Surgical & Wisdom Tooth Extraction

Surgical extraction is used when a tooth cannot simply be lifted out — typically impacted or partly buried wisdom teeth, roots broken below the gum, or teeth that must be sectioned. As a dedicated oral-surgery practice, Uśmiech carries these out daily, planning the position of nerves and roots on its own 3D CBCT scanner. With a consultant anaesthetist on the team, the procedure can be done under local anaesthetic, sedation or general anaesthesia for nervous patients or multiple removals.

A surgical extraction is needed when a tooth is not straightforward to remove — most often lower wisdom teeth that are impacted (stuck against the tooth in front or buried in the jaw), teeth that have fractured at or below the gum line, or roots that need to be taken out in sections. Rather than simply loosening the tooth, the surgeon makes a small incision in the gum, may remove a little surrounding bone or divide the tooth into pieces, and then lifts it out before placing stitches. This is everyday work at Uśmiech, whose principal specialism is oral and maxillofacial surgery. Planning matters for these cases: the clinic's in-house 3D cone-beam (CBCT) scanner shows exactly how an impacted wisdom tooth sits in relation to the nerve in the lower jaw and the sinus in the upper jaw, which helps the surgeon work safely and predictably. Treatment is normally carried out under local anaesthetic, but because Dr Jacek Barancewicz, a specialist anaesthetist, is part of the team, very anxious patients — or those having several teeth or all four wisdom teeth removed in one sitting — can choose sedation or general anaesthesia. Afterwards some swelling and discomfort for a few days is normal; the clinic provides detailed aftercare instructions, pain relief guidance and a review, and dissolvable or routine stitches are removed as needed. Because impacted wisdom teeth vary so much in difficulty, the fee is matched to the complexity of the individual tooth, which is assessed at consultation with the scan.