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Oral Surgery that puts you first
Simply put, our team cares deeply about your comfort, your outcome, and your experience. Whether you need wisdom teeth removed or full-arch dental implants, our board-certified surgeons offer compassionate, expert care that puts your health and confidence first.
What is Oral Surgery?
It may sound intimidating, but oral surgery at our practice is meant to restore your function, relieve your pain, and improve your oral health. Our board-certified surgeons provide everything from extractions and implants to complex full-arch solutions, all with a focus on precision, transparency, and empathy.
With advanced technology and a comfort-first approach, your care plan is tailored to your needs and delivered with the clarity you deserve.
Periodontist
Dr. Shayda Sarrami, DDS
Dr. Shayda Sarrami is a skilled periodontist with a reputation for combining surgical expertise with compassionate, patient-centered care. She’s certified in both Washington and Oregon, with credentials in moderate anesthesia, ACLS, and BLS. Dr. Sarrami specializes in treating gum disease, placing dental implants, and performing advanced cosmetic periodontal procedures. She’s also certified in LANAP®, a minimally invasive laser treatment that promotes faster healing with less discomfort.
After earning her DDS from the University of Texas Health School of Dentistry in San Antonio, Dr. Sarrami practiced general dentistry in the Pacific Northwest before completing her periodontics residency at OHSU. She went on to co-establish a thriving periodontal program in Texas before returning home to Portland in 2024 with her husband and their dog, Rio.
Patients know Dr. Sarrami for her warmth, honesty, and clear communication. She takes time to understand each patient’s needs and collaborates closely with referring dentists to ensure continuity of care and successful outcomes.
Periodontist
Dr. Steven Hokett, DDS
Dr. Steven Hockett is a Diplomate of the American Board of Periodontology with more than 20 years of experience treating advanced gum disease, placing implants, and performing surgical procedures to restore oral health and function. He is licensed in both Oregon and Washington and certified in moderate anesthesia, ACLS, and BLS.
Throughout his career, Dr. Hockett has earned the trust of patients and colleagues alike for his clinical precision, ethical approach, and deep commitment to quality care. As a board-certified periodontist, he stays current with the latest advances in regenerative therapy, soft tissue grafting, and implant dentistry to ensure the best possible outcomes.
Whether he’s helping patients reverse the effects of gum disease or working alongside referring doctors to create comprehensive treatment plans, Dr. Hockett brings a steady hand and a caring heart to every case.
How we raise the bar for your care
Board-Certified Excellence
Get care from highly trained experts who prioritize safety, aesthetics, and function at every step.
Same-Day Surgical Options
From immadiate Implants to urgent extractins, we streamline treatment to reduce wait times and downtime.
Comfort-First Approach
We offer advanced sedation options and clear communication to help you feel relaxed and confident before, during, and after your procedure.
What our Patients Say
Services designed around your needs
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Done with dentures? Let’s talk about a smile that lasts
There’s a better solution to dentures that can completely change your life. All-on-X permanently replaces a full arch of teeth and allows you to eat the food you want, smile with confidence, and preserve your healthy jawbone.
At Lake River Oral & Facial Surgery, you'll recieve a truly white glove experience from start to finish. Including concierge-level guidance, honest treatment planning, bundled pricing, and a surgical team that’s fully invested in getting it right the first time.
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There are several types of bone grafts, and the one we use depends on your unique situation. For example, if we’re performing a sinus lift, we’ll choose a specific type of graft designed for that area. If we’re simply filling the socket after a tooth is removed or if we need to build up and widen the bone, we’ll use different materials tailored to those needs. Every case is a little different, and we keep a variety of bone graft options on hand to make sure we choose the one that’s best for your treatment and long-term success.
No referral is required to see us. Many patients are referred by their general dentist, but just as many reach out directly when they’re dealing with pain, missing teeth, or exploring implant options. If you’re unsure whether oral surgery is the right next step, we’re happy to help you figure that out—no pressure, just clarity.
In most cases, yes—and we tailor the sedation approach to match your comfort level and procedure type. Options include local anesthesia, oral sedation, IV sedation, and Exparel for extended pain control after surgery. We’ll walk you through what to expect and make sure you feel safe and supported every step of the way.
Recovery varies depending on the type of surgery, your overall health, and how closely post-op instructions are followed. For most extractions or minor procedures, you’ll start feeling better within 2–3 days.For more complex surgeries, we’ll let you know exactly what to expect and be with you every step of the way to monitor progress and manage discomfort.
Many oral surgery services are at least partially covered by dental insurance—and some may be covered under your medical insurance as well. We’ll verify your benefits ahead of time, explain what’s included, and give you transparent financial options. Our goal is to help you move forward with a clear understanding of both your care and your costs.
Our patients tell us it comes down to two things: how we treat people, and how well we do the work. We’re not a chain or a sales-focused implant center. We’re a doctor-led team of board-certified surgeons offering real expertise, white-glove treatment planning, and honest, pressure-free care. You’ll never feel rushed, upsold, or like just another case—we’re here to earn your trust.