Oral Surgery Services in Grangeville, Lewiston and McCall, ID

Routine Extractions

Our team at Two Rivers have extensive experience in all routine and surgical extractions. We offer conscious sedation alternatives for those with some level of dental anxiety to assure you an easy and painless experience. Dental infections have serious and even life-threatening impacts on your general and systemic health. Don't wait until both the pain and expense become far greater than necessary. Call now to schedule an appointment in Grangeville, Lewiston and McCall, ID.

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Wisdom Teeth

Your dental team at Two Rivers Dentistry has had extensive training and experience in removing wisdom teeth. We provide in-house treatment for most cases, but we gladly refer cases to our oral surgeon for patients who want a general anesthetic in conjunction with the surgery. We do offer conscious sedation including oral medications and nitrous oxide.

The wisdom teeth get trapped or, worse yet, they try to erupt into place at the expense of crowding and overlapping the front teeth. Again, we are glad to do a no charge consultation if you have x-rays to determine what treatment is indicated and their associated costs (again, an exam and x-rays will be necessary if treatment is desired). It is generally easier and safer the remove wisdom teeth at a younger age (usually 16 to 18 years old) if the removal is indicated. It is particularly important to have these teeth evaluated following orthodontic treatment as the wisdom teeth can severely undermine our ability to retain the orthodontic corrections that have been made.

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Bone Grafts

Bone grafting technology has advanced significantly in the last ten years. This technique has allowed us to regenerate bone in conjunction with implant placements. This ability often allows us to place implants immediately following the extraction of your natural tooth/teeth.

In many cases, bone grafting or augmentation allows us to create or maintain adequate bone to allow for future implant placement.
We also utilize bone grafting in conjunction with periodontal surgery to help correct defects in the bone secondary to gum disease. In some cases, in addition to the bone graft, we will use a resorbable collagen membrane to cover and protect the bone graft while it heals.

There are three types of bone grafting materials most commonly used in dentistry. The first is autogenous, which is natural bone taken from the same individual that will receive the graft. The second is an allograft, which is demineralized, and sterilized bone taken from human cadavers. The third kind is a xenograft, which is bone taken from another species such as bovine (cow). The intent of any grafting procedure is to help maintain and or increase the amount of bone available for implant placement. Every measure is taken to assure that any graft material is safe and sterilized for placement. Most grafting materials are completely absorbed by the body within 12 months after placement and replaced with the body's own bone. The collagen membranes have dramatically improved the success of these grafting procedures.

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An apicoectomy is a surgical procedure that is often indicated when a tooth that has been treated with a root canal, remains symptomatic. It allows us to remove any persistent infection remaining in the bone near the apex of the root, as well as removing the tip of the root, which may contain lateral canals that are not treatable with conventional root canal techniques. In some cases, this will be done in conjunction with a bone graft. Laser assisted surgery has vastly improved the post-operative healing.


A Frenectomy is a simple oral surgical procedure that eliminates the presence of a frenum in the mouth. A frenum is a fold of tissue that connects the gum to the lip, or the tongue to the lower jaw. and sometimes contains muscle tissue.

In some cases where the presence of labial frenum can cause pain to the upper lip and gums in younger children, labial frenectomy is performed. The second kind of frenum is called lingual frenum. This is what is often referred to as tongue tied. In both cases a simple surgical procedure with the dental laser can free up this muscle attachment.


Often, if lesions appear in the oral cavity that are suspicious, we may recommend a minor surgical procedure to either sample or remove the lesion (Biopsy). If the lesion is of a known type (benign), a simple removal may be sufficient. If we are uncertain, we may also send the tissue to a pathology lab for identification. We put an emphasis on good oral cancer screening and we recommend that anyone who notices tissue or bone changes that do not seem normal to have them checked out.