Wisdom tooth removal

Wisdom teeth are often a nuisance. They erupt late, often with a violation of the direction of growth, put pressure on neighboring teeth, cause pain, inflammation, and sometimes complications in the form of a cyst or swelling. In such cases, the dentist recommends surgical removal to relieve inflammation, avoid gum injury, and preserve jaw health.

However, after removal, it is important to assess the condition of the dentition. If the loss does not concern a wisdom tooth, but a functionally important unit, then the most reliable solution is dental implantation. The implant replaces the lost root, restores aesthetics, chewing function, and prevents bite deformation.

The Astra Dent dental center network has been providing professional assistance to patients in Ukraine and abroad for over 20 years. There are 14 branches in Kyiv. Here, experienced dental surgeons will advise you, offer you the optimal treatment plan, and take care of your health at every stage.

Why do patients choose Astra Dent for wisdom tooth removal?

The Astra Dent network uses equipment from leading manufacturers. For precise planning of interventions, 3D computed tomography is used on Sirona Orthophos SL devices (Germany). Surgical procedures are performed using piezosurgery, a gentle removal technology that minimizes tissue trauma. The offices are equipped with dental microscopes, coagulators, and high-speed turbines from NSK (Japan), which ensure accuracy and sterility.

Experienced surgeons

In dentistry, patients are treated by doctors with clinical experience ranging from 7 to 34 years. Some doctors are members of the European Association of Maxillofacial Surgery, participate in international congresses, and regularly improve their qualifications.

Individual approach

Before the procedure, a consultation, CT diagnostics, and assessment of root anatomy and risks are conducted. The doctor selects the optimal method of removal, taking into account the patient’s condition, age, and CT scan results.

Implant guarantee

If prosthetics are required after the removal of a wisdom tooth or other tooth, patients can receive guaranteed implantation. Astra Dent uses Straumann, Neodent, Megagen, Bicon, Nobel implants – with proven quality and a service life of over 20 years.

Astra Dent is not only a technical base, but also confidence in the professionalism of doctors and the safety of procedures.

Why is the removal of the wisdom tooth an important procedure?

Wisdom teeth often erupt incorrectly. They can grow at an angle, put pressure on neighboring teeth, or remain partially hidden in the gums. This causes inflammation, pain, malocclusion, cysts, and even destruction of neighboring teeth. If a problem tooth is not removed on time, the risk of complications increases. Accumulation of infection, swelling or difficulty opening the mouth are frequent consequences of ignoring the problem.

In most cases, dentists advise not to wait for acute symptoms to appear. Early removal of the wisdom tooth under CT control allows you to avoid pain and save neighboring teeth.

Advantages of contacting Astra Dent

• Comprehensive preparation. The network provides a free consultation and 3D diagnostics before the procedure. This allows the doctor to clearly assess the position of the tooth and plan a safe intervention.
• Safe and gentle removal. The procedure is performed using piezosurgery, which does not damage soft tissues and reduces swelling after the intervention.
• Comfort for the patient. All manipulations are performed under effective anesthesia. After the operation, the doctor monitors the healing process, provides clear recommendations, and if necessary, prescribes pain relief or additional consultations.
• Experience and stability. Astra Dent has been operating for over 18 years. 14 modern departments in Kyiv, another one — in Lviv. Every day, doctors remove complex wisdom teeth — including those with atypical location and in patients with concomitant diseases.
• Accessibility. The network has offices with barrier-free access. Patients with limited mobility, parents with wheelchairs or people after operations can count on comfortable treatment.

When to remove a wisdom tooth: Astra Dent recommendations

The Astra Dent network believes that not all wisdom teeth require mandatory removal. But there are clinical situations when postponing can lead to complications. Here are the indications for which surgeons advise not to delay the intervention:

• Pain in the ear or jaw. The pressure of the impacted tooth on the nerve endings can cause pain to radiate to the temporomandibular joint or even the ear.
• Pericoronitis. This is inflammation of the gums around a partially erupted wisdom tooth. It is accompanied by swelling, pain, an unpleasant odor and an increase in temperature.
• Pressure or destruction of neighboring teeth. An incorrectly positioned wisdom tooth often presses on the seventh molar. This causes caries or leads to loosening of neighboring teeth.
• Lack of space or trauma to the mucous membrane. If the jaw is too small, the tooth grows at an angle, injures the cheek or tongue, which causes painful sores and constant discomfort.
• Retinal or dystoped teeth. When the wisdom tooth remains completely in the bone or erupts in the wrong direction, it does not participate in chewing, but causes chronic inflammation and bite disorders.

At Astra Dent dental clinics, doctors conduct an examination, CT diagnostics and provide personalized consultation. This allows us to accurately determine whether extraction is really necessary and choose the least traumatic approach.

Levels of complexity of wisdom tooth extraction

In the Astra Dent network, the final cost of the procedure depends not only on the materials or type of anesthesia, but also on the level of complexity of the extraction. Doctors preliminarily assess the situation based on a clinical examination and 3D-CT to determine which of three levels the case belongs to:

• Simple extraction. The tooth is completely erupted, does not have curved or branched roots, and is well fixed in the jaw. The procedure lasts 10-15 minutes, and almost does not require postoperative treatment.
• Semi-retained extraction. Part of the tooth remains in the bone or is covered by the gums. The surgeon needs to make an incision in the tissues, possibly sawing the crown or root. Requires precise planning and takes more time.
• Fully impacted or atypical tooth. Such a tooth has not erupted, is located horizontally or at an angle, often in a hard-to-reach area. Removal is carried out by dissecting the tissues, removing part of the bone, and sometimes suturing. This is the most complex category, requiring experience, precise equipment and postoperative support.

