“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
Medically reviewed by Dr. Angela Leung, DDS – Last reviewed August 19, 2026
Oral Surgery near San Francisco CA at Angela Leung DDS PC is for patients who need more than a quick extraction answer. If you have severe tooth pain, failing teeth, infection, bone loss, missing teeth, or a previous root canal that still hurts, the first decision is not always “remove it.” The right decision is whether the tooth can be saved, whether replacement is safer, and which treatment will hold up long term.
Oral surgery includes procedures that treat infected, damaged, missing, impacted, or structurally failing teeth. The best plan may include tooth removal, bone grafting, dental implants, endodontic surgery, or full-mouth reconstruction depending on the diagnosis.
Some painful or infected teeth can still be saved with endodontic care. Root canal retreatment, apicoectomy, and cracked-tooth evaluation may prevent unnecessary extraction when the root and surrounding bone can still support the tooth.
Replacing missing teeth with durable artificial implants.
Specialized care for complex dental procedures.
Specialized dental care treating tooth pulp and roots.
Specialized care for gums and supporting structures.
Repairing teeth for function, health, aesthetics.
Enhance smiles with aesthetic and dental treatments.
Precise evaluation of bite alignment and jaw function.
Clear, precise guidance for safe and effective surgery.
| Problem | Possible Treatment | Best Fit | Main Limitation |
|---|---|---|---|
| Deep infection inside tooth | Root canal or retreatment | Tooth root is restorable | Needs enough tooth structure |
| Infection after root canal | Apicoectomy | Infection is near root tip | Not ideal for vertical root fracture |
| Non-restorable toot | Extraction + graft | Tooth cannot be saved | Replacement planning still needed |
| Missing single tooth | Dental implant | Healthy bone and stable bite | May need grafting first |
| Loose denture | Fixed hybrid full arch | Most or all teeth missing/failing | Larger treatment plan |
| Upper back tooth bone loss | Sinus augmentation | Not enough upper jaw bone | Healing time may be needed |
Oral surgery cost depends on diagnosis, imaging, number of teeth involved, sedation needs, grafting, implant materials, and whether the case includes tooth-saving care or replacement. A detailed exam is needed before accurate treatment planning.
We’ll give you a written plan with costs before treatment begins, then help you choose a realistic path forward.
Oral surgery may not be the first option if your tooth can still be saved. In many cases, a painful or infected tooth should be evaluated for root canal treatment, root canal retreatment, apicoectomy, or cracked tooth care before extraction is considered. The right choice depends on the tooth’s structure, infection level, bone support, bite pressure, and whether the root is still healthy enough to support long-term function. If the tooth has a vertical fracture, severe bone loss, or cannot be restored with a crown, removal and replacement may be safer.
You should get professional help right away if you have swelling, severe tooth pain, fever, facial pressure, trouble biting, or pain that keeps you from sleeping. These symptoms may point to a dental infection, abscess, cracked tooth, or nerve inflammation that will usually not improve on its own. Swelling near the jaw, cheek, gums, or under the eye should be taken seriously because dental infections can spread. If swelling affects breathing, swallowing, or your ability to open your mouth, seek urgent medical care immediately.
Your first oral surgery consultation usually includes a dental exam, review of your symptoms, medical history, imaging, and a clear discussion of your treatment options. The doctor may check the tooth, gums, bone support, bite, previous dental work, and signs of infection before recommending surgery. For more complex cases, CBCT imaging may be used to evaluate root shape, bone volume, sinus position, nerves, or implant planning needs. You should leave the visit knowing whether the tooth can be saved, whether removal is needed, and what the next step would involve.
Healing after oral surgery usually starts within the first few days, but full recovery depends on the procedure and your overall health. Simple extractions may feel much better within several days, while surgical extractions, bone grafting, sinus augmentation, implant placement, or full-arch procedures can take longer. Swelling and soreness are often most noticeable during the first 48 to 72 hours, then gradually improve. Complete bone healing or implant integration may take several months, especially when grafting or implant treatment is part of the plan.
You should not wait if you have facial swelling, spreading gum swelling, fever, severe pain, pus, a bad taste, a loose tooth after trauma, or pain that gets worse instead of better. These signs may mean infection, abscess, fracture, or damage that needs prompt evaluation. Waiting too long can make treatment more complex and may reduce the chance of saving the tooth. If you have trouble breathing, swallowing, or opening your mouth, go to urgent care or the emergency room immediately.
Angela Leung DDS PC – The Endodontics Implant Center
1131 Mission Road, South San Francisco, CA 94080
Phone: 415-681-2697
Hours: Monday–Friday 10:00 am – 6:00 pm (Saturday & Sunday closed)
If you’re dealing with missing teeth, failing dental work, or full-mouth breakdown, the fastest relief is clarity.
