Oral Surgery in Des Moines & Lynnwood, WA

Some restorative work has to start with surgery — removing a tooth that cannot be saved, rebuilding bone that has been lost, or placing an implant. Dr. Yoon is a prosthodontist, so the surgery and the restoration that follows it are planned by the same person. Please note that we do not remove wisdom teeth; those we refer to an oral surgeon.

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Which Oral Surgery Procedures Do We Perform In-House?

Dr. Yoon reviewing a 3D digital scan while planning oral surgery

Oral surgery at Blooming Dental means the surgical procedures that prepare your mouth for a restoration and then deliver it: surgical extraction of teeth that cannot be saved, socket preservation and bone grafting, ridge augmentation, and dental implant placement — supported by PRF therapy and 3D imaging taken in our own offices.

What that means in practice is worth being precise about. Dr. Yoon is a prosthodontist, a recognised dental specialist in restoring and replacing teeth, not an oral and maxillofacial surgeon. The surgical work we do is the part of prosthodontics that gets a site ready for a crown, bridge, implant or denture. Procedures that belong with an oral and maxillofacial surgeon — wisdom teeth included — we refer out, and we help coordinate the referral.

Patients travel to us for this work from Des Moines, Lynnwood, Federal Way, Burien, SeaTac and Edmonds. The advantage of having it done here is continuity: the person planning the surgery is the person who will make the tooth that goes on top of it.

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Oral Surgery Procedures at Blooming Dental

These are the surgical procedures we perform in our Des Moines and Lynnwood offices.

Surgical Tooth Extractions

When a tooth is broken at or below the gum line, severely decayed, or has curved or fragmented roots, it cannot simply be lifted out. Surgical extraction means accessing it through the gum or sectioning it so each part is removed with minimal force on the surrounding bone.

You are fully numb throughout, and preserving the bone around the socket is a priority from the start, because that bone is what a future implant relies on.

Bone Grafting and Socket Preservation

Bone begins to shrink as soon as a tooth is removed. Placing graft material into the socket at the time of extraction — socket preservation — stops the ridge collapsing and keeps a future implant straightforward.

Where bone has already been lost, ridge augmentation rebuilds the volume so an implant has something solid to sit in.

Dental Implant Placement

An implant is a titanium post placed in the jawbone that takes the role of a natural root. We plan the position from a 3D scan, place the implant, and allow several months for it to integrate with the bone before the restoration goes on.

Because Dr. Yoon also makes the crown, bridge or denture, the implant is positioned for the restoration rather than the restoration being compromised to fit the implant. The American Dental Association describes the same two-stage sequence.

Dental implants explained

PRF Therapy

Platelet-Rich Fibrin is made from a small sample of your own blood, spun to concentrate the healing platelets and growth factors, and placed directly into the surgical site.

It speeds healing, reduces swelling, improves graft integration and lowers the risk of dry socket. For any procedure involving a bone graft, we treat it as standard.

Illustration of bone graft material packed into a tooth socket

Bone Grafting: Rebuilding the Foundation

Most of the grafting we do exists to protect or restore one thing — the volume of bone in the jaw that an implant, a bridge or a denture ultimately depends on.

The most common graft we place, and by far the easiest. Immediately after a tooth is removed, the socket is filled with biocompatible graft material that your own bone grows into over the following months.

What it prevents:

Collapse of the ridge as the socket heals
Loss of facial support in that part of the jaw
A larger, longer and more expensive graft later
An implant site that has to be rebuilt before it can be used

It adds only a few minutes to the extraction appointment. If there is any chance you will want an implant in that space, it is the right call.

Bone is often already missing — from long-standing infection, from gum disease, or from an old extraction site that was never grafted. Ridge augmentation rebuilds the width and height of the jaw so an implant can be placed.

Think of it as rebuilding the foundation before you build the house.

Graft material is placed and left to integrate over several months, and the implant then goes into stable healthy bone. Without adequate bone an implant is a gamble; with proper augmentation it is a long-term restoration.

Soft tissue over a graft site closes within one to two weeks, and most patients are comfortable well before that.

The bone underneath is the slower part. A preserved socket generally needs three to six months before it will take an implant, and a larger augmentation can take longer. We image the site before proceeding rather than working to a calendar.

3D Imaging and Planning Before Anything Is Started

We take panoramic and 3D cone beam images in our own offices. That matters more for surgery than for almost anything else in dentistry, because a flat X-ray cannot show you width of bone, and width is usually what decides whether an implant is possible.

What we can see before we begin:

Bone height and width at the exact site
The position of the sinus and the nerve canal
Root shape and any fragments below the gum
Infection in the surrounding bone
Whether a graft is needed, and how much

It also means you see what we see. Most patients find a surgical plan far easier to agree to when they are looking at their own scan rather than being told about it.

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Dr. Yoon and a team member carrying out a procedure in the treatment room

Sedation, Comfort and Recovery

Anxiety about surgery is normal and we plan around it rather than talking you out of it. Tell us when you book, not when you sit down.

All of the procedures we perform are done under local anaesthetic, with nitrous oxide sedation available if you would like it. Nitrous takes the edge off within a couple of minutes and clears within minutes of the mask coming off, so most patients drive themselves home.

We do not offer general anaesthesia. If a case genuinely needs it, that is a reason to refer you rather than to improvise, and we will say so.

The clot in the socket is what everything else depends on, so the early instructions are all about protecting it.

