Wisdom Teeth Removal in Frisco, TX
Done here by a board-certified periodontist, planned from a 3-D scan, and under IV sedation as standard — with an honest answer first about whether they need to come out at all.
How wisdom teeth are assessed and removed in Frisco
The scan comes before the recommendation, and the recommendation is sometimes to leave them alone. That order matters.
A CBCT scan, not a flat X-ray
Our RayScan Alpha Plus shows the roots in three dimensions and, most importantly, exactly where the nerve canal runs beneath the lower wisdom teeth. On a flat X-ray a root and a nerve can appear to overlap when they are millimeters apart, or appear separate when they are not. The scan is how a surgeon knows which case they are dealing with before the surgery even begins.
Deciding if removal is needed at all
Not every wisdom tooth does. A fully erupted wisdom tooth that is upright, cleanable and not causing trouble can very reasonably be left and watched. We will tell you when that is the answer, and it is the answer more often than the internet suggests.
Planning the sedation
IV sedation is what we use for this as standard, because it is the appointment most people most want to not remember. If you would rather stay awake with nitrous oxide, that is entirely available and some patients prefer it. Either way you are told exactly what to expect and how to prepare.
Removing the wisdom teeth
Carried out by Dr. Louie, a Diplomate of the American Board of Periodontology, in this building. Straightforward erupted teeth and full bony impactions are both done here. A case does not get handed to a third office because it turned out to be difficult.
Whether to graft the socket
Usually unnecessary for wisdom teeth, and occasionally very useful. It matters particularly where a lower wisdom tooth sits hard against the molar in front of it. Removing it will leave a defect on that neighboring tooth. Where that applies we will always raise it before the day.
Aftercare instructions we explain clearly
You leave with written instructions, and somebody talks you through the first forty-eight hours while you are still here. Almost every wisdom-teeth complication we see anywhere is a dry socket. Dry sockets are largely preventable by things you do in the first three days.
Wisdom teeth removal in Frisco: what to know first
Why IV sedation is our standard for wisdom teeth removal
Most general practices offering wisdom teeth removal offer it under local anesthetic, with nitrous oxide if you are anxious. That is a perfectly legitimate way to do it and plenty of people manage it well. We use IV moderate sedation as the default instead. This is the procedure people are most frightened of, and the one they least want a memory of. Under IV sedation you are drowsy, comfortable, breathing on your own and responsive if spoken to. And afterwards, most patients recall essentially nothing of the surgery itself. It is administered by Dr. Louie, who is qualified to provide it, with monitoring throughout. If you would prefer to stay fully awake with nitrous, say so; you will not be pushed to change. The point is that the more comfortable option is the default here — not the upgrade.
How IV sedation works
Why the scan checks where your nerve sits
Running through the lower jaw beneath the back teeth is the inferior alveolar nerve, which supplies feeling to the lip and chin. In some people the roots of a lower wisdom tooth sit directly against it, and in a few they wrap around it. Injury to that nerve is the complication that matters in this surgery — usually temporary, occasionally not. A flat panoramic X-ray flattens a three-dimensional relationship into a two-dimensional overlap. It simply cannot tell you which situation you are in. A CBCT can. That changes the surgical approach. And in a small number of cases, it changes the recommendation entirely. Sometimes that means removing only the crown of the tooth and deliberately leaving the roots undisturbed against the nerve. You cannot make that decision from a flat film.
Wisdom Teeth Removal near Frisco, Prosper and Plano
Wisdom teeth removal is done in our office at 8175 Custer Rd, Suite A110, Frisco, TX 75035, by Dr. Holvin Louie, our board-certified periodontist, with a 3D scan first and IV sedation as standard. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM. Wednesday and Sunday we are closed, though the phone is still answered on Wednesday. Patients come from Frisco and from Prosper, Plano, Little Elm, Allen, Celina and McKinney. If a wisdom tooth hurts right now, call us and we will settle the pain first.
