iStomatolog > Surgical dentistry > Teeth extraction

Tooth extraction

How are teeth extracted?

Extraction of teeth, also known as dental extraction or tooth removal, is a surgical procedure in dentistry that involves removing a tooth from its socket in the alveolar bone. It is commonly referred to as "pulling a tooth" by patients and is derived from the

Latin word "extraho," meaning "to extract or remove." At iStomatolog, we try to preserve all of the patient's teeth, even those that the patients themselves believe need to be removed. However, sometimes it is necessary to sacrifice a tooth and perform its extraction.

When is tooth extraction necessary?

Tooth extraction, like any surgical procedure, can be classified as either emergency (as soon as possible to prevent the spread of infection throughout the body) or planned.

Emergency reasons for tooth extraction include various inflammatory diseases that can lead to serious purulent infections (phlegmons, mediastinitis), transverse and longitudinal fractures of the tooth root, diseases of the periodontal tissues (when the teeth fall out of the oral cavity on their own), and others.

Planned tooth extraction may be necessary due to unsuccessful endodontic treatment (inability to pass through the channels of the tooth), orthopedic or orthodontic indications (when a tooth grows not in the dental arch and hinders rational prosthetics of the dental row, or when wisdom teeth are abnormally positioned).

Contraindications for tooth extraction

There are no absolute contraindications for tooth extraction, but there are delayed planned extractions. This is when the patient currently has infectious or cardiovascular diseases, decreased blood clotting (meaning they take medications to prevent high blood pressure), pregnancy in the early or late stages, and also the removal of milk teeth is contraindicated in children if there are no permanent tooth buds.

To ensure a smooth and painless tooth extraction, it is necessary to strictly follow the doctor's recommendations.

How is tooth extraction performed?

1 Stage

Examination and analysis of X-rays

Collecting medical history: patient complaints, previous treatments, oral examination, analysis of X-ray and CT scan data. When the decision is made to remove a tooth, the question of possible options for restoring the lost tooth is addressed.
2 Stage


Conducting an allergy test on the anesthetic with subsequent anesthesia.
3 Stage

Tooth extraction

Tooth extraction can be performed simultaneously with implant placement (one-stage implantation). In situations where implant placement is not possible in one visit with tooth extraction, bone grafting and suturing of the socket of the removed tooth are performed.
4 Stage


The patient receives "Patient Memo After Tooth Extraction" with recommendations for care during the first week after tooth extraction.
5 Stage

Follow-up examination.

The examination is conducted on the next day after tooth extraction. In case of sutures after extraction or in case of one-stage implantation, the patient should come for an examination to the doctor for suture removal in 7-10 days.

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    What are the types of tooth extractions?


    The tooth is erupted and located in the dental arch. The roots are not significantly curved and do not communicate with the maxillary sinus or mandibular canal, and a periodontal gap is visible on X-ray imaging. Minimal surgical instruments are used for such extractions, and stitching is often unnecessary. The risk of complications during and after the procedure is minimal. The patient experiences no or minor pain after the extraction, which does not affect their quality of life. The use of painkillers is usually not necessary.


    When a tooth is located unusually (incorrectly): it has not erupted and lies in the jaw; the roots are intertwined with the roots of the adjacent tooth; the roots are located in the maxillary sinus or mandibular canal, etc. In such situations, tooth extraction is associated with risks and complications, requires the use of special tools and equipment with subsequent administration of medication, bone substitute, and suturing of the socket. If the patient follows all of the doctor's recommendations during the postoperative period, the risk of complications is minimized. Pain sensations during atypical extraction are more pronounced, and the use of pain relievers is required in the first few days.

    What problems can occur after tooth extraction?

    Usually, when a full medical history is taken and the patient undergoes necessary CT scans, complications are minimized. Side effects after tooth extraction may include swelling at the extraction site (which may sometimes be visible on the face), painful and uncomfortable sensations at the extracted tooth site, limited ability to open the mouth, and increased sensitivity to irritants near adjacent teeth. These symptoms typically resolve on their own and do not require additional treatment.