It is the level of complexity that determines the volume of manipulations, the duration of the procedure and, accordingly, the price of removal. At Astra Dent, patients receive a clear explanation before the intervention begins to avoid surprises and have complete financial clarity.

Wisdom tooth removal process

First, the dentist-surgeon examines the patient and prescribes a 3D-CT or panoramic X-ray. This is neces sary to determine the position of the roots, the degree of eruption, and the proximity to the nerve. Such diagnostics allow us to avoid complications during the operation and accurately plan the course of the intervention.

Choice of anesthesia

The Astra Dent network uses several options for anesthesia:

• Local anesthesia is standard for most cases, acts quickly and effectively.
• Computer anesthesia STA is ideal for patients with increased sensitivity or fear.
• Drug sedation is recommended in complex or long-term cases, as well as for patients with anxiety. The person is in a relaxed state, but conscious.

Surgical intervention

Removal can be:

• Simple, when the tooth is completely erupted and has a normal anatomical location.
• Difficult, if the tooth is impacted, partially or completely covered by the gum or bone, or has curved roots. In this case, a gum incision is performed, sometimes – root sawing or crown fragmentation for phased removal.

Suturing

After a complicated removal, the surgeon sutures the wound using self-absorbable or removable sutures. This promotes faster healing and reduces the risk of infection.

After the operation, the doctor gives clear recommendations:

• You should not eat for the first 2-3 hours. Do not touch the area with your tongue or fingers.
• Do not rinse your mouth for 24 hours, avoid hot food and drinks.
• Avoid physical exertion, bending, flying for 2 days.
• If there is swelling, apply cold.
• If there is pain, take recommended medications. If necessary, the doctor prescribes antibiotics.
• A follow-up examination is after 5-7 days. If there were sutures, they are removed or the healing is checked.

Patients are also given instructions on oral hygiene and foods to avoid in the first few days. At Astra Dent, recovery takes place under the supervision of a doctor to prevent complications.

Anesthesia and patient comfort at Astra Dent

In the Astra Dent network, anesthesia is performed taking into account the individual characteristics of each patient. Wisdom teeth removal is painless – even in complex cases.

Computer anesthesia STA

The STA system is a modern solution for patients who are afraid of injections or have increased sensitivity. The anesthetic is administered in doses through a microcannula without sharp pressure. During the procedure, the patient does not feel pain either at the time of drug administration or during the intervention itself.

Local anesthesia

Suitable for most procedures. Acts quickly, provides complete anesthesia of the area. The doctor selects the drug taking into account the patient’s medical history.

Sedation

This method is used for patients who are afraid of surgical interventions or have a negative experience in the past. In a state of drug-induced sleep, the patient remains conscious, but completely relaxed. This allows the doctor to perform all manipulations without stress for the person.

Comfort in the chair, psychological support, monitoring of the patient’s condition at all stages – all these are mandatory standards in Astra Dent departments.

Postoperative care and advice

Proper recovery after wisdom tooth extraction is of great importance. In Astra Dent departments, the patient is always given clear recommendations that help to avoid complications and speed up healing.

The recovery period depends on the complexity of the intervention and the general condition of the body. Usually, tissues heal completely in 7-14 days. In the first 3 days, it is important to reduce the load on the body and follow all doctor’s instructions.

Post-procedure care

• Cold. In the first hours, apply ice to the cheek for 10-15 minutes with breaks. This reduces swelling and pain.
• Diet. Avoid hot, hard, spicy food. In the first days, soft food at room temperature is recommended – pureed soups, yogurts, porridges.
• Hygiene. Brush your teeth carefully, avoiding the area of the intervention. Do not rinse actively for the first day. Then use antiseptic solutions as prescribed by the doctor.
• Medications. Take painkillers or antibiotics if prescribed by the surgeon. Do not change the dosage without consultation.

Contact the department if severe pain persists for 3-5 days, pus appears, the temperature rises sharply or there is severe swelling. These may be signs of inflammation or dry socket that require professional intervention.

The Astra Dent team accompanies the patient not only during the operation, but also throughout the entire recovery stage.

How to make an appointment?

In the Astra Dent network, making an appointment for wisdom tooth extraction or other surgical procedure is quick and convenient. Choose one of 15 modern dental centers – 14 operate in Kyiv an d 1 in Lviv. Administrators will help you choose a convenient time and provide information about the cost, promotions and treatment packages.

Available appointment formats

• by phone: (044) 222 33 33, (066) 222 33 33, (073) 222 33 33;
• online via the website — just select a department and leave a request;
• in person at any of the centers — contact the reception.

For patients, the following are available:

• discounts on 3D diagnostics;
• “Turnkey Implantation” packages with a fixed price.

Centers with barrier-free access

Some patients require additional conditions — the Astra Dent network has created a space that is convenient for everyone. Some departments have ramps, elevators and wide doorways. This is especially important for people with limited mobility, parents with strollers or patients after operations.

Centers with barrier-free access are located at:

• 3a Svyatoshynska St.
• 152 Kharkivske shosse.
• 100-A Vasylkivska st.
• 40 Budivelnykiv st. (equipped with an elevator).

Choose the nearest center with comfortable conditions. We care not only about treatment, but also about the convenience of each patient.