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Surgery and Implants

Tooth-preserving surgeries in Astana: types, indications, stages

Tooth-preserving surgery refers to procedures in which part of the root or the tissues around a tooth are removed while the tooth itself is left in the mouth. The dentist evaluates the condition of the roots, gums, and bone, then chooses a method: hemisection, root separation, cystectomy, or flap surgery. The decision is always individualized and depends on the clinical picture.

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by type of workwarranty period is stated in the contract
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How much do tooth-preserving surgeries cost in Astana

Full price list
TreatmentDuration & warrantyPrice
Initial surgical consultation0 ₸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
Apicoectomy (root-end resection)from41 000 ₸Message on WhatsApp
Tooth extractionfrom19 000 ₸Message on WhatsApp

What is included in the price

The cost of the procedure depends on the extent of the intervention, the location of the tooth, and the condition of the surrounding tissues. It includes the consultation, anesthesia, the surgery itself, and a follow-up examination. The exact amount is given after the examination and X-ray at the initial appointment. You can schedule a consultation by calling the clinic.

According to the technique

What types of tooth-preserving surgeries are there

Different approaches allow the tooth to be preserved depending on where the problem is located — at the root, in the gum, or in the bone.

Instruments and materials for this type of treatment, laid out on a light surface — an illustration for the "Root-end resection" section

Apicoectomy (root-end resection)

A procedure in which the inflamed area at the root apex is removed while preserving the tooth itself. It is indicated for cysts, granulomas, and chronic inflammation when non-surgical treatment is ineffective. It is performed under local anesthesia.

Chairside visit: dentist at work, over-the-shoulder shot of the assistant — illustration for the section "Gingival pocket curettage"

Curettage of the periodontal pocket

Closed or open curettage — cleaning the pathological pocket between the tooth and gum of tartar and granulation tissue. It is used for moderate to severe periodontitis. The goal is to eliminate inflammation and preserve the tooth.

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

Hemisection

Removal of one root of a multi-rooted tooth along with the adjacent part of the crown. It is used when only one root is affected and the others are healthy. It allows the remaining part of the tooth to be preserved and restored with a crown.

Doctor showing the patient an image on the screen and explaining the treatment plan — illustration for the "Root amputation" section

Root amputation

Cutting off the affected root without removing the crown portion. It is used on multi-rooted teeth when the other roots are intact. After the procedure, the tooth can be used as a support for a prosthesis.

Treatment room prepared for a patient: dental chair, lamp, and tray of instruments — illustration for the Cystectomy section

Cystectomy

Removal of a cyst or cystogranuloma together with its lining. It is performed for large formations involving bone tissue. It may be combined with apicoectomy.

Instruments and materials for this type of treatment, laid out on a light-colored surface — an illustration for the section "Coronary reimplantation"

Coronary replantation

A method in which the tooth is extracted, treated, and returned to its socket. It is used for root fractures and certain types of inflammation. It allows the tooth to be preserved in complex clinical situations.

Stages of tooth-preserving surgeries

Consultation: doctor and patient at a screen with an X-ray — illustration for the section "How apical root resection is performed"
Step 01

How apicoectomy (root-end resection) is performed

The procedure is performed under local anesthesia. The surgeon makes a small incision over the root apex, elevates a mucoperiosteal flap, and creates access to the bone tissue. The affected portion of the root and pathological tissues are then removed, the cavity is treated, and the wound is sutured. The duration depends on the location of the tooth.

Preparation: the assistant lays out sterile instruments, the dentist puts on gloves — illustration for the section "Gingival pocket curettage: the essence of the procedure"
Step 02

Periodontal pocket curettage: the essence of the procedure

The dentist removes dental deposits and altered tissues from the pocket walls and root surface. In closed curettage, the work is done through the gingival pocket; in open curettage, a flap is elevated for visual control. The procedure is completed with irrigation and, if necessary, suturing.

