Immediate Smiles in Oklahoma City: Oral Surgery with Sedation Options for Complex Extractions and Implant Placement

Immediate Smiles is an oral surgery practice in Oklahoma City specializing in tooth extractions, wisdom teeth removal, dental implants, and guided bone regeneration. The practice operates as a referral-based surgical center, accepting patients primarily from general dentists and specialists across the metro, and offers multiple sedation levels to manage anxiety and pain during procedures.

What Immediate Smiles actually is

Immediate Smiles functions as a dedicated oral surgery office rather than a general dental practice. Its scope covers surgical extraction of impacted and complex teeth, placement of dental implants for patients with adequate bone, bone grafting for implant site preparation, and removal of retained root tips. The practice works on a referral model: patients are typically sent by their primary dentist or prosthodontist with clinical records and radiographs already in hand. Walk-in emergency cases are not accommodated; scheduling occurs through referrals or by appointment request.

Procedures and sedation options

Surgical extractions range from simple removal of visible teeth to impacted wisdom teeth requiring bone removal and sectioning. Implant placement includes evaluation of bone density (often requiring a 3D CBCT scan), site preparation, fixture insertion, and aftercare instructions; bone grafting, when needed to build ridge height or width, is quoted separately.

The practice offers nitrous oxide (laughing gas) for mild anxiety, IV sedation administered by a licensed anesthesiologist or certified registered nurse anesthetist for moderate to deep sedation, and local anesthesia alone for patients who prefer to remain fully awake. Sedation levels affect total cost: a wisdom tooth extraction under local anesthesia costs less than the same procedure under IV sedation. Exact pricing varies by complexity and sedation choice; most Oklahoma City oral surgeons charge $250 to $600 per straightforward extraction, $800 to $1,500 for impacted wisdom teeth, and $2,500 to $4,500 per implant placement depending on site difficulty and bone density. Verify current fees with Immediate Smiles directly before booking.

How Immediate Smiles compares to other Oklahoma City oral surgeons

Oklahoma City has several other established oral surgery practices. Some surgeons operate independently; others are embedded within larger dental groups. Practices differ on sedation: not all offer IV sedation in-house, requiring patients to go to a hospital operating room instead, which adds cost and scheduling complexity. Immediate Smiles' inclusion of an anesthesia provider on-site removes this friction.

Referral pathways also vary. Some practices will accept direct-contact calls from patients; Immediate Smiles typically requests that the referring dentist send a referral form and radiographs first. This slows direct booking but ensures the surgical team has imaging and clinical notes before the consultation. Choose Immediate Smiles if your dentist already works with them and your case is straightforward to moderately complex; choose a hospital-based oral surgeon if you require extensive reconstruction, have significant medical comorbidities, or need post-operative hospital admission.

Who it suits and who it does not suit

Immediate Smiles suits patients with adequate bone density, no major untreated medical conditions, and willingness to follow a two-visit workflow (consultation and treatment, sometimes with a separate bone-graft stage). It is well-suited for wisdom tooth extraction, single-tooth implants, and minor bone grafting.

It does not suit emergency cases needing same-day extraction (no walk-ins accepted), patients with severe medical complexity requiring hospital infrastructure, or those unable to attend multiple appointments for bone integration and restoration.

What the first visit involves

The first appointment assumes you arrive with a referral, clinical notes, and often imaging from your dentist. The surgeon reviews your medical history, examines the surgical site, and may order additional CBCT scans if not already provided. Treatment is not performed at this visit. The surgeon explains the procedure, sedation options, cost, and timeline; you sign consent and anesthesia forms. A follow-up surgical date is scheduled, typically 1 to 3 weeks out depending on complexity and calendar availability.

Hours, parking, and logistics

Immediate Smiles operates Monday through Thursday, 8 a.m. to 5 p.m., with extended hours on select days; Friday appointments are limited. The practice is located in a professional office building in the northwest portion of Oklahoma City with surface parking available at no charge. No public transit stop is adjacent; driving is necessary. If IV sedation is used, arrange a responsible adult to drive you home; you cannot drive for 24 hours after administration. Recovery typically takes 3 to 7 days depending on procedure severity; plan time off work accordingly.

Immediate Smiles fills a necessary surgical role in Oklahoma City's dental ecosystem by bundling extraction, implant placement, and in-office sedation into a single practice, reducing the coordination burden on both referring dentists and patients.