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Tooth-preserving operations are procedures that allow a tooth to be saved when the root or surrounding tissues are damaged. These include root-end resection, hemisection, cystectomy, and others. The decision to perform them is made by the doctor after examination. The cost depends on the complexity and the clinic; the exact price will be given during the consultation.
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Different procedures solve different problems, and the choice depends on exactly where the lesion is located and which tissue is affected.
The surgeon, through a small access in the gum and bone, removes the root tip together with the inflammatory focus, and seals the remaining root from the reverse side. The tooth and its entire crown remain in place. The doctor considers resection when the focus is at the apex, and re-treating the canals through the crown is impossible or risky.
One affected root is removed from a multi-rooted tooth together with the adjacent part of the crown, while the remaining roots and the part of the tooth above them are preserved. Unlike root amputation, the crown here is also partially removed. The doctor chooses hemisection when one root is affected, and the other roots and the bone around them are in good condition.
Only one affected root is removed from a multi-rooted tooth, and the crown is left intact: it rests on the preserved roots. This type differs from hemisection in that the crown portion is not cut. The doctor considers amputation when one root is destroyed or affected, and the crown and the remaining roots are strong.
A multi-rooted tooth is split in the area of the root furcation into parts, and no root is removed: each half with its own root remains in the jaw and is subsequently covered with its own crown. The doctor chooses separation when inflammation has affected the area between the roots, and the roots themselves are preserved.
The surgeon, through an access in the gum and bone, completely enucleates the cyst together with its lining, and the cavity then heals or is filled with bone material. The root of the causative tooth is usually sealed, and if necessary combined with apicoectomy. The doctor considers cystectomy for a small or medium-sized cyst that can be removed entirely without affecting adjacent structures.
The surgeon does not enucleate the cyst entirely, but opens it, removes the contents and part of the lining, and creates a communication between the cavity and the oral cavity. The pressure inside decreases, and the cyst gradually shrinks, while the tooth root is not shortened. The doctor chooses this type for a large cyst that comes close to a nerve or the maxillary sinus.
At the first appointment, the doctor examines the tooth and studies the images. If necessary, cone-beam tomography is prescribed. A treatment plan is drawn up and options are discussed. The patient receives preparation recommendations.
Before the intervention, professional hygiene is performed. The doctor explains the course of the procedure and gives instructions. A decision is made on the need for antibiotic prophylaxis. The operation is planned at a time convenient for the patient.
The operation is performed under local anesthesia. The surgeon makes an incision and removes the pathological focus. If necessary, a microscope is used for magnification. After completion, sutures are placed.
Immediately after the operation, the patient receives care recommendations. Painkillers and antiseptics are prescribed. A follow-up examination is performed after a few days. Suture removal usually occurs after 7–10 days.
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When the tooth root is affected but the tooth can still be saved, the surgeon chooses between two operations. The difference lies in the scope of the intervention and the indications.
Apicoectomy is the removal of the inflamed root tip along with a cyst or granuloma. The surgeon gains access through a small opening in the gum and bone, cuts off the affected area, and seals the canal from the back side. The tooth remains intact, and its root portion is shortened by 2–3 millimeters. This procedure is chosen when the canals are well sealed but a focus of infection persists at the apex, and retreatment through the crown is impossible or risky. The intervention is performed under a microscope: it provides magnification up to 25 times and allows the smallest canal branches to be seen. After the operation, the bone regenerates on its own, but follow-up with the doctor is mandatory. The decision on apicoectomy is made by the surgeon together with the endodontist after a CT scan — the image shows the exact size of the cyst and its proximity to neighboring teeth or the sinus. If the root is long and the surrounding bone is dense, the prognosis is favorable. But if the root is cracked or a large part of it is destroyed, apicoectomy will not help.
| Indication | What the surgeon does | When the method is not suitable |
|---|---|---|
| Cyst at the root apex | Resects the root apex | Root fracture |
| Granuloma on the root | Removes the source of infection | Root destruction |
| Infection in the canal | Performs retrograde canal filling | Severe periodontitis |
| Root fracture | Removes part of the root | Complete destruction of the crown |
| Root perforation | Closes the defect | Fused roots |
The choice between cystectomy and cystotomy depends on the size of the cyst, its location, and the condition of the surrounding tissues. Let's look at the cases in which each method is used.
