Wisdom Teeth Removal

Protecting long-term oral health

Wisdom teeth do not always have enough room to develop properly. When they become impacted or partially erupt, they can place pressure on nearby teeth and increase the risk of infection, discomfort, and long-term complications. Wisdom teeth removal is performed to protect overall oral health and prevent these issues from progressing.

Expert Wisdom Teeth Removal in San Marcos and Vista

With offices in San Marcos and Vista, Offshore Oral & Facial Surgery provides wisdom teeth removal with a focus on careful planning, patient comfort, and a more manageable surgical experience from start to finish.

Schedule a consultation to evaluate your wisdom teeth and understand your options.

Why Patients Choose Offshore Oral & Facial Surgery

Clear Guidance on Timing and Recovery

Treatment Based on Tooth Position and Future Risk

Treatment Based on Tooth Position and Future Risk

Sedation

Sedation Options Based on Your Comfort Level

Surgeon Led-Care

A Smoother, More Manageable Surgical Experience

“The goal is to keep wisdom teeth removal straightforward, comfortable, and easy to recover from.” Dr. Exstrom

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Jim McDonough profile picture
Jim McDonough
0 days ago
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Dr Trinh evaluated my problem wisdom tooth and offered to extract it immediately. The biggest pain was the painkilling shots, and there was a lot of effort involved. All over with quickly. Home care instructions were in writing and very thorough. Everyone was very nice.
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Tim Colling profile picture
Tim Colling
1 days ago
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I recently was seen by Dr. Trinh and had an excellent visit with him. He patiently answered all my questions and was very transparent and helpful in advising me about my treatment options. Highly recommended!
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Carol Eldridge profile picture
Carol Eldridge
1 days ago
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I went to Dr Trinh with tooth ache. He took an X-ray and told me I had an infection in that tooth. He was so through and made sure I understood what he would need to about this tooth. He did an extraction that day. He called me the that night to make sure I was doing well. He gave me a detailed paper of what to do and what not to do. That was very helpful. Dr Trinh and his staff are so helpful, kind and friendly. I would highly recommend Dr Trinh and his staff!!!
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Rocio Jerbasi
4 days ago
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Rene Herrera profile picture
Rene Herrera
4 days ago
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The staff was great, very helpful and attentive. Follow up with top-notch. I took my dad here. I would definitely refer them.
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Shane Freyberger profile picture
Shane Freyberger
4 days ago
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Dr. Drake was personable, honest and extremely kind. The whole team at offshore was incredible. Will be returning!
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Tom Class profile picture
Tom Class
5 days ago
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What a great experience! Having a tooth removed is not fun but the Doctor and staff make sure you are comfortable and in no pain. I recommend Offshore to everyone.
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Joey Valero profile picture
Joey Valero
5 days ago
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I just had my second visit at their office to discuss my upcoming teeth extraction. I will be having an implant and I'm so excited about it. All I have are praises to the whole staff of Dr. Drake. Of course, I also must mention Dr. Drake himself. He went over again the process of my dental needs to be sure that I understand everything. He took his time to explain it to me again which gives me comfort. From my first visit experience, I realized I don't need to look further for a dental office that will take care of me. I found it here!
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Q Gao profile picture
Q Gao
5 days ago
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Dr. Drake Exstrom is great. His work is tremendous.
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Pam Ward profile picture
Pam Ward
5 days ago
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Ciara Hargis profile picture
Ciara Hargis
5 days ago
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Our Experience was great from start to finish. The Staff are all wonderful, welcoming,patient and thorough. My Daughter had her wisdom teeth extracted and was well taken care of, would highly recommend.
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ALEEZA profile picture
ALEEZA
5 days ago
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Dr. Drake is extremely helpful, patient, and professional. He answered all my questions and explained the procedure thoroughly. My tooth extraction was smooth, took less than 25 minutes, and I experienced very little pain. Recovery was also easy. I highly recommend Dr. Drake!
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Dennis Jaehne profile picture
Dennis Jaehne
6 days ago
