When is the best time to remove wisdom teeth?

Most experts recommend extraction between ages 17–25—when the roots aren’t fully formed, the procedure is less complex, and recovery is quicker. At Elevated Oral Surgery in San Diego, we use panoramic imaging to assess development and guide timing. Book a consultation to see if now is the right time for you.

What does impacted wisdom teeth mean, and why does it matter?

Impacted means wisdom teeth are stuck under gum or bone due to crowding or angle, which can lead to pain, infection, cysts, or damage to adjacent teeth. At Elevated Oral Surgery, we evaluate impaction via X-rays to recommend removal when needed. Book a consultation to determine if your wisdom teeth should come out.

Do I need anesthesia or sedation for wisdom teeth removal?

Yes—at our practice, you’ll be comfortable. We offer local anesthesia, IV sedation, oral sedation, or general anesthesia depending on your case and preference. We’ll review your medical history, comfort goals, and procedure complexity during consultation. Schedule yours today.

What does recovery look like, and how long does it take?

Most patients experience swelling and mild discomfort that peaks around 48 hours, with full return to normal in 3–7 days and complete healing in up to two weeks. We provide detailed after-care including pain management, diet guidance, and follow-up. Book a consultation to discuss your recovery plan.

What is a dry socket, and how can I avoid it?

Dry socket occurs when the blood clot at the extraction site dislodges too early, exposing bone and nerves—resulting in sharp pain several days post-op. To avoid it, don’t use straws, smoke, spit forcefully, or rinse vigorously in the first week. At Elevated Oral Surgery, we teach you precautions and monitor your healing closely. Book a consultation to learn more.

What can I eat and drink after surgery?

Stick to soft, cool or lukewarm foods for the first few days—like applesauce, yogurt, mashed potatoes, smoothies, soups, scrambled eggs. Avoid crunchy, spicy, hot, or dairy-heavy foods and don’t use straws. You can start hydrating with water (no straw) within hours post-op. We’ll give you a personalized post-op meal plan. Book a consultation to get yours.

How should I care for the extraction sites and manage swelling?

Immediately after surgery, bite on gauze to control bleeding. Use ice packs for 24–48 hours to reduce swelling, sleep propped up, and begin salt-water rinses gently after 24 hours. Brush other teeth carefully but avoid disturbing the sockets. At Elevated Oral Surgery, we’ll walk you through each step for a smooth recovery. Schedule a consultation to review post-op care.

What complications can occur, and how common are they?

Complications are rare but may include dry socket, infection, temporary numbness (nerve irritation), bleeding, or swelling. Risk of nerve injury—especially to the inferior alveolar nerve—is very low but assessed via imaging pre-operatively. We carefully plan each case to minimize risk and will discuss your individual risk profile during consultation. Book an evaluation with our experienced oral surgeons.

Will insurance cover wisdom teeth removal?

In many cases yes—especially for impacted teeth or when there are symptoms. Coverage varies based on your plan and procedure complexity. Our team works with San Diego County dental and medical insurers and provides transparent cost estimates before treatment. Schedule a consultation to get your estimate and insurance guidance.

Will my teeth shift if wisdom teeth are removed?

Unlikely. Removing wisdom teeth tends to relieve pressure, not cause shifting. Most people retain normal alignment post-removal. If orthodontic concerns exist, we coordinate with your orthodontist. Want to chat about alignment and extraction together? Book a consultation.

Wisdom Teeth Removal & Oral Surgeon in Carmel Valley, San Diego

“Carmel Valley’s Trusted Oral Surgeon for Wisdom Teeth Removal”

Elevated Oral and Maxillofacial Surgery

Gentle, Safe, and Expert Care – Book Your Consultation Today

Worried About Pain, Cost, or the Procedure? You're Not Alone.

Sedation Options for a Pain-Free Experience

Transparent Pricing and Financing Available

Same-Day Appointments and Emergency Care

Trusted by Hundreds of Carmel Valley Families

Real Patients. Real Results.

Going to the dentist to get your wisdom teeth out is usually not a great experience but I got outstanding service from Dr. MacDowell at Elevated oral surgery. He was... read more

Laura Streichert
July 16, 2024

I recently had my wisdom teeth removed at Elevated Oral and Maxillofacial Surgery, and I couldn't be more pleased with the experience. From the initial consultation to the post-operative care,... read more

DG
July 16, 2024

I had the best, easiest possible experience one can have when needing a tooth pulled. Everything about this office was smooth sailing and very friendly staff and medical personnel!