The treatment stage itself: the doctor's gloved hands working in the oral cavity — an illustration for the section "Preparing for surgery"
Step 03

Preparation for surgery

Before the procedure, an examination, X-ray, or computed tomography is performed. The dentist assesses the condition of the root, bone tissue, and gums, and clarifies contraindications and allergy history. If necessary, medical preparation is prescribed.

Follow-up visit: the dentist checks the result with a mirror while the assistant holds the saliva ejector — illustration for the "Postoperative period" section
Step 04

Postoperative period

After the surgery, the patient remains under observation until their condition stabilizes. The dentist provides recommendations on care, nutrition, and hygiene. A follow-up visit is scheduled several days later to assess healing.

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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Aitbulatov Galiy Yunusovich, Surgeon-Implantologist, Chief Physician — dentist at the Dental-Center dental clinic in AstanaThe estimate is reviewed by the clinic's implant 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

Book a consultation for tooth preservation

Your own tooth is a support for chewing and natural aesthetics. Tooth-preserving surgeries remove the source of inflammation and keep the root if it can still withstand the load.

When a tooth can be kept, and when it is extracted

The decision is made based on the clinical picture, not a single image. The doctor looks at how much the crown is destroyed, whether the roots are intact, how much mobility there is, and what the X-ray shows in the apical area and around the root. If the source of inflammation is limited, the socket walls are preserved, and the root is strong enough, the tooth can be given a chance to be kept. Then only the altered tissues are removed, and healthy structures are left untouched. When the root is split along its entire length, the socket walls are destroyed, mobility is pronounced, or the inflammation has spread far beyond the apex, the prognosis is doubtful. In such cases, extraction is discussed as the more honest option. Sometimes the question is resolved after a CT scan. The final choice is made by the doctor together with the patient, and here not only the images matter but also the general condition, hygiene, and willingness to attend follow-up examinations. Preservation cannot be guaranteed in advance: it depends on how the tissue behaves after the intervention.

Which tissues are removed and which are preserved

  • Granulation tissue: the overgrown inflamed tissue around the site is curetted because it sustains inflammation and prevents healing.
  • Cyst or granuloma: the lining of the formation is removed, and if it is fused to the root, the work is done carefully so as not to damage the remaining part of the tooth.
  • Infected dentin: the softened areas of the crown are removed, while the dense layers are preserved as a foundation for the future restoration.
  • Healthy root: every effort is made to leave it untouched — it is what holds the tooth in the socket and transfers chewing load to the bone.
  • Periodontium: the ligament between the root and the bone is preserved whenever possible; it determines the mobility of the tooth and the feeling that it is your own.
  • Bony wall of the socket: if it is intact, it is left in place; if there is a defect, the dentist assesses whether additional support is needed and makes the decision.
  • Drainage pathway: after treatment, the wound is given an outlet for discharge so that fluid does not stagnate and stretch the tissues.

Hemisection: dividing a tooth into parts

Hemisection is a surgery in which one root of a multi-rooted tooth is removed along with part of the crown. The other half is kept and covered with a crown.

How hemisection is performed

  1. Diagnostics: an X-ray is taken, the condition of the roots and the bone tissue around them is assessed, and it is determined which root is more severely affected and whether the second one can be saved.
  2. Anesthesia: local anesthesia is administered so that the patient feels no pain while the roots and gums are being worked on.
  3. Separation: the crown is cut with a bur along the line separating the affected root from the healthy one, and the unwanted part is carefully removed.
  4. Treatment of the socket: the removed root leaves an empty space, which is cleaned and sometimes filled with material so that the tissue heals more comfortably.
  5. Restoration: the remaining part of the tooth is prepared for a crown — it takes the chewing load and protects the stump from chipping.

