Oral Surgery in Newton & Boston

Oral surgical procedures at Smolyar Dental are performed under local anesthesia, and sedation is available for all anxiety levels. During the procedure, patients should feel no pain — only occasional pressure. Post-operative discomfort is managed with prescribed or over-the-counter medication and resolves within days to a week depending on the procedure. Dr. Smolyar’s team provides written post-operative instructions and is available for questions throughout recovery.

Recovery varies by procedure. Simple extractions typically heal in 3 to 5 days. Wisdom teeth removal may involve 3 to 7 days of soreness. Implant placement and bone grafting may require 1 to 2 weeks of careful management before the next phase. Dr. Smolyar and Dr. Reitzel provide specific recovery expectations for every procedure at your Newton, MA consultation.

Teeth are extracted when they cannot be saved by other means — when decay is too extensive, a fracture extends below the gum line, gum disease has left the tooth without adequate bone support, or a tooth is impacted and damaging adjacent teeth. Dr. Smolyar always evaluates whether a tooth can be saved before recommending extraction — root canal and crown treatment preserve natural teeth whenever clinically viable.

Wisdom tooth removal at Smolyar Dental typically takes 30 to 90 minutes depending on the number of teeth and whether they are erupted, partially impacted, or fully impacted. Sedation is available for all wisdom tooth cases and is recommended for most surgical removals. Dr. Smolyar reviews your imaging and explains what your specific case involves before scheduling surgery.

Not always. Many patients have adequate bone for direct implant placement. When bone volume is insufficient — due to tooth loss, prior infection, or trauma — bone grafting is performed before or at the time of implant placement. Dr. Reitzel evaluates bone volume with 3D CBCT imaging at your Newton, MA consultation and determines the appropriate approach.

Certain medications require careful coordination before oral surgery. In most cases, procedures can be performed safely with appropriate pre-operative management in coordination with your prescribing physician. Dr. Reitzel and Dr. Smolyar review your complete medication list and health history at your Newton, MA consultation and coordinate with your medical team as needed. Never stop or modify a prescription medication without physician guidance.

A simple extraction removes a fully erupted tooth using forceps under local anesthesia. A surgical extraction is needed when a tooth is impacted, broken below the gum line, or has root anatomy requiring sectioning for removal. Both are performed at Smolyar Dental. The type needed is determined by clinical examination and X-ray review at your appointment.

If you choose IV sedation or oral sedation, yes — you will need a responsible adult to drive you home and stay with you for several hours post-procedure. Nitrous oxide allows you to drive yourself home since its effects clear within minutes of removing the mask. Complete pre-operative instructions are provided when you schedule your surgical appointment at Smolyar Dental in Newton, MA.