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Surgery and Implants

Maxillofacial Surgery in Astana: Types of Operations, Prices, Doctors

Maxillofacial surgery encompasses procedures on the jaws, facial soft tissues, teeth, and temporomandibular joint. In Astana, orthognathic surgery, fracture treatment, bone grafting, sinus lifting, removal of cysts and tumors, frenectomy, maxillary sinus surgery, and arthrocentesis are performed. The scope of surgery, anesthesia method, and recovery timeline depend on the clinical picture; the decision is made by the doctor after diagnostics.

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by type of workwarranty period is stated in the contract
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How much does maxillofacial surgery cost in Astana

Full price list
TreatmentDuration & warrantyPrice
Surgeon consultation40 minutesWith X-ray review and treatment plan0 ₸Message on WhatsApp
Follow-up surgical examination0 ₸Message on WhatsApp
Tooth autotransplantationfrom106 000 ₸Message on WhatsApp
Closed Sinus Liftfrom59 000 ₸Message on WhatsApp
Gingivoplastyfrom21 000 ₸Message on WhatsApp
Extraction of a grade 2 mobile toothfrom23 000 ₸Message on WhatsApp
Extraction of a grade 3 mobile toothfrom18 000 ₸Message on WhatsApp
Surgical extraction of an impacted toothfrom88 000 ₸Message on WhatsApp
Root-end resectionfrom41 000 ₸Message on WhatsApp
Tooth extractionfrom19 000 ₸Message on WhatsApp

Cost depends on the scope of intervention

The price is determined based on the examination results and imaging: it consists of the type of surgery, its duration, the anesthesia method, and the number of visits. It is impossible to give a sum before the examination — it would be inaccurate. Book a consultation to get an estimate for your situation.

By type of intervention

What types of surgeries does maxillofacial surgery perform

A guide to what oral and maxillofacial surgery addresses and what patients can seek help with.

Instruments and materials for this type of treatment, laid out on a light surface — an illustration for the "Complex tooth extraction" section

Surgical extraction of an impacted tooth

Removal of a tooth that has not erupted and lies within the thickness of the bone, most often a wisdom tooth. Unlike a simple extraction, it requires an incision of the mucosa and work on the bone, so the doctor plans it based on a CT scan.

Chairside visit: dentist at work, over-the-shoulder shot of the assistant — illustration for the section "Surgery for temporomandibular joint disorders"

Arthrocentesis

Washing out the cavity of the temporomandibular joint through a puncture without an incision. The doctor considers it for pain, clicking, and difficulty opening the mouth, when conservative treatment of the joint has not helped.

A jaw model and material samples on the dentist's table next to a mirror and probe — an illustration for the Orthognathic Surgery section

Orthognathic surgery

Osteotomy and repositioning of the jaws into a calculated position with fixation using titanium plates. It is considered for skeletal bite disorders that cannot be corrected with braces, and is performed together with an orthodontist.

Doctor showing a patient an image on a screen and explaining the treatment plan — illustration for the Bone Grafting section

Bone grafting

Replenishment of jaw bone deficiency with the patient's own bone or bone material. The doctor considers it for bone atrophy, when there is not enough volume for implant placement.

Treatment room prepared for a patient: dental chair, lamp, and tray of instruments — illustration for the section "Reconstruction after trauma"

Tooth autotransplantation

Transplantation of the patient's own tooth, usually a wisdom tooth, into the site of a lost tooth. Unlike implantation, a living tooth is placed into the bone; the doctor considers it when the donor tooth matches in shape and size.

Instruments and materials for this type of treatment, laid out on a light surface — an illustration for the "Removal of neoplasms" section

Treatment of jaw fractures

Reduction and fixation of jaw fragments: with tooth-borne appliances, intermaxillary wiring, or mini-plates. The doctor chooses the method based on the type of fracture and displacement of fragments on the images.

Chairside appointment: dentist at work, over-the-shoulder shot past the assistant — illustration for the "Soft tissue plastic surgery" section

Removal of a jaw cyst

Enucleation of the cyst together with its lining and treatment of the bone cavity; the material is sent for histological examination. The doctor considers surgery when the cyst is visible on the image and destroys bone.

A jaw model and material samples on the dentist's table next to a mirror and probe — an illustration for the section "Treatment of purulent-inflammatory processes"

Frenectomy

Dissection or repositioning of a short frenulum of the lip or tongue. This is a soft tissue procedure, performed under local anesthesia, when the frenulum interferes with speech, hygiene, or orthodontic treatment.

Doctor showing a patient an image on a screen and explaining the treatment plan — illustration for the section "Is 3D modeling used in oral and maxillofacial surgery?"

Maxillary sinusotomy

Surgery on the maxillary (sinus) cavity: removal of a foreign body, tooth root, or focus of inflammation from it. The doctor considers it when sinus inflammation is associated with the teeth of the upper jaw.

