bite down. You might not be able to feel it if you’re biting your tongue or cheeks. The best course of action is to try and hold your tongue in as much as possible.

Your surgeon may suggest a follow-up appointment soon after your surgery so that they can check for various complications and problems. Most of these problems can be treated relatively promptly, and you will probably be assigned an antibiotic alongside some pain medication even before this appointment. Be sure to follow all instructions for any medication you may be assigned.

Do not expect to eat or drink for some time. When you do, it’s best to stick to your assigned list of foods and avoid anything too crunchy or hard. This will help prevent damage to the surgical site as well as reduce the possibility of infections taking hold.



There are risks to any surgical procedure, including oral surgery. However, some complications are more likely than others, and include:

-General swelling and pain in the surgical region
-Continued bleeding for up to 24 hours
-Various infections, either in the mouth or other parts of the body
-Trismus (a condition that makes it difficult to open the jaws)
-Damage to other areas of the mouth, including crowns and/or implants
-Dry Socket (a type of painful inflammation at the surgical site)
-Numbness even after the anesthesia wears off

Rare side effects of the surgery include:

-Very extended or permanent numbness
-Fractured bones (especially the jaw)
-Openings to the sinus cavity
-If general anesthesia was used, there is a very small probability of death

Other Details to Consider

The human body is very complex, and different people have grown in different ways. If you are put under local anesthesia, be sure to signal your surgeon if you feel any pain or discomfort; they may not have gotten the right nerves with the anesthesia on their first attempt, and your signal will let them know to try again. This is not a common problem, but it happens often enough that you should keep it in mind. General anesthesia does not have this problem, as you will be monitored to ensure everything is functioning as intended.

Extraction of the wisdom teeth is easier while you’re younger, but despite the frequency with which this surgery is performed, it’s rarely vital to your continued health. Problems with wisdom teeth usually appear during the time frame that they’re easiest to remove, too, so don’t worry too much about future complications.

LEGAL NOTICE: This page is intended only for informative uses, and should not be considered a replacement for professional medical advice on whether or not oral surgery is right for you. Individual factors may have an impact on the risks and expectations of any medical procedure, including oral care. For more information, consult your doctor or a qualified oral surgeon.

Oral Surgeon Portland Oregon | Our Dentists and Oral Surgeons have been providing oral surgery to our clients in Portland, Lake Oswego, Milwaukie & Beaverton for over 35 years.