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Surgery and Implants

Tooth Root Removal in Almaty

Tooth root removal is a surgical procedure performed when the crown is destroyed but the root remains. The doctor reviews the X-ray, selects anesthesia, lifts the gum, and extracts the root, sometimes in fragments. The decision on the method and extent is made by the specialist based on the clinical picture. Healing and post-procedure recommendations depend on the complexity of the surgery and the position of the tooth.

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How much does tooth root removal cost?

Full price list
TreatmentDuration & warrantyPrice
Tooth extractionfrom18 000 ₸Message on WhatsApp
Surgical removal of impacted wisdom tooth60 minutesBased on CT scanfrom50 000 ₸Message on WhatsApp
Apicoectomy (root-end resection)60 minutesTooth remains in placefrom40 000 ₸Message on WhatsApp
Extraction of a grade 2 mobile toothfrom15 000 ₸Message on WhatsApp
Extraction of a grade 3 mobile toothfrom90 000 ₸Message on WhatsApp
Consultation with an implant surgeon0 ₸Message on WhatsApp
Wisdom tooth extractionfrom25 000 ₸Message on WhatsApp
Gingivoplastyfrom20 000 ₸Message on WhatsApp
Frenuloplastyfrom67 000 ₸Message on WhatsApp
Laser frenectomyfrom30 000 ₸Message on WhatsApp

What determines the price of tooth root removal

The cost of the procedure is determined by the position of the root in the socket, the degree of destruction of the crown, the condition of the surrounding tissues, and the need for additional interventions. The complexity of access is also taken into account: removing the roots of molars and wisdom teeth is technically more difficult than single-rooted teeth. The exact amount is given after an examination and X-ray. Until then, no figure can be provided — it would be inaccurate. To book a consultation, call +7 747 093 89 86.

By extraction method

Methods of tooth root removal

The method is chosen based on the X-ray: it determines whether a gingival incision and root separation will be needed.

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

Root removal with forceps

The root is grasped with root forceps by the part protruding above the edge of the socket and extracted through the socket, without a gingival incision. This method differs from removal with an elevator in that the root is held from the outside rather than pushed out from within the socket. The doctor considers it when the root is straight, strong, and its edge is accessible for grasping.

Chairside appointment: dentist at work, over-the-shoulder shot of the assistant — illustration for the section "Complex extraction with incision"

Root removal with an elevator

A thin elevator is inserted between the root and the socket wall and, with support on the bone, gradually pushes the root out of the socket, without a gingival incision. Unlike forceps, no edge is needed for grasping. The doctor chooses this method when the root is fractured at or below the gingival level and forceps cannot grasp it, but it lies entirely within the socket.

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

Root removal in fragments

The root is divided into fragments with a bur and they are extracted one by one through the socket. This method differs from forceps and an elevator, with which the root is removed whole. It is considered when the roots are bifurcated, hooked, fused, or abut an adjacent tooth, so that direct traction is impossible.

The doctor shows the patient the scan on the screen and explains the treatment plan — illustration for the section "Removal of mandibular roots"

Atypical removal with flap elevation

The surgeon makes an incision, elevates a mucoperiosteal flap, and creates access to the root through the bone tissue, then sutures the wound at the end. It differs from the other three methods in that the root is extracted not through the socket but through open access. The doctor considers it when the root has gone deep under the gum, is impacted, or is not visible in the socket.

Stages of tooth root removal

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

Consultation and diagnostics

At the initial appointment, the doctor examines the oral cavity, takes a medical history, and, if necessary, refers the patient for cone-beam computed tomography. The X-ray helps assess the position of the roots, their number, and their proximity to important anatomical structures. Based on the results, a treatment plan is drawn up.

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

Anesthesia

The procedure is performed under local anesthesia. The doctor selects the medication taking into account the patient's allergy history and general condition. Modern anesthetics provide sufficient pain relief for the entire duration of the intervention. Sedation is possible if necessary.

