Dental Oral Surgery

Expert Tooth Extractions & Jaw Surgery

At Blue Bird Dentistry, we provide comprehensive oral surgery services to restore and protect your oral health. Dr. Russell Bird has advanced training in oral surgical procedures, allowing us to perform many treatments right here in our Sandy office—eliminating the need for referrals and providing continuity of care from your trusted dental team.

From wisdom teeth removal to complex tooth extractions, dental implant placement to jaw surgery, our experienced team uses the latest techniques and technology to ensure comfortable, successful outcomes. Serving patients throughout Sandy, Boring, Gresham, Damascus, and the Mt. Hood area, we’re here to meet your oral surgery needs with skill and compassion.

Our Specialists

Dr. Russell Bird

OWNER, D.D.S

Dr. Scott Becker

D.D.S

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What Is Dental Oral Surgery?

Dental oral surgery encompasses procedures that involve the teeth, jaw, gums, and surrounding structures. While “surgery” might sound intimidating, modern oral surgery techniques are remarkably comfortable, especially when combined with our sedation dentistry options.

Oral surgery may be recommended when:

  • A tooth cannot be saved with restorative treatments
  • Wisdom teeth are impacted or causing problems
  • Preparation is needed for dental implants
  • Jaw misalignment requires correction
  • Pathology or cysts need removal
  • Facial trauma requires repair

 

Dr. Bird’s expertise allows us to handle many oral surgery cases in-house. For highly complex cases, we work with trusted oral surgery specialists and coordinate your care to ensure the best possible outcomes.

Oral Surgery Services We Provide

Wisdom Teeth Removal

Wisdom teeth, or third molars, are the last teeth to develop—usually appearing between ages 17-25. Unfortunately, most people don’t have enough room in their jaw for these teeth, leading to:

  • Impaction (teeth stuck in the jaw)
  • Crowding of other teeth
  • Infection around partially erupted teeth
  • Cyst formation
  • Pain and swelling
  • Damage to adjacent teeth

 

When to Remove Wisdom Teeth:

We typically recommend removing wisdom teeth when:

  • They’re impacted and unable to erupt properly
  • They’re causing pain or infection
  • They’re damaging adjacent teeth
  • X-rays show they’ll likely cause future problems
  • There’s insufficient room in the jaw

 

The Wisdom Teeth Removal Process:

  1. Consultation: We’ll evaluate your wisdom teeth with X-rays and clinical examination
  2. Treatment Planning: We’ll explain the procedure, sedation options, and what to expect
  3. Surgery: Using local anesthesia and optional sedation, we carefully extract the teeth
  4. Recovery: Most patients recover within a few days with proper care

 

Many patients appreciate having all wisdom teeth removed in one appointment, which we can accommodate when appropriate.

Complex Tooth Extractions

Sometimes teeth need to be removed due to:

  • Severe decay that’s damaged the tooth beyond repair
  • Advanced gum disease causing tooth mobility
  • Fractured teeth that can’t be restored
  • Infection that hasn’t responded to root canal therapy
  • Crowding requiring orthodontic extraction
  • Preparation for dentures

 

Our Extraction Approach:

We use gentle techniques to minimize trauma and promote faster healing:

  • Advanced anesthetic methods ensure complete numbness
  • Careful surgical technique preserves surrounding bone
  • Sedation options keep you comfortable
  • Detailed post-operative instructions support smooth recovery

 

After Extraction:

We’ll discuss tooth replacement options, including dental implants, bridges, or dentures to restore your smile and function.

Dental Implant Placement

Dental implants are the gold standard for replacing missing teeth, but they require precise surgical placement. Dr. Bird’s oral surgery expertise allows us to:

  • Place implants with computer-guided precision
  • Perform bone grafting when needed to support implants
  • Place immediate implants at the time of extraction
  • Restore implants with beautiful, functional crowns

 

Learn more about how dental implants can restore your smile.

