Dream Dental Sedation

Specializing in Wisdom Tooth Extractions for Teenagers & Adults

While not everyone will need wisdom teeth removed, sometimes there just is not enough room for these four extra teeth in the jaw. A wisdom tooth extraction can be performed to avoid painful complications.

Dream Dental Sedation excels at removing teeth in the mouth safely, efficiently, painlessly and most important—comfortably, using IV deep sedation. Dr. Palmquist provides affordable, efficient, safe wisdom tooth removal services for teenagers and adults. Wisdom teeth typically come in between the ages of 15 and 26, and your dentist will monitor their growth and potential impact on the rest of your mouth through X-rays and examination.

Know When to Remove Wisdom Teeth

As wisdom teeth come in between the ages of 17 and 25, its best to monitor their growth and potential impact for not being able to come into place. Determination of when to remove wisdom teeth is NOT based on age, it is based on development of your jaws with respect to the wisdom teeth AND the developmental progress of the roots.

We recommend removal of wisdom teeth that have 1/2-3/4 root development that won't have enough space to come in. Wisdom teeth removal at this point is very quick with extremely low risk of complications. Because the surgery and anesthesia are separate jobs (versus one provider doing two jobs), the appointment for this is safer, always painless, and always memory-free on every patient, every time.

Wisdom Tooth Surgery Information

Know When to Remove Wisdom Teeth

One of our skilled dental assistants will take you back to one of our treatment rooms where you will meet the CRNA. The CRNA will get your hand or arm numb and start and IV. Through the IV the CRNA will administer the medications that will cause you to essentially fall asleep. Once you are asleep, Dr. Palmquist will get your mouth numb and gently remove your wisdom teeth. Once the surgery is completed, patients wake up within 5-10 minutes with no pain or memory of the procedure.

Full recovery can take several days to weeks, and the healing process is dependent on you following your doctor's instructions. This includes avoiding certain activities and foods, as well as using pain and antibiotic medications as directed.

Types of Wisdom Teeth We Remove

Simple Extraction

Part Boney Impacted

Tooth is above the gums, bone removal is required.
Soft Tissue Impacted (red arrow): Crown of the tooth is covered by tissue only.
Blue line is tissue level, red line is bone level.

Part Boney Impacted

50% or less of the crown is covered in bone
Ted line demarcates bone level in relation to crown.

Full Boney Impacted

Part Boney Impacted

Full Boney Impacted

50% or more of the crown is covered in bone.
Blue and red line demarcates level of bone compared to crown of tooth.

Painless, Comfortable, Effective Anesthesia for Wisdom Teeth Extractions

Dr. Palmquist understands that the IV sedation component is what provides a comfortable experience, not the numbness. Local anesthetic DOES NOT provide relief from the sounds and sensations of tooth removal, it only makes it painless.

We have taken comfort to another level with office-based sedation and general anesthesia using a Certified Registered Nurse Anesthetist. This ensures that you have the most comfortable experience with access to a broader range of IV sedation options that deliver pain-free, memory-free surgical appointments on every patient, every time.

Wisdom Teeth Removal FAQ

What happens if I wait until my adult years to have my wisdom teeth removed?

We have found that adults that need wisdom teeth removed over the age of 28 tend to have a higher incidence of post op pain, infection, and take longer to heal. This is why we advocate removal at younger age.

When should my wisdom teeth be removed?

We advocate removal of wisdom teeth after root formation start, which can range in age from 14-21. Our typical patient ages for this procedure are 15-26 years old. Common symptoms of impacted wisdom teeth that need to be removed include:

Jaw pain
Swelling or stiffness in the jaw
Bad breath
Swollen, tender or bleeding gums
Difficulty opening your mouth
Impacted wisdom teeth may have no symptoms at all

How long does the procedure take?

All appointments are 60 min, but actual time varies depending on degree of impaction. From the patient’s perspective, it will seem like just a few minutes have passed—as you fall asleep, wake up, and everything is done.

Am I awake? (If I choose IV sedation)

Patients fall in a deeply sedated state where they feel nothing, hear nothing, and remember nothing.

What type of cases do you do?

Simple
Surgical
Tissue Impacted
Bone Impacted

Who does the anesthesia—is it safe?

A Certified Registered Nurse Anesthetist will administer all the anesthesia and constantly monitors the patient at all times. This allows Dr. Palmquist to solely focus on the surgery—just like you would find in an operating room at a hospital.

What does it mean if a wisdom tooth is “impacted”?

This means the teeth are underneath the tissue or within the bone and are not likely to fully come through.

Does everyone have 4 wisdom teeth?

No, most people have four, but Dr. Palmquist has removed as many as seven!

Dream Dental Sedation provides comprehensive dental care including in-office dental surgery using IV sedation. Our dental surgeon aims to make every appointment comfortable, safe and affordable for Watertown wisdom teeth removal, dental implants and restorations, dentures and more.

Serving Castlewood, SD • Clark, SD • Hayti, SD • Lake Norden, SD • Watertown, SD • Webster, SD • Milbank, SD • Florence, SD

Watertown Wisdom Tooth Extraction Under IV Sedation

Wisdom Teeth Removal

Specializing in Wisdom Tooth Extractions for Teenagers & Adults

Know When to Remove Wisdom Teeth

Know When to Remove Wisdom Teeth

Know When to Remove Wisdom Teeth

Wisdom Tooth Surgery Information

Know When to Remove Wisdom Teeth

Know When to Remove Wisdom Teeth

Types of Wisdom Teeth We Remove

Simple Extraction

Part Boney Impacted

Part Boney Impacted

Part Boney Impacted

Part Boney Impacted

Part Boney Impacted

Full Boney Impacted

Part Boney Impacted

Full Boney Impacted

Painless, Comfortable, Effective Anesthesia for Wisdom Teeth Extractions

Wisdom Teeth Removal FAQ

Ready to Remove Your Wisdom Teeth? Schedule a Dental Surgery Consultation.

Watertown Wisdom Tooth Extraction Under IV Sedation

Wisdom Teeth Removal

Specializing in Wisdom Tooth Extractions for Teenagers & Adults

Know When to Remove Wisdom Teeth

Know When to Remove Wisdom Teeth

Know When to Remove Wisdom Teeth

Wisdom Tooth Surgery Information

Know When to Remove Wisdom Teeth

Know When to Remove Wisdom Teeth

Types of Wisdom Teeth We Remove

Simple Extraction

Part Boney Impacted

Part Boney Impacted

Part Boney Impacted

Part Boney Impacted

Part Boney Impacted

Full Boney Impacted

Part Boney Impacted

Full Boney Impacted

Painless, Comfortable, Effective Anesthesia for Wisdom Teeth Extractions

Wisdom Teeth Removal FAQ

Ready to Remove Your Wisdom Teeth? Schedule a Dental Surgery Consultation.

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