The treatment stage itself: the doctor's gloved hands working inside the oral cavity — an illustration for the section "Tooth root extraction in diabetes, hypertension, and anticoagulant therapy"
Step 03

Root extraction

The surgeon lifts the gum, applies forceps, or uses an elevator to extract the root. Complex and destroyed roots are removed in parts. A microscope with 25× magnification is used for visual control. The socket is cleaned of granulation tissue and rinsed with an antiseptic.

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

Socket suturing

After the root is extracted, the socket is sutured for better healing. Sutures are placed using absorbable or non-absorbable material. The doctor gives care recommendations and schedules a follow-up examination. The duration of the procedure depends on the complexity and takes from 20 minutes to an hour.

End of appointment: the doctor next to the patient goes over aftercare recommendations — illustration for the section "When a follow-up visit is needed"
Step 05

Postoperative period

In the first few days, swelling and moderate pain are possible, which are managed with painkillers. The patient is advised to use cold compresses, follow a soft diet, and maintain oral hygiene. A follow-up check-up is scheduled a few days later. If necessary, physical therapy is prescribed.

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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Farrukh Rustamovich Yuldashev — dentist at Dental-Center dental clinic in Almaty, portrait in work uniformThe estimate is reviewed by the clinic's implantologistTakes 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

How does root extraction differ from removing the entire tooth?

The difference lies in the extent of the intervention. In one case, the surgeon removes only the root; in the other, the entire tooth along with the crown. What remains in the mouth after the procedure is determined by the clinical picture.

What is preserved during root extraction

During root extraction, the surgeon removes the subgingival part of the tooth while trying to preserve the crown. This is possible when the tooth walls are intact and the destruction has extended under the gum. The doctor lifts the mucosa, removes the root through the socket, and sutures it. The crown remains in place, but it no longer rests on its own root. It is then restored: the canal is reinforced, a post-and-core buildup is placed, and a crown is fitted. Sometimes not the entire root is removed, but one of several — in multi-rooted teeth. Then the remaining roots continue to bear the load. Before the intervention, an X-ray is taken: cone-beam CT shows the length of the root, its curvature, and its proximity to adjacent structures. Planning without an X-ray is impossible. The cost of tooth root extraction depends on the location of the tooth and the number of roots, not on the fact that the crown is preserved. The timeline and price are always discussed before the procedure, after examination and X-ray.

When the entire tooth is removed rather than just the root

  • Crown destroyed: only the walls below the gum line remain, there is nothing to rebuild, a crown cannot be placed, and there is no support for a prosthesis either.
  • Longitudinal root fracture: the crack runs along the entire length, such a root cannot bear load and serves as a source of inflammation.
  • Grade 3 mobility: the tooth shifts in the socket, the gum and surrounding bone are destroyed, and there is nothing left to preserve it with.
  • Root in the area of a cyst or granuloma: the inflammatory focus occupies a large volume, and root removal does not justify the cost — the entire tooth is removed.
  • Atypical position: the wisdom tooth lies at an angle or presses against the adjacent tooth, and the root cannot be extracted separately.
  • Repeat intervention: after unsuccessful treatment, the canal cannot be negotiated, the instrument is broken, the walls are thinned, and the root will no longer hold a crown.

Comparison of the two interventions by main criteria

FeatureRoot removalComplete tooth removal
ScopeSubgingival portion onlyCrown and roots
CrownPreservedRemoved
IndicationWalls intact, destruction below the gum lineCrown destroyed, fracture
RestorationInlay, crownImplant or bridge
ImagingRequired before the procedureRequired before the procedure
ComplexityDepends on the number of rootsDepends on the position of the tooth

Tooth root resection and its place among surgical methods

The method preserves the crown and removes only the part of the root along with the inflammation site. Complete extraction is a different operation with different indications. The choice between them is made by the doctor based on the X-ray and the condition of the tissues around the tooth.

