A panoramic X-ray shows exactly how your wisdom teeth are positioned — fully erupted, partially impacted, or fully bony impacted — before we recommend anything, since not every wisdom tooth actually needs to come out.

Every Smile Center Dentistry office offering Wisdom Tooth Removal is held to the same four standards, verified before the office ever joins our network.

Not every wisdom tooth needs removal — imaging tells us honestly which ones actually do.
We explain your specific impaction type in plain language, not just a generic 'wisdom teeth need to come out' line.
Beyond local anesthesia, sedation options are available for more involved impacted cases or anxious patients.
We won't recommend extraction just because a tooth is a wisdom tooth — the imaging and symptoms drive the decision.
Here's the range of Wisdom Tooth Removal our Millbrae team handles most, described the way we'd explain it chairside rather than in marketing language.
A single panoramic X-ray captures all four wisdom teeth and surrounding structures in one image. Nerve proximity is specifically checked here, since it affects anesthesia and technique choice.
When a wisdom tooth is mostly through the gum but partially covered by tissue, removal is usually straightforward. Local anesthesia is usually sufficient for this category.
We plan anesthesia or sedation specifically around how involved the bony removal will be. We'll walk through exactly what the surgical approach involves before scheduling.
For anxious patients or more complex multi-tooth cases, sedation options beyond local anesthesia are available. Recovery monitoring after sedation follows a specific protocol we'll walk you through.
Removing two, three, or all four wisdom teeth in one visit is common and often more efficient than staged visits. Most patients take a few days off normal activity after a multi-tooth removal.
We schedule a follow-up check after surgical wisdom tooth removal, especially for bony impaction cases. Swelling and mild bruising are normal in the first few days after surgical removal.

Here's exactly what to expect, start to finish, for Wisdom Tooth Removal at any of our affiliated offices.
A quick call gets your imaging appointment scheduled, often within the same week.
We classify each tooth's impaction type and explain honestly whether removal is actually needed.
You'll see the full cost and any sedation options clearly before the procedure is scheduled.
We monitor healing closely, especially for bony impaction cases.

We publish these as-is, because that's the only kind of review worth reading before booking Wisdom Tooth Removal.
“They told me two of my four wisdom teeth weren't actually causing problems and didn't need to come out yet. Appreciated not being upsold.”
“Sedation for my fully impacted lower wisdom tooth made the whole thing far less stressful than I'd built it up to be in my head.”
“All four out in one visit, and the aftercare instructions actually prevented the dry socket I got last time somewhere else.”
“The panoramic X-ray showed exactly why my tooth was impacted and they explained the surgical approach clearly beforehand.”
“Recovery from my soft-tissue impaction was much easier than I expected based on what friends had described.”

These are the questions Millbrae patients ask most before booking Wisdom Tooth Removal.
Some non-problematic wisdom teeth are recommended for monitoring rather than immediate removal.
Bony impactions generally involve a more surgical approach and longer recovery than soft-tissue cases.
It depends on impaction complexity and your comfort level — local anesthesia is often enough for simpler cases, sedation for more involved ones.
Soft-tissue impaction recovery is typically quickest; full bony impaction recovery generally takes the longest, often a week or more.
We plan anesthesia and aftercare specifically for multi-tooth removal cases.
Following aftercare instructions closely, including avoiding straws and smoking, significantly reduces the risk.
If you're unsure whether your part of Millbrae is covered, a quick call settles it faster than searching online.
We provide Wisdom Tooth Removal to Millbrae patients with honest, imaging-based recommendations rather than a blanket removal policy. Sedation scheduling requires a bit more advance notice, so ask about it early in the process.
