Dental Implants

Long-term replacement for missing teeth

Teeth are meant to function as a complete system. When one is missing, it can place added strain on surrounding teeth and affect how your bite functions over time. Dental implants are designed to restore that structure with a stable, long-term solution.

Expert Dental Implants in San Marcos and Vista

With offices in San Marcos and Vista, Offshore Oral & Facial Surgery provides implant care focused on precision, comfort, and clear planning from the start. 

Schedule a dental implant consultation today to learn if you are a candidate.

Personalized Care From Start to Finish

Clear Communication From Start to Finish

Treatment Planned For Long-Term Success

Care Tailored to Your Comfort

Surgeon Led-Care

Consistent, Surgeon-Led Care

“The goal is to focus on excellent outcomes while making the process as comfortable and minimally invasive as possible.” Dr. Exstrom

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Isabelle Holland
0 days ago
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Tobias Herendeen profile picture
Tobias Herendeen
1 days ago
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Everybody in the office was spectacular. They ripped out a tooth put in a post and I have zero pain. Thank you so much.
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Jerry Orchard
1 days ago
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Friendly staff and professional. Dr. Drake was the same and explained everything very well.
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Linda Calder
1 days ago
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Caring & listens to everything the patient says
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Sloan Zsiros
1 days ago
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Everyone I was the day of my appointment were very nice and helpful.
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Mary Sampere profile picture
Mary Sampere
1 days ago
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Dr Extrom really made my experience as pleasant and painless as possible. Thank you so much for your patience and understanding.
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Steven Passadori profile picture
Steven Passadori
3 days ago
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Fabulous, everyone had smiles and exuded confidence. I was in the best care possible. Room temp was cool & visual displays of water and nature were calming. Staff was cordial, courteous and professional. Both surgeon & assistant spoke to each other as well as myself during the entire procedure.
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Ries Printing
3 days ago
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From the front office staff to the Dr, Trinh (Alston), my experience was not a 5....but a 10, Highly recommend these guys.
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Christine Cudiamat
3 days ago
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Very friendly office!
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paul v illalobos
3 days ago
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The best at giving shots
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Jim Crute profile picture
Jim Crute
3 days ago
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Much less pain than expected, very polite and competent staff!
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Ally Edgerton
4 days ago
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Highly recommend. I was so anxious about having my wisdom tooth removed but the surgeon put me right at ease. The procedure was quick and smooth.
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Shane Freyberger
7 days ago
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Dr. Drake, Laura, and the entire staff at Offshore was amazing. I was not looking forward to my wisdom teeth removal, but they made the process extremely easy and comfortable for me. Great people
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david lacombe
7 days ago
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Dr Drake and his team were phenomenal, they made getting my wisdom teeth removed a surprisingly easy and great experience.
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Rocio Jerbasi
8 days ago
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Marina Bauer
8 days ago
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Dr Drake was so patient and gentle it made my visit so much better than I thought. No pain excellent staff excellent care I would give them 10. Stars if I could. You cannot find a better oral surgeon than Dr Drake
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Stephen Mccoy
9 days ago
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I am in the process of getting my first implant. Thanks to Dr Egstrom the procedure has been professional and seamless. Great doctor and superb support staff.
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Linda Bernardino
11 days ago
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Drake Exstrom, DDS is a great Dr. I had 4 wisdom teeth pulled and had no pain, no swelling or bruising after surgery. He and his staff are also very nice and helpful. I would definitely recommend them.
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Chen Kaiyu profile picture
Chen Kaiyu
11 days ago
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Dr. Drake is hands down an exceptional oral surgeon. He removed three of my wisdom teeth in just 30 minutes, including a tricky, fully bone-impacted tooth located very close to a nerve. His technique is remarkable, I barely had any post-operative discomfort and didn’t need any pain medication past day two. The entire procedure was smooth, efficient, and stress-free. I highly recommend Dr. Drake to anyone looking for a top-tier, trustworthy oral surgeon!
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Pam A
11 days ago
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I feel we can trust the diagnosis of this Doctor. I feel he is really for the patient and not for himself. He has a nice concerned assistant.
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Alice Quiocho
15 days ago
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The dental surgeon provides excellent care and information before, during and after extraction.
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Stephen Mccoy
15 days ago
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Got an early appointment. Checked on my implant area and gone in a few minutes. Friendly and efficient folks!!
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Debra profile picture
Debra
16 days ago
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Excellent oral surgeon with great bedside manner!❤️
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James Robinson profile picture
James Robinson
17 days ago
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Dr Drake was super informative and helpful! Made me feel really comfortable pre and post op. Healing went so well!
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Mary Sampere profile picture
Mary Sampere
18 days ago
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Dr Extrom and his staff made my entire experience easy to understand and as comfortable as possible. He's the BEST! Thank you so much!
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Mohammed Kasbati
19 days ago
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Surgical Experience That Guides Every Case

Dr. Drake Exstrom provides oral and maxillofacial surgery with a focus on precise planning, patient comfort, and long-term results. His approach centers on doing what is necessary to achieve a strong outcome while avoiding unnecessary procedures whenever possible.

Each case is evaluated individually, with careful attention to bone quality, anatomy, and overall treatment goals. From consultation through recovery, care is delivered with clear communication and a steady, thoughtful approach designed to support predictable healing.

