Oral Surgery in Arlington, TX
Surgical extractions, complex tooth removal, and minor oral surgical procedures - done in-office with comfort, precision, and clear communication. Surgical extractions $249, simple $149.

When extraction is the right call.
Sometimes a tooth can't be saved - severe decay, fracture below the gum line, advanced gum disease, or impaction. We handle straightforward and surgical extractions in-office with sedation options for comfort.
Simple extractions remove visible, intact teeth quickly with local anesthetic. Surgical extractions handle broken, impacted, or root-fragmented teeth and may involve a small incision and gentle bone removal. Both are routine for our team.

Why patients choose Oral Surgery.
In-office, no referral needed
Most extractions, including surgical cases, are handled in our practice. Same office, same chart, same care team.
Sedation options
Local anesthetic always, plus optional nitrous oxide or oral sedation for anxious patients or longer cases.
Honest about referrals
For deeply impacted teeth or complex anatomy, we refer to a trusted oral surgeon when that's safer. We'll always be straight about what's appropriate in-house.
Decades of surgical experience
Hundreds of extractions a year - straightforward to complex. The team you want for a procedure you don't want to repeat.
$149 simple / $249 surgical
Simple extraction $149 includes local anesthetic and the procedure. Surgical extraction $249 includes a limited exam, any necessary x-rays, and the surgical procedure. For uninsured patients. Sedation options at additional cost.
What Is Oral Surgery?
Oral surgery covers a range of procedures performed in the mouth and jaw, from routine extractions to complex implant placement and bone grafting. Our experienced team performs most oral surgery in-office under local anesthesia or oral sedation.
Our Oral Surgery Services
Tooth Extractions
Simple and surgical extractions for damaged, decayed, or impacted teeth.
Wisdom Teeth Removal
Removal of impacted or problematic wisdom teeth.
Implant Placement
Surgical placement of titanium implants to support crowns, bridges, or dentures.
Bone Grafting
Rebuilds jaw bone to support future implants when bone loss has occurred.
Benefits of Oral Surgery
- Done in-office — familiar environment, familiar team, no referral hassle
- Sedation available — oral sedation or laughing gas for anxious patients
- Same-day emergency for severe pain or trauma
- Coordinated follow-up with our restorative team
Why Choose Madison Square Dental for Oral Surgery?
At Madison Square Dental, we combine 40+ years of Arlington experience with modern technique and patient-first care.
- 40+ years of in-office surgical experience
- Modern imaging and surgical guides for precise placement
- Honest assessment — we refer out for cases that require an oral surgeon
- Comprehensive aftercare instructions and follow-up
Oral Surgery Cost & Insurance
Surgical costs depend on complexity. Simple extractions start at $149 (current special), surgical extractions at $249, wisdom teeth at $299. Implants from $2,498. Most PPO plans provide significant coverage. Financing available.
Post-Op Instructions After Oral Surgery
Following these post-op instructions helps you heal comfortably and avoid complications.
- Bite firmly on gauze for 30–60 minutes after surgery to control bleeding
- No spitting, sucking through a straw, or smoking for 24 hours (prevents dry socket)
- Eat only soft, cool foods for the first 24 hours
- Take prescribed medications as directed; ibuprofen for pain when allowed
- Sleep with your head elevated the first night to reduce swelling
- No vigorous exercise or heavy lifting for 48 hours
Call us right away at (817) 275-2229 if you experience severe pain, heavy bleeding, or any unexpected symptoms.
Oral Surgery FAQs
Do you do oral surgery in-office or do you refer out?
We perform most oral surgery in-office. Complex cases (impacted wisdom teeth requiring full bone removal, jaw surgery, etc.) get referred to a specialist.
How long is recovery?
Simple extraction: 2–3 days. Surgical: 5–7 days. Implants: 1–2 weeks of comfort, but 3–6 months of bone integration.
Will I need someone to drive me home?
For local anesthesia only, no. For oral sedation or IV sedation, yes — you must have a driver.
Schedule a Oral Surgery Consultation
Ready to take the next step? Call (817) 275-2229 or request your appointment online.
Oral Surgery questions, answered.
Tap a question to expand the answer.
What's the difference between a simple and a surgical extraction?
A simple extraction removes a tooth that's fully visible and intact - straightforward, quick. A surgical extraction handles teeth that are broken below the gum line, impacted, or have unusual root anatomy - usually involves a small incision and is more time-intensive.
Will it hurt?
During the procedure: no - local anesthetic numbs the area completely. After: typical post-op soreness for 3-7 days, managed with pain relievers and ice. We send you home with detailed care instructions.
How long is recovery?
Soft tissue healing is mostly complete in 1-2 weeks. Full bone healing takes 3-4 months but doesn't affect daily life. Most patients return to work the next day for simple extractions; 2-3 days off for surgical extractions.
Should I replace the extracted tooth?
For most teeth, yes - leaving a gap allows neighboring teeth to drift and the bone to shrink. Options include implants ($2,498 package), bridges, and partial dentures. We'll discuss timing at your post-op visit.
When should I be worried about complications?
Significant pain after day 3 (could be dry socket), bleeding that doesn't stop after 24 hours, or fever >101°F warrant a callback. We give you a direct phone number for post-op concerns.
Related Services
Wisdom Teeth Extractions \u00B7 Dental Implants \u00B7 Bone Grafting \u00B7 Oral Sedation
Book your visit today.
New patients welcome. Most PPO insurance accepted. Same-day emergency appointments available.