Cystectomy is the complete removal of the cyst along with its lining. It is performed when the formation is small, up to 1–1.5 centimeters, and does not affect vital structures. This method allows the tooth to be preserved and recurrence to be avoided, since the pathological tissue is removed entirely. After the operation, a small cavity remains, which fills with a blood clot and is gradually replaced by bone tissue. The surgeon decides on cystectomy after reviewing a CT scan, which shows the exact boundaries of the cyst and its relationship to the roots of neighboring teeth and the mandibular canal. If the cyst is small and has clear contours, the doctor chooses this method as less traumatic and more radical. The intervention requires precision: it is important not to damage the neurovascular bundle, so the surgeon works under magnification and monitors the course of the operation using the images. Recovery takes several months, but in most cases the bone tissue regenerates on its own.
Preserving a tooth requires precise diagnosis and meticulous work. Modern equipment makes it possible to see the problem down to the smallest details and perform the operation with minimal risk.
| Instrument | Purpose | Feature |
|---|---|---|
| Microsurgical scalpel | Precise tissue incision | Easy to manipulate under the microscope |
| Piezosurgical device | Removal of bone tissue | Gently affects soft tissues |
| Ultrasonic tip | Root canal treatment | Allows working in hard-to-reach areas |
| Microcurette | Curettage of the cystic cavity | Small size for precise movements |
| Suture material 6-0 and 7-0 | Placing sutures | Fine threads for microsurgery |
The cost of the intervention depends on several factors: the complexity of the case, the type of operation, and the need for additional procedures. The exact amount is given after diagnosis, when the doctor sees the full picture and can assess the scope of work.
Without an examination and images, the doctor cannot predict exactly how many interventions will be required and what anatomical features will be encountered. For example, a tooth root may have an unusual shape, and a cyst may border on important structures, which will complicate the work. Therefore, any figure quoted before diagnosis will be only an assumption. The final estimate is drawn up after the consultation and CT scan, when all the details are known. The doctor explains why a particular technique was chosen and agrees on the plan with the patient. The final price depends on the clinical picture and the scope of treatment, so it is individual in each case. The cost is also affected by the need for additional procedures: for example, root canal retreatment or temporary prosthetics. Sometimes a consultation with a related specialist is required, which is also taken into account in the estimate. The patient receives a detailed calculation before treatment begins and can ask any questions about each item.
Preparation for a tooth-preserving operation begins long before the surgical office. The outcome of the intervention depends on how thoroughly the diagnosis and the doctor's instructions are carried out. Let's look at the key steps.
One day before surgery, avoid alcohol and heavy meals, and get at least eight hours of sleep. On the morning of the procedure, brush your teeth with a soft toothbrush, but do not use an antiseptic mouthwash — it can alter your oral microflora. Take any medications prescribed by your doctor unless instructed otherwise. Arrive 15–20 minutes before your scheduled time to complete paperwork and prepare calmly. If sedation or general anesthesia is planned, your last meal should be six hours before and water two hours before. Inform your doctor of any change in how you feel: a cold, fever, or flare-up of a chronic condition. Do not plan any active tasks on the day of surgery — after the procedure, it is best to stay home and let your body recover.
Tooth-preserving surgery is a way to remove a source of infection without extracting the tooth itself. It is used when conservative treatment has failed but the root can still be saved. The decision is always made by the doctor after an examination.
Surgery does not provide a lifelong guarantee. Success depends on the condition of the tissues, the quality of oral hygiene, and how well the patient follows recommendations. If the infection returns, the tooth will have to be extracted. However, in some cases this type of surgery can delay extraction for years. The choice should be approached calmly, weighing the risks and chances. A good surgeon will explain what is realistic in your situation and will not promise the impossible. After the procedure, it is important to visit the doctor regularly for follow-up: the first check-ups are scheduled at one week, one month, and three months, then every six months. Maintaining oral hygiene and quitting smoking significantly improve the chances of a favorable outcome. If pain, swelling, or other alarming symptoms appear, you should see a specialist immediately without waiting for your scheduled visit. The doctor may also recommend physical therapy or medication support to speed up healing, but the final decision depends on individual factors.