Which teeth the method is suitable for

The method is used where there are several roots and one of them can be removed without losing the stability of the entire structure. Most often this concerns lower molars — they have two roots, and the lesion usually affects only one. Less often — upper molars, where there are three roots and separation is more difficult. Sometimes hemisection is performed on premolars if they have a bifurcated root. The key condition is a healthy remaining root with a sufficient volume of bone around it. If the periodontium is destroyed on both roots, there is no point in separation. The decision is made after examination and imaging, not based on a single symptom. The doctor looks at how deep the inflammation goes, how the chewing load is distributed, and whether there is a crack in the root. With a vertical crack running through both roots, the tooth cannot be saved — hemisection will not help here. With deep caries that extends below the gum level, the prognosis is also cautious. It depends on the clinical picture: sometimes it is enough to remove one root and cover the tooth with a crown, sometimes additional gum treatment is required.

Coronoradicular separation: indications and technique

The method divides the crown and root along a specific line. It is more complex than hemisection and requires careful case selection. Below are the indications, differences, and the course of the procedure.

How separation differs from hemisection

ParameterHemisectionCoronoradicular separation
What is separatedThe crown and roots into two halvesThe crown and root along an oblique line
Cut lineVertically, through the furcationAt an angle, involving part of the crown
Number of fragmentsTwoTwo, sometimes three
Where the cut goesBetween the rootsThrough the crown defect into the root
When it is chosenWhen one of two roots is affectedWith a deep defect at the gum margin
Tissue preservationMore of the crown portion is removedMore supragingival tissue is preserved

Stages of the operation

  1. Diagnostics: an X-ray and CBCT show the length of the roots, the condition of the furcation and bone tissue in order to plan the cut line.
  2. Anesthesia: block or infiltration, the choice depends on the location of the tooth and the thickness of the bone, as well as on how deep the work needs to go.
  3. Cutting: a fragment is separated along the planned line with a thin bur or an ultrasonic tip, without touching adjacent structures.
  4. Fragment removal: the separated part of the root is extracted, the socket is cleared of granulation tissue and irrigated so that no infected tissue is left behind.
  5. Preparation: the remaining part of the root and crown is prepared for the future restoration, sharp edges are removed and the surface is smoothed.
  6. Fixation and suturing: if necessary, a temporary filling or a former is placed, the flap is repositioned and sutures are applied.
  7. Follow-up: after a few days the condition of the gum is assessed and a decision is made on when to proceed to the permanent crown.

Book a consultation for tooth preservation

A cyst is a cavity in the bone filled with fluid or soft tissue. It grows slowly and remains asymptomatic for a long time. When it is found, the tooth does not always have to be removed.

When a cyst does not prevent saving the tooth

The decision depends on the clinical picture. The doctor examines the images: how much bone around the apex is destroyed, whether the tooth walls are intact, and where the cavity is pressing — against a neighboring tooth, into the sinus, or into the mandibular canal. If the root is still strong and the bone defect is limited, the tooth is kept. Surgery is needed when the cavity is growing, pressing on adjacent structures, or interfering with prosthetics. Sometimes it is discovered incidentally on a panoramic X-ray, and then it is monitored. Sometimes the cavity communicates with the root canal — then the canal is treated first, and after a few months they check whether the lesion has shrunk. If it has, surgery is not required. If not, the procedure is planned. Contraindications also determine the outcome: poor blood clotting, decompensated diabetes, and acute infection in the oral cavity postpone the operation. Age alone is not a prohibition. It is important that there is a tooth or implant nearby to take the load, otherwise preserving the tooth makes no sense. All of this is assessed by the surgeon together with the prosthodontist and the therapist.

How the cyst is removed and the defect is closed

  1. Access: under local anesthesia, a mucoperiosteal flap is elevated, the bone above the root apex is exposed, and a window is made in the bone wall.
  2. Removal of the lining: the cyst is enucleated in its entirety together with its lining so that no fragments are left behind; sometimes the lining is curetted if it is adherent to the tissues.
  3. Root treatment: the root apex is resected if it is damaged or not properly filled; the canal is checked and, if necessary, retrograde filling is performed.
  4. Filling the defect: the cavity is filled with an osteoplastic material or left under a blood clot — the choice depends on the size of the defect and the clinical picture.
  5. Suturing: the flap is returned to its place and secured with sutures; for several days the patient is advised to follow a gentle regimen and hygiene that avoids trauma to the area.

