
Wisdom teeth removal is one of the most common oral surgery procedures performed in the United States, but not every extraction carries the same level of complexity. At Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center, every extraction is performed by dual-degree oral and maxillofacial surgeons Dr. Ashkan Davary — board-certified through the American Board of Oral and Maxillofacial Surgery (ABOMS) — and Dr. Christopher Smith, DDS, MD. Dr. Davary earned his Doctor of Dental Surgery degree from Columbia University College of Dental Medicine and his Doctor of Medicine degree from New York University School of Medicine before completing his Oral and Maxillofacial Surgery residency at NYU Langone's Bellevue Hospital Center. Dr. Smith completed his Oral and Maxillofacial Surgery residency through Temple University's Kornberg School of Dentistry, serving as Chief Resident while receiving advanced training at Temple University Hospital, Hahnemann University Hospital, and the University of Illinois at Chicago.
Impacted wisdom teeth may develop beneath the gums, become trapped against neighboring teeth, grow at abnormal angles, or sit close to important nerves and sinus structures. Unlike general dentists, oral and maxillofacial surgeons undergo years of additional training focused on anesthesia, facial anatomy, bone and soft tissue surgery, management of surgical complications, and complex tooth extractions. Together, Dr. Davary and Dr. Smith routinely evaluate and treat impacted, partially erupted, and fully erupted wisdom teeth, including cases involving close proximity to the inferior alveolar nerve, adjacent tooth roots, and the maxillary sinus.
Patients throughout Sterling, Ashburn, Leesburg, Reston, Loudoun County, and Northern Virginia trust their expertise because treatment recommendations are based on comprehensive evaluation, advanced imaging, and individualized surgical planning rather than a one-size-fits-all approach. That same level of surgical training is matched by a facility built around patient safety. Davary & Smith's outpatient surgical center maintains NFPA 99 Category 1 Certification, the highest standard for anesthesia and medical gas safety in an outpatient surgical environment. The facility's medical gas systems were installed by certified specialists and independently inspected to ensure compliance with rigorous safety standards, providing patients and families with additional peace of mind during sedation and surgical procedures.
That same commitment to patient care extends beyond the procedure itself. Dr. Davary and Dr. Smith utilize modern, evidence-based pain management protocols designed to minimize or eliminate the need for narcotic medications whenever appropriate. Treatment options include EXPAREL®, a long-acting local anesthetic that can provide extended post-operative pain relief, and JOURNAVX®, the first new class of non-opioid pain medication approved by the FDA in more than two decades. As a result, many patients, including teenagers and young adults undergoing wisdom teeth removal, are able to recover comfortably without the need for opioid prescriptions.


Wisdom teeth, also known as third molars, are the last teeth to develop, typically appearing in the late teenage years or early adulthood. Because many patients do not have enough space in the jaw to accommodate these additional molars, wisdom teeth often become impacted or only partially erupt through the gums. When this occurs, they may contribute to infection, damage nearby teeth, create cysts, or lead to long-term changes in bite alignment and oral health.
Early evaluation of wisdom teeth allows surgeons to identify potential problems before pain, infection, or damage to surrounding teeth develops. In many cases, removing problematic wisdom teeth early can help prevent more complex issues later and support healthier long-term outcomes..
Delaying tooth replacement after a tooth is lost can lead to progressive bone resorption, shifting of surrounding teeth, and increased complexity of future treatment. Acting earlier generally simplifies the implant process and supports better outcomes, including faster healing and integration, more predictable long-term success, and a lower risk of complications requiring additional bone grafting procedures.
Symptoms of Wisdom Teeth Issues
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Over 10 million wisdom teeth are removed annually in the U.S., with 60% being preventative. With age, your jawbone hardens and wisdom teeth fully develop their roots making extraction in your teens or early twenties beneficial for:


Our Surgeons
At. Davary & Smith, wisdom teeth removal is one of our specialties. Dr. Davary and Dr. Smith bring dual-degree surgical expertise with a calming presence to every patient. From routine to complex extractions, our highly skilled surgeons deliver precision and excellence to their most frequently performed procedure.
Your Comfort
From consultation to recovery, your comfort, safety, and clear understanding are our top priorities. We offer a full menu of sedation solutions tailored to your needs. Whether you need a local anesthetic or deep/general sedation, our Davary & Smith team will deliver the most effective solutions for your care.
Our Facility
Our space meets NFPA 99 Category 1 Certification for surgical facilities, the most rigorous standard for anesthesia and medical gas safety. Installed by certified specialists and verified by third-party inspections, the most advanced systems and protocols are in place for your protection.
Your Care
Compassion leads the way for our team to support and guide you every step of the way. Through advanced diagnostics with digital imaging and 3D scans, we ensure precision planning and tailored solutions based on your unique anatomy for a seamless procedure.

Our Surgeons
The cost of third molar extractions depends upon a few different factors – how many wisdom teeth will be extracted, anesthesia used, any issues that may complicate the treatment, and your dental insurance. During your consultation we will provide you with an estimate of your treatment and any anticipate insurance coverage.
Procedure
Our highly skilled Davary & Smith team typically removes four wisdom teeth in about an hour.
Aftercare
We will give you some aftercare instructions before you leave. Full recovery time depends on your age and the extent of the procedure. Typically, you can expect to resume normal activities after a day or two.
sedation
To keep you pain-free and comfortable during the procedure, our experienced team will deliver the level of sedation you need. You will not experience discomfort or remember the procedure, but based on your level of sedation, you may be conscious enough to respond to your doctor.
Recovery
When you awake from your procedure, you can expect to feel a bit groggy. We will monitor you until we feel you are ready to head home with the person who brought you.
What is a Category 1 Anesthesia Facility?
Category 1 Anesthesia Facility is a specialized healthcare setting designed to deliver safe and efficient anesthesia services. These facilities adhere to strict patient safety standards, featuring advanced monitoring equipment, skilled professionals, and comprehensive emergency protocols. Tailored for outpatient procedures requiring local or general anesthesia, they are particularly well-suited for dental surgeries and other minor interventions. With a focus on creating a secure, controlled environment, Category 1 facilities prioritize minimizing risks while ensuring patient comfort and quality care.
Is IV sedation safe?
Yes, IV sedation is safe when administered by trained professionals. Our team closely monitors your vital signs during the procedure to ensure your safety at all times.
Can anyone receive IV sedation?
IV sedation is suitable for most patients. We review your medical history and work with you to recommend the safest and most effective solution.
What types of anesthesia are available?
We offer a range of anesthesia options, including local anesthesia, oral conscious sedation, nitrous oxide (laughing gas), deep sedation and general anesthesia.
How should I prepare for anesthesia?
You may be asked to avoid eating or drinking for several hours before your procedure. Our team will provide clear pre-operative instructions tailored to your specific needs.
Will I feel any pain during the procedure?
With anesthesia, you won’t feel pain during your oral surgery. The goal of anesthesia is to ensure that you remain relaxed and comfortable throughout the entire process.
How long does it take to recover from sedation?
The effects of IV sedation can last for several hours, depending on the medication used and your response. While the sedation will wear off gradually, it’s important to plan for a full day of rest and avoid activities like driving or operating machinery.
Is IV sedation covered by insurance?
Coverage can vary, but we can help you verify your benefits and explore payment options.

Don’t wait for your wisdom teeth to cause trouble. Contact Davary and Smith Oral & Maxillofacial Surgery & Dental Implant Center today for a consultation.