Wisdom teeth & extractions · Watertown, SD
Wisdom teeth removal & tooth extractions.
Wisdom teeth and other extractions performed in-house under true IV sedation — the same standard you'd find at an oral surgeon's office, delivered by our in-office CRNA. Safe, painless, and memory-free on every patient, every time.
No referral required
Extractions and full boney impactions completed in-house.
Beyond a typical general office
Surgical services most Watertown offices refer out.
Dr. Palmquist excels at removing teeth safely, efficiently, and — most importantly — comfortably. That includes surgical extractions and teeth that are fully encased in bone (full boney impactions). It's extremely rare for us to refer an extraction out.
Wisdom teeth typically come in between ages 17 and 25. We monitor their growth and their impact on your bite through X-rays and exam, and recommend removal at the ideal window — when root formation is 1/2 to 3/4 complete. At that stage, the surgery is quick and complications are rare.
Lower cost
Than an oral surgeon's office
2–8 min
Typical wake-up time
CRNA-led
Anesthesia by a medical provider
In-house services we offer
Complete oral surgery, from consult to recovery.
Everything you'd expect from an oral surgeon's office, provided in the dental home you already trust — and typically at a more affordable out-of-pocket cost.
IV deep sedation & general anesthesia
Delivered by our in-office CRNA — the same sedation you'd get in a hospital OR.
Simple to surgical extractions
Every tooth type, straightforward or complex, done comfortably in one visit.
Wisdom teeth removal
Erupted, partially erupted, or fully bone-impacted — no referral needed.
Full-mouth extractions
In preparation for dentures, with a comfortable recovery plan.
Socket preservation
Bone grafting to preserve the site for future implant placement.
Implant placement
Immediate or staged implant placement in the same sedated appointment.
Case types we handle in-office
Every level of complexity — from a straightforward extraction to a fully bone-impacted wisdom tooth.
Simple
Fully erupted teeth removed with local anesthetic or IV sedation.
Surgical
Broken-down or complex teeth requiring sectioning during removal.
Tissue impacted
Wisdom teeth still under the gum tissue — accessed through a small opening.
Bone impacted
Wisdom teeth fully encased in bone — removed comfortably under IV sedation.
Painless, comfortable, effective anesthesia
Local anesthetic only makes tooth removal painless — it does nothing for the sounds and sensations of surgery. IV sedation is what actually makes the experience comfortable.
We've taken comfort to another level with office-based sedation and general anesthesia delivered by a Certified Registered Nurse Anesthetist. That means pain-free, memory-free surgical appointments on every patient, every time.
- True IV deep sedation — not oral pills
- Anesthesia and surgery are separate jobs
- Continuous vital-sign monitoring
- Wake up 2–8 minutes after we're done
Your surgery, step by step
Exactly what happens on the day of your procedure.
You won't remember most of it — but you deserve to know what happens before, during, and after your wisdom teeth appointment. Click through each step.
Arrive and get comfortable
After check-in at our front desk, one of our highly trained assistants walks you back to a private treatment suite. If you're only having a tooth removed with local anesthetic, we'll review treatment and post-op instructions and answer every question first.
- Private treatment suite
- Full post-op review up front
- No rushed appointments
Meet the anesthesia provider
One dentist. One CRNA. Two sets of eyes on your safety.
Our in-house Certified Registered Nurse Anesthetist is dedicated to your anesthesia and vitals for the entire wisdom teeth appointment — nothing else. That separation is what makes deep IV sedation safe in a dental office.
Wisdom teeth FAQs