Oral Surgery in Warsaw

Oral surgery is the branch of dentistry covering procedures that go beyond conservative treatment: from the extraction of impacted teeth (wisdom teeth), through root-end resection (apicoectomy), to bone augmentation before an implant. At the Adent clinic in Mokotów, procedures are performed by dental surgeons with experience in maxillofacial surgery, under local anesthesia and planned on the basis of X-ray imaging (panoramic X-ray or CBCT, taken on referral at an external imaging center).

anesthesiaprocedure under local anesthesia
wisdom teeth and complex extractionsimpacted teeth
CBCT / panoramic X-rayat an external imaging center

Oral surgery specialists at Adent

Surgical procedures are performed by dental surgeons with experience in maxillofacial surgery, complex extractions and implantology. The same dentists who remove a tooth also carry out the subsequent implant-based restoration.

WŚ

Dr Wojciech Świątkowski, PhD

Specialist in dental surgery · maxillofacial surgeon

A surgeon with many years of clinical experience and a member of the Polish Society of Oral Surgery and Maxillofacial Surgery. He performs complex extractions of impacted teeth, root-end resections and implant placement.

maxillofacial surgerywisdom teethimplants
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IK

Igor Kresa

Specialist in dental surgery

A dental surgery specialist who performs extractions of impacted teeth and complex extractions, root-end resections and implant placement. He carries out the surgical procedures that form the first stage of replacing missing teeth.

complex extractionsimpacted teethresections
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Procedures are also available in English and Swedish. You can meet all of the clinic’s dentists on our team page.

Scope of surgical treatment

We plan surgery in connection with conservative treatment, endodontics and subsequent restoration. Click a topic to see the details and prices.

Range of oral surgery procedures

Oral surgery covers procedures that go beyond standard conservative treatment. At the Adent clinic we perform, among others:

Simple extractions

Removal of single-rooted teeth that are accessible in the dental arch.

Complex extractions

Removal of multi-rooted teeth or teeth with difficult access, requiring a surgical technique.

Wisdom teeth (impacted teeth)

Surgical removal of wisdom teeth that have not erupted properly and remain embedded in the bone or gum.

Root-end resection

Removal of the diseased part of the root through the bone when root canal treatment is not sufficient.

Bone augmentation and sinus lift

Rebuilding bone volume and raising the floor of the maxillary sinus to prepare the site for an implant.

Oroantral communication closure

Surgical closure of an opening between the oral cavity and the maxillary sinus that has formed after an extraction.

Frenuloplasty (frenectomy)

Correction of a frenulum of the lip or tongue that is too short and affects speech, oral hygiene or tooth alignment.

Abscess incision

Decompression and drainage of an acute inflammation, which helps relieve pain.

The most common surgical procedure is tooth extraction, performed in cases of advanced decay that rules out restoration, chronic inflammation, deep root fractures, for prosthetic reasons, or when wisdom teeth are impacted.

Wisdom tooth removal (impacted teeth)

Wisdom teeth (third molars) often do not have enough room to erupt properly and remain impacted in the bone or gum, which leads to recurring inflammation, decay of neighboring teeth and pain.

Why an X-ray is needed before wisdom tooth removal. Before an impacted tooth is surgically removed, a panoramic X-ray (orthopantomogram) or a CBCT scan is taken (on referral, at an external imaging center) to assess the position of the tooth, the course of its roots and its proximity to the inferior alveolar nerve and the maxillary sinus. On this basis the surgeon plans the surgical technique and reduces the risk of complications.

How a surgical procedure works

Every procedure follows a predictable protocol: from diagnosis, through anesthesia and the procedure itself, to wound care and healing instructions.

  1. Diagnosis and planning

    Medical history, clinical examination and X-ray imaging (panoramic X-ray or CBCT, taken on referral at an external imaging center). The starting point is a dental check-up, which makes it possible to assess the anatomy and plan the procedure.

  2. Anesthesia

    Local anesthesia keeps discomfort to a minimum during the procedure; for patients with severe anxiety we offer sedation or treatment under general anesthesia.

  3. Surgical procedure

    Tooth removal, resection or another procedure performed with a technique matched to the clinical situation, under sterile conditions.

  4. Wound care

    Cleaning the socket, placing sutures if needed and allowing a blood clot to form, which acts as a natural dressing for the wound.

  5. Healing and follow-up

    Suture removal and assessment of healing; discussion of the next steps: replacing the missing tooth with an implant or a prosthetic restoration.