No single method suits everyone. The specialist evaluates root length, wall thickness, cyst size, and the overall condition of the tooth. If the root is too short or the walls are thinned, surgery may not be advisable. Sometimes it is easier to extract the tooth and place an implant — this is also an option to discuss with the patient. The final decision always rests with the doctor. It is based on X-rays, CT scan data, and their experience. The patient may ask questions, but should not insist on preserving the tooth against the prognosis. An honest specialist will say when the chances are minimal and will offer an alternative. Trust the professional, but remember: responsibility for the result lies with both sides. The doctor must explain in detail why they recommend one path or another, and the patient must weigh all the pros and cons. Sometimes extraction followed by implantation proves to be a more reliable solution than prolonged treatment with an uncertain prognosis. The decision is made together, but the final word remains with the surgeon, who is responsible for the outcome.
The cost of a tooth-preserving procedure depends on the complexity of the case, the chosen technique, and the need for additional procedures. The exact price can only be determined after a consultation and diagnostics. In our clinic, you can have an initial examination and treatment plan free of charge. Call us to schedule a consultation.
Tooth-preserving surgery refers to surgical procedures aimed at removing a source of infection (cysts, granulomas) while keeping the tooth. These include cystectomy, hemisection, root-end resection, and other techniques. They help avoid tooth extraction and subsequent implantation. In our clinic, such procedures are performed using a microscope with 25× magnification, which improves precision and reduces trauma.
Tooth-preserving surgery is performed under local anesthesia, so there is no pain during the procedure. After surgery, moderate discomfort is possible, which is managed with pain relievers prescribed by the doctor. The doctor will explain in detail how to care for the postoperative area to minimize any discomfort.
Yes, in many cases a tooth with a cyst can be saved through a tooth-preserving procedure, such as a cystectomy or an apicoectomy. However, the decision is made after a thorough diagnostic workup, including cone-beam computed tomography. The doctor assesses the size of the cyst, the condition of the root and the surrounding tissues. If the cyst is small and the tooth is well anchored, the chances of saving it are high.
Yes, with periodontitis a tooth can be saved if the inflammation has not progressed too far. Endodontic treatment is performed, and if necessary, a tooth-preserving procedure to remove the cyst or granuloma. In complex cases, a hemisection may be required. The doctor will determine the treatment approach after an examination, including computed tomography.
Whether a tooth can be saved with a root fracture depends on the nature of the fracture and its location. If the fracture is longitudinal or the root is destroyed down to the base, the tooth most likely cannot be saved. With a transverse fracture in the upper third of the root, splinting is sometimes possible. The final decision is made by the surgeon after an examination and X-ray diagnostics.
The warranty on dental services, including tooth-preserving procedures, is provided in accordance with the law and the clinic's internal standards. The warranty period may vary depending on the specific intervention. The exact warranty terms will be explained to you by your treating doctor before treatment begins.
After a tooth-preserving procedure, you should not consume hot food or drinks, rinse your mouth during the first 24 hours, touch the surgical area with your tongue or fingers, or engage in strenuous physical activity. You should also avoid smoking and alcohol, as they slow down healing. The doctor will give you detailed care instructions and prescribe medications.
A tooth-preserving procedure is usually performed under local anesthesia. The surgeon makes a small incision in the gum, removes the cyst or inflamed tissues, if necessary fills the root canal, and places sutures. In our clinic, procedures are performed using a microscope with 25× magnification, which allows for maximum precision. The duration of the intervention depends on the complexity of the case.
Tooth-preserving procedures include cystectomy (removal of a cyst along with the root apex), apicoectomy, hemisection (removal of one of the roots of a multi-rooted tooth), root amputation, and corono-radicular separation. The choice of method depends on the diagnosis and the condition of the tooth. The doctor will select the optimal option after diagnostics.
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.
At first I just wanted to look around and get a sense of the prices. I was scared until the very last moment. Nurlan told me right away what to expect. Exactly like that. They did what we had planned, nothing extra, and it was all done in one go...