Bone Grafting

When bone loss has occurred due to tooth loss, infection, or gum disease, bone grafting can rebuild the foundation needed for:

  • Dental implant placement
  • Denture stability
  • Facial structure preservation
  • Ridge augmentation

 

We offer several grafting techniques:

  • Socket preservation (immediately after extraction)
  • Ridge augmentation (for collapsed areas)
  • Sinus lift procedures (to create space for upper implants)

 

Exposure of Impacted Teeth

Sometimes teeth other than wisdom teeth become impacted (stuck beneath the gums). This is most common with canine teeth. We can surgically expose these teeth so orthodontists can guide them into proper position.

Surgical Crown Lengthening

Crown lengthening removes excess gum tissue to expose more of the tooth. This may be needed for:

  • Placing crowns when decay extends below the gum line
  • Correcting a “gummy smile” (often combined with Botox for optimal results)
  • Improving the appearance of short or uneven teeth

Frenectomy

The frenulum is the small tissue that connects:

  • Your upper lip to your gums
  • Your tongue to the floor of your mouth

 

When these tissues are too large or restrictive, they can cause:

  • Gap between front teeth
  • Tongue-tie affecting speech or eating
  • Gum recession

 

A simple surgical procedure can release these restrictions, often with laser technology for minimal discomfort and quick healing.

Treatment of Oral Pathology

We diagnose and treat various oral pathologies including:

  • Cysts
  • Benign tumors
  • Pre-cancerous lesions
  • Unusual growths or sores

 

Early detection during your regular dental exams is crucial for successful treatment.

Advanced Oral Surgery Technology

3D Cone Beam CT Imaging

Our advanced 3D imaging provides detailed views of your jaw, teeth, and surrounding structures, allowing for:

  • Precise surgical planning
  • Safer implant placement
  • Better understanding of complex cases
  • Reduced surgery time and improved outcomes

Surgical Guides

For implant placement, we can create custom surgical guides that ensure implants are placed in the exact position planned, improving:

  • Accuracy
  • Safety
  • Aesthetic results
  • Long-term success rates

Laser Surgery

For some soft tissue procedures, we use laser technology offering:

  • Less bleeding
  • Faster healing
  • Reduced discomfort
  • Greater precision

What to Expect: Before, During, and After Oral Surgery

Before Your Procedure

Consultation: We’ll thoroughly explain your procedure, review your medical history, and answer all questions.

Pre-Operative Instructions: You’ll receive specific instructions regarding:

  • Food and drink restrictions (if sedation is used)
  • Medications to take or avoid
  • Arranging transportation (if sedation is used)
  • What to wear (comfortable, short-sleeved shirt recommended)

 

Sedation Planning: We’ll discuss sedation options based on the procedure complexity and your anxiety level.

During Your Procedure

Comfort First: We ensure you’re completely numb and comfortable before beginning. With sedation, many patients have little to no memory of the procedure.

Expert Care: Dr. Bird uses precise techniques honed through years of experience and advanced training.

Monitoring: Throughout the procedure, we carefully monitor your comfort and vital signs.

Communication: We explain what we’re doing and check in with you regularly.

After Your Procedure

Immediate Recovery: You’ll rest in our office until you’re ready to leave. If sedated, you’ll need someone to drive you home.

Post-Op Instructions: We provide detailed written instructions for:

  • Pain management
  • Swelling control
  • Diet restrictions
  • Activity limitations
  • Medication schedules
  • When to call us

 

Follow-Up: We’ll schedule a follow-up appointment to monitor healing and remove any sutures if needed.

24/7 Support: If you have concerns during recovery, we’re just a phone call away.

Managing Pain and Discomfort

Modern oral surgery is remarkably comfortable. Here’s how we minimize discomfort:

During Surgery:

  • Complete local anesthesia ensures numbness
  • Sedation options eliminate anxiety
  • Gentle surgical techniques reduce trauma

 

After Surgery:

  • Pain medication prescribed as needed
  • Anti-inflammatory medications reduce swelling
  • Cold compresses minimize discomfort
  • Elevation of the head helps with swelling

 

Most patients find recovery easier than expected and return to normal activities within a few days.

