Oral Surgery

Dentoalveolar Surgery in Bel Air, MD: Surgical Solutions for Complex Dental Needs

Dentoalveolar surgery refers to surgical procedures involving the teeth and the alveolar bone, the ridge of bone that supports the teeth. At Elevated Smiles Dentistry in Bel Air, MD, Dr. Joshua Englander performs a range of dentoalveolar procedures in-house, from surgically removing impacted or broken teeth to reshaping bone structure in preparation for restorations.

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What Does Dentoalveolar Surgery Include?

The term covers surgical interventions affecting teeth and the surrounding bone. Common procedures include surgical extraction of teeth that cannot be removed with standard forceps because they are broken at the gumline, impacted, or have complex root anatomy. Alveolar ridge procedures address the bone shape after tooth loss to ensure it can support a denture or implant. Exposure of impacted teeth that need to erupt into the arch for orthodontic treatment. Removal of tooth fragments or roots left from prior incomplete extractions. Each case is evaluated individually and Dr. Englander explains the procedure, expected recovery, and alternatives before scheduling.

How Is Dentoalveolar Surgery Performed at Elevated Smiles?

All dentoalveolar procedures are performed under local anesthesia, and both nitrous oxide and oral conscious sedation are available for patients who want additional comfort. Dr. Englander uses digital X-rays and cone beam 3D imaging as appropriate to plan the procedure before making any incisions. The surgical site is accessed through a small incision in the gum, the necessary work is completed, and the site is closed with absorbable sutures in most cases. Recovery varies by procedure complexity but most patients return to normal activity within three to five days.

What Should I Expect After Dentoalveolar Surgery?

Swelling and mild to moderate soreness for two to four days after surgery is normal. Ice applied to the cheek during the first 24 hours reduces swelling. Soft foods for the first few days protect the surgical site. Dr. Englander prescribes antibiotics or pain medication as needed based on the procedure. Follow-up is scheduled to check healing and remove any non-absorbable sutures if used. Patients should contact the office immediately if they experience increasing pain after day three, signs of infection such as fever or significant swelling, or excessive bleeding that does not respond to gentle pressure.

Frequently Asked Questions About Dentoalveolar Surgery

Is dentoalveolar surgery the same as having a tooth pulled?

A simple extraction requires no incision and is done with forceps. Dentoalveolar surgery involves a surgical approach, typically an incision in the gum and sometimes removal of a small amount of bone, to access teeth or structures that cannot be reached otherwise.

Will I be awake during dentoalveolar surgery?

Yes, but you will be fully numbed. Most procedures are completed under local anesthetic alone. Nitrous oxide or oral sedation is available if you prefer additional relaxation. You feel no pain during the procedure.

Can I drive myself home after dentoalveolar surgery?

If only local anesthetic was used, yes. If you chose oral or nitrous oxide sedation, you must have someone drive you home. Confirm this with our team when you schedule.

How long does a dentoalveolar surgical procedure take?

It depends on the complexity of the case. A single surgical extraction typically takes 30 to 60 minutes. More involved procedures such as multiple impacted tooth removals or ridge augmentation may take longer. Dr. Englander gives you a time estimate at your consultation.

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    Dr. Joshua Englander, DDS

    Page written and reviewed by:

    Dr. Joshua Englander, DDS

    Doctor of Dental Surgery · Elevated Smiles Dentistry, Bel Air, MD · Last reviewed: July 2026