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Surgery and Implants

Tooth Extraction for Children in Almaty: When It's Needed, How It's Done, and Cost

Primary teeth are extracted in children when the tooth is severely decayed, cannot be treated, or is blocking the eruption of a permanent tooth. The procedure is performed under local anesthesia, less often under sedation. After extraction, it is important to follow the doctor's recommendations for rapid healing. The cost depends on the complexity, but the exact price will be given by the dentist after an examination.

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30+years treating patients in Almaty
up to 5 yearswarranty on work
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How much does tooth extraction for children cost in Almaty

Full price list
TreatmentDuration & warrantyPrice
Initial pediatric examination30 minutesIntroduction and treatment plan0 ₸Message on WhatsApp
Treatment of caries in a primary tooth40 minutesWith rubber dam and anesthesiafrom12 000 ₸Message on WhatsApp
Treatment of pulpitis in a primary tooth1 visitWith biocompatible MTA materialfrom25 000 ₸Message on WhatsApp
Icon method without drilling30 minutesCaries in the spot stage—Message on WhatsApp
Crown for a primary tooth1 visitWhen the tooth is damaged but it's too early to extractfrom30 000 ₸Message on WhatsApp
Fissure sealing, one tooth20 minutesPrevention after eruptionfrom12 000 ₸Message on WhatsApp
Professional pediatric dental cleaning40 minutesWith fluoride treatmentfrom20 000 ₸Message on WhatsApp
Pediatric tooth restoration45 minutesFor chips and trauma—Message on WhatsApp
Pediatric dentist consultation0 ₸Message on WhatsApp
Primary tooth extractionfrom9 000 ₸Message on WhatsApp

How much does it cost to extract a primary tooth

The price of primary tooth extraction depends on the complexity: a mobile tooth is removed faster than a decayed one with curved roots. The exact cost will be given by the doctor after an examination.

By complexity

What types of tooth extraction are there for children

Classification helps to understand how interventions differ and why a surgical stage is required in some cases.

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

Simple primary tooth extraction

Performed when the tooth is already loose or the roots have resorbed. The doctor uses forceps, the procedure takes a few minutes and is performed under local anesthesia.

Chairside view: dentist at work, shot over the assistant's shoulder — illustration for the section "Complex extraction of a primary tooth"

Complex primary tooth extraction

Required for a decayed crown, curved roots, or inflammation. The surgeon may cut the gum and place sutures. It is performed under local anesthesia or sedation.

A jaw model and material samples on the dentist's table next to a mirror and probe — an illustration for the section "Permanent tooth extraction in a child"

Permanent tooth extraction in a child

Permanent teeth are extracted only for strict indications: severe inflammation, trauma, orthodontic plans. The procedure is more complex than primary tooth extraction.

Stages of tooth extraction for children

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

Examination and diagnostics

Before extraction, the doctor examines the oral cavity and, if necessary, orders an X-ray or CT scan. This helps assess the roots and position of the tooth.

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

Anesthesia

For the child's comfort, local anesthesia is used. In some cases, sedation is possible — it is prescribed by an anesthesiologist after consultation.

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

Tooth extraction

The doctor carefully removes the tooth with forceps or an elevator. For complex extraction, an incision of the gum and sutures may be required.

Follow-up visit: the doctor checks the result with a mirror while the assistant holds the saliva ejector — illustration for the "Recommendations after the procedure" section
Step 04

Post-procedure recommendations

After extraction, the doctor gives the parents instructions: what can be eaten, how to care for the socket, when to come for a follow-up examination.

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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Ibragimov Alisher Farkhadovich — dentist at Dental-Center dental clinic in Almaty, portrait in work uniformThe calculation is reviewed by the clinic's 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: Jusan bank — 24 months, Kaspi — 12

When should a primary tooth be extracted?

Primary teeth in children are eventually replaced by permanent ones. But sometimes extraction is required earlier than the natural time. When is it truly necessary, and when can the tooth be saved?