Are You a Candidate for Oral Surgery?

Every patient’s situation is unique, and the best way to determine if oral surgery is necessary is through a comprehensive evaluation. During your consultation, Dr. Bird will:

  • Examine the affected area thoroughly
  • Review necessary imaging (X-rays, CT scans)
  • Discuss all treatment options, including alternatives to surgery
  • Explain the recommended procedure in detail
  • Answer all your questions and address concerns

 

Wondering if you need oral surgery? Schedule a consultation with Dr. Bird to explore your treatment options. We’ll provide honest recommendations focused on your best interests.

Why Choose Blue Bird Dentistry for Oral Surgery?

In-House Expertise

Dr. Bird’s advanced oral surgery training allows us to perform many procedures right here in our office. This means:

  • Continuity of care from your trusted dental team
  • Familiar, comfortable environment
  • Convenient scheduling
  • Coordinated care between general dentistry and surgery

 

Comprehensive Care

We don’t just perform the surgery—we provide complete care from diagnosis through recovery and restoration. Need a dental implant after extraction? We handle the entire process.

Advanced Technology

Our investment in 3D imaging, surgical guides, and laser technology means more precise, safer procedures with better outcomes.

Sedation Options

We offer multiple sedation levels to ensure your comfort, from nitrous oxide to oral sedation, tailored to your procedure and anxiety level.

Family-Focused Practice

As a family-owned practice, we treat every patient like family. Your comfort, safety, and satisfaction are our priorities.

Transparent Communication

We believe in informed consent. You’ll always understand why we’re recommending a procedure, what it involves, and what to expect.

Frequently Asked Questions About Oral Surgery

Will oral surgery hurt?

During the procedure, you'll be numb and feel no pain. With sedation, you'll be deeply relaxed or have no memory of the procedure. Afterward, most patients experience manageable discomfort controlled with medication. Many report recovery was easier than anticipated.

How long is recovery after wisdom teeth removal?

Most patients return to normal activities within 3-5 days. Initial swelling peaks around day 2-3, then gradually improves. We provide detailed recovery instructions to minimize discomfort and promote quick healing.

Can I eat after oral surgery?

Yes, but stick to soft foods initially. We'll provide a list of recommended foods and those to avoid during recovery.

When can I return to work or school?

This depends on the procedure and your individual healing. Many patients return the next day for simple extractions, while wisdom teeth removal might require 2-3 days off. We'll give you specific recommendations.

Do I need someone to drive me home?

If you're receiving sedation, yes—you must have someone drive you to and from the appointment and stay with you for several hours afterward. For procedures with only local anesthesia, you can drive yourself.

What if I experience complications during recovery?

We provide detailed instructions on what to watch for and when to call us. We're available to address concerns and will see you promptly if issues arise.

How much does oral surgery cost?

Costs vary depending on the procedure complexity. We provide transparent estimates before treatment. We offer financing options and work with most insurance plans.

Will my insurance cover oral surgery?

Most dental insurance plans cover necessary oral surgery procedures. Our team will verify your benefits and help you understand your coverage before treatment.

Cost and Financing

We believe everyone deserves access to necessary oral surgery care. We provide:

  • Transparent cost estimates before treatment
  • Insurance benefit verification and filing
  • Flexible financing through CareCredit and Cherry Financing
  • Payment plans for qualified patients
  • In-house savings plan for uninsured patients

 

Don’t let cost prevent you from getting needed care. We’ll work with you to find an affordable solution.

Schedule Your Oral Surgery Consultation

If you’re experiencing tooth pain, have been told you need an extraction, or are considering dental implants, we’re here to help. Dr. Bird provides expert oral surgery services with a gentle touch and comprehensive care.

Contact Blue Bird Dentistry today to schedule your consultation. Call (503) 668-1300 or request an appointment online. Serving Sandy, Boring, Gresham, Damascus, Estacada, and the Mt. Hood area.

Your oral health is worth protecting—let’s create a treatment plan that works for you.