Book a consultation for tooth preservation

The gum is peeled back to reach the root and bone. This removes the source of inflammation without removing the tooth itself. The access gives the surgeon visibility and room to work.

Why the flap is raised

A mucoperiosteal flap is raised when the pathology is hidden under the gum. A cyst, granuloma, or deep bone pocket cannot be seen from the outside. Through the incision and elevation, the surgeon can see the root along its entire length, assess the defect, and work precisely. The flap provides access to the apex, the bifurcation, and the bone pocket. Elevation is also needed for regeneration: material is placed under the flap, covered with a membrane, and sutured. The gum edges are then returned to place. The doctor decides which access to choose — it depends on the clinical picture, pocket depth, and root position. Sometimes a narrow incision is enough, sometimes a wide one is needed. Elevation is not an end in itself. It is a way to see what is preventing the tooth from staying. And to remove it without removing the tooth itself. The patient is explained that after such surgery the gum heals for several days, and during this time the area of intervention must be protected.

Types of flap approaches

  • Trapezoidal: an incision along the gingival margin and two vertical releasing incisions. Provides wide exposure; used for access to the apex and bone defects.
  • Triangular: one vertical incision plus a horizontal one. Less traumatic, sufficient for a limited area, for example a single cyst.
  • Envelope: two vertical incisions without a horizontal one along the gingival margin. The mucosa is reflected together with the papillae, giving access to the interdental bone.
  • Kirkland: an incision along the gingival margin with an offset, preserving the gingival papilla. Used for periodontal pockets when esthetics matters.
  • Widman: a modification that preserves the papilla with the incision placed farther from the margin. The indications are the same — pockets and recession — but the technique differs.
  • Full-thickness: the gingiva is elevated together with the periosteum. Exposes the bone; needed for bone grafting and regeneration when access to deeper layers is required.

How to prepare for the procedure?

Preparation begins with diagnostics and a conversation with the doctor. The patient takes tests, treats concomitant diseases, and plans the day of the procedure. Below is what to do in advance.

What to do before surgery

  • Gather documents: bring your imaging, discharge summaries, and results of previous examinations, if you have them. This will save you from repeat diagnostics and unnecessary time costs.
  • Get tests done: the doctor will order a complete blood count and blood chemistry, a coagulation panel, and tests for infections. The list depends on concomitant diagnoses and the extent of the procedure.
  • Report your medications: list all the drugs you take on an ongoing basis, including blood thinners and hormonal medications. The doctor will decide what to stop, what to adjust, and what to continue.
  • Treat sources of infection: caries, pulpitis, and gum inflammation are treated before surgery. Otherwise, microbes from adjacent areas can interfere with healing.
  • Plan your day: the procedure is performed on an empty stomach if sedation or general anesthesia is planned. Ask your doctor whether you may drink water and take your usual pills in the morning.
  • Arrange transportation: do not drive after the procedure. Arrange for someone to pick you up, and bring along light food and water.

What examinations the doctor prescribes

Imaging is needed before surgery. Usually a periapical or panoramic X-ray is taken, sometimes cone-beam computed tomography. It shows bone thickness, the course of the canals, and the location of nerves. Planning the procedure without this is risky. Next are blood tests: complete blood count, biochemistry, and coagulogram. They show clotting, sugar levels, and signs of inflammation. For concomitant diseases, the list is expanded. For example, with diabetes, glycated hemoglobin is checked; with heart disease, a cardiologist's report is needed. Allergies to antibiotics and anesthetics are clarified separately. If the patient takes blood thinners, the doctor decides whether to stop them and for how long. Sometimes a consultation with a therapist or endocrinologist is needed. The scope of examinations depends on the clinical picture and general condition. The doctor decides. One should not undergo everything in advance: extra tests do not help and sometimes interfere. What is prescribed is enough. Results are valid for a limited time, so they are taken shortly before the date. If more than a month has passed between the examination and surgery, some tests are repeated. This is normal and related to changes in indicators.

How long does the tooth last after preservation?

