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How Long Does Oral Surgery Take?

Whether it’s a simple tooth extraction or a more complex procedure, oral surgery can feel like a daunting experience—especially when you don’t know how long it will take. Will you be in and out in under an hour, or should you clear your entire day? The answer isn’t always straightforward, as several factors influence the duration. Let’s break it down so you know exactly what to expect.

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How Long Does Oral Surgery Take How Long Does Oral Surgery Take?

What factors influence the duration of oral surgery procedures?

The length of an oral surgery procedure depends on several factors, ranging from the complexity of the surgery to the patient’s oral health. Simple procedures, like tooth extractions, may take only a few minutes, while more involved surgeries, such as bone grafting or jaw realignment, can last several hours. The presence of infections or gum disease may also extend the procedure time, as additional steps may be needed to remove damaged tissue or stabilize surrounding structures. 

The surgeon’s experience and technique can also influence how efficiently the procedure is performed. Skilled professionals may complete the surgery more quickly while maintaining precision and safety. Post-surgical considerations, such as placing stitches or implants, can further extend the overall time. Comprehending these factors helps patients set realistic expectations and prepare for both the procedure itself and the recovery process.

Type of Oral Surgery

The type of surgery being performed is one of the primary determinants of duration. Minor procedures, such as a simple tooth extraction, can be completed in under 30 minutes, while more complex interventions, like wisdom teeth removal or dental implant placement, may take over an hour. Surgeries involving soft tissue grafts, bone grafts, or jaw realignment typically require longer operating times due to their intricate nature.

  • Simple tooth extractions – Typically take 20 to 40 minutes.
  • Wisdom teeth removal – May last between 45 minutes to 2 hours, depending on the number of teeth and their position.
  • Dental implant placement – Takes around 1 to 2 hours, but additional procedures like bone grafting can extend the timeline.
  • Orthognathic (jaw) surgery – One of the most complex procedures, lasting anywhere from 2 to 4 hours or more, depending on the adjustments needed.

Case Complexity

Not all oral surgery procedures are straightforward, and the complexity of a case plays a significant role in determining how long the procedure will take. While a simple tooth extraction can be completed quickly, complications such as impacted teeth or teeth fused to the bone require additional surgical steps, making the process more time-consuming. Similarly, dental implant procedures may involve preparatory treatments, such as bone grafting or sinus lifts, which extend the total duration of treatment.

Factors that contribute to case complexity include:

  • Impacted teeth – Require more surgical steps than standard extractions.
  • Severe bone loss or infections – Must be addressed before proceeding with the main procedure.
  • Multiple interventions in one session – Combining procedures, such as extractions and bone grafting, increases overall surgery time.

Overall Health of the Patient

A patient’s general health status is a crucial factor in determining the duration of oral surgery. Underlying medical conditions such as diabetes, cardiovascular disease, or autoimmune disorders may require additional monitoring and precautions, increasing the time needed for surgery. Patients taking blood thinners or other medications that affect healing may need extra steps to control bleeding and ensure proper wound closure.

Health factors that influence surgery time include:

  • Chronic conditions – Diabetes, heart disease, and immune disorders may require extra precautions, extending surgical time.
  • Blood-thinning medications – Patients on anticoagulants need additional measures to manage bleeding.
  • Smoking or poor healing history – Can lead to a slower and more meticulous surgical approach to ensure proper recovery.

Surgeon’s Experience

The experience and efficiency of an oral surgeon significantly impact the duration of a procedure. A highly skilled surgeon, familiar with various techniques and potential complications, can often complete surgeries more quickly while maintaining precision. By anticipating potential challenges, experienced professionals can adjust their approach in real time, minimizing delays and ensuring smooth execution.

On the other hand, a less experienced surgeon may take additional time to ensure accuracy and reduce the risk of complications. A more cautious approach allows for careful decision-making but can extend the overall length of the procedure. The expertise of the surgeon not only influences surgical time but also plays a crucial role in the patient’s overall experience and recovery process.

Type of Anesthesia Used

The choice of anesthesia plays a significant role in the duration of an oral surgery procedure, affecting both preparation and recovery time. Local anesthesia, commonly used for minor procedures, allows for quicker execution since patients remain awake and do not require extensive monitoring. This results in a shorter overall time in the surgical setting and a faster recovery process.

Nevertheless, IV sedation or general anesthesia introduces additional steps that can extend the total time spent in surgery. These methods require careful administration, patient monitoring, and post-surgical observation before discharge. More complex cases that involve deep sedation or full anesthesia may further prolong the procedure due to the extra precautions needed for patient safety. As a result, surgeries requiring sedation typically take longer both in the operating room and during the recovery period.

Sources. 

Stepaniuk, K., & Brock, N. (2008). Anesthesia monitoring in the dental and oral surgery patient. Journal of Veterinary Dentistry, 25(2), 143-149.

Pacheco-Vergara, M. J., & Cartes-Velásquez, R. A. (2016). Referrals, procedures and complications in oral surgery services. Literature review. Revista Odontológica Mexicana Órgano Oficial De La Facultad De Odontología UNAM, 20(1), 13-21.

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