The essence of the operation: what is removed and what is preserved

The surgeon elevates a mucoperiosteal flap, creates access to the root apex through the bone, and resects it. Along with the apex, granulomas, cysts, and any remaining filling material that has extruded beyond the apex are removed. The crown, neck, and most of the root remain in place. The tooth continues to bear chewing load. Before the procedure, the root length, wall thickness, and condition of the surrounding bone are assessed. If the root is short or destroyed, it cannot be preserved. The decision is made by the doctor based on imaging, not on a description of symptoms alone. Cone-beam computed tomography provides a three-dimensional picture: it shows where the mandibular canal runs and how adjacent roots are positioned. A microscope with 25× magnification helps work deep in the socket without damaging adjacent structures. The surgery itself does not replace root canal treatment but complements it when conservative approaches have been exhausted. Root resection is a local intervention: it affects one root, not the entire dentition. After suturing, the gum heals, and bone tissue regenerates gradually, depending on the clinical picture.

Situations in which resection is considered

  • Cyst or granuloma at the apex: the focus of inflammation does not shrink after root canal treatment, and it is removed together with the root apex.
  • Overfilled canal: the material has extruded beyond the apex and maintains the inflammation; it cannot be removed through the crown.
  • Broken instrument in the canal: the fragment cannot be retrieved conservatively, and access to it is created from the apex side.
  • Curved or blocked canal: filling to the apex is impossible, but the root still supports the crown.
  • Preserving an abutment for a crown: the tooth is needed as a bridge abutment or as part of the chewing unit, and an attempt is made to retain it.
  • No effect from repeat root canal treatment: conservative attempts have failed, but it is still too early to extract the tooth entirely.

How resection differs from complete root removal

ParameterRoot resectionComplete root removal
Extent of interventionThe apex and the lesion are removedThe entire root is removed
Fate of the crownRemains in placeIs removed together with the root
IndicationInflammation at the apexDestruction or mobility
Tooth preservationThe tooth remains in the archThe tooth is lost from the arch
RestorationBone heals graduallyImplantation or a bridge is required
PrognosisDepends on the clinical pictureDepends on the clinical picture

Wisdom tooth root removal: features and difficulties

Third molars are the last in the row and often lack space for normal eruption. Their roots may be curved, fused, or too close to the nerve. This changes the course of the operation.

Why third molars require a special approach

The third molar closes the row. It is difficult to reach with instruments, and visibility is limited by adjacent teeth and the angle of the jaw. The roots are often curved, sometimes fused into a single mass. The bone around it is thinner than around anterior teeth. All this makes the surgeon's work more meticulous. If the root is close to the mandibular canal, every movement requires precision. The doctor assesses the risks in advance, not during the procedure. Sometimes the roots are extracted in two stages: first the coronal part is separated, then the remainder is removed. This puts less pressure on adjacent tissues. The decision on the method is made by the doctor based on imaging. It depends on the clinical picture: tooth position, root shape, bone density. Such an intervention is not always a simple extraction. It is more like delicate work in a confined field.

Factors complicating work with third molar roots

  • Root anatomy: roots can be curved, bifurcated, or fused. Direct extraction is impossible, so the root must be sectioned into fragments and removed piece by piece.
  • Proximity to the nerve: the mandibular canal runs close to the apices. A mistake in movement can cause persistent numbness. The dentist checks the depth on the CT scan and works carefully.
  • Bone density: in some patients the bone is soft, in others it is sclerotic. In the latter case, extracting the root is more difficult, but density is not the main guide.
  • Tooth position: an impacted or ectopic third molar lies at an angle. Access to it is limited, and the roots may extend under the adjacent tooth.
  • Condition of the crown: if it is destroyed, the surgeon works only with the roots. They have to be located in the socket and grasped with a special instrument.

What is assessed on imaging before the procedure

Imaging is the basis of planning. Cone-beam tomography shows the spatial arrangement of the roots, their curvature, and thickness. The doctor notes the distance to the mandibular canal and maxillary sinus. If the roots are intertwined, this changes the approach: a cut may be required. The condition of adjacent teeth is also assessed: whether they are damaged. The extraction direction and instrument angle are chosen based on the imaging. Sometimes tomography reveals an additional root not visible on a regular X-ray. This is a rare but important detail. Surgery cannot be planned without imaging. The doctor correlates the data with complaints and examination. After that, a decision on the method is made. The complexity of such an intervention depends on the clinical picture, not on a template. Each case is considered individually.