There is no universal figure for how long a tooth will last after it is saved. The prognosis is determined by the condition of the tissues, the quality of the procedure performed, and subsequent care. Let's look at what affects this.

What determines the service life

A saved tooth remains a living structure, but with areas that have already lost some of their supporting tissues. How long it will last is a matter of the clinical picture, not an average figure. If after the procedure sufficient bone thickness remains around the roots, the gum margin is stable, and the tooth itself has no cracks, the prognosis is considered cautiously favorable. When supporting tissues have been lost to a significant degree, even a successful procedure does not guarantee a long lifespan: the load is distributed unevenly, and over time mobility or fracture becomes possible. The doctor decides based on the examination findings and imaging. The patient also contributes: hygiene, avoiding hard foods on the operated side, and regular check-ups. Without this, even a good outcome can be undone within months. Specific timeframes in each case are only given after assessing the condition of the tissues.

Factors that affect the prognosis

FactorImpact
Amount of remaining boneThe more support around the root, the more stable the tooth
Condition of the gumsInflammation accelerates tissue loss
Root cracksReduce the chances of a long-term outcome
Quality of hygienePlaque destroys the supporting tissues
Regular check-upsAllow changes to be noticed in time

Is a crown needed after the procedure?

After the procedure the tooth remains in place, but its strength changes. A crown covers the weakened walls. It is not always needed — the doctor decides based on imaging.

When a crown is needed

A crown is planned if little tissue remains of the crown portion after the procedure. Hemisection, coronal-radicular separation, and root-end resection remove part of the dentin and enamel. The walls become thin, and chewing load does not go away. A composite filling on such a wall holds poorly: it does not distribute pressure across the entire surface, and the tooth may split vertically. Then it can no longer be saved. A crown covers the entire prepared tooth and redistributes the chewing load along the root. The doctor looks at the image and assesses how much tissue remains above the gum and how thick the walls are. If the destruction index is high and the wall is thinner than a millimeter, the crown protects the result of the procedure. The decision is made before the patient goes home, not a month later. Sometimes the crown is not placed immediately: first they wait for healing, then they prepare the tooth. The timing depends on the clinical picture. It also happens that the tooth was already under a crown before the procedure — then it is removed, and after healing a new one is made.

When it can be done without one

Not every procedure weakens a tooth enough to require hiding it under a crown. After a cystectomy with access through the root apex, the crown portion often remains untouched. If the walls are thick and the defect is small, it is closed with a filling or an inlay. A ceramic or composite inlay restores the shape and holds more securely than an ordinary filling, because it is made from an impression. Flap procedures on the gum also do not require a crown: they involve soft tissues, not enamel. After them, hygiene and the condition of the gum margin are monitored. The doctor may suggest observation: the patient comes in for check-ups, and if the wall begins to crack over time, the question of a crown comes up again. This approach is justified when the neighboring teeth are healthy and do not require intervention. Another option is a structure on the neighboring teeth, if the operated tooth itself is too weak for a separate crown. What to choose is decided by the doctor together with the prosthodontist. You cannot guess from a single image: both examination findings and an assessment of the bite are needed.

Book a consultation for tooth preservation

When a tooth is destroyed, the choice usually comes down to two paths: try to save it, or remove it and place an implant. The decision is made based on the clinical picture, not on habit.

What the dentist considers when choosing

  • Extent of damage: if the crown is severely damaged but the roots are intact and stable, preservation can be considered; with a longitudinal root fracture below the gumline, there is almost no chance.
  • Condition of the roots and canals: a retreated root with a lesion at the apex may be salvageable with apicoectomy, but when the walls are thinned, the risk of fracture is high.
  • Periodontium: with tooth mobility and deep pockets, the prognosis is worse; preservation is possible if the gum can be stabilized, otherwise an implant is preferable.
  • Adjacent teeth: using them as support for a bridge overloads healthy units, and sometimes a single implant spares them more than preservation with a bridge.
  • General condition: with diabetes, smoking, or use of certain medications, healing proceeds differently, and this shifts the choice — sometimes toward extraction, sometimes toward an attempt to preserve.