Call (469) 262-2111Where wisdom teeth are removed and how options differ
All three are reasonable routes. They are not the same experience, and the differences are worth knowing before you choose.
| Feature | Here | A general dentist | An oral surgery center |
|---|---|---|---|
| Who operates | Board-certified periodontist | Your general dentist | Oral and maxillofacial surgeon |
| Full bony impactions | Done here | Usually referred on | Done |
| Usual sedation | IV sedation as standard | Local, nitrous if anxious | IV or general anesthetic |
| 3-D imaging | CBCT, always | Varies | Usually |
| Knows your dental history | Yes — same building, same records | Yes | No — starts from a referral letter |
| Wait | Planned into his scheduled days | Often soon | Varies |
| Follow-up | With the practice you already use | Same | Back to your dentist |
Wisdom teeth removal in Frisco is done here by Dr. Holvin Louie, our board-certified periodontist. At White Lotus Dental the surgery is planned from a 3D scan and done under IV sedation as standard, including full bony impactions.
The one thing worth knowing before you agree anywhere
Ask whether the practice has taken a CBCT, and ask to see where the nerve is.
Wisdom teeth removal is a common, well-understood surgery, and the overwhelming majority go smoothly. The complication that matters is injury to the nerve supplying the lip and chin. It is uncommon, usually temporary when it does happen. It is also heavily influenced by whether the surgeon knew what they were dealing with before they started.
A flat panoramic X-ray takes a three-dimensional relationship and flattens it. Roots and a nerve canal that overlap on that image may be several millimeters apart, or the root may be wrapped around the nerve. Those are different operations, and the film cannot tell you which one you are having.
A CBCT can, and in a small number of cases it changes the plan entirely.
We scan first. If you are having this done somewhere else, it is a completely fair question to ask, and a good practice will be pleased you did.
Related: what recovery looks like day by day, what wisdom teeth removal costs, impacted wisdom teeth, and IV sedation.
Time in the chair for wisdom tooth removal.
The scale runs to five hours — the same scale on every page, so the bars are comparable across the whole site.
Wisdom teeth removal cost in Frisco: what to expect.
You get the full written figure (surgery, sedation, follow-up) before anything is scheduled.
You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.
How plans usually cover wisdom tooth removal.
Sometimes dental, sometimes medical
- What plans pay
- Surgical work like wisdom tooth removal is often covered as oral surgery on the dental plan — commonly somewhere between 50% and 80% depending on how the plan classes it. Where there is a medical indication, some cases are billed to the medical plan instead.
- Deductible
- Usually applies. And if it goes to the medical plan, that is a different deductible of a different size, often much larger.
What catches people out
- Which plan pays changes the arithmetic completely. We check both before treatment starts, so nothing is billed on a guess.
- Coordination of benefits. Where both plans are involved, the order they pay in is set by fixed rules — not by preference — and getting it the wrong way round delays everything.
- Impaction changes the answer. A simple extraction and a full bony impaction are different procedures with different codes and very different shares, which is why the X-ray comes before the estimate.
These are how dental plans usually classify this treatment — not a statement about your own plan. Yours is the one that governs, plans differ more than people expect, and the only reliable answer comes from reading your specific benefits, which we always do ahead of treatment and give you in writing.
And what changes out-of-network
A dentist who is in-network has signed a contract fixing what may be charged for each procedure and cannot bill you the difference. One who is out-of-network has signed nothing, so the full fee stands.
So the first difference is the price itself — the same treatment is simply allowed to cost more out-of-network, before anyone's plan is considered.
What you personally pay out of that depends on your own deductible and coinsurance, which is why there is no percentage here: it is not a property of the treatment, it is a property of your plan, and we verify yours before you commit. But two things follow for everybody. Your share is a share of a bigger number. And your annual maximum is spent by what the plan pays toward that bigger number, so the same treatment eats more of your benefit out-of-network.
An illustration, not a quote. Both allowed fees for wisdom tooth removal are not yet on hand, so the chart above shows a crown instead — the one procedure we hold both sides for. The in-network side is today's contracted allowance; the out-of-network side is what a single carrier allowed during a period when we were not contracted with it, and it is a few years old. Across the 23 procedures where we hold both allowed fees, out-of-network is between 1.2 and 5 times the in-network figure — most often a little over twice.