Removal of a broken tooth root: how are fragments extracted?

A broken root is not uncommon. A fragment may sit deep, tilt toward an adjacent tooth, or go under the gum. Let's look at why such fragments require attention and what techniques are used to retrieve them.

Why root fragments require caution

When the crown is destroyed and a fragment remains in the socket, the work must be done blindly. The fragment may be thin, brittle, with irregular edges. Applying forceps here is dangerous: the fragment crumbles, sinks deeper, and retrieval turns into a search for small pieces. Nerves, blood vessels, the floor of the maxillary sinus, and the mandibular canal run nearby. The deeper the fragment, the higher the risk of damaging adjacent structures. The angle of the axis also complicates things: the instrument doesn't go in straight, and the angle must be adjusted. Inflammation around the fragment softens the bone, but at the same time makes the tissues loose, and grip is lost. Sometimes the fragment is fused to an adjacent tooth or wedged against it. Then simple extraction won't work. The doctor evaluates the X-ray, the position of the fragment, and the condition of the socket walls. The decision on access is made based on the clinical picture, not a template. If the fragment is small and lies deep, it is sometimes left under observation — but that is a separate issue, and the doctor decides.

Techniques That Help Remove Fragments

  • Examination and imaging: first, the size, shape, and inclination of the fragment are determined to understand from which side to approach and which instrument will be needed.
  • Gingival flap reflection: the soft tissues are carefully retracted, exposing the edge of the fragment; this makes it easier to grasp and reduces trauma to adjacent areas.
  • Forceps and elevators: for large fragments, an instrument is selected according to shape; for thin and deep ones, an elevator is used with support on the socket wall, without abrupt leverage.
  • Sectioning the fragment: if the root is branched or abuts the adjacent tooth, it is divided into parts with a bur and removed one by one — this reduces pressure on the walls.
  • Removal of the tooth remnant: when the fragment is very small and lies at the gingival margin, it is removed after cutting the ligament fibers to avoid pulling on adjacent tissues.
  • Irrigation of the socket: after extraction, the cavity is cleaned of debris and clots so that no small particles are left deep inside.
  • Suturing: the gingival edges are brought together with sutures if the reflection was significant; this helps the clot stay in the socket.

Monitoring After Fragment Removal

After the fragment is removed, the socket is examined. It is necessary to make sure no pieces remain deep inside. A repeat X-ray sometimes helps — cone-beam computed tomography provides a three-dimensional picture. If the fragment was infected, the cavity is irrigated with a solution. Bleeding should stop, and a clot should fill the socket. A protective membrane or gauze will then be placed over it. The patient is explained how to care for the intervention site: no heat, no picking at it, no rinsing in the first 24 hours. Swelling and aching pain in the first days are normal, but if the pain increases or fever develops, an examination is needed. Healing varies: in some people the socket closes quickly, in others more slowly. The timeline depends on the size of the fragment, the condition of the bone, and general health. A follow-up appointment is scheduled to check how recovery is progressing. If implantation is planned, its timing is discussed separately, once the socket has healed.

How to Prepare for Tooth Root Removal

Preparation begins with a conversation and examination, not with pills. The doctor assesses the condition of the tissues around the root and decides what needs to be done before the procedure.

What to discuss with the doctor before the procedure

  • Medications: tell us about any medications you take regularly, especially blood thinners — your dentist will decide whether your regimen needs to be adjusted.
  • Allergies: list all reactions to anesthetics and antibiotics, even if they happened long ago; this affects the choice of anesthesia.
  • Chronic conditions: diabetes, heart problems, thyroid issues, and high blood pressure require coordination with your treating physician.
  • Pregnancy and breastfeeding: tell us about this directly if you are planning a procedure; the timing and method will be discussed separately.
  • Anxiety and fear: if you are afraid, discuss it in advance — your dentist will choose a sedation option or a gentler approach.
  • Cost estimate: if you are considering saving the tooth root, ask what the treatment plan includes and what the total cost depends on.