When saving it is impossible

There are situations in which an attempt to save a tooth turns into a series of procedures with no result. A longitudinal root fracture, where the crack runs from the crown to the apex, is one of them: the gap does not heal, and such a tooth is extracted. Complete destruction of the crown below the gum line, if the root is short, also leaves few options. Grade 3 mobility with loss of bone tissue around the root makes preservation hopeless. Sometimes anatomy gets in the way: the roots diverge so much that neither separation nor resection provides access. It also happens that a patient has undergone several surgeries, yet the source of inflammation returns. In such a situation, the doctor honestly says: the tooth cannot be saved. This is not a defeat, but the point at which implantation becomes a more predictable path. The decision is always individual, and it is made after an examination and imaging, not based on a single symptom.

Where are such procedures performed?

Choosing a place for such a procedure is not about finding a big name, but about checking who will manage the case and how. Below is what to look at and what to ask about.

How to choose a clinic

  • Surgeon and periodontist on staff: the operation is performed by the same person who will manage the patient afterward, not a visiting specialist brought in for a day; ask who will provide follow-up care.
  • Plan before treatment begins: during the consultation, imaging is shown and they explain which part of the tooth will be preserved and why; if they suggest deciding everything at once, without diagnostics, that is a reason to think twice.
  • Sterilization and supplies: ask how instruments are processed and which materials are used; the answer should be specific, without vague generalities.
  • Documents and warranty: the terms are set out in the contract; the duration and scope of warranty obligations depend on the clinic and on the clinical situation.
  • Reviews on independent platforms: look not at the rating but at descriptions of individual cases; in Astana, patients most often post on 2GIS, Google, and Yandex.
  • Logistics: a daily schedule and free parking at 11/1 Abai Avenue make repeat visits easier if several stages are planned.

What to ask at the consultation

  • Who performs the procedure: ask them to name the specialist and their role in your case; since 1995, the clinic has had a prosthodontist, an orthodontist-surgeon, a periodontist, an oral and maxillofacial surgeon, and general dentists on staff.
  • What exactly is being preserved: ask them to show you on the X-ray which part of the tooth will remain and how it will be reinforced; without this, the plan is unclear.
  • Stages: how many visits are expected, what is done at each one, and how long healing takes — the timeline depends on the clinical picture.
  • What happens if it doesn't work: an honest answer includes the possibility of extraction and what is done in that case; the decision is made by the doctor together with the patient.
  • Initial appointment: at this clinic, the examination and treatment plan are 0 ₸; ask what is included in the appointment and what additional tests are needed.
  • Payment: installment plans from Alatau City Bank for 24 months or from Kaspi for 12 months; warranty — the warranty period depends on the type of work and is stated in the contract, but its terms should be read in the contract before treatment begins.

What to remember

The main points about saving teeth

Saving a tooth is not about heroism, but about calculation. Your own root provides natural loading on the bone, and as long as it holds, the jaw works as usual. But every attempt has a cost: time, restrictions, repeat visits. Sometimes it is better to extract a tooth right away — if the walls are destroyed below the gum line, if the crack runs through the root, if mobility is increasing. The decision depends on the clinical picture: imaging, the condition of the gums, the extent of the damage. The doctor weighs the risks and explains which path is realistic. Haste is a poor adviser here, as is refusing diagnostics. A second opinion is acceptable and no offense. The main thing is to understand that you are not choosing between "good" and "bad," but between two different scenarios with different consequences. It is important for the patient to ask questions before treatment begins, not after.

The doctor makes the decision

A patient comes in wanting to save a tooth. That is understandable and right. But the final choice is made by the doctor after an examination and imaging. They see what is not visible in the mirror: the width of the periodontal ligament, the condition of the furcation, the quality of the bone tissue. Sometimes there are no complaints, yet the prognosis is already questionable. Sometimes it is the opposite: a tooth looks hopeless, but after root canal treatment it lasts for years. No forum can replace imaging. If the doctor recommends extraction, it is worth asking why and what options exist. If they insist on preservation, clarify what things will look like in a year and what restrictions lie ahead. Questions do not get in the way; they help. The outcome is always individual: there is no universal answer for all teeth. That is why the decision is made together, but the doctor bears responsibility for it.

