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Tooth Extraction and Oral Surgery in Klaipėda

Tooth extraction and minor oral surgery at Miško Clinic in Klaipėda, for when saving the tooth is no longer possible. For patients with badly decayed, fractured, impacted or troublesome wisdom teeth.

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What is tooth extraction and oral surgery in?

At Miško Clinic, tooth extraction is the last option, not the first. Our first aim is always to save the tooth: we treat root canals, raise the bite, and treat the gums.

But sometimes a tooth is so damaged (decayed, fractured below the gum line or with an infection that will not heal) that treatment will no longer work. We then talk about extraction: calmly, with a clear plan and without rushing.

We carry out simple extractions of permanent teeth, complex extractions of fractured or hard-to-reach roots, wisdom tooth removal and the surgical removal of impacted (unerupted) wisdom teeth. We also offer emergency surgical care: opening (incision) of abscesses and suturing of wounds.

Before the procedure we always take an X-ray or a 3D scan so we know the root anatomy, the path of the nerve and any likely difficulties. Afterwards you leave with written aftercare instructions and a contact phone number. If a functional tooth is removed, we discuss straight away how it will be restored: with an implant, a bridge or a denture.

When is it needed?

  • The tooth is so decayed: that it can no longer be restored with a filling or a crown.
  • An infection or abscess that will not heal: after unsuccessful root canal treatment or retreatment.
  • A vertical root fracture: a split running through the tooth that cannot be repaired.
  • A wisdom tooth causing problems: rubbing against its neighbours, hard to clean, with a constantly swollen gum.
  • An impacted (unerupted) wisdom tooth: pressing on the adjacent teeth or at risk of a cyst.
  • Orthodontic reasons: space is needed before correcting the bite.
  • A milk tooth in the way: the permanent tooth is not erupting on time or the bite is developing incorrectly.

How the procedure works

  1. 1

    Consultation and examination

    We assess whether extraction is truly necessary or whether there is an alternative to save the tooth.

  2. 2

    X-ray or 3D CBCT scan

    Especially important for wisdom and impacted teeth. We see the roots, the nerve and the bone structure.

  3. 3

    Confirming the plan and price

    We agree clearly on what will be done, how much it will cost and what comes after the extraction.

  4. 4

    Local anaesthetic

    Modern anaesthetics are administered slowly so there is no discomfort.

  5. 5

    The procedure itself

    A simple removal or, in complex cases, a gum incision and sectioning of the tooth into parts.

  6. 6

    Preparing the wound

    Cleaning the socket, using bone-stabilising materials if needed, usually with dissolvable sutures.

  7. 7

    Written aftercare instructions

    We clearly set out what to avoid, when to call, and leave a contact phone number.

  8. 8

    Follow-up visit after 7 to 10 days

    We check the healing and, if needed, remove non-dissolvable sutures.

Types of extraction compared

TypeComplexityPriceDurationRecovery period
Simple extractionLow, root accessible, bone allows it70-100 €15-30 min3-5 days of discomfort, healing 2 weeks
Complex extractionMedium, root fractured or decayedfrom 100 €30-60 min5-7 days of mild pain, healing 2-3 weeks
Wisdom tooth removalMedium, tooth erupted100 €30-60 minSwelling 3-5 days, healing 2 weeks
Impacted wisdom tooth removalHigh, gum incision, tooth within bonefrom 150 €60-90 minMore swelling 5-7 days, healing 3-4 weeks

Tooth Extraction and Oral Surgery in cost

  • Extraction of a permanent tooth or root70-100 €
  • Complex extraction of a tooth or rootfrom 100 €
  • Wisdom tooth removal100 €
  • Complex / impacted wisdom tooth surgical removalfrom 150 €
  • Emergency surgical care, incision40 €
  • Suturing of a wound20 €

You can find the full price list here. We confirm the exact price after an examination.

Aftercare following tooth extraction

For the first day after the extraction the wound bleeds and a blood clot forms; this is normal and very important. Within 3 to 5 days the wound closes over with a layer of gum, surface healing finishes within 2 to 3 weeks, and the bone rebuilds over 2 to 6 months.

  • First 24 hours: do not rinse your mouth, do not let the blood clot fall out, do not smoke and do not drink through a straw.
  • A cold compress on the outside for the first hours reduces swelling.
  • On the first day eat soft, lukewarm food. Avoid hot, spicy and hard bites at the extraction site.
  • From the second day, rinse gently with a salt or sage solution after eating.
  • Medication as needed (ibuprofen, paracetamol); any antibiotic prescribed by the dentist is started as directed.
  • Postpone sport for 5 to 7 days.

If the pain starts to worsen on the second or third day (instead of easing), it may be a dry socket. In that case get in touch without delay; the procedure to settle it takes 10 to 15 minutes.

If a functional tooth was removed, it is worth restoring the space with an implant or another solution, so the neighbouring teeth do not shift. You can find all prices in the price list.

