Tooth Extractions

 Tooth extraction is often priced at around €50–€100 per tooth in Turkey, while more complex surgical extractions can cost more, especially for broken roots or difficult anatomy.

Common replacement options include dental implants, bridges, or partial dentures. We will discuss the best solution for your individual needs.

Extraction is recommended when a tooth cannot be saved with restorative treatments such as fillings, crowns, or root canal. Typical reasons include advanced tooth decay, deep fractures below the gumline, severe periodontal disease with bone loss, impacted wisdom teeth, or when teeth need to be removed to create space for orthodontic treatment. Timely extraction helps prevent abscesses, spreading infection, misalignment, and jaw pain.

At Maltepe Dental Clinic, we perform:

• Simple extraction – for teeth visible above the gumline, loosened and removed using elevators and forceps.

• Surgical extraction – for teeth that are broken, impacted, or not fully erupted, requiring a small incision and sometimes bone removal or sectioning of the tooth.

• Wisdom tooth extraction – a specific form of surgical extraction for third molars that are impacted, partially erupted, or causing pain and crowding.

• Complex or multiple extractions – when several teeth must be removed at once, often as part of full-mouth rehabilitation, dentures, or implant planning.

A typical extraction at Maltepe Dental Clinic follows these steps:

1. Pre-operative assessment & imaging – detailed medical/dental history, examination, and X-rays or CBCT to evaluate roots, bone, and nearby structures.

2. Anaesthesia – local anaesthetic (and sedation if needed) to fully numb the area.

3. Tooth luxation – elevators or periotomes gently loosen the tooth and expand the socket.

4. Tooth removal – forceps are used for simple cases; in surgical cases a gum flap, small bone removal, and tooth sectioning may be required.

5. Socket cleaning – debridement and irrigation with sterile saline, smoothing sharp bone and, if needed, using socket preservation (bone graft/PRF) when future implants are planned.

6. Suturing & haemostasis – stitches (if needed) are placed, gauze is applied, and you receive clear aftercare instructions.

Initial healing typically takes a few days, with full healing of the socket taking several weeks. Following post-operative instructions is crucial for a smooth recovery.

Modern local anaesthesia makes the area completely numb, so you may feel pressure but no sharp pain during a tooth extraction. For anxious patients or multiple/complex extractions, we can offer conscious sedation (oral or IV) for deeper relaxation while you remain responsive. In some hospital-based or very complex cases (for example, certain impacted wisdom teeth), general anaesthesia may be considered.

On average:

• A simple extraction for a visible tooth takes about 20–40 minutes, including anaesthesia and preparation.

• Surgical or wisdom tooth extractions usually take around 45–90 minutes, depending on the need for bone removal or tooth sectioning.

More time may be needed if multiple teeth are removed or if socket preservation is performed during the same visit.

Good candidates include patients with:

• Advanced decay that cannot be restored

• Severe infection or abscess around a tooth

• Impacted or symptomatic wisdom teeth

• Teeth that must be removed for orthodontics or prosthetic planning

Extraction may be postponed or modified in patients with uncontrolled diabetes, bleeding disorders, those on blood thinners without medical clearance, pregnant women in the first trimester, and individuals with severe systemic illness. These cases require close coordination with the patient’s physician to keep the procedure safe.

Tooth extraction is generally safe, but like all surgery, it carries some risk, including:

• Infection at the extraction site

• Dry socket (alveolar osteitis) – painful exposure of bone when the blood clot is lost

• Nerve injury, especially in lower wisdom tooth cases (usually temporary)

• Sinus exposure for some upper molars close to the sinus

• Prolonged bleeding in patients with clotting issues or on anticoagulants

• Swelling, bruising and jaw stiffness in the first days

Most complications are rare and can be minimised with careful planning and strict aftercare.

When a tooth is badly damaged, options usually include:

• Tooth extraction – removes the tooth completely, eliminates infection, but requires replacement later (implant, bridge, or denture).

• Root canal treatment – cleans and seals the root canals, allowing you to keep your natural tooth, often finished with a crown.

• Crown lengthening – reshapes gum and bone to expose more tooth structure for a crown when decay or fracture is near the gumline.

At Maltepe Dental Clinic, we evaluate X-rays, remaining tooth structure, bone and bite to recommend the most conservative option that still ensures long-term success.

To reduce the risk of dry socket, you should:

• Avoid smoking, vaping, spitting, and drinking through straws for at least 48–72 hours

• Start gentle saltwater or antiseptic rinses after 24 hours, without vigorous swishing

• Take prescribed medications (painkillers, antibiotics when indicated) exactly as directed

• Follow the recommended soft diet, rest, and limited physical activity in the first days

• Maintain good oral hygiene, brushing other teeth while avoiding the socket until cleared by your dentist

Smooth healing depends on careful aftercare:

• Use prescribed NSAIDs (e.g. ibuprofen) for swelling and pain

• If given, complete the full course of antibiotics

• Eat soft foods (soups, yogurt, mashed potatoes, smoothies without straws) for the first few days

• Begin gentle rinsing 24 hours after extraction to keep the area clean

• Continue brushing other teeth, avoiding direct brushing of the extraction site at first

• Attend follow-up visits for suture removal (if present) and healing checks

In the first 24–72 hours, ideal choices are:

• Yogurt (smooth, cooling)

• Smoothies (without using a straw)

• Mashed potatoes and other soft, filling foods

• Warm (not hot) soups and broths

Avoid very hot, spicy, carbonated or alcoholic drinks, which can irritate the wound, disturb the clot and slow healing.

No. You should avoid smoking, vaping, and alcohol for at least 48–72 hours after extraction. These habits significantly increase the risk of dry socket, delay healing, and interfere with clot formation, as confirmed by clinical studies in oral surgery.

Most patients manage well with ibuprofen (for pain and inflammation) and sometimes acetaminophen in combination. In rare, severe cases, short-term prescription painkillers may be used. Antibiotics (such as amoxicillin or clindamycin for penicillin-allergic patients) are prescribed only when there is a high risk of infection, existing infection, or medical conditions that warrant extra protection.