Oral surgery

If a tooth is severely damaged and there are no reasonable ways to restore it, such tooth must be extracted. A minimally injuring (atraumatic) tooth extraction allows for a smoother implant placement in the future. If the procedure is planned before tooth extraction, dental implant may be inserted immediately after tooth extraction. However, if the situation is unfavorable, implant placement may be delayed and alveolar augmentation may be performed after tooth extraction by inserting bone substitute, platelet-rich fibrin (PRF) or even tissues produced from the extracted tooth (called dentin grind).

Post-extraction view, significant bone defect on the facial side.

Tooth extraction is also performed for improperly erupted wisdom teeth.

Impacted teeth are teeth that are not erupted, partially erupted or stuck. Wisdom teeth are impacted most often. The most common reasons for wisdom tooth extraction:

Before orthodontic treatment
Recurring inflammation in the wisdom tooth region
Unfavorable prognosis: large cavity, non-restorable tooth, difficult root canal treatment
No opposing tooth, difficult to clean, rotated, improper position
Damage to adjacent tooth, when the wisdom tooth complicates treatment
Cyst formation
Mucosal trauma
Improper wisdom tooth position restricts jaw movements and is thought to be a risk factor for temporomandibular disorders (TMD)

During consultation the oral surgeon will evaluate the position of your wisdom teeth or other impacted tooth, whether it is necessary to extract them, extraction technique (non-complicated, complicated/surgical extraction), anesthesia (local, intravenous, general), preparations needed for the procedure, will explain possible risks and complications.

Preparation for tooth extraction:

Before tooth extraction, a panoramic X-ray will be done to evaluate the tooth and surrounding anatomical structures. The clinician may decide to perform a computed tomography test or a dental X-ray before or during the procedure.

No preparation is necessary for non-complicated tooth extraction. Have a meal before the procedure, since it is not recommended to eat 2 to 3 hours after tooth extraction.

If a complicated/surgical extraction under intravenous sedation is performed, the following tests are recommended: Full blood test, blood glucose test, blood clotting tests (APTT, PT, INR), urine test and electrocardiogram (ECG).

Postoperative care:

It is normal to expect swelling, reddening, tenderness of the surgical site. Usually the swelling increases 2 to 4 days after the procedure.
There may also be pain upon touching the area. It usually starts to decrease after 3 to 4 days.
Bruising visible on the face. Usually most visible 2 to 4 days post procedure. Does not require any additional treatment. During resorption, the color of the bruise changes (from reddish blue to greenish yellow). The adjacent areas may also develop bruising. The size of the bruising depends on the scope and type of surgery and the body reaction to the procedure.

Aside from tooth extraction, other oral surgery procedures are performed in the ProDentum clinic:

Tooth, tooth root and tooth germ surgical extraction.
Canine tooth uncovering (for planned orthodontic treatment).
Osteotomy (to facilitate orthodontic treatment).
Orthodontic implant placement.
Autotransplantation.
Apicectomy.
TMJ repositioning.
Removal of lipomas, ateromas of the face, histological or cytological testing.
Lip or tongue frenulum correction.
Complex bone augmentation procedures (bone blocks, etc.).
Removal of bone spurs (exostoses), vestibuloplasty.
Cyst removal in the jaw area; marsupialization; decompression.
Removal of odontomas, osteomas.
Botulinum toxin / hyaluronic acid injections.

In difficult cases tooth extractions may bee performed under general anesthesia. If necessary, patients may be provided with sick leave. All surgical procedures and consultations are done by the clinic’s oral surgeons.

Illustration of improperly erupted wisdom tooth (due to excess of gums above the tooth, inflammation occurs, it is difficult to clean, therefore such teeth are often extracted)

Oral surgery, tooth extraction price list

The cost is determined during consultation and may be adjusted during treatment.

Oral surgery, tooth extraction

Name
of service

Price

Prof. med.dr. V. Rutkūnas

Incision, drainage

70,00€

€

Treatment of pericoronaritis, alveolitis (dry socket)

70,00€

€

Implant removal

270,00€

€

Extraction of permanent tooth

99,00€

€

Complex removal of a permanent tooth

145,00€

€

Surgical extraction of permanent tooth

200,00-250,00€

€

Extraction of periodontally compromised tooth

65,00€

€

Cyst removal

190,00€

€

Growth removal

190,00€

€

Bollard orthodontic appliance placement (with implant cost)

400,00€

€

Infrazygomatic implant placement (with implant cost)

220,00€

€

Orthodontic implant placement (with implant cost)

150,00€

€

A-PRF

35,00€

€

Usage of blood plasma for better healing (PRF)

130,00€

€

Doctors provides this treatment

Med. dr. Ieva Gendvilienė

Oral surgeon

Milda Vitosytė

Oral surgeon

Other recommended treatments

The ProDentum clinic has a wide range of services and provides patients with the highest level of professionalism.