Chairside appointment: dentist at work, over-the-shoulder shot of the assistant — illustration for the section "How to choose the scope of intervention"

Root-end resection

Removal of the root apex together with the focus of inflammation while preserving the tooth itself. The doctor considers it when repeated root canal treatment is impossible or has not eliminated the focus at the apex.

Stages of oral and maxillofacial surgery in Astana

Consultation: doctor and patient at a screen with an X-ray — illustration for the "Consultation and Examination" section
Step 01

Consultation and examination

At the first appointment, the doctor takes a medical history, examines the oral cavity, and orders imaging — a panoramic X-ray and a CT scan. Based on the results, a preliminary plan is discussed.

Preparation: the assistant lays out sterile instruments, the dentist puts on gloves — illustration for the section "Surgical planning"
Step 02

Surgical planning

The surgeon determines the extent of the intervention, the method of anesthesia, and the number of stages. For orthognathic surgery, an orthodontist is involved in planning, and virtual modeling is sometimes used.

The treatment stage itself: the doctor's gloved hands working inside the oral cavity — an illustration for the section "Preparation for the procedure"
Step 03

Preparation for the intervention

The patient undergoes tests and, if necessary, is examined by an anesthesiologist and other specialists. The doctor gives recommendations on medications and diet on the day before surgery.

Follow-up visit: the doctor checks the result with a mirror while the assistant holds the saliva ejector — an illustration for the section “How bite correction is performed surgically”
Step 04

How bite correction is performed surgically

First, the orthodontist aligns the dental arches with braces, then the surgeon moves the jaws into the calculated position and fixes them. After surgery, orthodontic treatment continues to consolidate the result.

End of appointment: the doctor sits with the patient to go over aftercare instructions — illustration for the section "What recovery after maxillofacial surgery involves"
Step 05

How rehabilitation after oral and maxillofacial surgery proceeds

For the first few days, the patient is monitored and prescribed painkillers and anti-inflammatory drugs. This is followed by follow-up examinations, restrictions on diet and physical activity, and, if necessary, therapeutic exercises.

Our Doctors

Who provides this treatment

The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.

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Amangeldi Erzhan Rashiduly, Oral and Maxillofacial Surgeon — dentist at Dental-Center dental clinic in AstanaThe calculation is reviewed by the clinic's oral and maxillofacial surgeonTakes 20 seconds — you'll get a reply from our administrator during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installments: Alatau City Bank — 24 months, Kaspi — 12

What Is Orthognathic Surgery and When Is It Needed?

This is a branch of maxillofacial surgery: the bone of the upper or lower jaw is cut and repositioned. The surgeon changes not the teeth, but their foundation.

Skeletal Forms of Malocclusion

Braces move teeth along the bone. If the bone itself has grown asymmetrically or is underdeveloped, the teeth do not have enough room to align properly. The orthodontist sees this on imaging: the roots are parallel, but the jaws are misaligned relative to each other. This is then called a skeletal form of malocclusion. It occurs in adults, in adolescents after growth is complete, and in children with congenital features of the facial skeleton. It is noticeable in appearance: a heavy lower jaw protrudes forward, the chin recedes, the midface is flattened, and the lips do not close without effort. A person gets used to chewing on one side, breathing through the mouth, and clenching the teeth. Over time, clicking in the joint, enamel wear, and pain in the masticatory muscles develop. Conservative treatment reaches its limit here: teeth can be tilted, but orthodontics does not move the bone itself. The decision is made based on the clinical picture, not a single image. Sometimes a compromise is enough; sometimes surgery cannot be avoided. This is decided by the doctor together with the patient.

Osteotomy: Cutting the Bone and Repositioning the Fragments

An osteotomy is a cut through the bone along a pre-planned line. The upper jaw is moved forward, backward, up, or down, and sometimes rotated around its axis. The lower jaw is advanced or set back, and the chin is repositioned separately. The fragments are secured with titanium plates and screws so that they heal in the new position. The incision is made inside the mouth, so no external scars remain. Bone callus forms gradually, and complete fusion takes time, which depends on the extent of the procedure and individual characteristics. Orthodontic treatment proceeds in parallel: before surgery, the teeth are aligned in the dental arches; afterward, they are brought into occlusion in the new position. This is one team, in which the surgeon and orthodontist work according to a shared plan. In Astana, such procedures are performed in an inpatient setting with anesthesia support. The patient remains under observation until it is clear that recovery is proceeding normally. After that come follow-up examinations and imaging. If the case is complex, the clinic convenes a multidisciplinary consultation: the orthodontist, surgeon, and other specialists review the full picture together rather than in parts.

Indications for Surgery and Preparation

  • Significant jaw size discrepancy: the lower jaw protrudes noticeably or, conversely, is underdeveloped, the profile changes, and braces alone will not correct this.
  • Open bite: the teeth meet only in the posterior regions, the front teeth do not contact, affecting biting and speech.
  • Facial asymmetry: the chin and midline are shifted to one side, the smile looks uneven (often visible in photographs).
  • Temporomandibular joint dysfunction: clicking, pain, limited mouth opening, when the cause lies in the position of the jaws.
  • Incomplete growth: surgery is postponed until growth is complete, otherwise the bone will continue to change and the result will shift.
  • Preparation: imaging, computed tomography, plaster or digital models, calculation of bone position, oral sanitation, and consultations with specialists.

