“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
A facial injury can change your bite, loosen teeth, and shift how your jaw closes fast. If you’re stable and out of immediate danger, the next priority is stabilizing facial structures and bite alignment so future dental repairs (root canal therapy, implants, crowns) aren’t forced into a compromised position.
Angela Leung DDS PC – The Endodontics Implant Center
1131 Mission Road, South San Francisco, CA 94080 (serving San Francisco and surrounding areas)
Wisdom teeth are the last molars to come in, and the most likely to run out of room. Problems usually come from one of these “risk drivers”:
When monitoring can be reasonable:
The key is not guessing. It’s documenting the risk factors in your mouth and making a plan you can actually live with.
Wisdom teeth are removed when they are likely to cause problems, especially because they often do not have enough room to come in normally.
Common reasons include:
Not everyone needs them removed. If wisdom teeth are fully erupted, healthy, easy to clean, and not affecting nearby teeth, a dentist may just monitor them with exams and X-rays.
Risk-managed planning to protect nerve, sinus, and jaw function
A lot of the “horror stories” come from uncontrolled variables: unclear nerve proximity, active infection, excessive force, or poor post-op guidance. Our approach reduces those variables up front.
When a case is high-risk, we use referral-level triage: we’ll tell you clearly whether your safest path is in-office care with additional precautions, staging, or referral coordination.
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.
Bone grafting should never feel like “we’ll figure it out once we’re in there.” Your plan should feel specific, visual, and logical.
We review symptoms, eruption status, gum health behind the second molar, and medical history that affects safety.
A panoramic X-ray is common. If nerve or sinus proximity looks complex, CBCT can be used to reduce guesswork and plan a safer approach.
Depending on your case, the plan may include:
You’ll get clear guidance on swelling/pain timing, chewing progression, hygiene timing, and the specific symptoms that mean “call us today.”
Wisdom teeth care isn’t one-size-fits-all especially if anxiety is part of the picture. Options can include:
We’ll recommend the option that fits the procedure complexity, your medical history, and your comfort needs.
Most complications are avoidable when patients get clear instructions and the “why” behind them.
Your recovery rules that matter most:
We’ll give you a written plan with costs before treatment begins, then help you choose a realistic path forward.
You can be, or you can choose sedation options depending on your needs and the procedure complexity.
It can be—especially with lower wisdom teeth close to the inferior alveolar nerve. That’s why imaging choice and technique choice matter. Your plan should be based on anatomy, not assumptions.
Sometimes yes, sometimes we reduce inflammation/infection first so the procedure is safer and healing is smoother. The decision is case-by-case.
needs.
It depends on impaction type, number of teeth, and your healing factors (sleep, smoking/vaping, medical conditions). We’ll give a realistic timeline tied to your actual case, not a generic estimate.
By controlling the biggest triggers (smoking/vaping, suction actions, early aggressive rinsing), plus giving clear hygiene timing and follow-up triggers.
Sometimes that’s appropriate. In other cases, staging (one side at a time) lowers recovery burden and risk. We’ll recommend the option that best fits your schedule and safety profile.
You’ll get a clear triage plan—including referral coordination when it’s the safest route.
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.
