Oral Surgery



At Farina Orthodontic Specialists, we are proud to offer a wide range of services, including oral surgery. Whether you are an existing patient of ours who feels more comfortable working with familiar faces, or you are a potential new patient in need of some minor surgery, we offer multiple services to keep your teeth and jaw healthy. Our oral surgeon, Dr. Guerra, is a board-certified oral surgeon with over 10 years of experience working with patients. Learn more about Dr. Guerra.


Oral Surgery Patient Forms

Wisdom Teeth

Many patients are candidates for wisdom teeth removal. Often, a dentist or orthodontist will recommend wisdom teeth removal if the patient is at risk for mouth pain, bite problems, changes in the structure of the jaw, infection, or incorrect alignment. Wisdom teeth are the last teeth to erupt at the very back of your mouth. Most people will already have gone through the process of braces or Invisalign before their wisdom teeth start to come in, which is around age 17-25. Oftentimes, wisdom teeth will become impacted, or stuck under the gums, causing them to grow at an angle and disrupt the rest of the teeth. If left alone, impacted wisdom teeth can lead to pain, gum disease, oral cysts, tooth decay, and bone damage. Your orthodontist is able to monitor how your wisdom teeth are growing using X rays or digital scanners. If they see that your wisdom teeth could cause potential problems in the future, they will recommend that you get them removed. This is a minor oral surgery that five million people undergo each year. With the care of our expert oral surgeon, Dr. Guerra, our office provides the highest quality oral surgery available in the Tampa area.

The procedure will start with either local, sedation, or general anesthesia.  With local anesthesia, you will be awake during the procedure and able to drive home afterward. Sedation and general anesthesia will cause you to lose consciousness during the procedure, kind of like falling asleep. You will have no memory of the procedure with these types of anesthesia, and you will need someone to drive you home after since you will still be a bit groggy.

The actual extraction procedure takes less than an hour and is fairly simple. The oral surgeon will remove the wisdom teeth, and skillfully apply stitches. As you wake up from anesthesia and prepare to go home, you will still be a bit dazed from the anesthesia. To aid in your recovery, we will prescribe pain relievers. In order to take care of your mouth after your surgery, we recommend icing your face and eating soft foods for the first few days. Your stitches will dissolve after a few weeks, so there is no need to return for a check-up unless you experience complications.

Exposures of Impacted Teeth

Similar to wisdom teeth, other teeth may become impacted and need some help breaking through the surface of the gums. In these cases, an oral surgeon can surgically expose the impacted tooth. Again, this procedure is straightforward and takes around 30 minutes to an hour to complete. If the tooth is partially impacted, meaning it has started to erupt but cannot grow properly, the oral surgeon will remove a small part of the gums surrounding the tooth and add stitches to secure the remaining gums with the tooth. The tooth will now be able to grow in properly, pulling the gums along with it.

If a tooth is fully impacted, the oral surgeon will make an incision to expose the tooth so it will not be blocked by any gum or bone. The recovery process for this procedure is essentially the same as wisdom teeth removal, and should not be very painful for the patient.

Bone Grafting

Bone grafting is a procedure where a bone sample (either artificial, synthetic, or from the patient) is transplanted to the mouth. At Farina Orthodontic Specialists, we perform synthetic bone grafts. This procedure can be done for multiple reasons, but the objective is to provide healthy bone structures that can support the teeth. A few reasons that someone may require a bone graft include gum disease, developmental defects, or trauma to the mouth area like a cracked or broken tooth. Sometimes the loss or removal of a tooth can lead to bone damage as well, in which case a bone graft can help the area properly recover.

During a bone graft procedure, the patient is first sedated with anesthesia and then the synthetic bone graft material will be placed in the proper position. Sometimes titanium screws will be implanted to keep the bone graft in place while it fuses with the surrounding bone. This procedure can take around 4-6 months to fully heal after the graft is put in place. The oral surgeon will prescribe medications to prevent infection and manage pain, though you should not experience excessive pain during recovery.


An oral biopsy is a procedure where a small tissue sample will be taken from the mouth and examined by a pathologist for any disease. You may need an oral biopsy if your dentist or orthodontist has noticed a bone or oral lesion, or if there are inflammatory changes in the mouth that could be a sign of underlying disease. The pathologist will take a look at the biopsy under a microscope and return the results to your dentist or orthodontist, who will develop a plan for treatment if necessary.

Don’t Be Scared of Oral Surgery

No one wants to get surgery. Although anesthesia may sound intimidating, patients typically have a good experience. They have barely any side effects, and the soreness after a procedure can easily be managed. If you are in need of oral surgery, contact our team by scheduling a consultation. If you would like to connect with a member of our team, please call or text us at (813) 972-2929.

Schedule Your Oral Surgery Consultation