How Are Jaw Fractures Treated?

The approach depends on where the fracture line runs, whether the fragments have displaced, and whether there is damage to the soft tissues. The decision is made by the maxillofacial surgeon after examination and imaging.

Reduction and Fixation of the Fragments

First, the fragments are returned to the correct position. Reduction may be closed — without an incision, through manipulations inside the oral cavity — or open, when the surgeon exposes the fracture site. The choice depends on the clinical picture: for simple fractures without displacement, a conservative approach is sometimes sufficient. The fragments are then held in the required position until fusion. Fixation varies: splints, intraoral wire constructs, pins, miniplates, and screws. For a mandibular fracture, bone plates are often used — they are placed under the mucosa or externally. The upper jaw is fixed to the lower jaw for the fusion period. The surgeon assesses the stability of the fragments, the condition of the occlusion, and the soft tissues. If the fragments displace or there is a risk of infection, a different method of stabilization is chosen. The maxillofacial surgeon determines whether temporary immobilization is needed and how long it will last. Fusion times vary from person to person, and the prognosis depends on age, general condition, and the accuracy of reduction.

Fixation Method for Different Types of Injuries

Type of injuryFixation methodFeatures
Mandibular fracture without displacementArch bars, conservative managementBite control, soft diet
Mandibular fracture with displacementMini-plates and screwsOpen reduction, stable fixation
Maxillary fractureSplints, maxillomandibular fixationAirway monitoring, liquid diet through a straw
Zygomatic bone fractureKirschner wires, mini-platesDepends on displacement and eye function
Multiple fracturesCombination of methodsDetermined by the surgeon based on the clinical picture

Jaw Reconstruction After Trauma

When a fracture is complex, involves a bone defect, or has healed improperly, simple realignment is not enough. Reconstruction is required—restoring the form and function of the jaw. The surgeon may use bone grafts, titanium meshes, or custom implants. Sometimes staged treatment is needed: first stabilization, then restoration of the missing areas. Reconstruction affects not only the bone but also the soft tissues, teeth, and bite. Orthodontic follow-up may be necessary after surgery. The extent of intervention depends on the clinical picture and the patient's general condition. The decision is made by the surgeon together with the orthodontist and prosthodontist. Recovery takes time, and its stages are discussed in advance. They also specifically discuss how the patient will eat and care for the oral cavity in the first weeks. Follow-up examinations and imaging show how the fusion is progressing. If signs of inflammation or displacement of fragments appear, the plan is adjusted.

What is a sinus lift and why is it needed before implantation

A sinus lift is a procedure in which the bone volume in the posterior maxilla is increased. It is performed when there is not enough native tissue to place an implant.

Why bone is augmented in the maxillary region

In the posterior maxilla, above the tooth roots, lies an air cavity—the maxillary sinus. Its floor may run close to the sockets. After tooth extraction, the bone here resorbs, and the sinus descends lower. Sometimes the wall thickness becomes less than a millimeter. In such a situation, a screw implant does not get support: it either becomes exposed into the sinus or does not fix in the bone. Surgery solves this problem: the surgeon lifts the sinus mucosa and fills the freed space with bone material. After a few months, new bone forms in this volume. Maxillofacial work in Astana follows the same principle: first, the bone height is assessed on imaging, then the stages are planned. If the height is sufficient, no intervention is needed. When the deficiency is large, grafting is done as a separate stage. The specific approach is determined by the doctor based on CT data.

Open and closed approach

ParameterClosedOpen
Bone deficiencysmallsignificant
Accessthrough the tooth socketlateral window in the bone
Volume of graftlimitedgreater
Stagingoften together with the implantseparately, then implantation
Healing timeshorterlonger
Decisionbased on imagingbased on imaging

What the doctor decides before implantation

Before surgery, the doctor reviews the CT scan and measures the bone height at each position. Then they answer several questions. Is there enough bone for an implant of the required length? Is there inflammation in the sinus—if so, it is treated first. Which approach to choose and whether to do the graft in one stage with implant placement or separately. Is additional fixation with a membrane needed. The patient is explained that grafting alone does not guarantee success: integration depends on the clinical picture, hygiene, and general condition. Smoking, decompensated diabetes, and sinus disease are factors discussed in advance. If the risks are high, the doctor may propose another plan: short implants, tilted placement, or no intervention. The final decision is always made by the doctor and patient together.

How jaw bone grafting is performed

The surgery restores bone volume where it has been lost. The doctor chooses the approach and material based on imaging. Below is how the stages are structured, what the graft is made of, and why this is related to implantation.

