Oral surgery: extractions, wisdom teeth and preparation for an implant

When you need an oral surgeon, not just a dentist

Most simple extractions can be done by any dentist. An oral surgeon steps in when the tooth cannot be removed in one piece, when the roots are curved or fused to the bone, when the tooth is impacted (has not erupted), or when structures that must be protected lie close by: the inferior alveolar nerve in the lower jaw, the maxillary sinus in the upper jaw.

Oral surgery also prepares the ground for other treatments: it removes a cyst before prosthetic work, adds bone where an implant is planned, or reshapes the ridge so that a denture sits securely.

• Impacted or partially erupted wisdom teeth that become inflamed repeatedly
• Teeth broken below the gum line or with roots that are difficult to extract
• Cysts and lesions at the root tip
• Insufficient bone before an implant: bone augmentation, sinus lift
• Frenula that limit tongue movement or pull on the gum

Wisdom teeth: when to remove them and when to leave them

A wisdom tooth that has fully erupted, can be cleaned and causes no symptoms does not need to be removed just as a precaution. Removal is advised when it causes repeated episodes of pericoronitis (inflammation of the gum partly covering it), when it has decay that is hard to treat, when it presses on the molar in front of it, or when an X-ray shows a cyst around it.

The decision is based on imaging, not on pain. A panoramic X-ray shows the position of the tooth, and for lower wisdom teeth close to the nerve canal a CBCT is taken, so the exact distance to the nerve is visible and the technique can be chosen accordingly.

How a procedure goes

At the consultation we go through your medical history: chronic conditions, treatment with anticoagulants or bisphosphonates, allergies. Based on the imaging we set out the plan and estimate how long the procedure will take.

The procedure is carried out under local anaesthetic. For anxious patients or longer cases, conscious sedation is available. If needed, the tooth is sectioned so that it can be removed in pieces with as little bone removed as possible, and the wound is sutured.

You receive post-operative instructions in writing: what to take for pain, what to eat, how to keep the operated area clean, and when to come back for a check-up or to have the stitches removed.

Recovery: what is normal and when to call the clinic

In the first 2-3 days, swelling, moderate pain that responds to painkillers and slightly limited mouth opening are normal. Cold compresses on the first day and soft, lukewarm food help. Smoking and rinsing vigorously in the first days increase the risk of dry socket (alveolitis), which is the loss of the blood clot from the socket.

Call the clinic if the pain increases after the third day instead of easing, if you develop a fever, if bleeding does not stop with pressure, or if numbness of the lip or tongue persists after the anaesthetic has worn off.

• Day one: cold compresses, no rinsing, no strenuous activity
• Days 2-3: soft food, gentle hygiene, the prescribed painkillers
• After 7-10 days: check-up and, if needed, removal of the stitches
• 1-2 weeks: the gum has healed; the bone continues to remodel for a few months

What it includes

• ✓Complex extractions
• ✓Wisdom tooth extraction
• ✓Bone augmentation
• ✓Sinus lift
• ✓Pre-prosthetic surgery
• ✓Frenectomy

Oral surgery prices

Indicative fees for oral surgery at Smile by Ada, Bucharest. The final price is confirmed at your consultation and depends on the complexity of your case.

• Laser frenectomy

  500 lei≈ €95

• Bone grafting (bone augmentation)

  1,000 lei≈ €185

• Baby tooth extraction

  250 lei≈ €45

• Extraction of a periodontally compromised tooth

  400 lei≈ €75

• Tooth extraction

  700 lei≈ €130

• Erupted wisdom tooth extraction

  700 lei≈ €130

• Root remnant extraction

  700 lei≈ €130

• Partially impacted wisdom tooth extraction

  800 lei≈ €150

• Tooth extraction + curettage + Collacone

  950 lei≈ €180

• Impacted wisdom tooth extraction

  1,050 lei≈ €195

• Impacted canine/premolar extraction

  1,500 lei≈ €280

• Closed sinus lift

  2,300 lei≈ €430

• Open sinus lift

  4,000 lei≈ €750

Fees are charged in Romanian lei (RON). Euro amounts are approximate, at today's National Bank of Romania rate.

Frequently asked questions