3701 88th St. NE, Ste. D, Marysville, WA 98270   (360) 925-6530 Request Appointment

Extractions & Preservation

While we focus on helping you maintain your teeth for a lifetime, sometimes certain teeth need to be removed. Wisdom teeth, extra teeth, or very crowded teeth present situations that may mean treatment involving removal. In some cases, severely decayed or cracked teeth, or those missing large amounts of supporting bone leave extraction as the only viable option.

We always consider your comfort regardless of the type of care you're receiving. We'll discuss your unique situation specifically to determine the best way to help you receive the treatment you need. Few patients look forward to any minor surgical procedure, but today's methods provide the safest, least invasive care possible.

Wisdom Teeth Extractions

If you’re between the ages of 16-25 years, a discussion about your wisdom teeth should take place.  Wisdom teeth, a third set of molars, appear in the very back of each area of your mouth:  Upper left, lower left, upper right, and lower right.  In a few patients, enough space exists for these molars to move into place.  But most commonly, they just don’t belong, or they’re not lined up correctly.   Wisdom teeth can lay entirely on their sides or lean at various angles into the neighboring teeth.

When evaluating wisdom teeth, Dr. Lee considers four general classifications. A panoramic x-ray provides a vital tool for determining the classification of each wisdom tooth.  It’s even possible one patient may display one of each type:

  • Erupted:  This simply means the tooth moved through the surface of the gums just like your other teeth.  Eruption generally doesn’t occur before age 16, but can happen at nearly any age after that. It may have adequate space for its position.
  • Soft Tissue Impaction/Partially Erupted:  The top of the tooth has emerged from the bone although excessive gum tissue usually covers it. Food trapped in the gum flap can lead to decay and infection.
  • Partial Bony Impaction – The majority of the tooth sits below the jawbone level, although it’s beginning to emerge. A large flap of gum lies over this tooth and leaves it prone to infection and decay as mouth bacteria slip into the area.
  • Complete Bony Impaction – In this case, the tooth has not broken the surface and remains entirely encased in the bone.  While the risk of infection is low, a small percentage of these will form a cyst in the jaw.  This hollow space can expand and result in fracture of the jaw.

Wisdom teeth causing pain and infection give a clear warning sign that treatment needs consideration. But some problems can also slowly develop without your awareness.  If you’re an adult with wisdom teeth, be sure they’re evaluated periodically for changes using a panoramic x-ray.

If you need to consider wisdom teeth removal, Dr. Lee can discuss options with you.  Various forms of sedation offer anxiety-reduction that puts this minor surgical procedure within reach of every patient that needs it.


Despite the best intentions, teeth sometimes need to be removed. Regardless of the situation, this minor surgical procedure can be brought together in a way that considers your short and long-term concerns. From anxiety control to planning for tooth replacement, we'll factor in every aspect of your case.

Learn more about extractions >

Oral Surgery

Minor surgical procedures sometimes help treat problems in your mouth. Defects in the bone or compromised supporting gum tissue may sometimes undergo repair with precise surgical techniques. And quick biopsy techniques can help us learn what's behind changes in the lining of your mouth.

Learn more about oral surgery >


Root Canals

While many patients are concerned about root canals, modern techniques often make this procedure as quick and simple as any other procedure. Infected teeth in danger of removal can be disinfected and filled with a sealer, leaving a safe solution for problematic situations.

Learn more about root canals >

Bone Grafting

The bone around your teeth is highly specialized and doesn't regenerate when it's lost. Your teeth rely on this bony foundation to remain stable and functional, and even small defects can compromise your ability to maintain a tooth. Sometimes we can repair these defects by adding bone grafting materials.

Learn more about bone grafting >