Questions about tooth-preserving surgeries

The cost of a tooth-preserving surgery depends on the type of intervention, the number and complexity of roots, the extent of bone grafting, the materials used, and the need for sedation or additional procedures. The price is given by the doctor during the examination after the X-ray, because it is not known in advance: one procedure is less expensive, another requires a membrane, osteoplastic material, and a follow-up visit, and diagnostics, anesthesia, and follow-up examinations may be billed separately if they are not included in the stage. See the final amount in the price section on this page, and get an exact calculation for your case during a consultation; if the cost is high, we offer installment plans, the terms of which are also listed on the page.

A tooth-preserving surgery is a surgical procedure aimed at saving a tooth that would otherwise have to be extracted; such procedures include root-end resection, hemisection, crown-radicular separation, cystectomy, and guided bone regeneration. They are performed when the root is affected by a cyst or granuloma, when there is a root fracture, perforation, or a deep bone pocket, and when conservative treatment no longer produces results; the decision is made by the surgeon after examination and imaging. Sometimes therapeutic treatment is sufficient, and sometimes the tooth cannot be saved, so at our clinic, during the initial visit, the tooth is examined, an image is taken, and a plan is drawn up: if preservation is possible, surgery is offered; if not, alternatives are discussed.

Recovery after tooth-preserving surgery takes on average from several days to two weeks, while complete bone healing takes months, so for the first 24 hours you must not eat hot food, rinse your mouth, or touch the wound with your tongue, so as not to wash out the blood clot. In the first days, swelling, aching pain, and slight bleeding are possible — this is normal; cold and prescribed medications help. After that, it is important to maintain gentle hygiene, brush your teeth with a soft brush, avoid chewing on the operated side, and attend follow-up visits. Smoking and alcohol slow healing, so they should be avoided at least during rehabilitation, and if the pain intensifies, pus appears, or fever develops, you should contact the clinic without waiting.

Complications after tooth-preserving surgery do occur, although with proper technique and care they are rare: swelling, pain, bleeding, wound infection, suture dehiscence, and damage to adjacent structures. Contraindications are divided into absolute and relative: severe coagulation disorders, decompensated diabetes, cancer in the surgical area, acute infections, and certain mental conditions, whereas pregnancy, anticoagulant use, smoking, and poor hygiene do not prohibit surgery but require preparation and correction. During the examination, the dentist takes a history and, if necessary, orders tests and consultations to assess the risks; if the risk outweighs the benefit, the tooth is extracted and implantation is planned.

You can schedule a consultation for tooth preservation by calling the clinic or using the form on the website, and the initial examination and treatment plan are free of charge. During the appointment, the doctor will examine the tooth, take an X-ray if necessary, explain which procedures are possible, and outline the timeline and stages; if the case is complex, a surgeon or periodontist is brought in, because the clinic has specialized professionals on staff. Bring any existing X-rays and medical records if you have them: this will speed up the assessment, and you should book as early as possible, because inflammation around the root destroys bone over time and reduces the chances of saving the tooth.

For tooth-preserving surgeries in dentistry, surgical units, bone handpieces, ultrasonic devices for root treatment, microscopes and loupes for precision work, as well as bone grafting materials and membranes are used. Diagnosis relies on periapical X-rays, panoramic tomograms, and cone-beam computed tomography: it shows bone thickness, nerve location, and cyst volume, and specific instruments are selected for the particular task—sometimes ultrasound is sufficient, sometimes a microscope is needed. At our clinic, the equipment is not listed in the directory, so please check the specific set of equipment during a consultation with the surgeon, because the accuracy of diagnosis and precision of work affect whether the preserved tooth will take.

