Whether it's one partially erupted tooth or all four impacted, Wisdom Tooth Removal in Ladera Heights starts with real imaging, not a guess based on age alone. Smile Center Dentistry assesses impaction type before recommending removal.

Not every wisdom tooth needs removal — we assess each one individually rather than pulling all four by default. We'd rather assess honestly than recommend a standard four-tooth removal regardless of your actual case.

We don't rely on a single small X-ray for a decision this significant. Nerve proximity especially matters for lower wisdom teeth, and imaging confirms it clearly.
From local anesthesia to oral or IV sedation, we discuss what fits your anxiety level and case complexity. Simple soft-tissue cases often don't need more than local anesthesia.
A soft-tissue impaction is a very different procedure than a full bony impaction, and we explain the difference. Classification happens per tooth, since it's common for one side to differ from the other.
You'll know realistic swelling and downtime expectations before surgery day, not discover them afterward. We'd rather set an accurate expectation than have you surprised by how you feel on day two.
We explain your specific case classification before recommending a removal plan.
A single panoramic image shows all four wisdom teeth, root position, and proximity to nerves. We review the image with you directly, pointing out what we're seeing.
When a tooth has erupted but gum tissue partially covers it, removal is usually more straightforward. We explain why your case falls into this category if it does.
We coordinate closely with oral surgery resources for the most complex bony impaction cases. Recovery expectations are set honestly for these more involved cases.
Local anesthesia, oral sedation, or IV sedation are all discussed based on your anxiety level and case complexity. Pre-procedure instructions for sedation are given clearly in advance.
A follow-up check confirms healing is on track, especially for more complex bony impaction cases. We're reachable directly if recovery doesn't feel right.
We check monitored teeth at your regular recall visits rather than leaving them untracked. If circumstances change, we revisit the removal conversation honestly.
We ask about symptoms — pain, swelling, crowding — to prioritize scheduling appropriately.
We image all four wisdom teeth and classify impaction type for each one individually.
Simple cases may take under an hour; complex bony impactions take longer.
Written aftercare and a follow-up check ensure healing stays on track.
"Panoramic X-ray showed exactly why one tooth was impacted. Made the decision to remove it an easy one."
"Went with oral sedation since I'm anxious about dental work. They walked me through what to expect beforehand."
"Follow-up call to check on healing a few days after — didn't expect that level of follow-through."
"Soft-tissue impaction turned out to be a quicker procedure than I braced myself for."
"Told me one of my wisdom teeth was fine to keep and monitor instead of removing all four automatically. Saved me an unnecessary procedure."
Not necessarily — we assess each tooth individually and only recommend removing the ones actually causing or likely to cause problems. Monitored teeth are checked at future visits rather than being ignored entirely.
We discuss the trade-offs of each option at your consult rather than defaulting to the most involved one. Cost and recovery from sedation itself factor into which option makes sense for you.
We give a realistic timeline specific to your impaction type, not a generic estimate. Swelling typically peaks around day two regardless of impaction type.
Some patients need evaluation later if problems develop, regardless of age. Earlier evaluation sometimes means an easier procedure, since roots are less developed.
We prioritize scheduling for patients reporting active pain or swelling. Don't wait for severe pain — earlier evaluation usually means easier treatment.
Cost depends on impaction type and how many teeth are involved — we quote this after your panoramic X-ray. Sedation level chosen also affects total cost, which we discuss upfront.
Our team serves Ladera Heights and the surrounding zip codes with the same impaction-specific assessment at every visit. Whether it's one tooth or all four, our Ladera Heights team handles assessment and most procedures in-house.
We'll tell you honestly which teeth actually need to come out.
Call +1-866-227-2801