Restoring bone tissue deficiency

Deficiency arises for various reasons: atrophy after tooth extraction, trauma, prolonged wearing of a removable denture, inflammation. The doctor assesses bone volume and density on CT, looks at the thickness of the cortical plate and the height of the alveolar ridge. This determines the approach. Most often they work intraorally — an incision along the ridge or slightly to the side, a mucoperiosteal flap is elevated, and the area is exposed. If the defect is large or the area is difficult to access, an extraoral approach through the skin under the chin is possible. The intraoral route leaves a smaller scar but does not always provide the needed visibility. The doctor decides based on the clinical picture. During surgery, a recipient site is prepared: scar tissue is removed, edges are leveled, and a surface is created for the graft to take. The material is placed and secured. Sometimes a membrane is added — it maintains volume and prevents soft tissues from growing into the area. The flap is returned to place and sutured. Anesthesia is chosen based on the extent: local anesthesia with sedation or general anesthesia. After the procedure, follow-up examinations and imaging are scheduled.

Bone graft materials and sources

  • Autogenous bone: the fragment is taken from the patient themselves — from the chin, the ramus of the mandible, or the iliac crest. The material is living, with cells, but a second surgical site is created and there is additional discomfort.
  • Allogeneic graft: donor bone from a tissue bank. It undergoes processing to reduce the immune response. The volume is not limited by the size of the patient's own donor site, but depends on the availability of the bank.
  • Xenogeneic material: bone of animal origin, usually bovine. The mineral base is cleaned, and it serves as a scaffold into which the patient's cells grow. Often used for small defects.
  • Synthetic substitutes: granules based on hydroxyapatite, tricalcium phosphate, or bioglass. The composition is predictable, the risk of infection transmission is eliminated, but the properties of different materials vary.
  • Membranes and fixators: barrier membranes cover the area so that soft tissues do not interfere with the bone. They can be resorbable or non-resorbable; the latter sometimes require removal later.
  • Combinations: the surgeon may mix autogenous bone with synthetic material or place them in layers. The mixture provides both living cells and volume when a single source is insufficient.

Relationship with implantation

Bone grafting often precedes implantation. The implant must be placed in bone of a certain height and width, otherwise there will be no stability. If there is insufficient native tissue, volume is augmented first, and then — after several months — the implant is inserted. Sometimes the procedures are combined: the implant is placed immediately, and the defect is closed with a graft and membrane. This option is possible when the site is stable and primary fixation is reliable. The doctor decides based on the clinical picture. After augmentation, the implant is not loaded with chewing force until the bone remodels. A temporary crown is made so that it does not press on the area. The timing between stages depends on the size of the defect, the type of material, and how healing proceeds. There is no universal schedule. It is important for the patient to understand: implantation without sufficient bone volume carries risks — suture dehiscence, screw mobility, inflammation around the implant. Therefore, the augmentation stage is not 'extra' but necessary. If the deficiency is small, sometimes an osteotomy is sufficient — splitting the ridge without a separate graft. This is also an option, and it also depends on the anatomy.

How jaw cysts and tumors are removed

The extent of surgery for a jaw cyst or tumor is determined by imaging and biopsy results. Sometimes it is enough to curette the cavity; sometimes a portion of bone must be removed.

Jaw cysts and histological examination

A cyst is a cavity with fluid or soft contents inside the bone. It grows slowly and remains asymptomatic for a long time. It is often found incidentally on a panoramic X-ray when the patient comes for another reason. The lining is removed entirely: if even a fragment is left, the cavity may recur. After removal, the socket is treated, and the wound is sutured. Sometimes the cavity is filled with osteoplastic material so that the bone regenerates more evenly, but the doctor decides this based on the clinical picture. Every removed fragment is sent for histological examination. This is not a formality: under the guise of an ordinary cyst, other tissue is sometimes hidden, and the microscope shows what the surgeon was actually dealing with. The result does not come immediately, and it determines whether additional steps are needed. The intervention here is elective: it is performed when there is no acute inflammation. If the cyst has suppurated, the inflammation is treated first, and removal is postponed. For small sizes, the operation takes little time and is performed under local anesthesia.

Benign tumors and tissue preservation

A benign tumor grows but does not spread to other organs. It can enlarge unnoticed for years and gradually change the shape of the jaw. The boundaries of the neoplasm are assessed on imaging: it is important to determine whether it is separated from healthy bone or has grown into it. If the tumor is small, only the tumor itself is removed, and the adjacent bone is preserved whenever possible. If the neoplasm is large, part of the jaw is removed along with it, within healthy tissue margins. Such a defect may later require bone grafting or another type of reconstruction. The decision is made by the doctor and depends on the clinical picture, not on size alone. During surgery, the surgeon relies on the imaging findings and on what is seen in the wound. The removed fragment is sent for histology again: confirming that it is benign is important for further follow-up. After removal, the patient remains under supervision, because some tumors tend to recur. The schedule of follow-up examinations is set by the doctor.