Tests That May Be Ordered

Before the procedure, the doctor usually orders an X-ray. Cone-beam computed tomography provides a three-dimensional picture: it shows how the root is positioned, where nerves and blood vessels run, and whether there is a cyst or inflammation in the bone. Based on this data, an access plan is made. Sometimes a periapical X-ray is enough, sometimes a panoramic image is needed. If the root is fractured and the apex has gone deep, tomography helps avoid searching for the fragment blindly. If a systemic condition is suspected, blood tests are ordered — clotting, glucose, sometimes inflammatory markers. The results are reviewed together with an internist if there is a concomitant diagnosis. Separately, it is clarified which medications the person is taking: some affect healing and require discontinuation or replacement. All data are combined into one picture, and only then is the day of the procedure scheduled. The scope of examination depends on the clinical picture, and the doctor decides.

Restrictions the Day Before the Procedure

  • Food and drinks: it is best not to eat a heavy meal several hours before the procedure, especially if sedation is planned; a light snack is fine, but no alcohol.
  • Smoking: refrain from cigarettes on the day of the procedure — nicotine constricts blood vessels and interferes with anesthesia, and afterward it slows healing of the extraction socket.
  • Makeup: do not apply lipstick or foundation to your face; it interferes with preparing the surgical site, and makeup particles can get into the wound.
  • Exercise: postpone intense workouts and saunas — physical exertion raises blood pressure and the risk of bleeding; it is best to return to them only when your dentist says it is okay.
  • Sleep and how you feel: get a good night's sleep, and if you have a fever or a cold, tell your dentist — the procedure may be postponed so as not to put extra strain on your body.

What to Do After Tooth Root Removal: Recommendations and Healing

After surgery, the socket heals gradually, and the first 24 hours set the tone for the entire process. Below is what doctors recommend, how healing progresses, and when a follow-up visit is needed.

The First Days: What Doctors Recommend

  • Pressure gauze: a gauze pad is held over the socket for 20–30 minutes, then gently removed; if bleeding has not stopped, a fresh one is placed and pressure applied again.
  • Cold: in the first hours, a cold compress is applied to the cheek for 15–20 minutes with breaks — it reduces swelling, but ice should not be left on the skin for long.
  • Food and drink: for the first 24 hours, food and drinks should be warm and soft only; hot, spicy foods and alcohol irritate the socket and can trigger bleeding.
  • Hygiene: you can brush your teeth starting the next day, avoiding the socket; do not rinse your mouth in the first 24 hours, otherwise the blood clot will be washed out.
  • Activity: postpone physical work, sports, and bending over for the first few days; a hot bath or sauna is also not a good idea.
  • Medications: take painkillers as prescribed by your doctor; antibiotics only if they were prescribed — do not start a course on your own.
  • Cost: ask how much tooth root removal costs before the procedure, not after, so you don't delay your visit because of an unknown price.

How the Socket Heals

Immediately after the tooth root is extracted, the socket fills with blood and a clot forms within it. It seals the wound like a plug and serves as the foundation for new tissue. In the first days, the clot is preserved through the patient's own care: the less it is disturbed, the more smoothly the process proceeds. By the end of the first week, the gum edges begin to draw together, and swelling and soreness usually start to subside. After that, new tissue gradually appears in the socket, and the bony wall remodels. Complete filling with bone takes months, and this is normal: the timeline depends on the clinical picture, the size of the root, the condition of the gums, and overall health. In smokers and people with diabetes, healing often proceeds more slowly. If the socket hurts more each day, has a bad odor, or a fever develops, this is a reason to see the doctor rather than wait. How recovery is progressing can be assessed at an examination; if needed, the doctor orders an X-ray to see the condition of the bone tissue.

When to see the doctor again

The follow-up visit is scheduled in advance, usually a few days after the procedure. At the examination, the doctor checks how the socket looks, whether there are signs of inflammation, and removes the sutures if necessary. You should come earlier than scheduled if the pain does not subside but worsens, if bleeding resumes, if swelling appears that does not go down, or if there is a bad odor from the mouth. Fever, weakness, and difficulty opening the mouth are also reasons for a visit. Sometimes the patient notices that the clot has partially come out and the socket looks empty; this is not always a complication, but a doctor should assess the condition. You must not rinse the socket yourself, poke at it with a cotton swab, or place tablets on the gum: this removes the clot and introduces infection. If implantation is planned, the timing for discussing it also depends on how the socket is healing, and the doctor decides this based on the X-ray.

