Tooth extraction in Kyiv

Tooth extraction is necessary when it is impossible or dangerous to preserve it through treatment or restoration. Indications for extraction may include significant destruction of the crown, a root fracture, acute or chronic inflammation, trauma, mobility due to periodontal diseases, improper eruption of a wisdom tooth, or preparation for orthodontic treatment.

At DDC Dobrobut, the decision to extract a tooth is made by an oral surgeon after examination and diagnosis. The doctor assesses the condition of the tooth, roots, bone tissue, gums, and neighboring teeth. If the tooth can be preserved, the patient will be offered treatment or restoration. If it is a source of pain, inflammation, or interferes with the treatment plan, extraction becomes a justified step.

The technology used depends on the complexity of the case. In simple situations, the tooth is extracted instrumentally, without any additional surgical access. In more complex cases, a gum incision might be necessary, the tooth may need to be divided into parts, the tooth socket may require treatment, and sutures may need to be placed or delicate techniques applied. As indicated, a piezotome (ultrasound) may be used to work more precisely with bone tissues.

If a patient is interested in the cost of tooth extraction, the answer depends on the type of extraction, the location of the tooth, the number of roots, the need for CT scans, anesthesia, sedation, and additional manipulations. It is essential to evaluate not only the cost but also the complexity of the procedure and the necessary aftercare.

Types of Tooth Extractions: Simple, Complex, and Surgical

Tooth extractions are divided into simple, complex, and surgical based on access to the tooth, root shape, bone condition, and the presence of inflammation. Typical tooth extractions are performed when the crown part is well preserved, the tooth is accessible for instruments, and the roots do not have pronounced anatomical complications.

Complex or surgical tooth extraction is required if the tooth is destroyed below the gum line, has distorted roots, is located close to important anatomical structures, or cannot be extracted by conventional means. In such cases, the surgeon may create access through the gums, divide the tooth into fragments, clean the socket, and place sutures.

In complex cases of tooth extraction in surgical dentistry, precise planning, control of trauma, and proper postoperative management are necessary.

Wisdom Tooth (Eighth Tooth) Extraction

Wisdom teeth, or eighths, are often extracted due to improper eruption, lack of space, pressure on neighboring teeth, gum inflammation, or the risk of cavities in hard-to-reach areas. Sometimes an eighth tooth erupts partially, injures the mucosa, creates a pocket for plaque, and periodically causes pain or swelling.

Wisdom tooth extraction is not always simple, as such teeth may have complex root shapes and be located close to the mandibular canal or maxillary sinus. Before complex extraction, the doctor may recommend Computed Tomography to evaluate the position of the roots and plan access.

Atypical Extraction of Impacted and Malpositioned Teeth

Atypical extraction is required when a tooth has not fully erupted, lies within the bone, or has an incorrect position. An impacted tooth is one that has failed to emerge into the dental arch within the usual time frame. A malpositioned tooth is one that is inclined, horizontal, or displaced.

Such cases require precise planning. The doctor evaluates how the tooth is positioned relative to the roots of neighboring teeth, nerves, sinuses, and bone tissue. During the surgery, a gum incision, removal of part of the bone, division of the tooth into fragments, and placement of sutures may be necessary.

Painless and Stress-Free Tooth Extraction

Tooth extractions are performed with local anesthesia or, as indicated, under sedation. Local anesthesia blocks pain in the area of intervention, so the patient may feel pressure or movement but not sharp pain. The type of anesthesia is selected based on the extent of the procedure, age, health status, and level of anxiety.

If the patient has a strong fear, a pronounced gag reflex, a complex surgical extraction, or needs to have several teeth removed in one visit, the doctor may suggest Treatment under Sedation. This is a controlled medication-induced sleep monitored by specialists.

How the Operation Goes: Main Stages

1. Consultation and Diagnosis. The oral surgeon examines the tooth, assesses inflammation, and checks the condition of the gums. An X-ray or CT scan is essential to see the position of the roots, especially if it is a complex, impacted, or malpositioned wisdom tooth.
2. Anesthesia and Preparation. The doctor performs thorough antiseptic treatment, selects effective local anesthesia (or sedation), and checks to ensure complete sensitivity blockage.
3. Tooth Extraction. In a simple procedure, the tooth is carefully rocked and removed. In a complex procedure, the surgeon may divide the tooth into parts, clean the socket from remnants of chronic inflammation, and place sutures.
4. Recommendations and Control. The patient receives a clear plan for home care, hygiene instructions, and a prescription for medications. A short visit for monitoring gum healing and suture removal is also scheduled.
5. Planning for Restoration. If the extraction is part of a larger plan, the doctor immediately discusses future orthodontic treatment or the timing of implant placement after bone healing with the patient.

Post-Extraction Recommendations: How to Accelerate Healing

After extraction, a blood clot forms in the socket, which protects the wound and triggers healing. It should not be rinsed, touched with the tongue, a toothbrush, or foreign objects. In the first hours, it is advisable not to eat, drink hot fluids, actively rinse the mouth, engage in sports, or apply heat to the cheek.

In the first day, moderate pain, swelling, and slight bleeding may occur. The doctor may recommend cold compresses, soft foods, restrictions on physical activities, and taking medications according to a regimen. If sutures were placed, a follow-up visit is necessary at the designated time.

One potential complication is alveolitis, i.e., inflammation of the socket after the loss or destruction of the blood clot. If pain intensifies after a few days, there is an unpleasant odor, a bad taste, or fever, the patient should contact the dentist.

Restoration of the Dental Arch after Extraction

After tooth extraction, it is important to discuss whether to restore the defect. If the lost tooth is not replaced, neighboring teeth may shift, and the opposing tooth in the opposite jaw may lean toward the empty space. This affects chewing, bite, and joint load.

The restoration option depends on the clinical situation. In some cases, implantation may be possible after healing, while in others, bone grafting or sinus lifting may be needed if there is insufficient bone volume in the upper jaw. The timelines are determined individually by the doctor.