For the first 24 to 48 hours:

No straws, no suction of any kind
No smoking or vaping — the largest single risk factor for dry socket
Cold pack on the cheek, 20 minutes on and 20 off
Soft, cool foods and no vigorous rinsing
Start pain relief before the anaesthetic fully wears off

You leave with written instructions and a number to call. Detailed aftercare guidance is on our tooth extraction page.

Most recoveries are uneventful, but some things should not be waited out.

Call the office if you have:

Pain that increases after day three rather than settling
Bleeding that has not stopped with pressure
Fever, or swelling that keeps growing after day two
A bad taste or smell that does not clear
Numbness that has not resolved

Dry socket in particular is quickly treated and there is no reason to endure it.

Active older couple outdoors after recovering from oral surgery

Wisdom Teeth: Why We Refer You Elsewhere

This is the most common question we are asked about oral surgery, so here is the plain answer: we do not remove wisdom teeth at Blooming Dental.

Wisdom tooth removal, particularly when the tooth is impacted or sitting close to the nerve, belongs with an oral and maxillofacial surgeon. That is their specialty, not ours. If you need one out we will refer you to a surgeon we trust, share your imaging, and stay involved in coordinating your care around it.

If you are not sure whether the tooth causing trouble is a wisdom tooth, come in and we will image it and tell you. And if it turns out to be a tooth we can treat, we will simply get on with it. Every other kind of surgical extraction is handled in our own offices — see tooth extractions.

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What Oral Surgery Costs, and What Insurance Covers

Surgical fees depend on the procedure, whether grafting and PRF are involved, and how much imaging and planning the case needs. We examine and image before quoting, because a number given without seeing the site is not a real number.

Most dental plans cover surgical extractions and often contribute toward bone grafting where it is clinically necessary; implant coverage varies widely. We verify your benefits, give you a written estimate before treatment starts, and offer CareCredit, Cherry, LendingClub and HFD financing if you would rather spread the cost.

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Oral Surgery FAQs for Des Moines and Lynnwood Patients

We carry out surgical tooth extractions, socket preservation and bone grafting, ridge augmentation, dental implant placement, and PRF therapy, all in our Des Moines and Lynnwood offices.

Dr. Yoon is a prosthodontist, which means he is a specialist in restoring and replacing teeth. The surgical work we do is the part of that specialty that prepares a site for a restoration and then places it.

No. Dr. Yoon is a board-trained prosthodontist, not an oral and maxillofacial surgeon. Those are two different recognised dental specialties.

Prosthodontic training covers the surgical procedures that support restoration of the teeth, which is what we perform here. Anything that belongs with an oral and maxillofacial surgeon, including wisdom teeth, we refer out.

No. We do not perform wisdom teeth extractions. If a wisdom tooth needs to come out we will refer you to an oral surgeon we trust and help coordinate your care around the referral.

We would rather be straightforward about that than take on a procedure that belongs with a specialist. Every other type of surgical extraction we handle ourselves.

A bone graft adds material to the jaw so that bone can grow into it and rebuild volume that has been lost or is about to be lost.

The two most common reasons are socket preservation, where graft material is placed immediately after a tooth is removed to stop the ridge collapsing, and ridge augmentation, where bone that has already been lost is rebuilt so an implant can be placed into it.

PRF stands for Platelet-Rich Fibrin. We draw a small sample of your blood, spin it in a centrifuge to concentrate the healing platelets and growth factors, and place that concentrate into the surgical site.

It speeds soft tissue healing, reduces swelling and discomfort, improves the integration of bone graft material, and lowers the risk of dry socket. It is entirely your own biology, with nothing artificial and nothing from a donor.

We do not offer general anaesthesia. The procedures we perform are done under local anaesthetic, with nitrous oxide sedation available if you are anxious.

Nitrous oxide wears off within minutes of the mask coming off, so most patients drive themselves home. Tell us when you book if you would like it, so we can allow the right time and give you the instructions in advance.

For a surgical extraction or a socket preservation graft, most patients are comfortable within three to seven days and back to normal activity well inside a week.

Bone healing underneath takes considerably longer. A grafted socket generally needs three to six months before an implant can be placed into it, and a larger ridge augmentation can need longer than that. We will give you the specific timeline for your case.

Yes. We take panoramic and 3D cone beam images in our own offices, so we can see bone volume, root positions, the sinus and the nerve before anything is started.

For implant placement especially, planning from a 3D image rather than a flat X-ray is what makes the position of the implant predictable and the restoration on top of it correct.

Most dental plans cover surgical extractions, and many contribute toward bone grafting when it is clinically necessary. Coverage for implants varies a great deal between plans, and some medical plans contribute in specific circumstances.

We verify your benefits before treatment and give you a written estimate, and we offer third-party financing if you would prefer to spread the cost.

Call the office. Do not wait for a routine appointment slot if you have swelling, a broken tooth, or pain that is keeping you awake.

We will get you assessed, get you comfortable, and then plan the definitive treatment once the acute problem is under control. If what you need falls outside our scope, we will tell you that on the day and point you to the right specialist rather than delaying you.

Book an Oral Surgery Consultation in Des Moines or Lynnwood

Whether you need a tooth removed surgically, bone rebuilt before an implant, or an implant placed and restored by the same specialist, the first step is an examination and a 3D scan so you can see what we see.

Call us to book in Des Moines or Lynnwood. To read more about specific procedures, see tooth extractions or dental implants.

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Oral Surgery in Des Moines & Lynnwood, WA

Which Oral Surgery Procedures Do We Perform In-House?