Our whole family received treatment here, and Asylzhan is a thorough doctor, attentive to every detail. Honestly, I didn't expect that. We arranged an installment plan right on the spot, without running around to banks, and that really won us over.
I booked on the recommendation of a colleague from work — I made an appointment through the website, and they called me back about ten minutes later. Farrukh immediately told me what to expect. They did what we had planned, nothing extra, and stayed on schedule. To be honest, I was expecting worse.
I've disliked dentists since childhood... Our whole family has been treated here. Aruzhan explains things calmly and to the point.
I kept putting it off because of work, never had the time. We're happy with the result, there's nothing to complain about. Our whole family got treated here, and everything went according to plan. I didn't expect it to be completely painless. No stress. All in all, no regrets. The hallway doesn't smell like a hospital, but like something neutral!
We spent a long time looking for a clinic near our home — I made the appointment reluctantly. . . It was quick. To be honest, I expected the worst. Our whole family has been treated here, and they never ordered unnecessary X-rays.
I hadn't been to the dentist for about three years after the pandemic. They did what was planned, nothing extra, and didn't order unnecessary X-rays. Sterility was clearly visible, instruments were opened in front of me, and I'm grateful for that too. We're happy with the result. Shoe covers, a cup, a napkin — little things, but everything was there, no complaints about that. They messaged me the next day to ask how I was feeling — a small thing, but nice. They scheduled me at a convenient time, without the "come at nine and wait" routine — I want to note that separately. I was seen right on time, no waiting, just as agreed.
My previous doctor moved away, so I had to find a new one. We came in for a consultation and ended up staying for treatment. They gave us the prices right away, and nothing was added at the end. It was quick. My previous experience was worse, so I have something to compare it to.
I was surprised that everything was shown on the screen. Came in for a consultation, stayed for treatment, without unnecessary visits. The payment plan was arranged on the spot, no running around to banks. Everything is fine now. Sterility is visible, instruments were opened in front of me. The treatment plan was laid out step by step and by cost.
After the pandemic, I hadn't been to the dentist for about three years. Rustam explained why it's not worth putting it off. A minor complaint: the lobby was chilly. Our whole family has been treated here, without unnecessary visits)
After previous treatment, I had no confidence. We came together with the child. Ayaulym answered my questions.
My previous doctor moved away, so I had to find a new one, and they did what was planned, without anything extra. The receptionist took a long time to find my file — but that's just me being honest)
I've disliked dentists since childhood. They did exactly what they planned, nothing extra (I couldn't believe it myself). They set up my file right away, asked for my passport only once. These people know their stuff. They told me the prices upfront, and nothing was added at the end. They scheduled me at a convenient time, no "come at nine and wait" — no complaints there. In my opinion, the price is fair for this kind of work. They laid out the treatment plan by stages and by cost, and that's what won me over. They messaged me the next day to ask how I was feeling — I want to note that separately. The receptionist called back when she said she would.
I wanted a second opinion. They did exactly what was planned, nothing extra. My file was set up right away, and they only asked for my passport once — a small thing, but it was nice.
Everything is fine now, which is what I wanted. Our whole family received treatment here. I thought it would take longer. Thank you. Parking is in the courtyard, and I found a spot. They scheduled us at a convenient time, without the "come at nine and wait" routine — a small thing, but nice. They arranged an installment plan on the spot, without running around to banks — that's how it should be. I spent a long time choosing, and now I understand it was worth it. The receptionist called back when she promised — thanks for that too. The contract and receipt were provided without reminders — I'll note that separately. The office is bright, and the equipment is new.
The whole family got treated here (we laughed about it at home afterwards). It didn't hurt at all. We're happy with the result, which is what I wanted. They set up the file right away, and they only asked for my passport once)
Proshlyy vrach pereehal nado bylo iskat novogo, a zapisalas cherez sayt, perezvonili minut cherez desyat. Lechilis zdes vsey semey, vse sdelali v odin zahod. Na voprosy otvechali i posle priema, v messendzhere, k etomu pretenziy net. Rezultatom dovolny, poka bez narekaniy!
Our whole family received treatment here, and they didn't order unnecessary X-rays. The receptionist called back when she promised. I have a low pain threshold, and they took that into account. Honestly, I didn't expect it. Aruzhan is the kind of doctor you keep coming back to...