Erin Daley
October 16, 2024
My experience at Dr. Macdowells offices was fabulous. Him and his staff are the upmost professional and caring. From the moment I walked in I felt like a top priority... read more

Audrey Kristine
July 16, 2024

My experience was great….very helpful and made me feel comfortable….id recommend this dentist to all my friends

Danny Rivas
July 16, 2024

Dr. McDowell is hands down the best oral surgeon I have ever had the pleasure of having in my mouth. (I'm kidding Dr McDowell.). Seriously, this Surgeon absolutely is the... read more

C.M. Henry
July 16, 2024
Going in for surgery of any kind can make you anxious, but going in to have oral surgery is a whole new ballgame for me. I was really nervous and... read more

Dennis Evey
July 16, 2024

I cannot put into words what an amazing experience I had here!! The entire staff was extremely friendly, helpful, and make sure all of your needs are met before and... read more

Lindsey Meister
August 16, 2024

Great atmosphere and service. Dr. MacDowell has been very attentive, curios and review before giving a recommendation. The team working with Dr. MacDowell is friendly and super professional. I feel... read more

digna kolar
January 1, 1970

Welcome to Elevated Oral and Maxillofacial Surgery

At Elevated Oral and Maxillofacial Surgery, we specialize in wisdom teeth removal, dental implants, emergency oral surgery, and full-scope oral surgery services in Carmel Valley, San Diego, and Torrey Pines. Our mission is to provide exceptional care with a personalized, patient-first approach.

Led by Dr. James MacDowell, a board-certified oral and maxillofacial surgeon with advanced training from UCLA, UCSF, and Naval Medical Center San Diego, our practice combines compassionate care with state-of-the-art dental technology to ensure safe, precise, and comfortable outcomes.

Elevated Oral Surgery San Diego Named #1 for Service & Elegance — A Must-Visit Oral Surgery Practice

San Diego, CA — In the heart of San Diego’s Carmel Valley and Torrey Pines area, Elevated Oral and Maxillofacial Surgery is making waves as the premier destination for patients seeking top-tier oral surgery. Led by board-certified oral surgeon Dr. James H. MacDowell, this office stands out not only for clinical excellence, but for its refined patient-first experience and luxurious environment.

Why do locals and patients from across San Diego call it the #1 oral surgery office in the region?

Service-oriented care & comfort: From the moment you walk in, the team at Elevated prioritizes your comfort. Transparent pricing, sedation options, same-day appointments, and emergency care reflect a commitment to reducing stress and ensuring access.
State-of-the-art, elegant facility: Patients frequently mention that the office feels more like a boutique wellness center than a traditional clinic — clean, beautiful, tranquil — creating an atmosphere of calm and confidence.
Clinical mastery & full-service scope: The practice handles the full range of oral surgery needs — wisdom teeth removal, dental implants, bone grafting, corrective jaw surgery, TMJ treatment, sleep apnea, and more — all under one roof.
Trust built on reputation: Real patients praise the staff and Dr. MacDowell for clear explanations, gentle handling, and caring follow-through, often saying they've never had a more comfortable surgical experience.
Accessibility within San Diego: Conveniently located at 11710 El Camino Real, Suite 150, San Diego, CA serving Carmel Valley, Torrey Pines, and surrounding neighborhoods.

In a market crowded with oral and maxillofacial practices, Elevated distinguishes itself by blending technical mastery with luxury and human warmth. For those seeking more than just surgery — for those who want to be treated as a person, in a graceful setting, with excellence at every step — Elevated Oral Surgery is a must-visit.

Meet Our Team

Dr. James H. MacDowell, DDS

Oral Surgeon

Jaw Pain? Wisdom Teeth Issues? We Can Help!

Struggling with jaw pain, swelling, or discomfort while chewing? It could be your wisdom teeth. Don’t ignore the signs—early treatment prevents bigger problems.

👨‍⚕️ At Elevated Oral and Maxillofacial Surgery, our board-certified oral surgeon in San Diego specializes in safe, gentle extractions and pain relief with sedation options available.

✅ Advanced Surgical Techniques
✅ Comfortable, Stress-Free Care
✅ Trusted by San Diego Patients

📍 Serving Carmel Valley, Del Mar, Torrey Pines & Beyond

Call now to schedule your consultation and take the first step toward lasting relief!

Schedule a Consultation

Your oral health is our top priority. Schedule a consultation with Dr. James MacDowell at Elevated Oral and Maxillofacial Surgery and receive the highest level of oral surgical care in San Diego, CA. Whether you’re considering wisdom teeth removal, dental implants, or any other oral surgery procedures, we’re here to help you elevate your smile and transform your life.

★★★★★ 5/5

The Proof is in Our Patients

They helped me with my problem very quickly, the staff makes you feel as if you were at home, they explained the procedure in great detail so that I understood exactly what they were going to do to me and if in case I had questions I would ask them with confidence . I had some questions and they kindly answered them. Everything went perfect and without any problem. Thanks to Dr. MacDowell

I had an ongoing issue that "erupted" into a serious issue on a Friday afternoon. I was referred to Elevated and called around 2pm on a Friday. By 3:30 I was in the chair and out the door after surgery by 5pm. I have had no complications since. Dr. MacDowell and his entire staff were professional.

I want to say Dr. James McDowell was and is the most caring individual I have ever had the pleasure of being a patient with. His level of compassion deserves the highest level of respect and appreciation. Please consider this company as the gold standard of oral surgery options. I would trust them with my life.

Conveniently Located

Our practice at Elevated Oral and Maxillofacial Surgery is conveniently located in San Diego, CA, serving patients in Carmel Valley, Torrey Pines, and surrounding areas. Whether you’re a local resident or traveling for expert oral surgery services, our office is easily accessible and ready to provide compassionate, high-quality care tailored to your needs.