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Dr. Drake has installed two implants for me, as well as extracting a 3rd tooth last week. If you must have it done, he is great to work with, very friendly, genuinely sensitive to what you're feeling, and he has a great sense of humor. I actually enjoy going to him for treatment! The staff are friendly, too, and they work well as a team to help you stay calm and feel reassured. Going on 3 years now, my implants are fine. I'm sure at my age there are more in the future. I've highly recommended Dr. Drake to friends and family!
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Maria Quini profile picture
Maria Quini
7 days ago
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Great bedside manners, extremely patient and informational prior to procedure as well as post op! Highly recommend to anyone!
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Greg Mellinger profile picture
Greg Mellinger
7 days ago
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Excellent experience from the front desk staff to the doctor. Had 2 implants same day. Excellent care, no pain. Highly recommend
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Debbie Smayo profile picture
Debbie Smayo
7 days ago
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Thank you all for providing me with excellent care on Friday and squeezing me into the schedule due to the intense pain I was feeling in my mouth. Extra thanks to Dr Trinh for explaining clearly what was happening every step of the way and to Tia! Debbie S.
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Sydney Dumbauld profile picture
Sydney Dumbauld
8 days ago
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Liv profile picture
Liv
8 days ago
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Dr. Drake and his entire team were absolutely wonderful! They explained every step of the process thoroughly and were incredibly careful and cautious throughout my oral surgery. I especially appreciated their attention to detail and the fact that Dr. Drake personally checked in on me the day after surgery as it really showed how much they care about their patients. Overall, the entire experience was seamless and truly flawless from start to finish. Thank you so much, Dr. Drake and the entire office team, for making the process so comfortable and reassuring! Highly recommend!
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Patrick Zepeda profile picture
Patrick Zepeda
8 days ago
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Extraction was painless and Dr. Exstrom was communicative throughout the whole process, which I personally appreciate! Staff throughout was very friendly and made the whole visit stress free !
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Jimmy Lee profile picture
Jimmy Lee
9 days ago
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Excellent experience
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Debra profile picture
Debra
10 days ago
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Dr. Drake and his entire office staff are great! I highly recommend them.
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avakase profile picture
avakase
12 days ago
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avakase
13 days ago
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Kristine Hyland profile picture
Kristine Hyland
13 days ago
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The surgeon was the best ! I had a a tooth breaking which he told me might happen and he was so good at calming me !!
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Marie Watkins profile picture
Marie Watkins
14 days ago
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I love the beach vibe. The staff and surgeon are so friendly. One can sense how much they enjoy each other’s company. That trickles down to how they serve their patients. Would highly recommend. Thank you for your service.
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Ethan Granger profile picture
Ethan Granger
15 days ago
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Dr. Drake is the MAN! This was my first surgery and I was super nervous, but he made me feel super comfortable and walked me through the entire process. The surgery and recovery went perfectly and I knew exactly what to expect. Dr. Drake’s friendly personality truly made this experience not just easy to manage, but actually enjoyable. I highly recommend this man for all of your oral surgery needs!!!!

Surgical Experience That Guides Every Wisdom Teeth Case

Dr. Drake Exstrom approaches wisdom teeth removal with a focus on efficiency, comfort, and recovery. Many procedures are completed more quickly than patients expect, with surgical decisions made in real time to reduce disruption and support easier healing.

Each case is evaluated individually, with attention to how the teeth are positioned and how removal will affect nearby structures. The goal is not just to remove the teeth, but to make the overall experience manageable from start to finish.

From consultation through recovery, care is delivered in a way that feels clear and personalized, helping patients feel prepared and supported at every step.

Learn More About Dr. Exstrom

Understanding Wisdom Teeth

Wisdom teeth, also known as third molars, are the last teeth to develop. They typically emerge during the late teenage years or early adulthood. Because the jaw has finished growing by this time, there may be limited space for these teeth to erupt normally.

Some wisdom teeth remain problem-free, while others may erupt partially, remain beneath the gums, or place pressure on nearby teeth due to their impaction. When their position increases the risk of complications, removal may be recommended.

