Wisdom teeth removal and cleanings for your teen under one roof? You got us.

-Removal of wisdom teeth after braces for prevention of crowding
-Soreness from erupting wisdom teeth
-Jaw pain related wisdom teeth removal
-Continued care after removal thru dental cleaning visits
-Low-Dose 3D Imaging technology

Meet Your Doctor

"But my wisdom teeth aren’t hurting me"... 

Myth: Wisdom teeth only need to be removed when you are in pain. Wisdom teeth can cause cavities on adjacent teeth and crowd front teeth after braces if left untreated in a small jaw that can't accomodate them.

Whether you are trying to prevent a second round of braces for your teen or have impacted wisdom teeth causing pain, we are here for you.

Don't wait until your wisdom teeth are badly infected and broken to have them removed. Contact us for a consultation today!

Why Choose Open Late Dentistry to Have My Oral Surgery/Wisdom Teeth Removal?

EXCEPTIONAL SERVICE WITH A NAME YOU CAN TRUST

Need Proof? Providing Unforgettable, Trustworthy Service is What We Do!…Just See What Our Celina, TX Patients Are Saying About Why We Are the #1 Best in the Celina/Prosper/Gunter Area

We Save You TIME!

We Can Perform Wisdom Teeth (4 Extractions) With Sedation as early as the next business day after your consultation!

A Great ATMOSPHERE

Our office is a family-friendly environment that offers tons of amenities and helpful staff along your dental journey!

From the moment you start the process, a friendly Celina face will always be there to answer your questions about treatment and walk you through the process of having your surgery completed

PRECISE Results

We Offer In-House 3D X-Ray Imaging for Patients Who Believe Their Wisdom Teeth May Cause Nerve or Sinus Damage

Small-Town CELINA CONVENIENCE

Have issues along the way? We are right next door, Celina Neighbor! 

After Your Surgery, We Are Here to Answer Your Questions!

Big-City TECHNOLOGY in Your Back Yard

We Have Large TV’s that Can Show You Better Than Any Office Exactly How Your Wisdom Teeth Are Oriented and Where, So You Can Discuss With Our Doctor, Dr. Rouse, Any Reservations About Surgery or Complications That May Arise, Directly With Him. 

Unlike some offices that use only a 2D image called a Panoramic Dental Radiograph, if we are concerned with possible nerve or sinus involvement, we can perform a 3D X-Ray image called a CBCT (Cone-beam computed tomography) in-house on the spot.

My Orthodontist is Recommending My Wisdom Teeth Be Removed...Why?

The Top 5 Reasons an Orthodontist Might Refer You to Our Office for Wisdom Teeth Removal Are:

  1. Possibility of Future Crowding after your permanent/removable retainers are placed
  2. Continued growth of your lower jaw, or mandible, after orthodontic treatment is completed.
  3. Class III, or underbite, present
  4. Uneven bite at the end of treatment on the second molars already showing the need for removal of widsom teeth
  5. Your wisdom teeth poking thru the gums during your orthodontic care, but brackets and wires are on.

Wisdom Teeth Post Operative Care Instructions

Post-op Care for Dental Implants Immediate Postoperative Care Care should be taken in the immediate postoperative period to minimize contact with the implant.

Aside from normal hygiene, it is best to completely leave the implant alone for the first 2 weeks after placement.

You may want to limit foods to softer items and chew in an area away from the implant during the 10 to 12 week integration stage.

Bleeding Minimal bleeding is expected after implant surgery.

Bleeding after surgery may continue for several hours.

The best way to stop bleeding is to fold 2 pieces of damp gauze over the extraction site and gently bite for 30-60 minutes making sure pressure is being applied to the extraction site.

Rest quietly with your head elevated.

If bleeding continues, use gauze for an additional 30 minutes.

Bleeding should always be evaluated by looking directly at the surgical site.

Pink or blood-tinged saliva may be seen for 2-3 days following the surgery and does not indicate a problem.

Suture material may last 2 to 3 days and should be left alone.

You will be asked to return to the office for a 2 week follow-up appointment.

Any sutures remaining at that time may be removed at the surgeon’s discretion.

Do not pull or cut the sutures yourself.

Swelling – Swelling is the body’s normal reaction to surgery and healing.

The swelling will not become apparent until 24 hours after surgery and will not reach its peak for 2-3 days.

After this time, the swelling should decrease but may persist for 7-10 days.

Swelling may be minimized by the immediate use of ice packs.

Apply the ice packs to the outside of the face 20 minutes on and then 20 minutes off while awake for the first 24 hours.

After 48 hours, begin use of a warm, moist compress to the cheek.

Medication / Pain –  Unfortunately, most oral surgery is accompanied by some degree of discomfort.

