Tooth and wisdom tooth extraction in Prešov
Sometimes a tooth cannot be saved: it is broken or destroyed by decay, or a wisdom tooth does not have enough room and causes inflammation. At DoubleDent dental clinic, we carry out routine and surgical extractions on site, including impacted (retained) wisdom teeth. The procedures are led by MDDr. Oliver Ternavský, who has been performing surgical procedures since 2016.
When a wisdom tooth should be extracted
Common reasons for extraction
- repeated gum inflammation around a partially erupted tooth
- decay on the wisdom tooth or on the neighbouring tooth
- pressure, pain, a cyst or damage to the neighbouring tooth
- an orthodontist's recommendation before treatment with braces
When a tooth does not need to come out
A wisdom tooth that is healthy, has erupted properly and can be cleaned well does not need to be extracted. We always decide based on an examination and an X-ray, not ‘preventively, just in case’.
In detail: Wisdom teeth: when to have them extracted and when you can keep them · Gum inflammation around a wisdom tooth
How the procedure works
- Examination and X-ray. A panoramic X-ray and, for more complex and impacted teeth, a 3D CBCT scan, so that we know the position of the roots and the nerve.
- Local anaesthesia. During the procedure you feel only pressure, not pain.
- Gentle removal of the tooth. We work under magnification to preserve as much bone and gum as possible. An impacted tooth under the gum or in the bone is removed surgically, often in sections.
- Wound care and stitches. After a surgical extraction, we stitch the wound.
- Instructions and follow-up. You receive written instructions, a prescription for painkillers if needed, and an appointment for a check-up and removal of the stitches.
We refer only very complex cases to a maxillofacial surgery department. If that applies to you, we will tell you straight after the examination.
After the procedure
The first 24–48 hours
Do not rinse the wound, gargle or drink through a straw – the blood clot in the wound is a natural dressing. Do not eat while the numbness lasts; after that, eat cold liquid or puréed food, such as acidophilus milk or plain yoghurt. Cool the area from the outside (20 minutes of cooling, 15 minutes' break), do not smoke, and avoid sport, the sauna and hot baths.
The following days
Mild pain and swelling during the first few days are common. Eat soft, lukewarm food on the opposite side and ideally do not smoke for 3–7 days. From 48 hours onwards, we recommend a 0.2% chlorhexidine mouthwash for about 7 days. Take any medication as instructed by the doctor.
When to contact us
If bleeding does not stop, if pain gets worse after 2–4 days or shoots into the ear, if swelling grows quickly, or if you have difficulty swallowing or breathing, a temperature above 38 °C or an allergic reaction. Outside opening hours, use the emergency dental service.
You will receive detailed written instructions after the procedure.
In detail: After a tooth extraction: dos and don'ts · Dry socket: symptoms and treatment · An implant straight after tooth extraction
Possible complications
An extraction is a surgical procedure. Most patients heal without any problems, but before the procedure we will inform you about possible complications:
- bleeding, swelling and pain
- infection or dry socket (inflammation of the tooth socket)
- limited mouth opening
- damage to a neighbouring tooth or filling
- temporary, rarely permanent altered sensation in the lip or tongue
- opening of the maxillary sinus when upper back teeth are extracted
- the need for further surgical treatment
The risk is reduced by a thorough examination (3D CBCT for complex teeth), a gentle technique and following the aftercare instructions.
Price of extraction
| Treatment | With insurance* | Without insurance |
|---|---|---|
| Extraction of a single-rooted tooth (above-standard service) | €45 | €60 |
| Extraction of a multi-rooted tooth (above-standard service) | €60 | €80 |
| Surgical extraction (e.g. an impacted wisdom tooth) | €90–120 | €140–170 |
| Stitching the extraction wound | €10 | €15 |
* The lower price applies to patients insured with a Slovak health insurer (VšZP, Dôvera, Union). For extractions, a preventive check-up last year is not a condition. Prices are indicative; we will tell you the exact price after the examination. Full price list.
If you would like to replace a missing tooth, have a look at dental implants on implantio.sk. For some teeth, immediate implant placement straight after extraction is possible.
Related articles: wisdom teeth, healing after extraction, dry socket and what to eat after the procedure →
Frequently asked questions
Does wisdom tooth extraction hurt?
The procedure is carried out under local anaesthesia, so you feel no pain during it, only pressure. Once the anaesthetic wears off, the area may be tender for 1–3 days; ordinary painkillers help.
Do you also extract impacted wisdom teeth?
Yes. We remove impacted (retained) wisdom teeth, both under the gum and in the bone, surgically right here at our practice. We refer only extremely complex cases to a maxillofacial surgery department.
How long does the procedure take?
A routine extraction takes a few minutes. A surgical extraction of an impacted wisdom tooth usually takes 20–45 minutes.
Can I go to work after the procedure?
After a routine extraction, usually yes. After a surgical extraction, we recommend resting for the rest of the day.
How much does wisdom tooth extraction cost?
A surgical extraction costs €90–120 for insured patients who had a preventive check-up last year, and €140–170 without insurance.
What complications can occur after a tooth extraction?
Most often bleeding, swelling and pain during the first few days. Less often infection or dry socket, limited mouth opening or temporary altered sensation. With upper back teeth, the maxillary sinus may rarely be opened. We will inform you about the risks before the procedure.
What should I avoid after a tooth extraction?
For the first 24–48 hours, do not rinse the wound, gargle, drink through a straw or smoke. Avoid sport, the sauna and hot food and drinks. Do not eat while the numbness lasts.
Does a wisdom tooth that does not hurt need to be extracted?
Not always. We recommend it if the tooth is partially erupted and keeps becoming inflamed, is decaying or is damaging the neighbouring tooth. We decide based on an X-ray.
Can I get a sick note after the procedure?
If you need one, we will issue a sick note for the day of the procedure. A longer one is usually not necessary. If you need to come back for a check-up, we will also issue one for the day of the check-up. If recovery is more complicated, it is better to arrange sick leave through your GP.
I am very nervous about the procedure. What will help?
Tell us in advance. During the procedure we can play your favourite music, or you can bring your own headphones. An object you can squeeze in your hand can also help. We give the anaesthetic as gently as possible and work carefully. We are able to complete almost all extractions, even for patients who are anxious.
What can I eat after a tooth extraction?
On the day of the procedure, cold liquid or puréed food, such as acidophilus milk, plain Greek yoghurt or protein yoghurt – after a more demanding procedure, also on the following day. After that, soft, lukewarm food. Chew on the other side and avoid hot, spicy and crumbly food. More in the article After a tooth extraction: dos and don'ts.
What can replace an extracted tooth?
Most often a dental implant, or alternatively a bridge – you will find a comparison in the article Implant or bridge? We discuss the options before the procedure.
Book an examination
DoubleDent Dental Clinic, Masarykova 25A, Prešov. Opening hours Mon–Fri 7:00–15:00. We accept new patients and have contracts with all three Slovak health insurance companies (VšZP, Dôvera, Union).
+421 948 955 416Contact form
