Wisdom teeth · Oral surgery · Prague
Surgical removal of wisdom teeth — safely, calmly and with a plan.
We plan each procedure on a 3D CBCT scan so we know the exact position of the nerve. Depending on your wishes and the extent of the procedure, we work under local anaesthesia, with laughing gas, or with you asleep under an anaesthesiologist’s care — and we support healing with A-PRF from your own blood.
We speak English. The booking form is in Czech — email or call us if you prefer.
Our philosophy
Not every wisdom tooth has to come out.
We remove problem wisdom teeth — for example with repeated inflammation, untreatable decay or damage to the neighbouring tooth. If a wisdom tooth shows no signs of disease and no significant risk of future complications, regular monitoring may be the right choice.
We decide based on the examination, the X-ray, the tooth’s development and its relation to the surrounding structures, weighing the benefits and risks of removing and of keeping it together with you. Age alone, or the tooth not having erupted, is not enough of a reason.
Good care means knowing when to act — and when to watch.
Wisdom teeth
When do we prefer extraction?
We do not consider removing all wisdom teeth “just in case” an automatic solution. Nor do we postpone extraction of a tooth that keeps causing trouble or threatens its neighbour.
- —repeated inflammation or pain,
- —decay on the wisdom tooth or on the neighbouring tooth caused by its position,
- —the tooth cannot be cleaned,
- —a cyst or resorption of the neighbouring tooth,
- —an orthodontic plan that needs the space.
- —is fully erupted and can be cleaned,
- —has no decay or signs of inflammation,
- —works in the bite,
- —has healthy bone and gum around it,
- —may be useful in the future — e.g. for transplantation.
CBCT planning
Before we start, we know exactly where the nerve runs.
The roots of lower wisdom teeth often lie right next to the inferior alveolar nerve, which gives sensation to the lip, chin and teeth. On an ordinary panoramic X-ray the root and nerve overlap and you cannot reliably tell whether they touch.
So for every wisdom tooth whose position requires it, we take a 3D CBCT scan. It shows the root’s relation to the nerve in millimetres, the shape of the roots and, for upper wisdom teeth, the distance from the maxillary sinus. We then choose the approach that best protects the nerve.
When the root lies directly on the nerve, a coronectomy can be considered — we remove the crown and upper part of the tooth and leave the root in the bone. Temporary changes in lip sensation after lower wisdom tooth removal are reported in a few per cent of patients; permanent ones are rare. We discuss this risk openly with you beforehand.
Comfort during the procedure
Pain-controlled, and if you wish, stress-free
We choose the anaesthesia together, according to the extent of the procedure, your health and how anxious you are. With every option, the aim is that you feel no pain during the procedure.
What we treat
Surgical procedures
After the procedure
What to expect after an extraction
Reactions vary between patients. This is a general guide — you get exact instructions based on how your procedure went.
Call the clinic (+420 777 585 233) if pain gets worse after day three instead of better, bleeding does not stop after biting on a sterile swab, you have a fever, growing swelling or difficulty opening your mouth, or an unpleasant smell with intense pain (possible dry socket).
FAQ
About extractions and wisdom teeth
Does every wisdom tooth have to be removed?+
No. A fully erupted wisdom tooth that can be cleaned, has no decay or inflammation and works in the bite can stay and simply be monitored.
What if the wisdom tooth is lying sideways?+
A horizontally positioned tooth often cannot be cleaned and may damage the neighbouring tooth, so extraction is usually indicated even if it doesn’t hurt now. We assess the relation of the roots to the nerve and sinus on CBCT beforehand.
Does surgical wisdom tooth removal hurt?+
It is done under local anaesthesia, with the aim that you feel no pain during it; you may feel pressure. Afterwards there is sensitivity and swelling that varies between patients. You receive instructions for relieving it before you leave.
Can all four wisdom teeth be removed at once?+
Yes, most often while you are asleep with an anaesthesiologist — you heal only once and don’t remember the procedure. Under local anaesthesia we usually remove them side by side, so one side is left for chewing.
Is there a risk of nerve damage?+
The risk exists mainly with lower wisdom teeth whose roots lie close to the nerve. That is why we plan on CBCT and choose a gentle approach — for risky teeth also a coronectomy. Temporary changes in sensation occur in a small proportion of patients; permanent ones are rare.
Is A-PRF safe?+
Yes. It is your own blood without additives, so there is no risk of allergy or infection transmission. The blood draw is the same as for a routine blood test.
Were you told a tooth has to come out?
We are happy to look at it. Sometimes extraction is the right solution — and sometimes there is a way to keep the tooth.
The online booking form is in Czech — you can also email info@d3nt.cz or call +420 777 585 233.