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															Surgical Tooth Extractions & Wisdom Teeth Removal on the Big Island
While no one looks forward to a tooth extraction, having the procedure done by a skilled surgical specialist can make all the difference. At our practice in Kailua-Kona, Dr. Sasan Garakani, a board-certified periodontist, provides an exceptional level of care for patients who need more than a simple extraction. We are the trusted referral for difficult tooth extractions in Hawaii, ensuring your procedure is as safe, comfortable, and efficient as possible.
Why Were You Referred to a Periodontist for an Extraction?
If your dentist referred you to our practice, it is because your situation requires specialized surgical skill. General dentists can perform simple extractions, but a periodontist has years of advanced training in complex surgery involving the jawbone and soft tissues.
You may need a periodontist for extractions in Kona if your tooth is:
- Severely broken or decayed below the gum line. 
- Impacted, or trapped in the jawbone and unable to erupt properly. 
- Cracked or fractured in a way that makes simple removal impossible. 
- Ankylosed, meaning it has fused to the jawbone. 
Dr. Garakani’s expertise in these complex cases ensures a smoother procedure with fewer complications and better long-term outcomes.
Our Specialized Extraction Services
Expert Wisdom Teeth Removal
Wisdom teeth (third molars) are the most common teeth to require surgical removal. Due to a lack of space, they often grow in at an angle or become impacted, leading to pain, infection, and damage to neighboring teeth. As a wisdom tooth specialist on the Big Island, Dr. Garakani is an expert in managing even the most deeply impacted wisdom teeth in Kona, providing a safe and predictable experience.
Complex & Surgical Extractions
Our surgical expertise extends to a wide range of complex situations, including:
- Extraction of teeth broken at the gum line 
- Surgical removal of cracked or fractured molars 
- Removal of impacted canines for orthodontic purposes 
- Extractions for failed root canals 
- Strategic extractions to prepare for dental implants 
Preserving Your Future Smile: Extraction with Bone Grafting
After a tooth is removed, the jawbone in that area naturally begins to shrink. To prevent this, we often recommend a surgical extraction with a bone graft. This simple, simultaneous procedure involves placing a grafting material into the empty socket. It acts as a scaffold, preserving the bone’s height and width, which is essential if you plan to replace the tooth with a dental implant in the future.
Your Comfort is Our Priority: Sedation & Painless Procedures
We understand that the thought of a surgical extraction can cause anxiety. Our goal is to provide painless wisdom teeth removal and a stress-free experience for all our patients. We use effective local anesthesia to completely numb the area and can offer sedation for surgical tooth extraction to help you feel deeply relaxed and comfortable throughout your visit.
Your Specialist for Surgical Extractions Across the Big Island
From our state-of-the-art office in Kailua-Kona, we are the trusted periodontal resource for the entire island. We routinely provide specialized care for patients from Hilo, Waimea, Waikoloa, and all surrounding communities.
Schedule Your Consultation Today
If you have been told you need a difficult extraction or are experiencing wisdom tooth pain, place your trust in a surgical specialist.
Contact our office to schedule a consultation with Dr. Sasan Garakani and ensure you receive the highest standard of care.
Your Four-Step 
Extraction Journey 
				Our gentle, step-by-step extraction process is designed to keep you comfortable while preparing your smile for lasting restoration.
Step 1: Consultation & Evaluation
We examine your tooth and review your options to ensure extraction is the best choice.
Step 2: Comfort & Preparation
We numb the area and use modern techniques to keep you relaxed.
Step 3: Gentle Removal
The tooth is carefully extracted with minimal disruption to surrounding tissues.
Step 4: Healing & Next Steps
We guide you through recovery and discuss implant or restoration options.
Need answers?
Most asked questions
Here are answers to some of the most frequent questions we receive from patients like you.
					 Why do I need a specialist for my tooth extraction? 
							
			
			
		
						
				If you were referred to our practice, it’s because your case requires a higher level of surgical expertise. A periodontist for extractions on the Big Island has advanced training to manage complex situations like impacted wisdom teeth, a tooth that has broken off below the gum line, or a tooth that is fused to the jawbone. This specialized skill ensures a safer procedure with fewer complications.
					 What is the recovery like after wisdom teeth removal? 
							
			
			
		
						
				The initial recovery period for wisdom teeth removal typically lasts a few days. We recommend planning for 24-48 hours of rest with minimal activity. You will need to stick to a soft food diet and follow specific aftercare instructions to prevent complications like a dry socket. Most patients feel back to normal within a week.
					 What is a bone graft, and why would I need one after an extraction? 
							
			
			
		
						
				A bone graft is a procedure often performed at the same time as an extraction to preserve your jawbone. When a tooth is removed, the bone that supported it begins to shrink. A surgical extraction with a bone graft (also called socket preservation) fills the empty socket, preventing bone loss and maintaining a strong foundation for a future dental implant.
					 How much does a surgical or wisdom tooth extraction cost in Hawaii? 
							
			
			
		
						
				Yes. We work with most major PPO insurance plans and also offer flexible financing options for treatments not covered by insurance. Our team is happy to help you understand your benefits and make advanced care affordable.
					 What is a "dry socket" and how can I avoid it? 
							
			
			
		
						
				A dry socket is a painful condition that can occur when the blood clot in the empty socket dislodges prematurely, exposing the underlying bone and nerves. The single most effective way to prevent a dry socket is to strictly follow all post-operative instructions, which includes avoiding smoking, not using straws, and practicing gentle oral hygiene around the surgical site.
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Dr. Garakani is excellence at its best. I have known by experience you can trust him with special gratitude and a thankful heart.
Katherine Patterson
Returning patient