    If complications develop after tooth extraction, it is necessary to seek medical attention. The most common complications are alveolitis (inflammation of the socket of the extracted tooth) and bleeding from the socket after the tooth has been removed. Typically, if bleeding persists in the first few days after extraction, alveolitis may develop. Other possible complications include nasal congestion and discharge (if the tooth roots were located in the maxillary sinus), numbness of the tongue, lips, or chin (due to injuries to the inferior alveolar nerve or compression caused by hematoma).

    Rare complications include trauma to nearby teeth and dislocation of the jaw during extraction.

    Basic recommendations for the healing period

    After tooth extraction, we recommend refraining from physical exertion for several days, avoiding saunas, hot baths, and hypothermia. Oral hygiene during the healing period should be very thorough. In some cases, medications may be prescribed, such as pain relievers, anti-inflammatory drugs, antibiotics, and others.

    What to do after tooth extraction?

    After tooth extraction, we recommend options for tooth prosthetics or implantation. If a patient loses a front tooth, we usually install a temporary prosthesis during the rehabilitation period, thereby reducing the patient's aesthetic discomfort.

    Advantages of tooth extraction at iStomatolog dental clinic in Kyiv

    • Removal of any complexity
    • Painless procedure
    • Effective treatment of complications
    • Follow-up with the patient after extraction
    • Wisdom tooth extraction
    • Minimal complications
    • Effective medication support
    • Children's appointment

    Cost of tooth extraction at iStomatolog

    During the consultation at iStomatolog dental clinic, the doctor will determine the need for tooth extraction or the possibility of treatment after examination and computer analysis. You will also learn about the advantages or disadvantages of the proposed treatment options, as well as possible complications. After agreeing on the treatment plan, a financial argumentation of all stages will be prepared.

    You can find out the cost of the procedure and determine the need and cost of possible additional treatment during the consultation directly at our iStomatolog clinic, by making an appointment through the website form or by calling:

    067 332 4 999, 093 332 4 999.

    Full Price list of dental clinic services is available at the following link 


    No doctor can provide a 100% guarantee because the speed and nature of wound healing after surgery largely depend on the state of the immune system. However, the probability of developing complications can be minimized by strictly following the dentist's recommendations.
    It's better to make an appointment with a dentist. It's possible that a fragment of bone tissue remained in the socket after the tooth was removed, which causes inflammation. The fragment needs to be removed and antiseptic treatment carried out. If this is not done, the inflammatory process will progress, and in the worst case, an abscess or phlegmon will occur.
    Effective anesthesia plays a crucial role in establishing trust between the dentist and the patient. All medical procedures at the iStomatolog clinic are performed painlessly. Pain may occur after the anesthesia wears off (after 2-3 hours), but gentle drugs from the NSAID group are prescribed to alleviate it. Very often, patients do without additional medication, which is achieved through the effective use of the latest techniques used in the treatment of alveolitis.
    Teeth extraction

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
    1. Відсутність очікування біля кабінету.
    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Что такое профессионализм? Это в высшей степени компетентность, уверенность и любовь к своей работе. «Не боюсь и доверяю» - это, пожалуй, определение собственных ощущений от лечения у Елены Дайнецкой. Мой выбор - iStomatolog и никто другой!!!
    Excellent! I was limited in time and came here in hope to fix broken front tooth crown. This is the only available place that made it in one day. Wonderful friendly staff and fabulous technology. Great!
    Тут працюють професіонали вищої кваліфікації.
    Очень рекомендую данную клинику!!!!! Все на высшем уровне!!!! Лечу зубки у Виталия Петровича, врач отличный, мастер своего дела, имеет свой подход к каждому клиенту, всегда с улыбкой и юмором!
    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    С удовольствием рекомендую клинику и желаю Елене и компании всевозможных профессиональных и прочих жизненных успехов! Спасибо за профессионализм и внимательность.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.
    Самая лучшая стоматология в которой я была. Очень рекомендую)

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