What equipment is used during this procedure?

The surgeon does not work with hands alone. They need a precise picture before the procedure, instruments for working in the socket, and technology that helps visualize the course of the intervention.

Preoperative imaging

Before the intervention, it is necessary to understand how the root is positioned, its length and shape, and whether there are anatomical traps nearby. Imaging is done for this. Cone beam computed tomography provides a three-dimensional picture: it shows which way the root is curved, where the mandibular canal runs, and how close the neighboring teeth are. This cannot be seen on a standard periapical X-ray. If the root is fractured, the tomogram shows exactly where the fragment remains and how much of it is in the bone. An intraoral scanner is used when a prosthetic restoration is planned after extraction: it takes a digital impression, and the doctor can see in advance how the load will be distributed. A microscope is needed in complex cases when the root is thin, curved, or lies close to a nerve. Magnification helps avoid damaging neighboring tissues. The extent of preparation depends on the clinical picture: the more complex the position, the more steps are involved. The decision about which images are needed is made by the doctor after the examination.

Instruments for working in the socket

  • Elevators: working tips of various shapes used to loosen the root and luxate it from the socket, with the instrument chosen to match the size and curvature.
  • Root forceps: narrow beaks grip the root right at the gum line if it is still strong and can be secured.
  • Burs and drills: used to remove bone tissue around the root when it is broken deep down or positioned at an angle.
  • Curette: after extraction, it is used to clean the socket of granulation tissue and small fragments so they are not left in the wound.
  • Tweezers and clamp: these instruments are used to retrieve small fragments when the root has crumbled into pieces and there is nothing left for forceps to grip.
  • Suture material: the wound is sutured if the socket is large or the gum edges do not come together, so the blood clot stays in place.

Technology that helps control the course of the intervention

During the procedure, the surgeon must see the field and control every movement. A microscope provides this capability: the smallest details are visible through the eyepieces, including root fragments that cannot be distinguished with the naked eye. A laser is used to treat the socket and stop bleeding from small vessels. It does not replace the scalpel, but it helps keep the field dry. Class B autoclaves sterilize instruments after each intervention. This is not about convenience but about safety: without sterilization, it is impossible to work in a bone wound. If the root is located close to a nerve or sinus, the tomogram and microscope make it possible to plan access so as not to damage important structures. The final choice of technique depends on the clinical picture. The doctor decides what to use in a specific case and what to keep in reserve.

What to keep in mind

The decision is made by the dentist based on the clinical picture

No single image or examination alone provides the answer to what should be done with the root. The doctor correlates the findings of cone-beam computed tomography, the condition of adjacent teeth, bone density around the area, and the position of the mandibular canal and maxillary sinus. Added to this are the patient's complaints, comorbidities, and medications that affect clotting. Sometimes a root that appears hopeless on a periapical X-ray can be saved — for example, in the case of a mid-third fracture without inflammation. The opposite also occurs: an apparently intact root is supported by a granuloma destroying bone, and it is removed to preserve the socket for a future implant. There is no template solution. It depends on the clinical picture, and the doctor makes the decision after examination, not based on a single sign.

Preparation and examination influence the course of the procedure

Preparation begins with a conversation. The doctor finds out which medications the person takes regularly, whether there have been reactions to anesthetics, and whether there are chronic diseases. If necessary, tests or a consultation with a specialist are prescribed. Cone-beam computed tomography shows the volume of bone tissue, the thickness of the cortical plate, and the proximity of anatomical structures — these data change both the access and the set of instruments. The 3Shape intraoral scanner helps record the position of adjacent teeth before the intervention so that there is something to compare with later. If a long procedure is planned, sedation is discussed. It is not always necessary to come on an empty stomach, but in cases of pronounced inflammation or elevated blood pressure this is clarified separately. A well-collected medical history reduces the risk of surprises in the chair, although they cannot be completely excluded. They also discuss separately which medications to take afterward, if needed, and when to return for a follow-up visit.