TFW protocol

TFW protocol includes digital and analog technology used for everything from diagnostic imaging, implant planning to final restoration using special devices for measuring accuracy.

Dental implants

These days treatment using dental implants is safe and effective, and provides the patient means of restoring chewing function and smile with long-lasting results.

Implant placement using dynamic navigation

Dental implant placement is a surgical procedure where high precision is of greatest importance. Extra-precise dental implant positioning has a lower risk of complications, and occasionally allows us to avoid bone augmentation.

Dental implants for edentulous patients

We fully inform our patients about tooth preservation, the consequences of tooth loss and prosthetics.

Tooth prosthetics

Often large scale tooth crown defects cannot be restored using fillings. In these cases, inlays, onlays or crowns may be used to restore damaged teeth.

Ceramic veneers

Veneers are very thin (from 0.2 mm) ceramic plates that cover the outer surfaces of natural teeth.

ZEBRIS JMAoptic system

Prodentum Clinic is one of the most advanced clinics in the practice of applying the latest technologies in the treatment of patients.

Tooth fillings

Fillings help to remove damage caused by tooth decay. The cause of this damage is plaque.

Cosmetic bonding and cosmetic dentistry

It's a modern treatment method to restore damaged or unappealing front teeth. The goal of bonding is to restore a tooth so it blends with the adjacent teeth.

ICON system procedure (treatment of tooth decay without drilling)

Using the ICON system, the initial decay is treated in a microinvasive way (without drilling) while the decay is limited to the enamel and the outer third of dentin.

Treatment of worn teeth

Non-carious lesions, also called tooth wear, is another factor that influences the need for dental work.

Orthodontics

The goal of orthodontic treatment is an effective correction of improper bite. During treatment, tooth and whole arch anomalies are corrected.

Periodontology

Periodontal disease is very prevalent in Lithuania, at 95 percent of adults.

Endodontics

In ProDentum clinic, root canal treatment is performed by highly qualified professionals using leading technology (digital radiology, microscopy and other measures) to achieve the highest quality root canal treatment.

Pediatric dentistry

A child’s first encounter with a dentist should be after the first primary tooth has erupted, when it is generally recommended to bring a child for a check-up.

Dental treatment under sedation

Some patients experience severe discomfort during dental procedures. They may have various fears of sound (made by dental instruments), touch, pricking, smells, unusual environment and other anxieties.

Sinus lift surgery

During the maxillary sinus lift surgery, sinus mucosa is lifted, then protected using a special membrane, and the sinus floor is filled using bone substitute.

Alveolar augmentation using bone blocks/bone substitutes

Alveolar augmentation using a bone block is a surgical procedure where a piece of bone is taken from a donor site in the jaw, and placed in a recipient site.

Professional tooth cleaning

During the procedure ultrasonic, manual and rotary instruments are used to clean mineralized plaque (calculus) and to polish tooth surfaces.

Effective tooth whitening

Tooth whitening procedures are performed to improve the appearance of the teeth. The procedure may be carried out on several teeth or all teeth.

Digital smile design

It is great that today dentistry can use digital technology and visualization to provide an approximate image of the planned result.

Biomimetic dentistry, minimally invasive dentistry

In many cases of different prosthetic methods, the biggest drawback of such procedures - tooth grinding - is unavoidable.

Temporomandibular disorders

Temporomandibular disorders are problems of the jaw joint and chewing muscles.

Sports mouth guards

Sports and injuries go hand to hand. Injuries of the face and teeth are some of the most traumatizing.

Tests and consultations

The goal of all consultations in the ProDentum clinic is to create the most detailed treatment plan which is acceptable in all aspects, taking in consideration patient's general health and the condition of the masticatory system, patient's complaints, financial ability and preferences.

Computed tomography

It is a latest generation 3D tomograph with many advantages for our patients.

Services for clients from abroad

ProDentum clinic specializes in modern digital technology to provide shorter treatment times, reduce the number of visits, and minimize patient discomfort, while achieving excellent treatment results.

Other

In ProDentum clinic, we not only diagnose and treat common dental diseases, but also manage other, more rare problems: denture-caused soft tissue irritation, dental allergies, prosthetics after surgical cancer treatment and others.