Why choose Miško Dental Clinic for tooth extraction

  • We save the tooth to the last: extraction is the final option, not the first.
  • 3D CBCT planning: a scan is required for complex extractions so we know the path of the nerve and the shape of the roots.
  • Oral and maxillofacial surgeon Donatas Kubilius: complex surgical cases are handled by an experienced surgeon for whom this is everyday work.
  • Written post-operative instructions: not said out loud but clearly written down, telling you what to do in the first 24 hours.
  • We plan what comes next straight away: if a functional tooth is removed, we draw up the restoration plan together rather than leaving the question open.

Dentist Lauras Smilgevičius on tooth extraction:

Most often the patient's first thought on entering the surgery is: just let it not hurt. And that is completely normal. Today's anaesthesia really works well: if we administer it slowly and in the right place, there is no pain during the procedure.

But what happens before and after the procedure matters just as much. Before: an X-ray or 3D scan so we know the root anatomy, the path of the nerve, the likely difficulties. After: written instructions on what to do in the first 24 hours, what to avoid and when to be concerned. My phone number stays with you: if anything worries you, you can call.

And one more thing: if the tooth being removed is functional (not a wisdom tooth), we discuss with the patient straight away how it will be restored. An implant, a bridge, a denture, there are choices, but the time to think about it is not once the tooth is already out, but earlier.

Tooth Extraction and Oral Surgery in: frequently asked questions

How much does tooth extraction cost at Miško Clinic?
Prices depend on complexity. Guide prices: extraction of a permanent tooth 70-100 €, complex extraction from 100 €, wisdom tooth removal 100 €, complex or impacted wisdom tooth surgical removal from 150 €. We confirm the exact price after an examination and X-ray. You can find all prices in the price list.
Is extraction painful?
You should not feel pain during the procedure: we use modern local anaesthetic, administered slowly and in the right place. Afterwards, once the anaesthetic wears off, there may be mild pain or discomfort for a few days, controlled with simple painkillers. If the pain worsens rather than eases, that is a signal to get in touch.
How long does the procedure take and can I drive afterwards?
A simple extraction takes 15 to 30 minutes; complex or impacted wisdom tooth cases 45 to 90 minutes. You can drive after local anaesthetic, but we advise going home and resting for a few hours, and not eating until the anaesthetic has fully worn off (so you do not bite your tongue or cheek).
How long will the wound take to heal and when can I eat normally?
For the first 24 hours the wound bleeds and a blood clot forms: this is normal. Within 3 to 5 days the wound closes over with a layer of gum, surface healing finishes within 2 to 3 weeks, and the bone rebuilds over 2 to 6 months. On the first day eat soft, lukewarm food; from the second day you can return to your usual diet, avoiding hot, spicy and hard bites at the extraction site.
What is a dry socket (alveolitis) and what should I do if it happens?
A dry socket is when the blood clot is lost from the wound after extraction and the exposed bone starts to hurt, usually on day 2 to 4. It is not dangerous but it is unpleasant. If you feel the pain worsen on the second or third day after extraction, get in touch without delay: we settle it within 10 to 15 minutes, place a special dressing and the pain passes.
Can I have a tooth removed if I take blood thinners or have chronic conditions?
Yes, but you must tell us about all medicines and chronic conditions (high blood pressure, diabetes, heart disease, anticoagulants such as Eliquis or Xarelto, bisphosphonates) before the procedure. Sometimes we need to coordinate with your GP or cardiologist, and in rare cases temporarily adjust a medicine dose. We never change your medication on our own.
Can a tooth be removed during pregnancy?
In urgent cases (severe pain, an abscess) yes, and the safest period is the second trimester. We advise postponing planned extractions until after the birth. If you are pregnant, always tell us when you book: we adapt the treatment plan.
Will I need an implant after extraction and when should I think about it?
If a functional tooth (not a wisdom tooth) is removed, it is worth restoring its place so the neighbouring teeth do not shift and the bite is preserved. There are several solutions: an implant, a bridge or a denture. We discuss this before the extraction, so the plan is whole rather than rushed in two stages.
What should I do if bleeding starts at home after extraction?
Light bleeding in the first hours is normal. Press clean gauze or a damp tea bag (the tannins help the blood clot) onto the wound for 30 to 45 minutes, sit calmly with your head above your heart. If active bleeding continues after 2 hours, get in touch with us or call us.
Can I smoke after a tooth extraction?
You must not smoke for at least 48 to 72 hours after extraction. Smoking impairs blood flow, raises the risk of a dry socket and slows healing. If you smoke regularly, tell us openly; we will warn you about the higher dry socket risk and plan follow-up visits.
Are antibiotics necessary for an extraction wound?
No, antibiotics are not prescribed for a simple extraction. We prescribe them only with an acute infection, a large abscess, the surgical removal of an impacted wisdom tooth, or for patients with certain chronic conditions. Medicines, if needed, are given as a prescription.
Can several teeth be removed at the same time?
Yes, removing several teeth on one side is sensible: you save time and go through healing only once. Removing teeth on both sides at the same time is not advised, so you can still chew normally on at least one side for the first few days.

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