Check the going rate yourself
FAIR Health's dental cost lookup is free, needs no account, and is not ours — it reports what a procedure typically costs in your area. It does not know your plan, so treat it as a ballpark figure — not a final answer.
Ask us for the number first
We verify your specific plan before your appointment and give you a written estimate: what the plan is expected to pay, and what you pay. If we get it wrong we tell you why.
Bring an Explanation of Benefits
Treated somewhere else? Your EOB shows exactly what the plan paid and what it counted against your maximum. Bring one in and we will read it with you — whether or not you become a patient here.
None of this says out-of-network dentists are worse dentists. Plenty are excellent, plenty are out-of-network for sound reasons, and people choose a dentist for who that person is. What we think you are owed is the information, so that whatever you choose, you chose it knowingly. The whole thing, explained properly, or call (469) 262-2111 and ask.
Wisdom teeth removal recovery: the first week
- Day oneSomeone drives you home
IV sedation means you cannot drive and should not be alone for the rest of the day. Gauze, ice, rest, and no rinsing or spitting at all. Soft cold food.
- Days 2–3Peak swelling
Swelling and stiffness are at their worst around forty-eight hours and then improve. This is the point people wrongly assume something has gone wrong. Warm salt-water rinses begin now — gently.
- Days 3–5The dry socket window
Pain that increases sharply after day three signals a dry socket. It needs a visit, and it is quick to treat.
- Days 5–10Back to normal food, gradually
Most people are back at work or class within two to four days. Chewing on the sites comes back last.
- Weeks 2–4The sockets close
Gum closes over within a few weeks; the bone underneath continues filling for months. A follow-up check confirms it is healing as it should.
Booking wisdom teeth removal in Frisco
If a wisdom tooth is hurting right now, that is a different appointment and a faster one — we will see you and settle the pain first, and decide about removal afterwards.
- Hours
- Weekdays 9–6
Saturdays 9–3 - Languages
- English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Wisdom Teeth Removal FAQs in Frisco, TX
Grouped so you can go straight to the one you came for.
Wisdom Teeth Removal — common questions
Do I actually need my wisdom teeth removed?
Is wisdom teeth removal done under sedation?
Does it hurt?
How long is the recovery?
Should I have all four out at once?
Can you remove impacted wisdom teeth, or will I be referred out?
What is the nerve risk?
How much does it cost?
How soon can I have it done?
Do I need an oral surgeon for wisdom teeth?
Will I be asleep for wisdom teeth removal?
Is 27 too old to get wisdom teeth removed?
Where can I get wisdom teeth removed near me in Frisco?
Toothache at 7am? You'll be seen today.
Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.
Everything else under this roof.
White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.
Preventive Dentistry
Regular dental checkups, professional cleanings, night guards, and jaw-pain care. Every routine exam includes an oral cancer screening to protect your long-term health.
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Children's Dentistry
Gentle first dental visits, protective sealants, fluoride applications, and space maintainers. We accept Children's Medicaid and CHIP, and every young patient receives a toy-machine token at the end of their visit.
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Orthodontics
Clear aligners with Invisalign® and comprehensive traditional braces. Your treatment is fitted, monitored, and adjusted in-house by your trusted dentist.
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Missing Teeth
Permanent dental implants, dental bridges, and customized dentures planned using 3-D CBCT scans. Because our team includes a board-certified periodontist, your implant surgery, placement, and final crown are completed in the same building.
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Cosmetic Dentistry
Professional Zoom whitening, custom take-home whitening trays, and composite tooth bonding designed to brighten and refine your natural smile.
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Periodontics & Oral Surgery
Specialized gum disease therapy, scaling and root planing (deep cleanings), frenectomies, and periodontal surgery performed by our board-certified periodontist.
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Restorative Dentistry
Custom porcelain crowns, bridges, tooth-colored fillings, and full-mouth restorations crafted to match the natural look, feel, and function of your teeth.
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Sedation Dentistry
Relaxing dental care tailored to your comfort level. We offer nitrous oxide (laughing gas) for any routine clinic visit, as well as oral and IV sedation planned ahead with our periodontist.
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Emergency Dentistry
Toothaches, broken teeth, knocked-out teeth and lost crowns — seen the same day, Saturdays included.
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