What determines the extent of the intervention

  • Size and location: the closer the growth is to a nerve, tooth roots, or sinus, the more carefully the approach is planned and the more tissue is preserved.
  • Relationship to adjacent structures: if the tumor has grown into adjacent bone or soft tissue, the extent of removal is widened; with a well-defined process, only the affected area is removed.
  • Histology findings: the biopsy result clarifies the nature of the growth and determines whether removal alone is sufficient or additional measures are needed.
  • Presence of inflammation: if there is suppuration, the acute condition is treated first, and elective surgery is postponed to a quieter period.
  • Age and general condition: comorbidities and age influence the choice of anesthesia and how the recovery period is planned.

When is tongue-tie release needed?

The lingual frenulum is a thin fold of mucosa under the tongue. When it is shortened, it restricts movement and affects speech, bite, and feeding. The decision about surgery is made based on the clinical picture.

Limited tongue mobility and its consequences

A short frenulum prevents the tongue from rising to the palate and extending forward. In an infant, this interferes with latching onto the breast: the baby tires quickly and gains weight poorly. At an older age, sound production is affected — upper sounds are difficult to produce, and speech is slurred. The tongue does not press against the palate during swallowing, so pressure is distributed differently. Gradually an open bite develops, the teeth shift, and the gum above the lower incisors becomes exposed. Sometimes the fold is traumatized by the teeth, and painful ulcers appear that take a long time to heal. In adults, restricted mobility affects diction, playing wind instruments, and eating. The severity of symptoms varies: in some people the frenulum is short but there are no complaints, while in others the bands are dense and pull on the gum. How pronounced the consequences are is determined by the doctor after examination. Sometimes observation and speech therapy sessions are enough; sometimes surgery cannot be avoided.

Situations in which surgery is considered

  • Impaired sucking in an infant: the baby cannot latch, loses milk, and gains weight poorly — then frenotomy is discussed with a surgeon and pediatrician.
  • Persistent speech defects: the speech therapist works for months, yet the tongue still cannot reach the palate — the frenulum is examined and assessed for whether it is the cause.
  • Tooth displacement and gum recession: the tight band pulls on the gum at the lower incisors, the gum recedes, and the root becomes exposed — this warrants a consultation.
  • Preparation for orthodontic treatment: braces or aligners will not achieve the desired tooth position if the tongue constantly presses on the lower dental arch.
  • Difficulty with eating and hygiene: the tongue cannot reach the palate, food gets stuck, brushing is awkward, and the frenulum becomes traumatized.
  • Thick band with thin gums: the fold blends into the gum tissue and pulls on it with every movement — the risk persists for years.

Surgical stage before orthodontic treatment

If bite correction is planned, the frenulum is evaluated in advance. The tongue participates in swallowing and speech, and its position affects how the teeth will align. When the band is short and dense, the orthodontist may refer the patient to a surgeon before braces or aligners are placed. The procedure is performed under local anesthesia and takes little time. The fold is incised, the wound is sutured if necessary, and aftercare recommendations are given. Recovery is usually uneventful, but for the first few days the tongue favors itself. Sometimes the intervention is postponed: first observation, myogymnastics, and work with a speech therapist. It can also be the other way around — frenectomy first, then orthodontics. The sequence depends on the clinical picture, age, and what the examination shows. The timing and extent are determined by the doctor, not by a template. Surgery itself does not replace orthodontic treatment: it is one of the stages that helps the rest.

What are maxillary sinusotomy and TMJ arthrocentesis?

These are two different operations. The first concerns the maxillary sinus, the second concerns the joint. Let us look at why the sinus is opened, when the joint is punctured, and how this relates to bite treatment.

Maxillary sinusotomy: opening the maxillary sinus

Antrostomy is a procedure that accesses the maxillary sinus through a bony window. The surgeon elevates the mucosa and removes pathological contents: a cyst, polyp, pus, or foreign body. Sometimes altered areas of the lining are excised. The sinus borders the roots of the upper molars, so surgery is often needed before implantation or after a complicated extraction. Access can be intraoral — an incision under the lip — or external — through the anterior wall of the sinus. The choice depends on the clinical picture. The intraoral approach leaves a scar on the mucosa, the external one on the skin. After the intervention, restrictions are prescribed: no nose blowing, no flying, no diving. This is due to pressure changes. Healing takes weeks, and the final result is assessed later. The timing and extent of surgery are determined by the doctor. If the sinus is opened during tooth extraction, the approach is chosen based on the situation: sometimes observation is sufficient, sometimes the communication needs to be sutured. Separately, orthognathic surgery for bite correction should be mentioned: in pronounced skeletal anomalies, the sinus may be involved when moving the upper jaw.

