How is wisdom teeth removal through surgery different than doing it at the dentist?

More Surgical: If wisdom teeth are not fully erupted then they are impacted (can be partial) but to varying degrees. Some are more difficult than others to do. It is based on the comfort level of the denist if he/she will do it or refer to an oral surgeon to have them removed more likely with sedation. Some dentist do surgical removal some don't. Call your dentist or surgeon if more questions.

Experience knowledge: It should be the same procedure but the biggest difference may be the experience the general dentist has performing this procedure compared to an oral surgeon who performs this procedure on a daily basis.

Training: There really isn't a difference in the manner in which it is removed. The question is if the general dentist is trained and comfortable with the techniques required in order to remove an impacted wisdom tooth. If he is then he will also be using surgical techniques. If not then he will refer you to an oral surgeon.

Specialist: The oral surgeon is the specialist in extraction of wisdom teeth. They will be faster, easier, and are far more experienced than the general dentist. Consider -- if the general dentist has a problem they will send you to the oral surgeon anyway. Why take the chance. You have a problem with your heart, you see the specialist -- same with wisdom teeth - see the specialist. Good luck.

Be prepared: In all cases, removing a tooth whether it is a simple extraction or an impacted tooth is a surgical procedure. Some are more difficult than others. As a matter of fact, I have had what appeared to be simple extractions become difficult ones, while some severely impacted teeth were very simple to remove. The important thing is that the dentist be prepared for the worst case scenario or not start it.