When Wisdom Teeth Removal Is Recommended

Wisdom teeth removal may be recommended in situations such as:

  • Impacted wisdom teeth that do not fully erupt through the gums.
  • Limited space in the jaw that places pressure on nearby teeth.
  • Partial eruption that allows bacteria to collect around the gums and increase the risk of infection.
  • Recurrent gum irritation, swelling, pain, or stiffness near the back molars.
  • Development of cysts or other tissue changes that may affect the jawbone or surrounding teeth.
  • Preventive removal to lower surgical risk and support smoother healing when treated earlier.

If your general dentist, pediatric dentist, or orthodontist recommends wisdom teeth removal, they may refer you to an oral surgeon specialist for further evaluation, or you may schedule a consultation directly with Offshore Oral & Facial Surgery.

Evaluation and Treatment Planning

Wisdom teeth evaluation begins with a thorough examination and dental imaging, such as X-rays or CBCT scans. This allows the position, development, and surrounding anatomy to be assessed accurately.Treatment recommendations are based on the patient’s age, symptoms, tooth position, and overall oral health. Dr. Drake Exstrom provides care that is customized for each patient, and removal is only recommended when it supports long-term oral health and stability .

Did You Know?

The Wisdom Teeth Removal Process

Wisdom teeth removal is an outpatient procedure that is carefully planned based on tooth position, development, and patient comfort needs. The process generally includes:

  1. Pre-surgical evaluation: Dental imaging is used to assess the position of the wisdom teeth and their relationship to surrounding structures.
  2. Sedation and anesthesia: Sedation options are selected based on the patient’s preferences, medical history, and comfort level.
  3. Tooth removal: The wisdom teeth are removed using minimally invasive techniques when possible to reduce tissue disruption.
  4. Site management: The area is cleaned and stabilized to support proper healing and reduce the risk of infection.

The specific surgical approach and sedation plan are selected based on the position of the teeth and each patient’s individual needs.

Sedation and Comfort Options

Patient comfort is a priority during wisdom teeth removal. Offshore Oral & Facial Surgery offers oral sedation, IV sedation, nitrous oxide, and in-office general anesthesia when appropriate.

Sedation options are selected based on patient preference, medical considerations, and the complexity of the procedure. Some patients prefer minimal sedation, while others choose deeper sedation for a more relaxed experience.

Recovery and Healing

Recovery after wisdom teeth removal varies depending on the number of teeth removed and their position. Mild swelling and soreness are common during the first few days and typically improve steadily.

Detailed post-operative instructions are provided to support healing, comfort, and proper nutrition. Post-operative care is a key focus of treatment and plays an important role in supporting a smooth recovery .

Why Choose an Oral Surgeon for Wisdom Teeth Removal

Wisdom teeth removal can vary in complexity depending on how the teeth are positioned and how close they are to surrounding nerves and bone. Impacted or partially erupted teeth often require a more advanced surgical approach than a routine extraction.

Oral and maxillofacial surgeons receive additional years of hospital-based surgical training focused on procedures involving the jaw, bone, and facial structures. This training allows them to manage complex extractions, reduce surgical risk, and respond to unexpected findings during the procedure.

Dental Insurance and Payment Options

FAQs

Is wisdom teeth removal always necessary?

Not always. Some wisdom teeth remain healthy and symptom-free. An evaluation helps determine whether removal or monitoring is appropriate.

How long does recovery take after wisdom teeth removal?

Initial healing typically occurs within several days, although typically patients feel back to normal after about 1 week. Full healing continues over the following weeks, depending on the complexity of the procedure.

At what age should wisdom teeth be evaluated?

Many patients are first evaluated during their mid-teen years. Early assessment can support easier removal and smoother recovery when treatment is needed.

Where can I get my wisdom teeth removed in North County San Diego?

Offshore Oral & Facial Surgery provides wisdom teeth removal at our San Marcos and Vista offices. Our team offers consultations, sedation options, and surgical care for teens and adults throughout North County San Diego.

Wisdom Teeth Removal in San Marcos, CA

To book a wisdom tooth 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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