Arthrocentesis: joint puncture and lavage

Arthrocentesis is a puncture of the temporomandibular joint cavity with lavage. A needle is inserted into the upper or lower part of the joint space. A solution is injected through it and then withdrawn. This removes inflammatory products, small cartilage fragments, and blood. The procedure is performed for joint blockage, acute disc dislocation, and persistent pain. Sometimes arthrocentesis is supplemented with medication injection. The manipulation is minimally invasive but requires precise knowledge of anatomy: branches of the facial nerve and blood vessels run nearby. After puncture, swelling, hematoma, and limited mouth opening are possible. These resolve. The effect is assessed by symptoms. In some patients, pain subsides quickly; in others, partially. The outcome depends on the cause of the dysfunction. If the joint is destroyed, puncture alone is insufficient. Then a more serious intervention is discussed. Arthrocentesis does not replace orthodontic treatment if the cause is in the bite. The decision is made by the doctor after examination and imaging.

Conservative and surgical methods for TMJ dysfunction

  • Therapy and splints: bite guards, muscle relaxants, physical therapy, and addressing psychological factors are the first line for clicking and pain.
  • Arthrocentesis: joint puncture and lavage are indicated for joint locking, acute disc displacement, when conservative treatment has failed.
  • Arthroscopy: a camera and instruments are inserted through a small puncture to remove adhesions, reposition the disc, and examine the joint cavity from within.
  • Open surgery: for severe changes, ankylosis, or tumor, the joint is accessed for reconstruction or total joint replacement; the extent depends on the clinical picture.
  • Orthodontic component: if the cause is the bite, maxillofacial surgery sometimes corrects the bite together with orthodontics, but the sequence and necessity are determined by the physician.

Is general anesthesia used for jaw surgery?

Jaw surgery is performed under both local anesthesia and general anesthesia. The choice depends on the extent of the intervention, the patient's condition, and the anesthesiologist's decision.

How the anesthesiologist selects anesthesia

First, the anesthesiologist considers the surgery itself. A short intervention on a small area is often covered by local anesthesia with or without sedation. A lengthy procedure with access to deep parts of the jaw, bone cutting, and fragment repositioning requires general anesthesia. Then the patient is assessed: age, weight, past allergies, chronic diseases of the heart, lungs, kidneys, and endocrine system. It is also clarified which medications the person takes regularly, whether there are bleeding disorders, snoring, and sleep apnea. Airway examination is also mandatory: the anesthesiologist assesses the jaw structure, bite, and neck mobility, because with pronounced deformities intubation can be difficult. Based on the results, tests are ordered and, if necessary, consultations with other specialists. The anesthesia method is chosen not by the patient's preference or the doctor's habit, but by the combination of these data. Sometimes instead of general anesthesia, a regional block is offered — it eliminates sensation in the surgical area, but the person remains conscious.

What is considered when choosing the method

  • Extent of surgery: a short procedure on one area is more often performed under local anesthesia, while extensive surgery with access to deep areas is performed under general anesthesia.
  • Duration: the longer the procedure lasts, the more likely general anesthesia will be chosen, because it is hard for the patient to remain still for a long time.
  • Age and weight: in children and the elderly, doses and medications are selected individually, and in young children local anesthesia alone is less often suitable.
  • Comorbidities: heart, lung, and kidney problems, diabetes, and bleeding disorders change the anesthesia plan or require preparation before surgery.
  • Allergies and past reactions: if there was a previous reaction to an anesthetic or general anesthesia, the anesthesiologist selects a different drug and a different approach (sometimes this also changes the method itself).
  • Medications: blood thinners, hormones, and certain other drugs influence the choice and require discontinuation or adjustment as prescribed by the physician.
  • Airway: the structure of the jaw and neck, snoring, and sleep apnea influence how to safely secure the airway during general anesthesia.

Recovery after the intervention

After local anesthesia, a person can usually go home the same day unless the doctor decides otherwise. After general anesthesia, you need to be monitored for a while until the effects of the drugs wear off. In the first few hours, drowsiness, nausea, dizziness, and dry mouth are possible — this is a normal reaction, and its severity depends on the medications and the patient's condition. Restrictions on eating, drinking, physical activity, and driving are given by the doctor at discharge, and they must be followed. The surgical area itself is monitored separately: swelling, pain, and limited mouth opening after jaw surgery can vary in severity. How long recovery will actually last depends on the clinical picture and the extent of the surgery, so the treating doctor gives the timeline. If severe pain, fever, bleeding, or breathing problems occur, contact the clinic rather than waiting for a scheduled appointment.

What to remember

The clinical picture determines the extent of surgery

No surgeon will state the extent of the intervention in advance, before an examination and imaging. A fracture can be comminuted or linear, a cyst can be small or involve the roots of adjacent teeth. This determines whether the surgery will be short or take several hours, whether fixation with titanium plates will be required or splinting will be enough. The patient comes in with one expectation, but the imaging shows a different picture. The doctor explains why the plan changed and what it means for further treatment. Sometimes the intervention is postponed: inflammation must first be resolved, blood pressure stabilized, or test results awaited. Rushing does not help here. The decision is made based on the full set of data, not on a single complaint. This also includes the location of the nerve: if it runs close to the surgical area, access is made more carefully, and sometimes the method itself is changed. The extent and sequence of stages are discussed with the patient before surgery so they understand what to expect.