Yes, a tooth with a cyst or granuloma can often be saved if the root canal is passable and the surrounding bone is not too severely damaged. First, non-surgical treatment is attempted: the canals are filled, sometimes over several visits, and the reduction of the lesion is monitored on X-rays; if conservative treatment fails, an apicoectomy or cystectomy with bone grafting is performed—these procedures are precisely tooth-preserving. The chances depend on the size of the lesion, the condition of the root, and oral hygiene: with an extensive cyst and a cracked root, the prognosis is worse, so the decision is made after a CT scan, not just a periapical X-ray.

There is no pain during a tooth-preserving surgery because it is performed under local anesthesia, and if necessary, under sedation; the duration depends on the type of intervention: an apicoectomy usually takes less than an hour, while complex surgeries with bone grafting can take one and a half to two hours. After the anesthesia wears off, moderate pain occurs, which is relieved with painkillers prescribed by the doctor; if the pain does not subside or worsens after a few days, this is a reason to come in for a follow-up examination. Discuss your chronic conditions and medications with the surgeon in advance so that anesthesia and the postoperative period go smoothly.

Tooth-preserving surgery keeps your own tooth, while implantation replaces a lost tooth with an artificial root and crown. Preservation is more favorable physiologically: your own bone, ligaments, and natural chewing sensation remain, so it is preferred when the prognosis is favorable, whereas implantation is indicated if the tooth is irreversibly damaged, there is a vertical root fracture, or an extensive bone defect that does not allow the root to be stabilized. Sometimes the decision changes during treatment: first they try to preserve, and if that fails they move to extraction and implantation, and both options are discussed with the surgeon after imaging to choose a realistic approach.

The warranty on tooth-preserving surgeries depends on the clinical case and the terms of the contract, so it is best to clarify its exact duration and scope with the doctor before treatment begins. Typically, warranty obligations do not cover the consequences of poor hygiene, smoking, injuries, and flare-ups of chronic diseases that affect healing, so it is important to attend follow-up examinations and follow recommendations for care and medication. In our clinic, the warranty applies if these conditions are met, and its specific duration is indicated on the page in the relevant section; if something bothers you after surgery, contact us immediately rather than waiting for a scheduled visit.

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 tooth-preserving surgeries

4.9
39 reviews on the site
39 ratings
ООльга Т.11 August 2026
★ 5,0

At first I just wanted to have a look and compare prices — just like that. Our whole family received treatment here and we stayed within the plan. We're happy with the result...

ППавел З.30 July 2026
★ 5,0

At first I just wanted to look around and compare prices — I even feel awkward that I put it off. I'll put it this way: the only scary part was before I sat in the chair. Our whole family has been treated here, with no unnecessary visits.

ДДинара Л.11 July 2026
★ 5,0

I kept putting it off because of work, there was never time, I even felt awkward that I dragged it out. . . Zhavlon explains things calmly and to the point. It seems like a small thing, but that's exactly what stuck with me. They did what was planned, without anything extra, everything on schedule, no waiting.

ЕЕкатерина С.9 July 2026
★ 5,0

Everything is fine now, I have never regretted it. . . We came for a consultation and stayed for treatment, without unnecessary visits. Aset stays in touch even after the appointment (I couldn't believe it myself).

ТТатьяна Р.26 June 2026
★ 5,0

We came from another district. The only downside was a slightly longer wait for the appointment, but it didn't affect our overall impression. Aset immediately explained what to expect. Our whole family received treatment here, and no unnecessary X-rays were ordered.

ААрман М.15 June 2026
★ 5,0

At first I just wanted to look around and get a price estimate. It didn't hurt at all. They did exactly what was planned, nothing extra, and stayed on schedule. Aset explained why it wasn't worth putting it off. We arranged the installment plan right there on the spot, no running around to banks. Everything's fine now, and that's what matters most. They set up the card right away, asked for my passport once (I double-checked twice). They messaged me the next day to ask how I was feeling — a small thing, but nice. The administrator called back when she said she would, the way it should be. They didn't push anything extra on me.

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

Still have questions about tooth-preserving 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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