Oral surgery · Watertown, SD
Wisdom teeth removal — all four, one nap.
Impacted or erupting — we remove all four in a single, sedated visit so you skip the oral-surgeon referral and get back to your life faster.
- 0
- Teeth removed in a single visit
- 0
- Oral surgeon referrals needed
- 0 – 4
- Typical days of downtime

True IV sedation with a CRNA at your side the whole time.
Consult, surgery, and follow-up all in one office.
Do they need to come out?
Six signs we hear every week.
Aching or pressure at the back
A dull, deep ache behind your molars — often worse in the evening — usually means a tooth is pushing where there isn't room.
Swollen or bleeding gums
Partially erupted wisdom teeth trap bacteria under the gum flap, causing repeat infections and tenderness.
Crowding or shifting teeth
If your front teeth are drifting after braces, erupting wisdom teeth are often the pressure behind it.
Jaw stiffness or headaches
Impacted teeth change how you bite and clench, which shows up as jaw fatigue and morning headaches.
Bad taste or persistent bad breath
Food packing into a partially covered tooth is nearly impossible to clean and starts to smell.
Nothing at all
Plenty of impacted wisdom teeth are silent. A panoramic X-ray tells us whether waiting is safe or costly.
Recovery, hour by hour
Tap through the days so nothing feels unexpected.
Gauze, ice, and get ahead of it
Keep firm pressure on the gauze for the first hour. Ice on the cheeks in 20-minutes-on, 20-off cycles. Take your pain medication before the numbness wears off — this single step makes day one dramatically easier.
Do
- Rest with your head elevated
- Ice on / ice off
- Sip water
Skip
- — No straws
- — No smoking
- — No rinsing or spitting
Here vs. a referral
Same surgery. Far less friction.

What's included
One plan, one price, no surprises.
- All four teeth in one appointment under IV sedation
- In-network with most PPO insurance plans
- Clear recovery instructions and same-week check-in
- Typical downtime: 2 – 4 days
Wisdom teeth questions
Straight answers.
Very. We separate the roles of dentist and anesthesia provider — a dedicated in-house CRNA monitors your vitals and airway continuously while Dr. Palmquist focuses only on the dentistry. This is the same staffing model used in hospital surgery.
With true IV sedation, yes. You'll drift off within a minute or two and have no memory of the procedure. You wake up feeling like it never happened.
Yes. Anyone receiving IV or oral sedation needs a responsible adult to drive them home and stay with them for a few hours.
Most patients are alert enough to walk out within 30 – 60 minutes. Grogginess wears off over the rest of the day; most people are back to normal by the next morning.
We accept most major PPO dental insurance plans and file the claim for you. Bring your card to your first visit or call ahead and we'll verify benefits.
Sedation is priced by procedure length. Because we keep the CRNA in-house we're able to offer sedation for a fraction of what a hospital oral surgery visit costs. We'll give you a written estimate at your consult.
Ready when you are
Come see the clinic — or sleep through your first visit.
Book online or call. We'll verify your insurance, walk you through sedation options, and build a plan you're comfortable with — before anything is scheduled.
