Oral Surgery

Wisdom teeth removal in Houston

Wisdom teeth are $450 per tooth at Omega Dental Specialists in Midtown Houston, removed by oral and maxillofacial surgeons. All four with IV sedation is $3,300. Here is what that covers, when removal is actually necessary, and what recovery really involves.

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What it costs at our Midtown office

Sedation is the number worth understanding here, because it is charged per appointment rather than per tooth. Removing all four in one visit means paying for sedation once. Splitting them across two visits means paying for it twice, which is why we will usually recommend doing them together if your case allows. The consultation is free and includes the 3D CBCT scan that shows where the roots sit relative to the nerve in your lower jaw. That scan is what determines whether a tooth is a straightforward removal or a more involved one, and it is why we will not quote your case over the phone. Local anesthetic is included in the per-tooth fee. You are not charged separately for being numb, and sedation is a choice rather than an assumption.

TreatmentTypical cost
Wisdom tooth removal, per tooth$450
All four in one appointment$1,800
IV sedation, per appointment (not per tooth)$1,500
All four with IV sedation$3,300
Consultation with 3D CBCT scanFree

If you cannot afford it right now

This is one of the most searched questions on wisdom teeth in Houston, so here is a straight answer rather than a financing pitch. Cherry, Affirm and Sunbit split the balance into monthly payments, with 0% APR plans available through Affirm and Cherry for those who qualify. Applying takes a few minutes and does not require a hard credit check, so checking costs you nothing. FSA and HSA funds apply and are pre tax. If the answer is still no, the honest advice depends on why they are coming out. A tooth that is currently infected, or one causing pain, should not wait: an infected wisdom tooth can spread into the tissues of the face and neck, and that becomes an emergency rather than a bill. Call us and we will tell you where your case sits. An asymptomatic impacted tooth, found on an X ray with no pain and no infection, is a different situation. That one can often be monitored while you plan around the cost, and we would rather say so than push a surgery you can schedule next year. Removing fewer teeth per visit spreads the cost but costs more overall, because sedation is charged each time. If budget is the constraint, ask us to price both ways so you are choosing with the real numbers.

Financing, membership and payment options

Will insurance cover it

It depends entirely on your policy, and wisdom teeth sit in an unusual position between dental and medical benefits. Surgical extraction of impacted teeth is more commonly covered than elective treatment, because it is usually clinically necessary rather than chosen. What share your plan pays, whether a deductible applies, and whether there is a waiting period are specific to your policy. Annual maximums matter here. Commonly $1,000 to $2,000, they cap what a plan pays in a year regardless of treatment cost, and four impacted teeth with sedation can exceed that on its own. Some plans process impacted wisdom teeth under medical rather than dental benefits, particularly where the impaction is bony. That occasionally works in your favor and is worth having checked rather than assumed. We contact your insurer before treatment, confirm what your specific plan will do, file the claim for you, and give you your out of pocket share in writing beforehand. That check is free.

When they actually need to come out

Not every wisdom tooth needs removing, and a practice that tells you otherwise before looking at a scan is not assessing your case. Removal is clearly indicated when the tooth is impacted and causing pain, when it has partly erupted and the gum flap around it keeps getting infected, when there is decay in the wisdom tooth or in the molar next to it, when a cyst has formed around the crown, or when it is damaging the roots of the tooth in front. Removal is often recommended for a fully impacted tooth in someone young, on the reasoning that roots are shorter and bone is more forgiving before the mid twenties, so recovery is easier then than later. Removal is not always necessary for a wisdom tooth that has come through straight, has room, bites against an opposing tooth, and can actually be cleaned. Those can be kept and monitored. Your CBCT scan and your symptoms decide which of those describes you. We will tell you if the answer is to leave them alone.

Does it hurt

The procedure itself should not. The area is fully numbed with local anesthetic, and if you would rather not be aware of it at all, IV sedation is available at $1,500. Afterward is a different question and worth being honest about. Expect swelling that peaks around day two or three, soreness, and limited jaw opening for several days. Lower impacted teeth are more uncomfortable than upper ones. Most people manage with over the counter pain relief and ice, and most who work at a desk take two to three days. The pain pattern that matters is direction. Discomfort that eases day by day is normal healing. Pain that climbs sharply around day three, often with a bad taste, usually means dry socket, where the clot has been lost from the socket. It is treatable in one visit with a medicated dressing that settles it quickly, so call rather than waiting it out.

Sedation options in detail  ·  Dry socket: symptoms and same-day relief  ·  Do I need sedation for wisdom teeth?

The procedure, and your day

Come with a driver if you are having sedation, and follow the fasting instructions we give you. Wear something with short sleeves. The surgery itself usually takes forty five to sixty minutes for all four. The tooth is exposed, sometimes sectioned into pieces so it can be removed without disturbing the bone and nerve around it, and the site is cleaned and closed with sutures that usually dissolve. You will be in recovery for a short period afterward, then home with gauze in place, written aftercare, and our number. Most people are on the sofa for the rest of the day. Bite gently on the gauze and let the clot form. For the first twenty four hours: no straws, no smoking, no spitting and no vigorous rinsing, because all four dislodge the clot and that is what causes dry socket.