Learn More About Dr. Exstrom

What Are Dental Implants And How Do They Work?

Dental implants are small titanium posts placed into the jawbone to replace missing tooth roots. Over time, the bone bonds with the implant, creating a stable foundation for a crown, bridge, or denture that looks and functions like a natural tooth.

Unlike removable options, implants help maintain jawbone strength and reduce the bone loss that can occur after tooth loss.

How Missing Teeth Affect Oral Health

When a tooth is lost, the changes extend beyond the visible gap. Chewing efficiency may decrease, speech can be affected, and the jaw bone in the area of the missing tooth can begin to weaken over time. As bone loss progresses, it may also contribute to changes in facial shape and overall oral stability.

Implants are designed to address these concerns at the source by replacing the tooth root within the jawbone. By restoring function at the bone level, implants help support long-term oral health while also improving comfort, appearance, and everyday function.

Dental Implant Placement Process

Dental implant treatment is typically completed in stages to allow proper healing and bone integration.

  1. Implant placement: The dental implant is surgically placed into the jawbone in the area of the missing tooth. In cases where additional support is needed, a bone graft may be recommended to help rebuild or strengthen the jawbone or “foundation” before or during implant placement.
  2. Healing and osseointegration: Over the following months, the jawbone gradually bonds to the implant through a process called osseointegration. This creates a stable foundation for the final restoration.
  3. Final restoration: Once healing is complete, the implant is prepared for the placement of a custom crown. Most patients are able to continue normal daily activities throughout each stage of treatment.

Recovery and Healing

Recovery after dental implant surgery varies depending on the number of implants placed and whether additional procedures are involved. Most patients experience mild swelling and soreness that improves over several days.

In appropriate cases, platelet-rich fibrin (PRF) may be used to support healing. PRF is created from the patient’s own blood and placed at the surgical site to promote natural tissue repair.

Healing time before the final tooth is placed typically ranges from three to six months, allowing the implant to fully integrate with the bone. Clear aftercare instructions and ongoing support are provided throughout the healing process.

Did You Know?

Advanced Implant Technology and Techniques

Treatment planning and precision play an important role in implant success. Our practice offers advanced options that allow care to be tailored to each patient’s anatomy and goals.

X-Guide Guided Implant Placement

X-Guide technology uses real-time 3D navigation to guide implant placement with a high level of accuracy. This approach supports precise positioning while minimizing disruption to surrounding tissue.

Immediate Implant Placement

In some cases, an implant can be placed at the same time as a tooth extraction. Immediate dental implant placement can reduce the number of procedures needed and help preserve bone and gum tissue when appropriate. It can also get you closer to having a final tooth restoration quicker than anticipated while not compromising success. 

Zygomatic Implants For Severe Upper Jaw Bone Loss

For patients with severe bone loss in the upper jaw, zygomatic implants may be an option. These implants anchor into the cheekbone rather than the upper jaw and are used in select cases when traditional implants are not feasible.

Why Choose an Oral Surgeon for Dental Implants?

Dental implant surgery involves more than placing a post in the jaw. It requires careful evaluation of bone structure, surrounding anatomy, and how the implant will function over time.

An oral surgeon is trained to manage these factors, including bone quality, nerve location, sinus position, and overall bite function. This allows for more accurate placement and better control of surgical variables that can affect healing and long-term stability.

Oral surgeons are also equipped to perform related procedures, such as bone grafting or sinus augmentation, when additional support is needed. This makes it possible to address more complex cases and create a stable foundation for implant success.

Dental Insurance and Payment Options

FAQs

How long do dental implants last? 

With proper oral hygiene and regular dental care, dental implants are designed to be a long-term solution.

Is dental implant surgery painful? 

Most patients report that implant surgery is more comfortable than expected and less downtime than a tooth extraction. Sedation options are available, and post-operative discomfort is typically manageable with over the counter pain medications.

How long is the recovery period after dental implant surgery? 

Initial healing usually occurs within the first few days to weeks, with mild swelling or soreness that improves gradually. Full healing, including integration of the implant with the bone, generally takes several months before the final restoration is placed.

Can you replace more than one tooth with dental implants?

Dental implants can replace multiple missing teeth, including full arches, using options such as implant-retained dentures, full-arch dental implants, and implant-retained dental bridges.

Can I get dental implants if I have gum disease? 

Gum disease must be treated and well controlled before dental implants can be placed. During your consultation, your oral health will be evaluated to determine whether additional treatment is needed prior to implant placement.

How common is implant failure?

Implant failure can occur when an implant does not properly integrate with the jawbone. This is why bone health, healing response, and overall oral health are evaluated before treatment to support long-term implant stability.

Where can I get dental implants in North County San Diego?

If you are looking for a dental implant specialist in North County San Diego, Offshore Oral & Facial Surgery provides care at our offices in San Marcos and Vista.

Dental Implants

To book a dental implant consultation at our oral surgery office in San Marcos, CA, call (760) 744-1919 or visit us at 1030 La Bonita Dr Ste 322, San Marcos, CA 92078. We are located in The Shops at Lake San Marcos. 

For our oral surgery office in Vista, CA, call (760) 724-7474 or visit us at 2023 W Vista Way Suite G, Vista, CA 92083. 

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