Tooth Root Removal in Dubai

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Usually, the tooth is removed along with the root system. However, in some cases, the roots can remain inside the jawbone and gums, leading to pain and the risk of infection. This can happen if the tooth is lost:

due to caries or another disease;
as a result of trauma.

Other indications for removal include:

high tooth mobility due to periodontitis – inflammation of the periodontium, i.e., the tissues surrounding the tooth;
a cyst or granuloma that can no longer be treated without extracting the root system;

Issues with wisdom teeth – especially if they are impacted or dystopic, i.e., not fully erupted or improperly positioned.

The above conditions threaten oral health. Also, tooth roots must be removed before prosthetics, implantation, or installing orthodontic constructions used for bite correction. Root remnants can remain not only after the tooth is destroyed due to disease or trauma. In some cases, they remain in the gum due to insufficiently high-quality work by the dentist who performed the tooth extraction. There are symptoms that indicate such a possibility. These include:
pain – normally, it should gradually go away on its own, but sometimes patients complain that it does not stop and even intensifies;
swelling, inflammation of the gum – also should pass on their own, but sometimes this does not happen;
plaque in the place where the postoperative socket is located;
increased temperature;
unpleasant smell from the mouth;

the appearance of pus – especially characteristic of the late stage.

It is important to know that the root will not disappear on its own. It will become a focus of chronic infection. If the decay process has started, this is fraught with particularly serious complications. Extraction can be:
emergency – in case of trauma, in case of purulent inflammation, severe toothache;
planned – in all cases when it is possible to plan the surgical intervention in advance.

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Correction of the bite of teeth without braces, using aligners.

Implantation and crowns

Installing a titanium root instead of a missing tooth in Dubai

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Contraindications

In some situations, the removal of the tooth root is not performed. These include:

blood clotting disorders;
malignant tumors in the body;
cardiovascular diseases, hypertensive crisis;
decompensated diabetes;
bronchial asthma;
epilepsy;
nervous disorders that prevent the patient from adequately perceiving the actions and words of the doctor;
myocardial infarction and post-infarction condition.

Extraction of root system fragments is undesirable during pregnancy, especially in the first and third trimesters. Therefore, it is important to get your teeth in order during the planning stage of pregnancy. In case of an allergic reaction to anesthesia, a consultation with an anesthesiologist is necessary to choose a drug suitable for the patient.

Features of the operation to remove tooth roots

This is a more complex surgical intervention than removing the entire tooth. If the gum has already healed, it will need to be cut beforehand. The features of the operation depend on:

the location of the root – in the upper or lower jaw;
its size;
the condition of the gum around it – the doctor tries to identify signs of inflammation or the onset of necrotization.

Removal is carried out after diagnostics. The dentist performs an examination, takes pictures, allowing a detailed examination of the root and carefully planning the operation. X-rays or computed tomography are used to obtain images.

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Fedotova Diana

19.08.24

A childhood panic of going to the dentist. The specialists at Aesthete help to dispel that fear — they removed the root of my tooth and immediately placed an implant in its place. Thank you for doing quality work and restoring faith in the idea that going to the dentist shouldn't be painful.

Chebotarev Platon

20.08.24

I finally got my teeth sorted out and now I have empty spaces instead of a few teeth in my mouth – just roots. At Aesthete, they really helped me take care of my teeth. We started with removing the remaining roots. The procedure was painless, you can definitely feel their professionalism.

Romanov Matvej

20.08.24

I had my wisdom teeth removed at Aesthete - they were long and crooked. But despite that, the dentist did everything very carefully, without any pain and even quickly. I really liked everything (quality, attitude, prices). Planning to come back here for implants.

Volkov Mixail

20.08.24

I messed up my tooth so bad, only the root was left and it started getting infected. I had to find a clinic to get the infected root removed. They took it out at Aesthete dentistry - quick and painless. They treated the wound, put a stitch in it - and in a few days it was like they never removed anything.

Skvorczeczki Sergey

27.08.24

The dentist did everything for my comfort. No scary tools or serious injuries - everything was quick and comfortable.

Bolotov Artem

27.08.24

I was scared to go through with the surgery, but your doctor explained everything perfectly. I relaxed, and the operation went smoothly. It wasn't painful at all.