Diagnostics precede the intervention

Computed tomography shows the volume of bone tissue, the location of nerves and roots, and the condition of the sinuses. Jaw surgery cannot be planned without this data. A panoramic X-ray gives an overall picture, but precise work requires cross-sectional slices. The doctor compares the images with the complaints and medical history. Sometimes a finding on the image changes the initial diagnosis. Then the plan is revised before surgery, not during it. Blood tests and an assessment of general health are also part of preparation. Chronic conditions, medications, and allergies affect the choice of anesthesia and the course of the intervention. The patient should report everything honestly, even if it seems unimportant. Diagnostics take time, but it cannot be skipped. It is also specifically asked whether there have been previous surgeries in this area: scars change access and the healing process. Based on the examination and imaging results, the doctor gives a preliminary plan and discusses it with the patient.

Questions worth asking the doctor

Ask directly: what treatment options exist and how they differ. What will happen if surgery is postponed. What access is planned — through the mouth or from outside. Whether general anesthesia will be required or local anesthesia is sufficient. How long recovery will take and what restrictions there will be in the first days. What the prognosis is in this specific case and what it depends on. Ask what tests and imaging are needed before surgery and where they can be done. Ask what to do in case of complications and where to go. Write down the answers or ask for a written plan — memory fails under stress. If something is unclear, ask again. The doctor does not rush the decision or pressure you. You have the right to take a pause to think everything over.

Questions about oral and maxillofacial surgery in Astana

Oral and maxillofacial surgery is a branch of surgery that deals with operations on the jaws, facial skeleton, soft tissues of the face, and temporomandibular joints, whereas general dentistry is more often limited to the teeth and surrounding tissues. Such interventions include removal of complex teeth, bone grafting, surgical bite correction, and treatment of fractures and inflammatory processes of the jaw. Our clinic has an oral and maxillofacial surgeon who determines during an examination whether surgery is needed and what exactly the extent of the intervention should be. If you are not sure which specialist to see, start with an initial examination: the doctor will advise you on the next steps.

The duration of the operation depends on its type: removing a complex tooth takes less time, while bite correction or jaw reconstruction may require several hours. Before the intervention, diagnostics are performed, including imaging and tests, to plan the course of the operation and choose the type of anesthesia. In our clinic, surgical interventions are performed by an oral and maxillofacial surgeon, and the treatment plan and recovery timeline are discussed with the patient in advance. After surgery, follow-up examinations are scheduled to make sure healing is proceeding as planned.

Not always: mild and moderate bite problems are often corrected with braces or aligners without surgery. Surgical intervention is considered for pronounced skeletal anomalies, when the teeth cannot be placed in the correct position by orthodontic treatment alone. In such cases, the orthodontist and the oral and maxillofacial surgeon work together: first, the teeth are prepared for surgery, then the intervention is performed, and the treatment is completed. In our clinic, such a joint appointment is possible, and the decision is made after an examination and imaging.

The cost depends on the type and complexity of the procedure, the scope of diagnostics, the type of anesthesia, the materials used, and the need for post-operative monitoring. The exact amount is given by the doctor during the examination after reviewing the images and drawing up a treatment plan, so it is usually not quoted over the phone in advance. For approximate prices for services, see the pricing section on this page. If long-term treatment is planned, our clinic offers installment payments, and the initial examination and treatment plan are provided free of charge.

Yes, at our clinic the warranty period for surgical procedures depends on the type of procedure and is specified in the contract, but its terms depend on the type of surgery and on the patient following the doctor's recommendations. The warranty does not cover cases where the patient fails to attend follow-up examinations, violates the healing regimen, or does not follow the prescribed treatment. To maintain the warranty, it is important to attend scheduled check-ups and to inform the doctor immediately about any unusual sensations. The exact terms for your procedure will be discussed by the surgeon before the intervention and documented in the paperwork.

You can book by phone at +7 777 911 07 83 or by visiting the clinic in person at 11/1 Abay Avenue; opening hours are daily from 9:00 to 20:00. Bring any images and medical records you already have to the consultation: this will speed up the treatment plan. The initial examination and treatment plan are free of charge, and there is free parking for drivers. If you are not sure whether you need a maxillofacial surgeon specifically, the administrator will help you choose the right specialist.

For pain, swelling, injury, or bite problems, you should visit a dental clinic where a maxillofacial surgeon sees patients: they will perform an examination and, if necessary, order imaging. At our clinic, such a specialist is available daily, and the initial examination and treatment plan are free of charge. If the situation is acute — severe pain, fever, difficulty opening the mouth — do not delay your visit and call +7 777 911 07 83. The clinic is located at 11/1 Abay Avenue, with free parking nearby.

