Legacy Oral Surgery brings board-certified oral and maxillofacial surgical care to Staten Island at our Richmond Avenue location, serving patients from every neighborhood on the Island — including Great Kills, Tottenville, Eltingville, St. George, New Dorp, and Annadale. Our team performs the full scope of oral and maxillofacial surgery, from routine tooth extractions and wisdom teeth removal to dental implants, bone grafting, full-mouth reconstruction, and complex jaw procedures.
Whether you were referred by your dentist or came to us directly, our goal is to make the process as clear and comfortable as possible. You can request a consultation online or call our office to speak with our Staten Island team.
Our Staten Island surgeons provide comprehensive oral and maxillofacial care under one roof. We offer both common procedures like tooth extraction and wisdom teeth removal and more complex surgical treatments including dental implant placement, bone grafting, All-on-4 full-arch restoration, full-mouth reconstruction, and treatment for oral pathology. Below are some of our most requested services at this location.
Dental implants are the most durable, long-lasting solution for replacing missing teeth, and Legacy Oral Surgery is equipped to handle every stage of implant treatment at our Staten Island office. Our board-certified surgeons place titanium implant posts directly into the jawbone, where they fuse with the surrounding bone through osseointegration to create a stable, permanent foundation for a crown, bridge, or full-arch prosthetic. We have on-site 3D CT imaging, which allows us to plan each case precisely before surgery begins.
Whether you need a single tooth replaced, several consecutive teeth restored with an implant-supported bridge, or a complete arch rebuilt with All-on-4, our surgeons have the training to handle cases of all complexity levels. Patients who have experienced bone loss may also need preparatory bone grafting before implant placement, which our team performs in-office. For a full overview of implant options available in Staten Island, visit our Dental Implants in Staten Island page.
Wisdom teeth — the third molars at the back of the mouth — often do not have enough room to emerge properly. When they become impacted, meaning they are trapped beneath the gum line or growing at an angle, they can cause pain, pressure on neighboring teeth, infection, and cyst formation. Most impacted wisdom teeth require surgical removal to prevent these complications, and the procedure is best handled by an oral surgeon rather than a general dentist due to the complexity involved.
At our Staten Island office, wisdom teeth removal is performed under local anesthesia, IV sedation, or general anesthesia based on the complexity of the case and the patient’s preference. Our surgical team has removed thousands of wisdom teeth and is trained to manage cases involving fully bony impactions, proximity to the inferior alveolar nerve, and multiple teeth removed in a single visit. For detailed information on what to expect, visit our Wisdom Teeth Removal in Staten Island page.
Oral and maxillofacial surgery is a specialty that covers far more than teeth. Our surgeons hold both dental and medical degrees and completed residency training in hospital-based programs, giving them the background to treat conditions affecting the mouth, jaws, face, and surrounding structures. At our Staten Island location, this includes jaw surgery to correct bite problems and skeletal imbalances, treatment of facial trauma and dental injuries, management of oral pathology including biopsies and cyst removal, and procedures to preserve or rebuild bone in preparation for implants.
This depth of training is what distinguishes an oral and maxillofacial surgeon from a general dentist or even an oral surgeon with limited hospital training. Legacy Oral Surgery’s Staten Island team is capable of managing medically complex patients, including those with systemic conditions that require careful coordination of care. If you have been told by another provider that your case is too complex, we encourage you to schedule a consultation with our team.
Legacy Oral Surgery opened its Staten Island location in early 2026, bringing the resources and reputation of a multi-location surgical group to a borough that previously had limited access to this level of specialized care. Here is what makes our practice the right choice for oral surgery in Staten Island.
Our surgeons bring over 40 years of combined experience in oral and maxillofacial surgery. They hold dual dental and medical degrees and completed their residency training in accredited hospital programs, which is the highest level of training available in this specialty.
Our Staten Island office is equipped with 3D cone beam CT imaging, which provides detailed three-dimensional views of bone structure, nerve pathways, and tooth position. This technology is essential for precise implant placement and complex surgical planning, and having it on-site eliminates the need for outside imaging appointments.
For patients who experience anxiety around dental or surgical procedures, or for more complex cases, we offer IV sedation and in-office general anesthesia administered by our surgical team. Most patients report little to no memory of their procedure and are comfortably numb throughout.
Our office at 3377 Richmond Avenue is accessible from all parts of Staten Island, with on-site parking and easy access via Richmond Avenue bus routes and the Eltingville Transit Center. We are open Monday through Friday and offer extended Thursday hours until 8 PM.
We accept most major dental and medical insurance plans. Our staff verifies your benefits before your appointment and provides a clear cost estimate so there are no surprises. For out-of-pocket costs, we offer flexible payment plan options to help make care accessible.
We treat patients at every stage of life, from teenagers who need wisdom teeth removed to older adults pursuing dental implants or full-mouth reconstruction. Our team tailors the surgical plan and sedation approach to the individual patient.
Oral surgery is often covered, at least in part, by both dental and medical insurance — particularly for procedures deemed medically necessary, such as impacted wisdom teeth removal, bone grafting related to trauma, jaw surgery, and treatment for oral pathology. Our Staten Island team has experience billing both dental and medical insurance and will work to maximize your coverage before your procedure begins.
We accept most major dental and medical insurance plans, including many Medicaid-managed plans. For procedures not covered by insurance, or for out-of-pocket balances, we offer financing options to help spread the cost over time. Our office staff will walk you through your options during your consultation so you can make an informed decision about your care.
Below are answers to some of the most common questions we receive from patients at our Staten Island office.
Do I need a referral to see an oral surgeon at your Staten Island office?
No, a referral is not required to schedule a consultation at Legacy Oral Surgery in Staten Island. Many patients come to us directly after researching their symptoms or condition. That said, if your dentist has referred you, we will coordinate with their office throughout your care.
How long does recovery take after wisdom teeth removal?
Most patients recover within three to five days for straightforward extractions, though fully impacted wisdom teeth may require a week to ten days before normal activity resumes. We provide detailed post-operative instructions at discharge and are available to answer questions during recovery.
Does Legacy Oral Surgery in Staten Island accept Medicaid?
We accept a number of Medicaid-managed care plans at our Staten Island location. Coverage depends on the plan and the specific procedure. We recommend calling our office to confirm your plan is accepted before scheduling.
What is the difference between an oral surgeon and a dentist?
Oral and maxillofacial surgeons complete an additional four to six years of hospital-based surgical residency after dental school, with training in anesthesia, medicine, and complex surgical procedures. This makes oral surgeons the appropriate choice for implant placement, impacted wisdom teeth, jaw surgery, and facial trauma — procedures that require surgical expertise beyond a general dentist’s scope.
Can I get dental implants if I have been told I do not have enough bone?
Bone loss is common among patients who have been missing teeth for some time, but it does not automatically disqualify you from implants. Bone grafting procedures can rebuild the foundation needed for implant placement. Our surgeons will evaluate your bone volume using 3D CT imaging and discuss whether grafting is appropriate for your case.
Our team at Legacy Oral Surgery is accepting new patients at our Staten Island location. Drs. Nancy Herbst and Hillel Kaye are available to evaluate your case, answer your questions, and develop a surgical plan tailored to your needs. Whether you are exploring dental implants, dealing with an impacted wisdom tooth, or need a consultation for a more complex procedure, we are here to help.
To request an appointment, fill out our contact form and a member of our team will be in touch to confirm your consultation time. We look forward to welcoming you to our Staten Island office.