Following recommendations after the procedure

After root removal, the socket heals according to its own rules, and there is no need to interfere with this process. For the first 24 hours, do not rinse your mouth, do not apply heat to your cheek, and do not touch the wound with your tongue or fingers. The blood clot is a natural bandage, and if it is washed away, healing will proceed differently. Apply cold as directed, practice careful hygiene around the area, eat soft foods, and avoid smoking and alcohol for several days. Take painkillers as prescribed by your doctor, not out of habit. If you experience increasing pain, swelling, fever, or a bad taste or odor in your mouth, contact the clinic rather than waiting. A follow-up visit shows how healing is progressing and whether additional care is needed. The warranty of up to 5 years covers the work, but only if these conditions are followed.

Questions about tooth root removal

Tooth extraction — from 18,000 ₸ according to the clinic's price list. The price depends on the complexity of the root itself, its location, the condition of the gums and bone tissue, and whether additional preparation is needed — an X-ray, CT scan, or sedation. A simple root of a single-rooted tooth is easier to remove than the roots of a wisdom tooth or a fractured root, which is why the cost differs. The exact amount is given by the doctor at the examination after the X-ray, because before it the complexity cannot be assessed. You can view current prices in the prices section on this page.

Wisdom tooth roots are removed in the same way as others, but more often the gum has to be cut and sometimes the root has to be sectioned into pieces because access to it is limited. The complexity depends on how the tooth is positioned: a retained or impacted root requires more time and preparation. Before the procedure, a cone-beam CT scan is performed to see the position of the root and its proximity to the nerve. After removal, the doctor gives aftercare recommendations and schedules a follow-up check-up.

Yes, a fractured root is removed if it cannot be restored: the fragment is extracted, the socket is cleaned and sutured, and antibiotics are prescribed if necessary. If the root is not completely fractured and part of it is stable, sometimes the tooth can be saved with an inlay and crown, but this is decided by the doctor after the X-ray. After removal, it is important not to apply heat to the area, not to chew on that side, and to attend a follow-up check-up. The gap in the dental arch should be closed so that neighboring teeth do not shift.

A root is preserved if it is stable, has no longitudinal crack, and there is enough bone tissue around it, and the canal can be retreated or sealed with an inlay. Removal is indicated for a longitudinal root fracture, significant destruction below the gum level, grade 3 mobility, a cyst that does not respond to treatment, or inflammation that does not resolve after root canal retreatment. The decision is made after examination and X-ray: cone-beam CT shows how much bone tissue remains and whether there is a crack. If the root can be saved, treatment is offered first, and removal is left as a last resort.

The remaining tooth does not necessarily need to be removed: if the root is strong and the canal is passable, it is restored with a post-and-core inlay and crown, and if necessary, the canals are retreated first. Removal is needed when the root is fractured, severely destroyed, or held only by inflamed gums. After removal, the gap is closed: the option is chosen between implantation, a bridge, or a removable denture, so that neighboring teeth do not shift. First, the doctor takes an X-ray and assesses the condition of the root, and then proposes a plan.

Yes, root removal is performed under local anesthesia, so there is no pain during the procedure, and discomfort is possible only after it ends, when the anesthetic wears off. Complex cases, such as wisdom tooth roots or fractured roots, sometimes require sedation or general anesthesia, and this is discussed in advance. For the anesthesia to work fully, you should eat before the appointment and inform the doctor about chronic diseases and medications you are taking. If you still feel pain during the procedure, tell the doctor immediately — more anesthetic is added.

At our clinic, the warranty on dental work is up to 5 years, but it does not cover root extraction itself in the same way as fillings or crowns: the warranty period depends on the complexity of the case and how the socket heals. The doctor explains the terms before the procedure and records them in the contract, and after the extraction schedules a follow-up visit to make sure the socket is healing properly. If severe pain, swelling, or bleeding occurs after the procedure, you should contact the clinic without waiting for the scheduled appointment.

