Wisdom Tooth Extraction in Coeur d’Alene and Sandpoint, Idaho
Sore jaw, pressure at the back of your mouth, or a dentist who says your third molars are coming in sideways?
Our oral and maxillofacial surgeons remove wisdom teeth at both our Coeur d’Alene and Sandpoint offices, with sedation options for every case.
Wisdom Teeth Removal at Implants Northwest
Wisdom teeth are the third molars at the back of the mouth. They develop during the teen and early adult years and are the last permanent teeth to arrive, which is exactly why they cause trouble. By the time they come in, there is often no room left for them.
When a wisdom tooth is poorly positioned or impacted, its pressure can shift neighboring teeth and crowd an arch that was previously straight, even after orthodontic treatment. Removing the impacted tooth usually resolves that.
Our Offices Locations
Coeur d'Alene Office
Sandpoint Office
Signs Your Wisdom Teeth Need Attention
Some wisdom teeth announce themselves. Others cause damage quietly and only show up on imaging. Book an evaluation if you notice:
- Aching or pressure at the back of the jaw, on one side or both.
- Swelling, redness, or tenderness in the gum behind your last molar.
- A bad taste, persistent bad breath, or discharge near the back of the mouth.
- Difficulty opening your jaw fully, or pain when you chew.
- Food that repeatedly gets trapped behind the last tooth and will not brush out.
- Front teeth that have started to crowd or shift, particularly after braces.
- Repeated infections in the same spot, which often means a partially erupted tooth.
Pain with facial swelling, fever, or difficulty swallowing requires prompt evaluation. Call the office closest to you.
When Removal Is Recommended, and When It Is Not
Not every wisdom tooth has to come out. When all four erupt in the correct position, function in the bite, and can be brushed and flossed properly, there is no reason to remove healthy teeth. That does happen, just not often.
Removal is generally recommended when a tooth is impacted, when it is angled into the tooth in front of it, when the gum around a partially erupted tooth keeps getting infected, when there is decay that cannot be restored, or when a cyst or bone change shows up on imaging.
What Happens at Your Appointment
The right option depends on how many teeth are missing and what shape the bone is in, not on a package.
1. Evaluation and Imaging
We examine your mouth and take imaging to see the position of each wisdom tooth, the shape of the roots, and where they sit relative to the nerve and the sinus. You leave knowing which teeth need to come out, how complex each one is, what anesthesia suits you, and what it will cost.
2. Planning Your Anesthesia
Anesthesia is decided with you, based on how many teeth are coming out, how difficult they are, and how you feel about being awake. This gets settled before surgery day.
3. The Procedure
Most wisdom tooth removals are done in a single appointment. Once the teeth are out, you rest under our supervision until you are discharged, and you go home with your medication and written instructions.
4. Recovery and Follow-Up
You go home the same day with someone to drive you if you have had sedation. We schedule a follow-up to check healing and, if your sutures are not the dissolving kind, to remove them.
Real Reviews
“If you’re looking for an experienced surgeon that does a great job look no further.” – Jared M.
Anesthesia and Comfort Options
Wisdom tooth removal can be done under several levels of anesthesia. Which one fits depends on the case and on you.
Local Anesthetic
Numbs the area while you stay fully awake. Suitable for a single erupted tooth that is straightforward to remove.
Nitrous Oxide
Inhaled sedation takes the edge off and wears off quickly, so you can usually drive yourself home.
IV Sedation
Offered at both offices. You are deeply relaxed and typically remember little of the procedure. The common choice is to remove all four.
General Anesthesia
Delivered by Dr. Richard Montandon, a board-certified dental anesthesiologist and Fellow of the American Dental Society of Anesthesiology.
Why Patients Choose Implants Northwest
Surgical Specialists
Dr. Matthew Clark is a board-certified oral and maxillofacial surgeon and a Diplomate of the American Board of Oral and Maxillofacial Surgery, with nine years as Chief of Oral and Maxillofacial Surgery at Langley Air Force Base Hospital.
Anesthesia Handled In House
A board-certified dental anesthesiologist on the team, which is not standard at this size of practice.
Imaging Before Opinions
You get a recommendation based on your own panorex, not a general policy about third molars.
Two North Idaho Offices
Care in Coeur d’Alene and Sandpoint, so patients do not have to drive to Spokane for a routine extraction.
What Our Patients Say
We offer transformative oral-maxillofacial surgeries that help our clients gain a new sense of comfort and function. Here’s what your neighbors in Coeur d’Alene and Sandpoint to say about Implants Northwest.
Curt
Amanda
Wisdom Teeth Removal Payment Options
Cost depends on how many teeth are being removed, whether they are erupted or impacted, and which anesthesia you choose. Four impacted teeth under IV sedation is a different procedure from one erupted tooth under local anesthetic, and the estimate you get reflects your case rather than an average.
Wisdom teeth removal is one of the procedures that dental plans are most likely to cover. We are in network with several carriers, including Delta Dental, Guardian, Blue Cross of Idaho, Aetna, and Cigna. Bring your insurance information to the consultation, and our administrative team will tell you what your plan covers before anything is scheduled.
Financing is available through PatientFi and CareCredit. See financial information for current options.
Request a Dental Implant Consultation
Come in and find out where you actually stand. You will leave knowing whether you are a candidate, what the site needs first, how long treatment will take, and what it costs. No referral needed.
Related Oral Surgery Services
Teeth In A Day
Fixed full arch restoration on implants.
Tooth Extractions
Planning removal and replacement together.
Frequently Asked Questions
1) How do I know if my wisdom teeth need to come out?
Pain or pressure at the back of the jaw, swollen gum tissue behind your last molar, repeated infections in the same spot, a bad taste that will not clear, or front teeth that have started to crowd are all reasons to get evaluated.
2) Do wisdom teeth always have to be removed?
No. If all four erupt in the right position, work in your bite, and can be cleaned properly, there is no reason to remove healthy teeth. That is less common than most people expect, but it does happen, and we will tell you when it applies to you.
3) What is the best age to have wisdom teeth removed?
Third molars usually appear between seventeen and twenty-five, and removal in the late teens or early twenties tends to be more straightforward because the roots are not fully formed and the bone is less dense. Adults can absolutely still have them removed; the procedure may be more involved and recovery a little longer.
4) How long does recovery from wisdom teeth removal take?
Most patients take it easy for two to three days and return to normal activity within a week. Swelling tends to peak on the second or third day rather than the first, and usually settles seven to ten days after surgery. Avoid straws, spitting, smoking, and vigorous rinsing for the first thirty-six hours.
5) What is a dry socket and how do I avoid one?
A dry socket is what happens when the blood clot over the socket is lost too early, leaving the bone exposed. It is more painful than normal healing and usually starts a few days after surgery.
Coeur d'Alene Office
Mon-Tues | 8:o0 - 5:00
Wed | 8:00 - 3:00
Thurs | 8:o0 - 5:00
Friday | 7:00 - 2:00
Closed Sat & Sunday
Sandpoint Office
Thurs | 9:o0 - 2:00
Closed all other days
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