What it is
An oral and maxillofacial surgeon is a dental specialist who has completed additional training beyond dental school, focused on surgery of the mouth, teeth, jaws and face. They are licensed through their state, just as general dentists are.
People are often referred to an oral surgeon for things like wisdom teeth, hard-to-reach or broken teeth, dental implants, jaw concerns, or other issues that call for a surgical approach. Some people also search for one directly. Only a licensed dentist can tell you what your own situation calls for after an exam.
Many oral surgeons are also permitted by their state dental board to offer sedation options, which can help anxious patients feel more relaxed. Not every office offers the same options, so it is a good thing to ask about.
How it’s traditionally been approached
Traditionally, a general dentist notices a concern during an exam or X-rays and may refer the patient to an oral surgeon for a closer evaluation. The surgeon then reviews the mouth, images and health history before discussing options.
Wisdom teeth are one of the most common reasons people see an oral surgeon. Dentists have long monitored them, and in some cases they are removed, while in others they are watched over time. That decision belongs to you and your licensed dentist.
Oral surgeons have also commonly worked with other dental and medical professionals, such as general dentists, orthodontists, prosthodontists and physicians, so care can be coordinated, for example when an implant is planned.
How the right dentist may help
The right oral surgeon may help by listening to your concerns, examining your mouth, reviewing images, and explaining what they see in plain English. A good consultation is a conversation, and you are welcome to ask questions or take your time deciding.
Helpful questions to bring include: What do you see, and what are my options, including waiting? What would the process look like from start to finish? What type of comfort or sedation is available, and who monitors me? What should I expect for recovery and who do I call with questions?
You can also ask for a written treatment plan and estimate. Costs vary by practice, location and case, so it is reasonable to ask about payment options and what your insurance may or may not cover before you commit. Asking about the surgeon's training and state license is perfectly fine too.
The whole-person view
Your mouth is part of your whole body, and body, mind and stress affect one another. Dental worry is very common and nothing to be embarrassed about. Tension, clenching and poor sleep can all show up in the jaw and mouth, and the other way around.
If anxiety about dental visits feels big, support can come from several places. Somatic Experiences offers body-based support for stress, and Therapists.plus can connect you with talk therapy. Telling your dental team you are nervous may also help them tailor the visit to you.
Somatic Experiences: nervous system regulation →Therapists.plus: anxiety panic and ocd →
Keep in mind
- Tuung is educational only and does not give dental or medical advice; only a licensed dentist can examine you and recommend what is appropriate.
- Facial or neck swelling with fever, trouble breathing or swallowing, uncontrolled bleeding, or a serious face or jaw injury is a medical emergency: call 911 or go to the nearest ER.
- A knocked-out adult tooth needs a dentist right away, and new pain, swelling or signs of infection should be checked promptly by a licensed professional.
- Costs, sedation options and recovery vary from person to person and practice to practice, so ask for a written plan and estimate. If you are ever in emotional crisis, call or text 988.
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Frequently asked questions
What does an oral surgeon do?
An oral and maxillofacial surgeon is a dental specialist who performs surgery in and around the mouth, teeth and jaws. This may include tooth removal, wisdom teeth, dental implant placement and certain jaw concerns. A licensed dentist can tell you whether this kind of care fits your situation.
How do I find an oral surgeon near me?
You can start by asking your general dentist for a referral, checking your state dental board to confirm a license, and browsing a directory like Tuung to compare nearby options. Reading about a practice's services and calling with questions can help you feel comfortable. A consultation is a good chance to see if the office feels like a good fit.
Do I need a referral to see an oral surgeon?
Not always, but it depends on the office and your insurance plan. Some offices accept patients directly, while others prefer a referral from your dentist. Call the office and ask what they need before you book.
What is the difference between a dentist and an oral surgeon?
An oral surgeon is a dentist who has completed additional specialty training in surgery of the mouth, jaws and face. General dentists provide everyday care like exams, cleanings and fillings, and may refer you when surgical expertise is helpful. Both are licensed by the state.
Will I be asleep during oral surgery?
It depends on the procedure, your needs and what the office offers. Options can range from numbing only to different levels of sedation, which only dentists permitted by their state board may provide. Ask the surgeon what is available and how you will be monitored.
When should I get urgent help for tooth or jaw problems?
Facial or neck swelling with fever, trouble breathing or swallowing, uncontrolled bleeding, or a serious face or jaw injury is a medical emergency, so call 911 or go to the ER. A knocked-out adult tooth needs a dentist right away. For other pain or swelling, contact a licensed dentist promptly.
Educational resource. Tuung shares general information and connects people with independent dentists. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health.