Indications for extraction

  • Severe destruction: decay or trauma has destroyed most of the crown, and the tooth cannot be restored.
  • Periodontitis: inflammation has spread to the tissues around the root, and there is a risk of damaging the developing permanent tooth.
  • Gum fistula: a purulent focus at the root apex does not respond to treatment, and its source is the primary tooth.
  • Delayed root resorption: the primary tooth is blocking the eruption of the permanent tooth, even though it is already due to be shed.
  • Orthodontic indications: in cases of crowding, the dentist may decide to extract the tooth to make room for the permanent teeth.
  • Supernumerary teeth: extra teeth that interfere with a normal bite are removed when indicated.

When extraction is not required

A primary tooth is kept if it can be treated. Caries in the early stage is treated, and pulpitis too, if the inflammation has not gone too far. A temporary filling, silvering, and remineralization are methods that allow waiting for the natural change of teeth. Early extraction without serious reasons leads to displacement of neighboring teeth and malocclusion. Therefore, the decision is always made by the doctor after an examination and, if necessary, an X-ray. The cost of primary tooth extraction depends on the complexity of the case and the chosen method of anesthesia, but the clinic sets the price after diagnosis, not blindly. If caries has affected deep layers, root canal treatment may be required, and then the question of extraction is postponed. The doctor assesses how great the risk is to the permanent tooth germ, and only then suggests the extreme measure. It is important for parents to understand: preserving a primary tooth until its natural change is a priority, but not always possible.

When extraction is inevitable

Parents often doubt: treat a primary tooth or extract it. The decision depends on the condition of the tooth and the stage of development of the permanent root.

Why early caries is dangerous

Caries in primary teeth develops rapidly: the enamel is thinner and the dentin is more porous, so the infection quickly reaches the pulp. If it is not addressed in time, the inflammation spreads to the tissues around the root, and periodontitis develops. An infection in the jaw poses a risk to the developing permanent tooth germ nearby. Bacteria can damage its enamel, and then the permanent tooth will erupt with spots or defects. In addition, early loss of a primary tooth disrupts bite formation: adjacent teeth shift, and the permanent tooth erupts outside the arch. That is why dentists try to preserve the primary tooth until the physiological change, if possible. Treatment at an early stage takes little time and does not require drilling in advanced cases. The earlier parents bring the child for an examination, the greater the chance of avoiding extraction. Regular preventive visits help detect the problem before it becomes serious.

Comparison of treatment and extraction

CriterionTreatmentExtraction
GoalPreserve the tooth until it is shedRemove the source of infection
IndicationsDecay, pulpitis without root destructionSevere destruction, cyst, fistula
Effect on biteSpace for the permanent tooth is preservedShifting of adjacent teeth is possible
PainUnder local anesthesiaUnder local anesthesia
Recovery timeFast, no restrictionsSocket healing takes several days

How is the procedure anesthetized in children?

Pediatric dentistry requires a special approach to anesthesia. It is important that the child does not experience fear or pain. Modern methods make it possible to perform the procedure comfortably.

Types of anesthesia

  • Topical: an anesthetic gel is applied to the gum to numb the surface before the injection. This makes the injection almost imperceptible.
  • Infiltration: the anesthetic is injected into the area over the tooth root, blocking nerve endings. It is most often used on the upper jaw.
  • Nerve block: the injection is given near the nerve to numb a larger area. It is usually used when extracting lower teeth.
  • Sedation: nitrous oxide through a mask helps the child relax, but they remain conscious. It is used for severe anxiety.
  • General anesthesia: complete sleep. It requires an anesthesiologist to be present and is used in complex cases or when indicated.

How a local anesthetic works

Local anesthetics block nerve impulse transmission in the area where they are injected. Agents based on articaine and mepivacaine act quickly and provide sufficient depth of anesthesia. The dosage is calculated strictly according to the child's weight. The duration of the effect depends on the concentration and type of the agent; it is usually 30 to 90 minutes. During this time, the dentist can perform the extraction without pain. After the procedure, sensation returns gradually over several hours. Parents should explain to the child that the numbness is temporary to avoid biting the cheek or lip. The price of primary tooth extraction often includes the cost of anesthesia, but it is better to clarify this in advance. The dentist selects the anesthesia method individually, assessing the child's health status and psychological readiness.

Preparing the child for a dental visit

The first visit to the dentist is stressful for the child and the parents. Preparation reduces anxiety. We will explain how to prepare the child and what to bring with you.