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Preparation for removal

At the preparatory stage, the doctor determines what kind of operation is required: simple or complex. He also decides what anesthesia will be used. If necessary, additional examination is prescribed to select suitable anesthesia and determine the dosage. Oral sanitation may be required, which ensures that infection will not enter the postoperative wound. It may be necessary to treat caries and other diseases first. A day before the operation, it is recommended to exclude intense physical activities – sports, heavy work. It is advisable not to overheat, so do not visit a sauna or beach, or go to the beach. On the day of the procedure, you need to eat – food can be consumed 2-3 hours after the surgical manipulations are completed. Also, a well-fed body copes with stress more easily, and primary wound healing will be faster. If you are taking blood-thinning medications, you need to stop taking them. If this is undesirable, discuss with the doctor whether they can be replaced with other drugs or switch to a safer dosage. The intake of mild sedatives is allowed to relieve nervous tension.

Types of Surgery

Surgical intervention is carried out in several ways. The doctor chooses the appropriate solution according to the clinical situation.

When the Crown is Destroyed

This option is chosen if the crown part is severely damaged, and it is not possible to use the root for tooth restoration with an implant. The dentist uses forceps or an elevator depending on which root needs to be removed: incisor, canine, or molar, from the upper or lower jaw. If dealing with a complex, branched root system, it is divided into parts, each of which is extracted separately.

When Preserving the Crown

In this case, the doctor has three methods at their disposal.

Apicoectomy. The surgeon removes only the part where a cyst has formed.
Hemisection – this method is usually applied to the chewing units of the lower row. It involves removing the root along with the adjacent part of the crown.
Amputation – complete removal. This method is used only on the upper row of teeth.

Tooth Root Removal

Title

Price
Tooth Root Removal

from 1400 AED

More Dental Services

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Stages of Tooth Root Removal

Regardless of the type of operation chosen, simple or complex, it is carried out in several stages.

Before removal, anesthesia is necessary so that the patient does not experience painful sensations. In most cases, local anesthesia is sufficient. If the patient has dentophobia, i.e., a panic fear of dental manipulations, or a complex, lengthy extraction is planned, alternative options can be used. These include:

general anesthesia;
sedation – a medicated sleep induced with nitrous oxide and similar means.

Once the anesthesia takes effect, the doctor detaches the gum from the root or makes an incision in the gum using a scalpel or ultrasonic cutter. In some cases, it is additionally necessary to drill bone tissue to access the root.

A simple operation usually takes a few minutes and does not require special preparation. To extract roots from the upper jaw, the doctor uses forceps, as they are well suited for gripping and then pulling out the root. If working on the lower jaw or the tooth has a branched multi-root system, the dentist often takes an elevator, which is better suited for loosening. The doctor uses rotation to twist out the root, or rocks it from side to side, and then pulls it towards themselves.

Complex removal takes more time. Typically, this option is used if it is necessary to get rid of a branched multi-root system. It is divided into fragments, each of which is extracted separately. Additional tools may be needed – scalpel, drills, scissors. Fragmentation is also used if it is necessary to extract root fragments that cannot be hooked or gripped due to an incorrect shape.

After extracting the root, the doctor examines the socket and ensures that the work is done well. They use a gauze pad or a hemostatic sponge to stop bleeding and apply sutures. Anti-inflammatory drugs may also be used to treat the postoperative wound.

Usually, sutures are made from self-dissolving material, so they do not need to be removed. But if the doctor used another material for some reason, they will tell you when to come for suture removal. You will also need to visit the dentist so that they can examine the socket and ensure it is healing without complications.

Possible Complications

Tooth root removal places a serious strain on the body. Natural reactions to surgical intervention will be:

pain;
bleeding;
swelling.

Usually, these symptoms disappear on their own. Painful sensations and swelling can persist for 3-4 days, bleeding stops within a day or two. If this does not happen, it is necessary to see a doctor as soon as possible: complications may have arisen, caused by infection entering the postoperative wound.

The most common problem is alveolitis, inflammation of the socket. It occurs because the blood clot, which should protect the socket from infection, did not form or shifted, did not fit tightly to the edges of the wound because the patient did not follow the doctor's recovery recommendations.

Symptoms of alveolitis include:

severe pulsating pain at the site of the operation;
swelling of the gum;
unpleasant smell from the mouth;
increased salivation;
general weakness, rapid fatigue;
body temperature rising to 38.0 °C, if reduced with antipyretics, it returns to the previous level after some time.

