Frequently Asked Questions

The world always looks brighter from behind a smile.

Before deciding if our practice is the right c hice for you, likely you have questions about our practice and the procedure we offer at Palmetto Oral & Facial Surgery. See below for several questions we hear frequently and our answers. If your questions aren’t found here and you have more questions or want to schedule a consultation feel free to call our staff to discuss at 864-714-1800 or email us at

What kind of procedures do oral and maxillofacial surgeons perform?

An oral and maxillofacial surgeon’s focus is primarily injuries, deformities, and diseases that negatively affect the head, neck, face, jaws, and mouth. Dr. Shigley is capable of treating facial pain, removing wisdom teeth, performing reconstructive facial surgery, placing dental implants, and much more. He has undergone additional education and advanced training to be capable of performing these in-depth procedures.

Do all wisdom teeth have to be removed?

Not all wisdom teeth cause problems. If these teeth emerge from the gum line properly and have ample space to function without threatening the health of other teeth, they can remain in place within the mouth. Dr. Shigley and his staff would be happy to advise you on whether or not wisdom teeth removal would be beneficial during a consultation.

Does oral surgery hurt a lot? Is it painful?

When it’s done correctly by a specialized team like ours at Palmetto Oral & Facial Surgery, procedures should not have to be an overly painful or frightening experience. Dr. Shigley and his staff will make every effort to ensure that you’re as comfortable as possible from your initial consultation visit through the actual surgical procedure to any postoperative visits. We can also recommend the use of prescribed medication to minimize any post-operative discomfort as well.

What type of anesthesia or sedation do you offer?

We offer many different options for levels of sedation and anesthesia for procedures in our offices. Please call us to discuss or schedule a consultation to allow us to customize a specific plan for you and your needs.

  • Local anesthesia: the patient stays awake for entirety of the procedure. Local anesthetic is given directly in the area where the surgery is to be completed. This type of anesthesia is used for single tooth extraction(s) or simple soft tissue procedures.
  • Nitrous Oxide (“laughing gas”): this type of anesthesia is administered through a nasal apparatus. This gas allows the patient to feel relaxed while remaining awake for the procedure. This type of sedation is great for simple procedure and to help reduce anxiety.
  • IV Sedation: medications are given through an IV line and the patient goes to sleep during the entire procedure. The patient is completely unaware of the procedure being performed. This type of sedation is most commonly used for procedures including wisdom teeth extractions, multiple extractions, dental implants, or for people who are very anxious about the procedure.

My regular dentist offers tooth extractions, why should I go to an oral surgeon?

When it comes to tooth extraction, many patients have a simple and complication-free experience – but some do not. There is a wide range of outcomes and variables that can come into play during this process, some of which a general dentist may be unequipped to handle. An oral and maxillofacial surgeon has specialized knowledge in this area of expertise including management of any possible complications, and they’re also very skilled when it comes to pain management during extraction.

How much pain will I be in after my oral surgery procedure?

It is normal for patients to experience some discomfort and soreness following their procedure. However, pain that is unusually severe or that lingers on for over a week is abnormal. In these situations, don’t hesitate to contact us right away for further assistance.

Why would I need dental implants and why are they a good choice?

Dental implants are the best option to replicate the root of your natural tooth, which has the important function of stimulating and stabilizing your jawbone. It is also the best choice to allow you to clean around the crown similar to a natural tooth. Without the implant in the tooth root’s in place, bone loss is almost certain. With a  dental implant in place, you preserve your oral health while also enjoying a nearly identical and functional replacement for the missing tooth.

Do you accept my insurance?

Yes! Palmetto Oral & Facial Surgery welcomes many dental and medical insurance plans and will file claims on the patient’s behalf to streamline the process. We currently accept the following insurance plans:

  • Aetna Dental
  • Ameritas
  • Assurant
  • BCBS State Dental Plus
  • BCBS State Basic
  • BCBS Medical
  • BCBS Federal
  • BCBS Dental
  • Cigna  
  • Delta Dental
  • Dentemax
  • GEHA
  • Guardian
  • Humana
  • DentaQuest
  • MetLife  
  • Principal 
  • Thomas Cooper
  • Veterans Affairs
  • United Concordia
  • Tricare