Aftercare following oral surgery

Proper care after the procedure shortens healing and reduces the risk of complications. The key is to protect the blood clot in the socket.

  • For 24 hours, do not rinse your mouth vigorously so as not to disturb the blood clot.
  • Apply cold compresses to the cheek: they reduce swelling during the first day.
  • For 48 hours, avoid smoking, alcohol, hot drinks and physical exertion, which slow down healing.
  • Eat soft, lukewarm food on the side opposite the wound; brush your teeth gently, avoiding the wound.
When to contact the dentist. Severe, increasing pain that appears 2–3 days after an extraction (possible dry socket: a missing blood clot and exposed bone), persistent bleeding, fever or extensive swelling require an urgent check-up. Smoking and rinsing the wound during the first day increase the risk of dry socket.

Safety and contraindications

The dentist decides whether a patient qualifies for the procedure based on the medical history and examination. Some conditions and medications require extra caution or a consultation before the procedure.

  • Anticoagulant and antiplatelet medications: inform the dentist and do not stop taking them on your own.
  • Bisphosphonates and osteoporosis medications: they may affect bone healing and require individual assessment.
  • Uncontrolled diabetes, heart disease, reduced immunity: the procedure is planned in consultation with the patient’s attending physician.
  • Pregnancy: elective procedures are best postponed; urgent ones are performed with due caution.

Oral surgery and other dental fields

Surgery is usually one stage of a larger treatment plan and is connected with implantology, endodontics and orthodontics.

Book a surgical consultation

Mokotów, Al. Niepodległości 210/1, 5 minutes from Pole Mokotowskie metro station. Wisdom tooth removal or another procedure under anesthesia, planned on the basis of X-ray imaging.

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Why choose oral surgery at Adent

The Adent clinic is located at Al. Niepodległości 210/1 in Mokotów, 5 minutes on foot from Pole Mokotowskie metro station, convenient for patients who work in central Warsaw. Procedures are performed by dental surgeons with experience in maxillofacial surgery, under local anesthesia and, if needed, under sedation. We provide continuity of care: from diagnosis and extraction, through bone augmentation, to implant and prosthetic restoration, all with the same dentists. We treat patients in Polish, English and Swedish.

Frequently asked questions about oral surgery

Does tooth extraction hurt?

The procedure is performed under local anesthesia, which keeps discomfort during the extraction to a minimum. Afterwards there may be temporary swelling and discomfort, which can be eased with cold compresses and painkillers as advised by the dentist.

How long does wisdom tooth removal take and how much does it cost?

Surgical removal of an impacted wisdom tooth usually takes from a dozen or so minutes to several dozen minutes, depending on the position of the tooth. The cost depends on the level of difficulty (simple, complex or impacted extraction) and is determined after an X-ray assessment; indicative prices can be found in our price list.

What is an impacted tooth (wisdom tooth)?

It is a wisdom tooth that has not erupted properly and has remained in the bone or gum because of a lack of space. Impacted wisdom teeth can cause inflammation, pain and decay of neighboring teeth, which is why they often require surgical removal preceded by an X-ray.

How long does it take for the wound to heal after an extraction?

A blood clot forms during the first day, and the gum closes over the wound within 1–2 weeks; the bone takes longer to remodel. For the first 24 hours you should not rinse your mouth so as not to disturb the clot, and for 48 hours you should avoid smoking and alcohol, which slow down healing.

What is a dry socket?

A dry socket is a painful complication after an extraction in which the blood clot has not formed or has been lost, exposing the bone. It shows up as severe pain 2–3 days after the procedure. Smoking and rinsing the wound during the first day increase the risk; it requires a check-up and treatment of the socket by the dentist.

What happens after an extraction: how can the missing tooth be replaced?

The gap left by an extracted tooth can be filled with an implant (most often), a bridge or a denture. Under favorable conditions, the implant is placed immediately after the extraction. Leaving the gap leads to shifting of the teeth and bone loss.

What is root-end resection?

It is an endodontic surgery procedure that involves removing the diseased root tip through the bone. It is used when root canal treatment has not been effective and repeat treatment is not possible, and it makes it possible to keep the tooth instead of removing it.

Can teeth be extracted during pregnancy?

Elective surgical procedures are best postponed until after delivery. Urgent extractions (for example due to acute inflammation) are performed with due caution, usually in the second trimester, after consultation with the physician managing the pregnancy.