The first week

Day one is ice, rest and soft food. Day two and three are usually the swollen ones, and warm salt water rinses start from day two. Eat cool and soft at first. Yogurt, smoothies eaten with a spoon rather than a straw, scrambled egg, soup that is not hot. Avoid anything with small hard pieces that can lodge in the socket, and skip alcohol while you are on pain medication. Jaw stiffness is normal for several days and eases on its own. Keep brushing your other teeth normally and keep the surgical sites clean with the rinse rather than the brush until we say otherwise. Call us rather than waiting if pain is climbing after day three, if you have a fever, if swelling is getting worse after day three rather than better, or if bleeding restarts and will not settle with pressure.

Recovering after wisdom teeth removal  ·  What to eat afterward

Why an oral surgeon

Lower wisdom teeth sit close to the inferior alveolar nerve, which supplies feeling to the lip and chin. Upper ones sit close to the sinus. How close, in your particular jaw, is what the CBCT scan shows before anything starts, and it is the reason 3D imaging matters more here than for a routine extraction. Removal at Omega is done by oral and maxillofacial surgeons. Dr. Jonathan Rosenstein is board certified and a Diplomate of the American Board of Oral and Maxillofacial Surgery, trained at the University of Maryland School of Dentistry with his surgical residency at The Brooklyn Hospital Center. Dr. Edmund Watkins also practices oral and maxillofacial surgery here, with hospital based training at Bronx-Lebanon Hospital and the Bronx VA in association with Mount Sinai. Because Omega is a multi-specialty practice, anything that turns up alongside the wisdom teeth is handled in the same building rather than referred out.

Wisdom teeth removal in Midtown Houston

We are at 106 W Gray Street in Midtown, between Downtown and the Texas Medical Center, with parking on site. Patients come from Montrose, River Oaks, the Heights, EaDo, the Museum District, and from the university campuses nearby. Open Monday to Friday 9 to 5 and Saturday 9 to 3, with same-day emergency slots kept open on weekdays. The Saturday appointments matter for this procedure specifically: having it done on a Saturday morning means recovering across the weekend rather than taking days off school or work. The consultation is free and includes the 3D scan. You leave with the plan and the fee in writing before deciding anything. Call (713) 322-7474 or book online.

All oral surgery at Omega  ·  Wisdom teeth cost, in detail

Common questions

Frequently asked questions

How much does wisdom teeth removal cost in Houston?

At Omega Dental Specialists wisdom teeth are $450 per tooth, so all four is $1,800. IV sedation is $1,500 per appointment rather than per tooth, making all four with sedation $3,300. Local anesthetic is included and the consultation with a 3D CBCT scan is free. Having all four done in one visit costs less overall than splitting them, because sedation is charged once.

Will insurance fully cover wisdom teeth removal?

Rarely in full, and it depends entirely on your policy. Surgical removal of impacted teeth is more commonly covered than elective treatment, but annual maximums, commonly $1,000 to $2,000, cap what any plan pays in a year, and four impacted teeth with sedation can exceed that alone. Some plans process bony impactions under medical rather than dental benefits. We verify your specific benefit with your insurer at no charge and give you your share in writing.

What if I cannot afford to get my wisdom teeth out?

Cherry, Affirm and Sunbit split the balance monthly, with 0% APR plans for those who qualify and no hard credit check to see your options, and FSA and HSA funds apply. If a tooth is infected or painful it should not wait, because an infected wisdom tooth can spread into the face and neck. An impacted tooth with no symptoms is different and can often be monitored while you plan around the cost. Call and we will tell you which describes your case.

How painful is wisdom teeth removal?

The procedure should not hurt, since the area is fully numbed and IV sedation is available at $1,500 if you would rather not be aware of it. Afterward, expect swelling peaking around day two or three, soreness and limited jaw opening, usually managed with over the counter pain relief and ice. Lower impacted teeth are more uncomfortable than upper ones. Pain that climbs sharply around day three usually means dry socket, which is treatable in one visit.

Do I have to remove all four at once?

No, but it is usually cheaper and simpler. Sedation is $1,500 per appointment rather than per tooth, so doing all four together means paying for it once instead of twice, and it means one recovery period rather than two. If there is a reason to stage them, clinical or financial, we will price it both ways so you are choosing with real numbers rather than assumptions.

Do all wisdom teeth need to be removed?

No. A wisdom tooth that has erupted straight, has room, bites against an opposing tooth and can be cleaned properly can be kept and monitored. Removal is indicated when a tooth is impacted and symptomatic, when a partly erupted tooth keeps getting infected, when there is decay in it or the molar in front, when a cyst has formed, or when it is damaging the neighboring root. Your scan and your symptoms decide, not a default.

How long does recovery from wisdom teeth removal take?

Most people take two to three days off desk work, with swelling peaking around day two or three and easing after that. Jaw stiffness lasts several days. Soft food for the first week, and no straws, smoking, spitting or vigorous rinsing for the first twenty four hours, since all four can dislodge the clot and cause dry socket. Saturday appointments let many patients recover across a weekend instead.

Who removes wisdom teeth at Omega?

Oral and maxillofacial surgeons. Dr. Jonathan Rosenstein is board certified and a Diplomate of the American Board of Oral and Maxillofacial Surgery, and Dr. Edmund Watkins also practices oral and maxillofacial surgery here. Lower wisdom teeth sit close to the nerve supplying the lip and chin, which is why the free 3D CBCT scan at your consultation matters more here than for a routine extraction.

Ready to talk it through?

The fastest way to a clear answer is a consultation. Call (713) 322-7474 or book online. Oral Surgery in Houston