This specialist handles the removal of complex and impacted teeth, bone grafting, treatment of inflammation and jaw cysts, surgery for fractures and bite abnormalities. They also participate in preparation for implantation when there is insufficient bone volume and augmentation is required. At our clinic, the maxillofacial surgeon works together with an orthodontist and implantologist, so the treatment plan may combine several stages. During the examination, the doctor will explain whether the problem can be solved conservatively or whether surgery is needed.

Typical procedures include removal of wisdom teeth and impacted teeth, bone grafting before implantation, treatment of cysts and inflammatory processes, surgery on the temporomandibular joint, and surgical correction of the bite. The scope of surgery is always determined individually: one patient may only need a tooth extraction, while another requires multi-stage treatment. At our clinic, diagnostics are performed before the procedure, and follow-up examinations afterward. If you have been scheduled for surgery, ask your doctor about recovery times and restrictions during that period.

During surgery, the patient does not feel pain because the procedure is performed under local anesthesia or general anesthesia, and discomfort may occur afterward, when the anesthesia wears off. The doctor prescribes painkillers and gives recommendations on nutrition, hygiene, and physical activity during the healing period. Recovery times depend on the complexity of the surgery: after a tooth extraction, it is usually a few days; after reconstructive procedures, it is longer. At our clinic, follow-up examinations are scheduled after surgery to detect complications in time.

We are open daily from 9:00 to 20:00, seven days a week. The clinic is in Astana, 11/1 Abay Avenue. Phone for appointments — +7 777 911 07 83. Initial examination and treatment plan — 0 ₸.

Address: Astana, 11/1 Abay Avenue. Parking for patients is free. Phone for appointments — +7 777 911 07 83. Appointments are available daily from 9:00 to 20:00.

The warranty period depends on the type of work and is stated in the contract. The initial examination and treatment plan are 0 ₸. Appointments are available daily from 9:00 to 20:00.

Installment plan for 24 months with Alatau City Bank or 12 months with Kaspi. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.

The initial examination and treatment plan are 0 ₸. There is no separate fee for the first visit. The warranty period for the work depends on the type of work and is stated in the contract. Installment plans are available from Alatau City Bank for 24 months and from Kaspi for 12 months.

Parking is free. The clinic is in Astana, 11/1 Abay Avenue. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.

Reviews of Maxillofacial Surgery in Astana

4.9
36 reviews on the site
36 ratings
ННаталья З.7 September 2026
★ 5,0

We spent a long time looking for a clinic near our home (our family joked about it later). I thought it would take longer. We came in for a consultation, stayed for treatment, and everything was done in one visit. The hallway doesn't smell like a hospital, just something neutral — no complaints about that. Everything is fine now, no issues so far!

ББекзат С.31 August 2026
★ 5,0

Came in for a consultation, ended up getting treatment here, no unnecessary X-rays were ordered, everything is fine now, and that's what matters most. It seems to me that the people here simply love what they do. The hallway doesn't smell like a hospital — just something neutral.

ТТимур У.27 August 2026
★ 5,0

Before this, I'd only ever come in for special offers and never really got proper treatment, but now the whole family gets treated here. We're happy with the results, which is exactly what I wanted. I'll be back for a professional cleaning. They laid out the treatment plan in stages and with the costs. They answered my questions even after the appointment, over messenger. My previous experience was worse, so I have something to compare it to. They took me right on time, no waiting. The office is bright, the equipment is new — a small thing, but nice. They didn't push anything unnecessary. They set up the installment plan right there on the spot, no running around to banks — thanks for that too!

ННаталья В.17 August 2026
★ 5,0

At first I just wanted to look around and compare prices. Our whole family received treatment here. We're happy with the result. In my opinion, the price is fair for this kind of work. Overall, no regrets. The receptionist called back when she said she would. Parking is in the courtyard, and I found a spot.

ММеруерт Ж.11 August 2026
★ 5,0

Our whole family received treatment here, and everything was done in one visit. We're happy with the result, and that's what matters most. Alexey didn't pressure me and gave me time to think. Overall, I don't regret it. The treatment plan was laid out in stages and by cost, just as we had agreed. Shoe covers, a cup, a napkin — small things, but everything was there, and I'm grateful for that too. They answered my questions even after the appointment, via messenger, which I especially appreciated.

ДДенис С.6 August 2026
★ 5,0

Proshlyy vrach pereehal nado bylo iskat novogo. Prishli na konsultaciyu, ostalis lechitsya, vse po zapisi, bez ozhidaniya. Margarita na svyazi i posle priema)

The clinic administrator gives the patient a treatment plan at the front desk
Still have questions

Still have questions about Oral and Maxillofacial Surgery?

Message us on WhatsApp or give us a call — the clinic is open daily from 9:00 to 20:00. Initial examination and treatment plan — 0 ₸, free parking.

free parking11/1 Abay Avenueopen daily, no days off9:00 — 20:00Alatau City Bank — 24 months, Kaspi — 120% installment plan
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