Psychological preparation

  • Speak calmly: explain that the dentist will look at the teeth and, if needed, treat them. Avoid the words "pain," "scary," and "shot."
  • Don't lie: if an extraction is coming, honestly say that it will be uncomfortable but quick. The child needs to trust you.
  • Play dentist: at home, count the teeth of toys and show how to open the mouth. This reduces fear of the unknown.
  • Choose a morning appointment: the child is well rested and reacts more calmly. Feed them before the visit if there are no restrictions.
  • Be there: in the office, hold the child's hand and talk to them. Your calmness is passed on to them.

What to Bring with You

Bring a favorite toy or book — it will distract the child while waiting. Bring a change of clothes in case the child gets dirty. If the child is small, bring a diaper and wet wipes. Documents: the insurance policy and birth certificate, if needed. To be safe, ask the administrator in advance what is required. For a teenager, you can bring headphones so they can listen to music during the procedure. And remember: the price of primary tooth extraction at the clinic depends on the complexity, but that is not the main thing. The main thing is the child's calm. When the child knows what to expect, fear decreases. Explain that the dentist will first examine and then decide what to do. If extraction is planned, do not show your worry: children sense their parents' anxiety. After the procedure, praise the child for being brave and offer a small reward. That way, the dental visit will be remembered not as stress, but as an ordinary event.

Features of permanent tooth extraction

Extraction of a permanent tooth in a child is a last resort, used only when it cannot be saved. The procedure differs from working with primary teeth and requires a special approach.

When a permanent tooth is extracted

Permanent teeth are preserved by all possible means, because a new one will not grow in place of an extracted tooth. Extraction is resorted to in severe inflammatory processes, when the roots are destroyed to such an extent that restoration is impossible. Injuries with a longitudinal root fracture and acute purulent processes that threaten the health of adjacent tissues are also indications. Sometimes a tooth is removed for orthodontic reasons, for example, in cases of crowding, when space needs to be freed for the proper growth of the others. In each case, the decision is made by the doctor after a thorough diagnosis, including an X-ray examination. They assess the condition of the roots, the surrounding tissues, and the child's general health. If there is even the slightest possibility of preserving the tooth, the doctor will offer treatment. Extraction is a last resort, used when other methods have not helped or do not make sense. Parents should remember that timely visits to the dentist help avoid many problems.

Stages of the procedure

  1. Examination and diagnostics: the dentist reviews the clinical picture and, if necessary, orders an X-ray to accurately assess the condition of the roots and surrounding tissues.
  2. Anesthesia: local anesthetics are used, often taking into account the child's age and weight, to completely eliminate pain.
  3. Access to the tooth: special instruments are used to gently separate the ligaments holding the tooth; sometimes a small incision in the gum is required.
  4. Tooth extraction: the dentist loosens the tooth with forceps or elevators, controlling the force so as not to damage adjacent teeth and bone tissue.
  5. Socket treatment: after extraction, the socket is rinsed with an antiseptic, and sutures or a hemostatic sponge are applied if needed to stop bleeding.
  6. Recommendations: the dentist explains how to care for the socket, what can be eaten and drunk, and how to brush the teeth in the first days after the procedure.

Impacted tooth: what is it and how is it removed?

An impacted tooth is one that failed to erupt and remained in the bone or under the gum. In children, this most often affects wisdom teeth, canines, and second premolars. If such a tooth presses on neighboring teeth, causes pain, or interferes with the bite, it is removed.

Causes of impaction

An impacted tooth does not erupt because of the close arrangement of neighboring teeth, a sac wall that is too thick, or an incorrect direction of growth. In a child, this may be a primary or permanent tooth. Sometimes it causes no discomfort and is found accidentally on an X-ray. In other cases, swelling, pain, and gum inflammation occur. Then removal of the impacted tooth in a child becomes necessary. The doctor assesses the position of the tooth on the radiograph and decides whether it can be preserved, for example, with the help of orthodontic treatment. If preservation is impossible, surgery is prescribed.

Removal methods

  • Simple extraction: possible when the tooth has partially erupted or lies close to the surface. The dentist lifts the gum and loosens the tooth with forceps or an elevator.
  • Surgical extraction: needed for a deeply positioned tooth. The surgeon incises the gum, raises a flap, removes bone with a drill if necessary, and extracts the tooth.
  • Horizontally positioned teeth: may be removed in sections to reduce trauma and make socket healing easier.
  • After extraction: sutures are placed and an anti-inflammatory agent is inserted into the socket. The dentist gives aftercare instructions and prescribes pain relief.

