425 Oral, Maxillofacial, & Implant Surgery

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425 Oral, Maxillofacial, & Implant Surgery This is an Oral Surgery Clinic with specific goals in mind:
To deliver exceptional surgical services

We’d like to thank American Association of Oral and Maxillofacial Surgeons 2026 for a wonderful conference at Seattle Co...
10/05/2026

We’d like to thank American Association of Oral and Maxillofacial Surgeons 2026 for a wonderful conference at Seattle Convention Center!!! Our team has been dedicated to advancing their skills in oral surgery through ongoing education - so we can continue providing the highest level of care for our patients. oralsurgeon surgicalassistant surgeonmom mommysurgeon teamworkmakesthedreamwork beststaff bestpatients thankful

09/19/2026

General Anesthesia Day 😴🦷 425 Oral Surgery in collaboration with Dr. Paek - our Board Certified Anesthesiologist at Sunshine Anesthesia!!

Four cases. Three mesiodens cases. A very supernumerary kind of day.

Case 1 — Premolar extractions
Case 2 — Inverted mesiodens extraction
Case 3 — Inverted mesiodens extraction
Case 4 — Two mesiodens extractions

Some teeth come in normally.
Some come in upside down.
Some bring a friend. 😅

425OralSurgery

25 years later, we remember. 🇺🇸We honor the lives lost on September 11, 2001, the heroes who answered the call, and the ...
09/11/2026

25 years later, we remember. 🇺🇸

We honor the lives lost on September 11, 2001, the heroes who answered the call, and the families and communities forever changed.

May we never forget the courage, compassion, and unity that brought us together in the days that followed.

9/11 • 25 Years
We remember. We honor. We never forget.

Feeling extra lucky to have such thoughtful neighbors 425 Oral Surgery ! 🥹💚They surprised us with the most beautiful fre...
09/09/2026

Feeling extra lucky to have such thoughtful neighbors 425 Oral Surgery ! 🥹💚

They surprised us with the most beautiful fresh, homegrown produce straight from their garden. 🍅🥒🌶️🌿

There’s just something special about food grown with care and shared with others. Thank you for thinking of us—and for keeping us very well fed! 😂

Happy Labor Day Weekend! 🇺🇸☀️We’re grateful for our amazing team and all the hard work they put in every day to take car...
09/04/2026

Happy Labor Day Weekend! 🇺🇸☀️

We’re grateful for our amazing team and all the hard work they put in every day to take care of our patients. 💙

Our office is closed for the holiday weekend. Wishing everyone a safe, relaxing, and well-deserved long weekend!

— 425 Oral, Maxillofacial & Implant Surgery

OralSurgeon EastsideWA GratefulForOurTeam

08/04/2026

After my last coronectomy post, some people concluded I coronect every wisdom tooth. 😅

Plot twist… I don’t.

This healthy 18-year-old also had a lower third molar overlapping the nerve canal on the panoramic radiograph. No CBCT was obtained. The panoramic radiograph showed well-defined canal cortication and favorable radiographic features, so a coronectomy wasn’t indicated.

✔️ Complete extraction.
✔️ No postoperative paresthesia.

The lesson? We don’t treat X-rays—we treat patients. Sometimes the safest operation is a coronectomy. Sometimes it’s a full extraction. Not every overlapping nerve case needs a CBCT, and not every overlapping nerve case needs a coronectomy.

Same surgeon. Different patient. Different decision.

DentalSurgery OMS OralMaxillofacialSurgery ClinicalJudgment EvidenceBasedDentistry InferiorAlveolarNerve PatientCare Dentistry 425OralSurgery SeattleDentist BellevueDentist IssaquahDentist

07/29/2026

Coronectomy isn’t about leaving something behind—it’s about knowing when not to remove everything.

In select wisdom teeth that sit intimately against the inferior alveolar nerve, removing the entire tooth may unnecessarily increase the risk of permanent numbness. A coronectomy removes only the crown while intentionally leaving the roots undisturbed.

➡️ Pre-op: Impacted wisdom tooth with roots closely associated with the nerve.
➡️ Post-op: Crown removed, roots intentionally retained.
➡️ 1-year follow-up: Expected root migration away from the nerve and excellent bone regeneration. The site has healed beautifully, and the retained roots remain asymptomatic.

Root migration after a coronectomy isn’t a complication—it’s often an expected part of the healing process. As the bone remodels, the retained roots may slowly move away from the nerve, making them even less likely to cause future problems.

The goal isn’t to remove the most tooth.
The goal is to provide the safest surgery with the best long-term outcome.

Sometimes, the best surgery is knowing exactly what not to remove.

07/13/2026

👀 That little baby tooth was hiding a much bigger problem…
This wasn’t a routine extraction.
Behind the retained primary tooth (J) was an impacted permanent premolar ( #13) that never erupted into the proper position - leaning mesially & palatally behind 12. Both teeth were carefully removed, and the site was reconstructed with a bone graft and resorbable membrane to preserve the ridge and prepare for a future dental implant.
Surgery isn’t just about taking teeth out—it’s about thinking several steps ahead. Every decision today can influence the success of tomorrow’s implant.
That’s why treatment planning matters.
📍425 Oral Surgery | Issaquah, WA
Educational content only. Individual treatment recommendations vary from patient to patient.
GuidedBoneRegeneration DentalImplants ToothExtraction OralSurgeon WisdomTeeth DentalEducation Issaquah PNWDentist

🇺🇸 Happy Fourth of July! 🇺🇸 425 Oral Surgery Today we celebrate our freedoms, the people we love, and the communities we...
07/04/2026

🇺🇸 Happy Fourth of July! 🇺🇸 425 Oral Surgery
Today we celebrate our freedoms, the people we love, and the communities we serve.
Whether you’re with family, friends, enjoying good food, or watching fireworks, we hope your day is filled with joy and lasting memories.
From all of us at 425 Oral Surgery, have a safe and happy Independence Day! ❤️🤍💙

06/14/2026

🦷 Not every “extra tooth” is just an extra tooth.
An 8-year-old patient was referred to our office for delayed eruption of a permanent tooth and “odontoma”. Imaging revealed something more than a compound odontoma. We suspected a rare odontogenic tumor known as an ameloblastic fibro-odontoma (AFO) — a benign growth composed of both soft tissue and developing dental hard tissues.
After careful surgical removal of the lesion and associated calcified structures, the specimen was submitted for pathology, confirming the diagnosis of ameloblastic fibro-odontoma.
✨ Key facts about AFO:
• Most commonly occurs in children and adolescents
• Often discovered when a tooth fails to erupt normally
• Typically appears as a well-defined radiolucent lesion containing tooth-like calcifications
• Surgical removal is usually curative with an excellent prognosis
Early evaluation of delayed tooth eruption can sometimes uncover conditions that would otherwise go unnoticed.

Address

450 NW Gilman Boulevard, Suite 101
Issaquah, WA
98027

Opening Hours

Monday 9am - 12pm
Tuesday 9am - 4pm
Wednesday 9am - 4pm
Thursday 9am - 4pm
Friday 7am - 12pm

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