If alveolitis is not treated, it can cause odontogenic sinusitis or abscess. The worst-case scenario is osteomyelitis, a purulent infectious-inflammatory process in the jawbone, which eventually leads to the death of bone tissue.

Alveolitis is a well-studied disease; it is not difficult to cure if measures are taken in time.

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Dr. Artavazd Manukyan

CEO and Founder

Experience: more than 19 years

Dr. Ilya Kilimnichenko

General and aesthetic dentist

Experience: more than 14 years

Dr. Mavidis Charalampos (Harris)

General Dentist

Experience: more than 12 years

Dr. Olga Emelianova

Specialist Orthodontist, PhD

Experience: more than 20 years

Dr. Vostrikova Iuliia

General Dentist

Experience: more than 14 years

Dr. Luminitsa Visan

General Dentist

Experience: more than 10 years

Dr. Kichigina Margarita

General Dentist

Experience: more than 8 years

Dr. Polina Ganzhara

Pediatric dentist

Experience: more than 9 years

Akieva Kamila

Oral and Maxillofacial surgeon

Experience: more than 10 years

Regina Marchenko

Clinic manager

Shevtsova Nadezhda

Сlinic manager

Dr. Artavazd Manukyan

CEO and Founder

Experience: more than 19 years

Dr. Ilya Kilimnichenko

General and aesthetic dentist

Experience: more than 14 years

Dr. Mavidis Charalampos (Harris)

General Dentist

Experience: more than 12 years

Dr. Olga Emelianova

Specialist Orthodontist, PhD

Experience: more than 20 years

Dr. Vostrikova Iuliia

General Dentist

Experience: more than 14 years

Dr. Luminitsa Visan

General Dentist

Experience: more than 10 years

Dr. Kichigina Margarita

General Dentist

Experience: more than 8 years

Dr. Polina Ganzhara

Pediatric dentist

Experience: more than 9 years

Akieva Kamila

Oral and Maxillofacial surgeon

Experience: more than 10 years

Regina Marchenko

Clinic manager

Shevtsova Nadezhda

Сlinic manager

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Recovery Recommendations

To avoid complications, it is necessary to strictly follow the doctor's recommendations. The surgeon will tell you what to do after removing the tooth root. Usually, it is necessary:

not to eat or drink for 2-3 hours after the surgical intervention, and then consume soft food and drinks that are neither too hot nor too cold;
to refrain from alcohol and smoking for the entire period of healing of the postoperative wound;
not to overheat, to avoid provoking recovery, which means not visiting a sauna, solarium, or beach;
to reduce the intensity of physical activities – not to lift or carry heavy objects, limit or cancel sports activities;
not to rinse the mouth;
not to touch the postoperative socket with the tongue, not to chew food on that side of the mouth, in general, try not to disturb the area where the operation was performed;
to take anti-inflammatory and pain-relieving drugs prescribed by the doctor.

If pain, swelling, bleeding do not stop and even intensify, be sure to inform your dentist.

AESTHETE dental clinic is located in Dubai (UAE), Bluewaters Island. We provide services for removing tooth roots for adults and children. Our doctors are experienced, highly qualified specialists; they perform the procedure efficiently, striving to minimize discomfort, pain, and unpleasant sensations. They have the necessary tools and materials at their disposal.

The price of services is listed in the price list on the website. Contact the clinic administrator to clarify the cost and ask other questions you are interested in. The administrator will provide additional consultations, help choose a time for a visit to the doctor, and make an appointment.

FAQ

Is there a difference in removing the root of an upper or lower tooth?

Yes, there is a significant difference. To extract the root of a lower tooth, dentists use an elevator – a tool consisting of a wide rod and a working part with a groove, which is narrower and pointed. It is placed between the jawbone and the root, after which the doctor rotates the handle. To remove the root of an upper tooth, bayonet forceps are used. The appropriate tool is selected according to the type of dental unit. The dentist first separates the circular ligament and then twists out the root.

Literature sources

Li J, Parada C, Chai Y. Cellular and molecular mechanisms of tooth root development. Development. 2017 Feb 01;144(3):374-384.
Kasahara E, Yasuda E, Yamamoto A, Anzai M. Root canal system of the maxillary central incisor. J Endod. 1990 Apr;16(4):158-61
Orr DL. Root Tip Recovery via Root Canal Instrumentation. J Oral Maxillofac Surg. 2015 Dec;73(12):2282-4.