Supernumerary teeth: what is done about them?

Supernumerary teeth are less common than missing teeth. But when they appear, parents wonder: do they necessarily have to be removed? Let's look at why they are dangerous and how the procedure is performed.

Why supernumerary teeth are dangerous

Supernumerary teeth are extra teeth that form beyond the usual set. They may erupt or may remain in the bone, displacing neighboring teeth. Even if a supernumerary tooth causes no discomfort, it can interfere with the eruption of permanent teeth, cause crowding, and disrupt the bite. Sometimes they become the cause of cysts or inflammation. In childhood, such teeth are often discovered accidentally on an X-ray. The decision to remove them is made by the dentist after assessing the clinical picture. If the tooth does not interfere and does not affect the bite, the doctor may suggest observation. But more often, supernumerary teeth are recommended for removal to avoid orthodontic problems in the future. Removal of primary teeth in children, including supernumerary teeth, is performed under local anesthesia, and this is standard practice.

How removal is performed

  • Examination and X-ray: the dentist assesses the position of the tooth and its effect on surrounding tissues, and orders cone-beam computed tomography if necessary.
  • Anesthesia: local anesthesia is used, and in some cases sedation, so that the child does not feel afraid.
  • Extraction: if the tooth has erupted, it is gently loosened with forceps; an impacted tooth is removed through a small incision in the gum.
  • Suturing: after a surgical extraction the wound is sutured to speed up healing and prevent infection.
  • Recommendations: after the procedure the dentist gives advice on oral care and schedules a follow-up visit.

Cyst in a child: to treat or to remove

A cyst in a child is not a reason to panic, but a reason to act. The doctor assesses the condition of the tooth and surrounding tissues, choosing between treatment and removal.

Types of cysts and their consequences

Type of cystWhat it isWhat it can cause
RadicularForms at the root of a toothDestroys bone and may affect the bud of a permanent tooth
FollicularAround an unerupted toothInterferes with eruption and displaces neighboring teeth
ResidualRemains after tooth extractionRequires a second procedure
Eruption cystOver the crown of an erupting toothOften resolves on its own but may become inflamed

Removal or treatment

The choice between preserving a tooth and extracting it depends on the clinical picture. If the cyst is small and the tooth is a primary (baby) tooth, the dentist may attempt therapeutic treatment: the canals are cleaned, disinfected, and filled with special pastes. However, when the cyst has destroyed a significant portion of the root or involves the bud of the permanent tooth, extraction becomes necessary. Extraction of a tooth with a cyst in a child is performed under local anesthesia, after which the socket is treated with an antiseptic. In pediatric dentistry, it is important to preserve space for the permanent tooth, so a temporary spacer is sometimes placed after extraction. The decision is always made by the dentist, weighing the risks and benefits. Parents should remember: the earlier a cyst is detected, the greater the chance of saving the tooth. If a cyst is found on a primary tooth, the dentist may recommend extraction to protect the bud of the permanent tooth. In the case of a permanent tooth, the approach depends on the size of the cyst and the condition of the roots. Modern methods allow cysts to be treated without surgery, but this is not always possible.

Key points

The decision to extract a child's tooth is always made by the dentist after an examination and, if necessary, X-ray diagnostics.

What to keep in mind

Primary teeth are preserved whenever possible until the natural exfoliation, but with extensive caries, inflammation at the root, or trauma, extraction becomes necessary. Permanent teeth are extracted only when treatment is ineffective or impossible, for example, in cases of severe inflammation, root fracture, or impaction. The question of whether to treat or extract is decided individually: the dentist assesses the extent of destruction, the condition of the permanent tooth bud, and the child's overall health. If a tooth is extracted early, a consultation with an orthodontist may be needed to address preserving space in the dental arch. Parents should understand that primary teeth influence the development of bite and speech, so preserving them is a priority. However, in some cases, extraction is the only way to avoid more serious problems. After extraction, the dentist provides recommendations for socket care and schedules a follow-up visit. Following these recommendations helps prevent complications. Regular dental check-ups allow problems to be detected in time and help maintain the child's dental health.