Resection is a procedure in which the tip of the root is removed along with the inflamed tissue around it, while the tooth itself is preserved. It is performed when a root canal cannot be retreated, when there is a cyst or granuloma at the root tip, or when a nerve or implant is nearby and conventional treatment is risky. The procedure is done under anesthesia, usually in a single visit, and requires X-rays before and after. Resection does not replace extraction: if the root is fractured or completely destroyed, the tooth is removed entirely.

After root extraction, you should not rinse your mouth, apply heat to your cheek, or eat hot food for the first 24 hours, and you need to protect the blood clot in the socket to prevent inflammation. You can brush your teeth, but carefully avoiding the surgical site, and the doctor usually allows rinsing from the second or third day. If the pain worsens, swelling appears, or you develop a fever, you should contact the clinic, as this may be a sign of a complication. A follow-up visit is scheduled to check how the socket is healing.

In root extraction, only the remaining part of the tooth is removed if the crown is already destroyed, whereas in complete tooth extraction, both the root and the crown are removed. There is almost no difference in preparation: in both cases, an X-ray is taken, anesthesia is administered, and the same aftercare instructions are given. If the crown is intact but the root cannot be restored, it is sometimes easier to remove the entire tooth than just the root. The choice is made by the doctor after examination and CT scan.

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 247 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 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 — +7 747 093 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 Alatau City 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 about tooth root extractions

4.9
34 reviews on the site
34 ratings
Google5.063 reviews2GIS4.996 reviewsYandex4.888 reviewsTotal4.9247 reviews
ННурлан М.26 August 2026
★ 5,0

We chose the clinic based on reviews (we laughed about it later at home). The extraction took about twenty minutes

ААсель Ж.23 August 2026
★ 5,0

Had my lower wisdom tooth removed. The swelling lasted two days and then went down. I recommend the clinic — and this was exactly what I was afraid of —. Honestly, I expected worse.

ООльга М.21 August 2026
★ 5,0

My cheek swelled up on Friday evening, they took me in the same day, they removed a wisdom tooth, it was lying horizontally, they sent the aftercare instructions via messenger. Seems like a small thing, but that's exactly what stuck with me. It healed within a week, no dry socket.

ННурлан Т.8 August 2026
★ 5,0

Do etogo hodil tolko po akcii i tolkom ne lechilsya Prishlos udalyat, zub uzhe ne spasali, obezbolivayuschee pochti ne ponadobilos. Kabinet svetlyy, oborudovanie novoe, etogo ranshe nigde ne bylo. Sovetuyu. Dogovor i chek vydali bez napominaniy, kak i dogovarivalis. Ni razu ne pozhalel. Sterilnost na vidu, instrumenty vskryvali pri mne, kak i dogovarivalis. Administrator perezvonila, kogda obeschala. Pozvonili na sleduyuschiy den, sprosili pro otek.

ААлия М.1 July 2026
★ 5,0

Booked through the website and got a call back about ten minutes later. I'm one of those people who asks the same question three times over — they were patient with me. I had a wisdom tooth removed; it was lying horizontally (we had a good laugh about it at home afterwards). It healed within a week, no dry socket. I've booked my family here too. They scheduled us at a convenient time, no "come at nine and wait" — that's what won me over.

ММаксим Е.4 June 2026
★ 5,0

Nurlan laid out the plan in detail. The extraction took about twenty minutes. By the third day I'd already forgotten about it, and that's the main thing. They gave me a written aftercare sheet and the doctor's phone number in case I had questions, and that really won me over. Fast. They arranged the installment plan right there, no running around to banks. They stitched up the socket, and the bleeding stopped quickly. Shoe covers, a cup, a napkin — little things, but everything was there; small touch, but nice. They took me right on time, no waiting, no complaints there. Parking in the courtyard, and I found a spot.

The clinic administrator answers patient messages at the front desk
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Still have questions about “Tooth root extraction”?

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 parking133/6 Kanysha Satpayevaopen daily, no days off9:00 — 20:00Alatau City Bank — 24 months, Kaspi — 120% installment plan
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