First step · Watertown, SD
Dental surgery consult — a plan, not a pitch.
The first step to any surgery is a consult. We'll review your goals, take any imaging we need, and build a treatment plan with pricing before anything gets scheduled.
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- Typical consult, start to finish
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- Written plan you take home
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- Pressure to decide that day

Written treatment plan with your insurance estimate.
Take the plan home and think about it.
Why are you coming in?
Pick your reason — we'll tell you how it goes.
One scan tells us whether they need to come out
We image all four, check root position against the nerve, and tell you plainly whether removal is needed now, later, or not at all. If it's now, we can usually do all four in one sedated visit.
What to bring
- Insurance card
- Parent or guardian if under 18
- Questions about recovery time
What happens next
Surgery scheduled at the consult if you're ready
Your consult, step by step
About an hour — here's every minute of it.
You talk, we listen
What's bothering you, what you've been through before, what you actually want out of this. No instruments yet — just the conversation most offices skip.
Before you come in
Tick these off as you go.
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Questions worth asking us
Good consults are two-way conversations.
- Do I actually need surgery, or is there a smaller fix?
- What happens if I wait six months?
- Which sedation option fits me — and why that one?
- What will my insurance realistically cover?
- How many days will I need off work?
- Who is with me while I'm sedated?
What's included
Everything you need to decide and nothing you didn't ask for.
- Comprehensive exam and 3D imaging if needed
- Written treatment plan with clear pricing
- Sedation options explained plainly
- No pressure, no obligation
Where to next
Already know what you need?
Read up on the procedure first — then book the consult that goes with it.
Consult questions
Straight answers.
Very. We separate the roles of dentist and anesthesia provider — a dedicated in-house CRNA monitors your vitals and airway continuously while Dr. Palmquist focuses only on the dentistry. This is the same staffing model used in hospital surgery.
With true IV sedation, yes. You'll drift off within a minute or two and have no memory of the procedure. You wake up feeling like it never happened.
Yes. Anyone receiving IV or oral sedation needs a responsible adult to drive them home and stay with them for most of the day.
Most patients are alert and awake within 2 – 10 minutes after the medication has stopped. Grogginess wears off over the rest of the day; most people are back to normal by the next morning.
We accept most major PPO dental insurance plans and file the claim for you. Bring your card to your first visit or call ahead and we'll verify benefits.
Sedation is priced by procedure length. Because we keep the CRNA in-house we're able to offer sedation for a fraction of what a hospital oral surgery visit costs. We'll give you a written estimate at your consult.
Ready when you are
Book your appointment today — book online or give us a call.
We'll verify your insurance, walk you through sedation options, and help build a plan you are comfortable with.