If you do not have an allergy to non-steroidal anti-inflammatory medications (Ibuprofen, Motrin, Advil) we recommend taking this prior to the local anesthetic wearing off.

More severe pain may require a narcotic pain medication.

Alternate Ibuprofen (3 tablets / 200mg each) and the Tylenol #3 medication every two hours if needed.

Once you feel like you can stop the narcotic, use Ibuprofen or Tylenol.

You may also be prescribed an antibacterial mouth rinse which should be used twice daily in the first two weeks following implant surgery.

All medications should not exceed the recommended dosage. 

Diet After I.V. sedation – Start with liquids.

While numb, patients should avoid hot liquids or foods.

Patients may have applesauce, pudding, or jello.

Once numbness wears off patients can progress to solid foods, chewing away from the surgical sites.

Oral Hygiene – The best way to prevent infection and ensure healing is to keep your mouth clean.

Clean your mouth thoroughly after each meal beginning the day after surgery.

Use a soft bristle toothbrush and toothpaste after meals and at bedtime.

Should bleeding resume after brushing, repeat the use of gauze as described above.

Do not rinse your mouth the day of surgery.

Activity For the first 48 hours you should rest and relax with no physical activity.

After 48 hours, you may resume activity as tolerated.

Healing Bad breath is common and will disappear as healing occurs.

Two to three days following surgery, white, possible hard tissue may be seen in the surgical site.

This signifies normal, healing tissue.

It’s not unusual to see the silver healing cap appear through gum tissue following procedure.

Antibiotics If an antibiotic is prescribed, take the tablets or liquid as directed.

Take the entire prescription until gone.

Antibiotics can be given to help prevent infection.

Make sure to call the office if a rash or other unfavorable reaction occurs.

Foods to Drink and Eat While Numb AVOID carbonated beverages and hot liquids for 48 hours Drink:

Eat: Water Applesauce Juice Jell-O Ice Chips Pudding Popsicles Yogurt Milkshake (no straw) Add Soft Foods When Numbness is Gone Mashed Potatoes Pasta Eggs Pancakes Creamed Cereals Soups (be careful-not too hot) Increase Diet as Tolerated Other Considerations Your surgeon will notify you and your dentist when your implant is ready for restoration; typically 10 to 12 weeks following implant placement.

What is Dental Bone Grafting and Why Would I Need It?

The best situation for an implant that will last a long time is to have enough supporting bone around it.

Our standard of care is a 3D X-Ray to find out the area future implant will be placed and custom-plan the length, width, and type of dental implant you will need.

We then know before ever performing the surgery where we would need to graft. This saves on cost and lets us know what type of graft is right for you.

Most commonly performed in addition to tooth extraction, Dental Bone Grafting aids in the re-growth of new bone by providing a scaffolding into which material from the patient’s own body can grow and form a ridge for a future implant or help maintain the height of bone the patient had prior to extraction.

Where Does Dental Bone Grafting Come From?

Bone Grafting Can Come From Several Different Sources Including:

  • The Patient’s Own Donor Site (We Try To Avoid This At All Costs)

  • A Xenograft from a Bovine Source

  • An Allograft From A Lab

The new bone growth strengthens the grafted area by forming a bridge between the existing bone and the graft material. Over time, new bone growth will replace much of the grafted material.

Post Operative Care For Dental Bone Grafting

After Care Instructions for Bone Grafts
Your bone graft is made up of many particles. You may find some small granules in your mouth
for the first several days. This is normal. The socket is over packed to allow for the loss of a
small amount of particles. It is normal to have some of them come out of the graft site and into
your mouth. 

The following can be done to minimize this:
Rinsing/mouthwash: Do not vigorously rinse or spit for 3 to 5 days. Do not use any over-the-counter mouth wash during any part of the healing process. You may rinse with warm salt water
if desired or a prescription mouthwash if given. If a partial denture or a flipper was placed in
your mouth, be very careful removing and placing it while healing.
Sutures: Most times the sutures that are placed are dissolvable sutures that will dissolve in 10-14
days.
Avoid pressure: Do not apply pressure with your tongue or fingers to the grafted area because
the material is movable during the initial healing.
Avoid pulling/poking area: Do not lift or pull the lip to look at the sutures; this can actually
cause damage to the wound site and tear the sutures. Avoid poking the site with your tongue.
Food: Avoid chewing hard foods on the graft sites. Chewing forces during the healing phase can
disrupt the healing process around the graft.
Smoking/Alcohol: It is highly recommended to discontinue smoking or alcohol for a minimum
of one week after your procedure.
Follow up (1 week): You should have an appointment for a one week post op visit. This allows
us to evaluate how you are healing so that we can determine when your next phase can begin.

Wisdom Teeth Removal F.A.Q.'s