Oral Surgery Procedures in Washington, PA
From tooth extractions and wisdom teeth to jaw cysts, bone grafting, and pre-implant preparation — Dr. Wakim performs a full range of oral surgical procedures in-office at Enhanced Wellness. No referrals to outside specialists for most cases. One practice, one provider who knows your complete dental history.
Surgical Dental Care — Without Being Sent Somewhere Else
Most general dental practices refer patients to an outside oral surgeon the moment a procedure sounds remotely surgical. That means new offices, new waiting rooms, re-explaining your history, and coordinating between multiple providers who may not communicate well with each other.
At Enhanced Wellness, Dr. Wakim handles the majority of oral surgical procedures in-house. She's been performing extractions, pre-implant preparation, cyst removal, and surgical site management for over 15 years — with the same precision, care, and patient-first approach she brings to every appointment.
When a case genuinely requires a specialist, she'll tell you directly and make a warm referral. But most patients are surprised by how much can be handled right here.
Oral Surgical Procedures We Perform
Here's a plain-language overview of what's performed in-house at Enhanced Wellness. If you're not sure whether your situation is on this list, call — we'll tell you within a few minutes of discussing your case.
Tooth Extractions
Simple and surgical extractions for teeth that are damaged beyond repair, infected, or crowded. Performed under local anesthesia with sedation available for anxious patients. Post-extraction care and socket preservation options are discussed at every appointment.
Wisdom Teeth
Removal of erupted or partially impacted wisdom teeth. For fully impacted or complex cases, Dr. Wakim will advise whether in-house treatment is appropriate or whether a specialist referral is the right call. Straightforward cases are handled here without the wait.
Bone Grafting
Socket preservation grafts after extraction to maintain bone volume for future implant placement. Ridge augmentation for sites where bone has already been lost. Essential for implant success — and best planned in the same visit as the extraction whenever possible.
Cyst & Lesion Removal
Surgical removal of periapical cysts, mucoceles, fibrous growths, and other benign oral lesions. Specimens are sent for biopsy when clinical appearance warrants. Early removal prevents progression and protects surrounding bone and tissue.
Implant Site Preparation
Alveoloplasty (bone smoothing and reshaping) and soft tissue management to prepare a site for implant placement. Performed as part of a coordinated implant treatment plan — not as a standalone procedure sent elsewhere.
Frenectomy
Removal of a frenum attachment that is causing gum recession, restricting tongue movement, or creating a gap between front teeth. Performed with laser or conventional technique depending on the case. Quick, well-tolerated, and often eliminates the need for other corrective treatment.
Biopsy
Incisional or excisional biopsy of suspicious soft tissue or osseous lesions identified during routine exam or oral cancer screening. Tissue is submitted to an oral pathology lab for diagnosis. Fast turnaround, clear communication of results.
Surgical Exposure of Impacted Teeth
Surgical uncovering of impacted teeth — most commonly canines — to allow orthodontic eruption. Coordinated with your orthodontist or Invisalign treatment plan for a seamless workflow.
Comfort & Sedation Options
Dental anxiety is real — and it's particularly common when surgical procedures are involved. At Enhanced Wellness, we take comfort seriously at every step, from how we administer local anesthesia to what options are available if you need more.
Local anesthesia is used for all surgical procedures as standard. For patients with significant anxiety or for more involved procedures, oral sedation and nitrous oxide are available. Dr. Wakim will discuss the right option for your specific situation at your consultation — no judgment, no pressure to push through discomfort.
What we do to keep every surgical visit manageable:
- Thorough pre-procedure explanation — no surprises
- Topical anesthetic before every injection
- Slow, careful anesthesia technique to minimize discomfort
- Nitrous oxide available for anxiety management
- Oral sedation for more involved procedures
- Clear post-op instructions sent home with every patient
- Same-day or next-day follow-up call for surgical cases
- Dr. Wakim personally reachable for post-op concerns
What to Expect: From Consultation to Recovery
Consultation & Imaging
Dr. Wakim examines the area, reviews your dental history, and takes a 3D cone beam scan if needed for precise surgical planning. You'll leave with a clear understanding of what the procedure involves, how long recovery takes, and what it will cost.
1 appointmentPre-Procedure Preparation
You'll receive specific pre-op instructions depending on the procedure — fasting requirements for sedation cases, medications to avoid, and what to arrange for your recovery at home. We'll answer any questions before the day of surgery.
Reviewed at consultationThe Procedure
Most in-office oral surgical procedures take 30–90 minutes depending on complexity. Local anesthesia ensures you feel pressure but not pain. Sedation patients are monitored throughout. Dr. Wakim works efficiently but never rushes.
30–90 minutes typicallyRecovery & Follow-Up
You'll receive written post-op care instructions covering diet, activity, medications, and what to watch for. Most patients are back to normal activity within a few days. Dr. Wakim follows up directly to make sure recovery is on track.
Most patients recover in 2–5 daysSurgical Dental Care You Can Trust in Washington, PA
Dr. Elizabeth Wakim has been performing surgical dental procedures at Enhanced Wellness for over 15 years. Her approach is direct and unhurried — she explains what she's doing and why, she gives honest assessments of when a specialist is genuinely needed, and she handles surgical cases with the same careful attention she brings to a routine cleaning.
Oral Surgery Questions We Hear Most
Need a Tooth Extracted or a Surgical Consultation?
Book a consultation with Dr. Wakim. She'll assess your situation, tell you honestly what's involved, and let you know whether the procedure can be handled in-house or whether you need a referral.