When to see a doctor

Reasons to visit the dentist include pain, swelling, tooth mobility outside the normal exfoliation timeline, a change in the color of the crown, bad breath, or prolonged healing of the socket after a tooth falls out. In case of trauma, even if the tooth appears intact, an examination by the dentist is mandatory: hidden root fractures or displacement of the tooth bud are possible. If the child complains of discomfort when chewing or you notice redness of the gums, do not postpone the consultation — inflammation at the root of a primary tooth can affect the bud of the permanent tooth. Routine check-ups every six months help identify problems at an early stage, when treatment is easier and less painful. The dentist will advise on how to prepare the child for the visit and which pain management methods are suitable in your case.

Questions about tooth extraction in children

Treatment of caries in a baby tooth starts at 12,000 ₸ according to the clinic's price list. The exact cost of baby tooth removal is given by the doctor after an examination, since the price depends on the complexity of the case and whether anesthesia is needed. Usually the price includes the examination, pain relief, and the procedure itself. If the tooth has long or curved roots, removal may take longer and require additional instruments. You can see current prices in the price section on this page, and the doctor will determine the final amount during the consultation.

The cost of baby tooth extraction depends on the complexity of the case and whether additional procedures are needed. The price consists of the examination, anesthesia, and the extraction itself. The dentist will determine the exact amount after the examination, and you can view approximate prices in the price list on the page.

In Almaty, tooth extraction for a child is performed at a dental clinic located at 133/6 Kanysh Satpayev St. The dentists have experience working with children and use modern equipment, including a CT scanner and a laser. To make an appointment, call the phone number listed on the website.

We are open daily from 9:00 to 20:00, seven days a week. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Phone for appointments — +7 747 093 89 86. Initial examination and treatment plan — 0 ₸.

Address: Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Parking for patients is free. Phone for appointments — +7 747 093 89 86. Appointments are available daily from 9:00 to 20:00.

Warranty up to 5 years. The clinic has been operating since 1995, with a rating of 4.9 based on 312 reviews on 2GIS, Google and Yandex. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00.

Installment plan for 24 months with Jusan 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 — +7 747 093 89 86.

Initial examination and treatment plan: 0 ₸. There is no separate fee for the first visit. Warranty on work: up to 5 years. Installments for 24 months with Jusan bank or 12 months with Kaspi.

Parking is free. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 747 093 89 86.

Reviews of tooth extraction for children

4,9
38 reviews on the site
38 ratings
ЕЕкатерина П.3 August 2026
★ 4,0

I had my wisdom tooth removed, it was lying horizontally. Nurlan didn't push and gave me time to think. I never regretted it. The socket was stitched up, the bleeding stopped quickly, and that's what won me over.

ААрман Л.23 July 2026
★ 5,0

I initially just wanted to look around and get a sense of the prices — that's a whole separate story — but the extraction took about twenty minutes, and I barely needed any painkillers. By the third day I'd already forgotten about it. I recommend it.

ССветлана Т.18 July 2026
★ 5,0

I kept putting it off because of work, never had the time. I was scared until the very last moment. Madina knows her stuff. The extraction took about twenty minutes, and the socket healed evenly. They messaged me the next day to ask how I was feeling. It healed within a week, there was no dry socket, nothing to complain about. The socket was stitched up, and the bleeding stopped quickly. They saw me right on time, no waiting, no complaints there — that's a whole other story —. The receptionist called back when she promised, just as we agreed. The hallway doesn't smell like a hospital, but like something neutral.

ИИрина Д.27 June 2026
★ 5,0

I put it off for about a year. I had my wisdom tooth extracted, and nothing extra was recommended. I'm happy with the result. There was no pain. Thank you.

ААнна В.25 June 2026
★ 5,0

By the third day I had already forgotten about it. They removed my wisdom tooth, it was lying horizontally, and they sent the aftercare instructions via messenger. I didn't expect it to be completely painless. In my opinion, the price is fair for that kind of work!

ААсель Б.17 May 2026
★ 5,0

Had my lower wisdom tooth removed, hardly needed any painkillers. It seems the people here just love what they do. The hallway doesn't smell like a hospital, but something neutral — thanks for that too. From now on, only here.

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