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.

From my initial contact with Fancy Nancy, to Alissa's diligence to Dr. James' patient explanation of the procedure to Mike's endearing compassion during the extraction, this is THE spot in... read more

Amsal Wajihuddin
October 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

For getting three screws put it under local anesthesia it was not that bad the best part was hearing the ratcheting of the wrench!! I recommend anybody who needs this... read more

daren
October 16, 2024
The procedure went very smoothly from my perspective. The whole team was friendly, organized, professional, supportive, worked well together and answered my questions, all of which I was appreciative... read more

Marcie
November 16, 2024

Great surgeon and friendly staff . Highly recommend this office

Wesam Altamimi
July 16, 2024

Dr. James MacDowell and his staff provided me excellent service with my teeth extractions. He’s a very patient Doctor who answered all my questions. I highly recommend him👍

Ty Peasley
July 16, 2024
The staff was highly professional and provided me with honest assistance in resolving my current issue.

JJ Stacks
October 16, 2024

I'm very happy with the attention I got I had 2 surgical procedures done during my visit...it was painless and the team was very professional... thanks Dr.james 🙂

Blanca Lepiz
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

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.

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.