Tooth Extraction
Tooth Extraction in Prague: When It’s Truly Necessary and How the Procedure Works
We consider tooth extraction to be the last resort — performed only when the tooth can no longer be safely restored. The procedure is carried out by an experienced oral surgeon under local anesthesia. Before any extraction, we perform the necessary diagnostics and review your medical history, medications, and possible allergies.
When Tooth Extraction May Be Necessary
- Wisdom teeth: when “eights” grow incorrectly, cause pain, inflammation, or push against neighboring teeth.
- Severe tooth damage: deep decay, cracks, or a fractured root — situations where reconstruction is no longer possible.
- Periodontitis: significant mobility due to the loss of bone support.
- Trauma: injury to the tooth or jaw requiring surgical intervention.
- Orthodontic reasons: lack of space in the arch before braces or aligner treatment.
When the Procedure May Be Postponed (assessed individually)
- acute infection or serious systemic illness,
- intolerance to local anesthetics,
- pregnancy — we choose gentle methods and appropriate timing.
How the Extraction Is Performed
- Examination and imaging (X-ray or CBCT if needed), explanation of the treatment plan, risks, and alternatives.
- Anesthesia: effective local numbing for maximum comfort.
- Tooth removal: gentle extraction of the tooth or root; sutures, hemostatic sponge, or socket stabilization may be used if necessary.
- Aftercare instructions: detailed home care and planning of the next steps (including implant or prosthetic options).
Complex Tooth Extraction
This approach is indicated for atypical root shapes, impacted wisdom teeth, specific bone anatomy, or proximity to nerve structures. To minimize trauma and speed up healing, we use microsurgical instruments, laser technology, and ultrasonic (piezo) surgery.
Post-Treatment Care
- Cooling during the first hours to reduce swelling.
- Diet: soft, cooler foods; avoid hot or hard foods.
- Oral hygiene: gentle brushing from the next day; saline rinses as recommended; clean the area around the wound carefully.
- Avoid smoking and alcohol during healing.
- Check-ups: attend your scheduled follow-ups; if pain or bleeding worsens, contact us immediately.
Root Removal (Atraumatic Extraction)
When the crown is destroyed, the root is fractured, or chronic inflammation is present at the apex, we choose the most conservative technique based on imaging. Options include root-end resection or atraumatic removal with preservation of bone volume for a future implant.
Our goal is to preserve as much natural tissue as possible and ensure safe, predictable healing with a clear plan for restoring your smile.
Surgical Treatment
How a Visit Proceeds
Anesthesia
Before the procedure, local anesthesia is administered to completely eliminate pain and ensure patient comfort during the tooth extraction.
Tooth Loosening
Using specialized instruments, the doctor carefully loosens the tooth, separating it from the surrounding tissues and preparing it for removal.
Tooth Removal
The tooth is gently extracted from the socket. If necessary, the area is treated and the gum is sutured to promote faster healing.
Healing and Result
After the extraction, the healing process begins: tissues recover, inflammation subsides, and the patient returns to normal life without pain.
A space of health and comfort
Follow us on YouTube
The Surgical and Implantology Team at Omni Dent Clinic
Vitalii
Shmaduk
expert in surgery and implantology.
Olga
Fedotova
Václav
Odstrčilík
Contact Us
FAQ
Is tooth extraction painful?
Tooth extraction is performed under effective local anesthesia, so you should not feel any pain during the procedure. You may feel pressure, but not sharp discomfort. After the extraction, mild swelling or soreness can occur for 1–3 days, which is usually manageable with standard pain relievers. At Omni Dent Clinic, we use gentle surgical techniques to minimize trauma and support quick healing.
When do I need an emergency tooth extraction?
Emergency extraction is recommended when acute pain, infection, abscess formation, or severe swelling occurs and the tooth can no longer be saved. Situations such as a severely fractured tooth, spreading infection, or unbearable pain often require immediate intervention. If you experience sudden swelling, fever, or strong pulsating pain, contact Omni Dent Clinic as soon as possible.
How long does it take to heal after a tooth extraction?
Initial soft-tissue healing typically takes 3–7 days, depending on the complexity of the extraction. For complex or surgical extractions (such as impacted wisdom teeth), healing may take a bit longer. Complete bone healing usually occurs within 6–12 weeks. We provide personalized aftercare instructions to ensure safe and predictable recovery.
How much does a tooth extraction cost?
The cost depends on the complexity of the procedure — whether it’s a simple extraction, removal of a broken root, or a surgical/impacted wisdom tooth extraction. Additional factors include anesthesia type, imaging, and the need for socket preservation. After examination and X-ray, we provide a clear, transparent cost estimate tailored to your situation.
Can I replace a tooth immediately after extraction?
In some cases, yes. If bone quality and stability allow, we can place an implant immediately after extraction. In other situations — especially if there is infection, bone loss, or a complicated extraction — we may recommend waiting several weeks and optionally performing bone preservation or augmentation. Your surgeon will determine the safest timing based on your clinical condition.