Oral Surgery

At VILIDA in Obolon, Kyiv, operations are performed by surgeons who are also implantologists. Panoramic X-rays and CT scans are taken right here in the clinic, so before surgery the surgeon can see the roots, bone thickness, nerve and sinus, and you know in advance how the operation will go and how much it will cost. Most procedures are done under local anaesthesia; if you feel anxious or the procedure is long, you can choose treatment while you sleep.

• from 3 770 UAH

  category I tooth extraction

• CT in the clinic

  plus a panoramic X-ray before surgery

• Asleep

  you can sleep through surgery under sedation

• Implant surgeons

  extraction and implant in the same hands

What an oral surgeon does

An oral surgeon is a dentist who, after dental school, specialised in operations inside the mouth. Oral surgeons do not place fillings or treat root canals: that is the work of a general dentist. When a tooth can no longer be saved, or the problem lies in the bone or soft tissue, the patient is referred to a surgeon.

• General dentist

  Treats decay, pulpitis and root canals, places fillings. Decides whether a tooth can be saved.

• Oral surgeon

  Removes teeth and roots, treats cysts, releases the frenulum, rebuilds bone, places implants.

• Maxillofacial surgeon

  A broader specialty: besides surgery inside the mouth, jaw injuries, tumours and facial developmental defects. Major operations take place in hospital.

A surgeon who also specialises in implants is an implant surgeon. These are the doctors who operate at VILIDA: they remove the tooth, rebuild bone if there is not enough, and place the implant, and our head doctor Oleksiy Vakhtin is also a maxillofacial surgeon.

When you need an oral surgeon

Our oral surgery services

Each procedure has its own page: how it is done, how long healing takes, prices and answers to common questions.

Save the tooth or extract it

Extraction is not the first thing a surgeon suggests. First we find out whether the tooth can be treated: the general dentist treats the root canals under a microscope, and if inflammation at the root does not settle, the surgeon performs a tooth-saving operation called root-end resection. Your own tooth with a reliable filling or crown is worth fighting for.

If the tooth cannot be saved, we make the plan before surgery: the surgeon and the prosthodontist agree on what will replace it, whether an implant, a bridge or a denture. This shapes the extraction itself: when an implant is planned, the tooth is removed so as to damage the bone around the socket as little as possible, and if needed the socket is filled with bone graft material straight away.

Diagnostics and anaesthesia

Before surgery, the surgeon always looks at an X-ray. A panoramic X-ray (orthopantomogram) shows all the teeth and both jaws, while a CT scan gives a 3D image: the shape and number of roots, the mandibular nerve canal, the floor of the maxillary sinus and the thickness of the bone. Both are taken in the clinic, so you do not need to go anywhere else for them.

Under local anaesthesia the area goes completely numb, and during surgery you may feel only pressure. If the dental chair itself frightens you or the procedure is extensive, it can be done under deep sedation: treatment while you sleep, with an anaesthetist monitoring you the whole time.

Before surgery, be sure to tell the surgeon if you:

• take blood thinners or medicines to strengthen your bones, including for osteoporosis;
• have a chronic condition such as diabetes, high blood pressure, heart or thyroid disease;
• have reacted badly to anaesthesia before or are allergic to any medicines;
• are pregnant or planning a pregnancy.

Do not stop any medication on your own: if the regimen needs to change, the surgeon will agree it with the doctor who prescribed it.

How oral surgery treatment works

1. Consultation

   first visit

   The surgeon asks what is bothering you, examines the tooth and gums, and explains whether surgery is needed and what the options are.

2. X-ray and plan

   in the clinic

   A panoramic X-ray or CT scan and, if needed, an opinion from the general dentist or prosthodontist. After that you know the plan, timing and cost.

3. Preparation

   if needed

   Treatment of neighbouring teeth, professional cleaning and agreeing on your medicines. What to do the day before is covered in our article on preparing for a tooth extraction.

4. Surgery

   local anaesthesia or sedation

   The surgeon performs the procedure under anaesthesia or sedation, places stitches if needed and explains how to care for the wound at home.

5. Healing and follow-up

   as scheduled by the surgeon

   At the check-up the surgeon looks at how healing is going, removes the stitches and plans the next step with you: a crown, an implant or a denture.

How much oral surgery costs

The cost of an operation depends on its complexity. In the clinic’s price list, extractions are divided into categories, from simple to extremely complex, with impacted teeth and wisdom teeth priced separately. The surgeon determines the category at the examination based on the X-ray, so you will know the amount before surgery.

Consultation and X-ray prices are in the Prices section. The surgeon will quote the cost of cyst treatment and tongue-tie release after an examination. Prices for removing baby teeth are on the children’s dentistry page.

Questions and answers