Our surgeons and physicians at APEX Surgical are equipped to perform surgical treatment in the safest way possible.

Heightened COVID response safety measures include:

  • Hospital grade negative pressure ventilation in our clinical area,
  • Highest level of PPE available,
  • Hypochlorous droplet fogging,
  • Streamlining patient interactions,
  • Social distancing measures in place throughout the clinic.

If you had an appointment that was canceled due to COVID19, we assure you that we will contact you to reschedule. Patients will be booked in order of cancellation. We appreciate your patience during these times. As always, your health, safety and exceptional surgical care are our top priority.

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All outpatient surgery is performed under appropriate anaesthesia to maximize patient comfort. Our team is trained, licensed, and highly experienced in providing various types of anaesthesia for patients.

By the age of 18 the average adult has 32 teeth: 16 teeth on top and 16 teeth on bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that is meant to hold only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth”.

As an oral and maxillofacial surgeon, Peter Stefanuto, DDS is uniquely trained to manage your wisdom tooth extraction. Extensive experience operating in and around the vital structures of the upper and lower jaws is invaluable when considering who to trust with your wisdom tooth extraction. Ask your general dentist (aka dental surgeon) for a referral to have your wisdom teeth evaluated (in your late teens) by the team at APEX Surgical and experience the level of care provided by our dually-qualified surgeon. If you are concerned about your wisdom teeth, no referral is necessary- call the office and we will be able to evaluate your personal situation and recommend appropriate care.

Why Should I Have My
Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and erupt into a FUNCTIONAL AND CLEANSABLE POSITION, wisdom teeth do not have to be removed. Unfortunately, this is RARE. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, only partially emerge from the gum, or can even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt. An impacted tooth simply means that it is “stuck”.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. This can result in swelling, stiffness, pain, and/or illness. Additionally, tumors or cysts can form around the impacted wisdom teeth, resulting in the destruction of the jawbone and/or healthy teeth. Removal of the impacted teeth usually resolves these problems. EARLY REMOVAL is recommended to avoid complications and the risks of the procedure are less in the younger patient (BEFORE THE AGE OF 24). Risks will be discussed at your consultation with your surgeon.


In most cases, the removal of wisdom teeth is performed under procedural sedation (via intravenous) or general anaesthesia. It is not a well-tolerated procedure under local anaesthetic for most patients. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge your postoperative kit will include postoperative instructions, a prescription for pain medication, and antibiotics.

Our services are provided in a fully accredited environment for optimal safety. We follow the CSA guidelines for outpatient anaesthesia and our surgical staff and nursing staff are specially trained anaesthesia providers (DAANCE and RN). Sedation (of any type) is NOT to be taken lightly and we ensure that you receive the highest quality of care throughout.