Our whole family received treatment here, and I even feel awkward that I put it off for so long. They provided the contract and receipt without me having to ask. Thank you. They didn't push anything unnecessary — I want to note that separately. They messaged me the next day to ask how I was feeling, and that really won me over.
I was treated, the price was quoted in advance and did not change in the end. It was quick. I am satisfied with the result.
We spent a long time looking for a clinic near our home. We found a clinic near our home. They did what we had planned, nothing extra, everything by appointment, no waiting. Everything is fine now, the difference is noticeable. I recommend the clinic (I asked twice to confirm). The contract and receipt were provided without reminders, as it should be. They answered questions even after the appointment, via messenger. They scheduled us at a convenient time, no "come at nine and wait." The office is bright, the equipment is new, thanks for that too. My previous experience was worse, so I have something to compare. Shoe covers, a cup, a napkin — little things, but everything was there.)
I put it off for a long time. Our whole family got treated here, and everything was done in one visit. Shoe covers, a cup, a napkin — little things, but everything was there. They know what they're doing here. The office is bright, the equipment is new. They scheduled us for a convenient time, without the "come at nine and wait" — that never used to happen anywhere. Parking is in the courtyard, and we found a spot. They set up the card right away, and only asked for a passport once. They messaged the next day to ask how we were feeling — that never used to happen anywhere...
Hotel snachala prosto posmotret i pricenitsya. Seychas vse v poryadke, uzhe privyk k mysli, chto vse pozadi. Prishli na konsultaciyu, ostalis lechitsya, ulozhilis v plan.
I initially just wanted to have a look and get a sense of the prices. The only thing was that the SMS about my appointment arrived an hour late. Strange, but I wasn't even tired after the visit. Just like that. Came in for a consultation, stayed for treatment, without any extra visits...
Came here on a colleague's recommendation — seems like a small thing, but that's exactly what stuck with me. Came in for a consultation, stayed for treatment, and everything was done in one visit. They scheduled me at a convenient time, no "come at nine and wait."
Do etogo hodil tolko po akcii i tolkom ne lechilsya. Vybirali kliniku po otzyvam. Sdelali to chto planirovali, bez lishnego, ulozhilis v plan. Prinyali minuta v minutu, zhdat ne prishlos, kak i dogovarivalis. Seychas vse v poryadke. Rassrochku oformili na meste, bez begotni po bankam, k etomu pretenziy net. Vot eto i podkupilo. Na voprosy otvechali i posle priema, v messendzhere, etogo ranshe nigde ne bylo.
We are happy with the result, the difference is noticeable — they did exactly what was planned, nothing extra, no unnecessary visits. Ayauylm showed everything on the X-ray.
I made an appointment on the recommendation of a colleague from work. I booked through the website, and they called back about ten minutes later. Our whole family received treatment here, and everything was done in one visit. We're happy with the result, which was exactly what I wanted — that's a whole separate story —. To be honest, I expected worse.
I forced myself to make the appointment. I have nothing to compare it to, but it felt right. We came in for a consultation and ended up staying for treatment (we laughed about it later at home). We're happy with the result, and that's what matters most!
We are happy with the result, no complaints so far — our whole family has been treated here, without unnecessary visits. Rustam is a thorough doctor, attentive to the smallest details. I was scared until the very last moment.
Zapisyvalas po sovetu kollegi s raboty. Nashli kliniku ryadom s domom. Prishli na konsultaciyu, ostalis lechitsya, ulozhilis v plan)
My tooth hurt for several months. I booked an evening appointment after work...
They did exactly what was planned, nothing extra, no unnecessary X-rays were ordered. My previous experience was worse, so I have something to compare it to. I was seen right on time, no waiting — a small thing, but a pleasant one.
Came in for a consultation, stayed for treatment, no unnecessary visits. . . And that's it. The hallway doesn't smell like a hospital, but like something neutral — I'd never experienced that anywhere before.
I came in for a consultation and stayed for treatment — everything by appointment, no waiting. What won me over was that they didn't push anything unnecessary. Everything's fine now. Thanks to the whole team. The office is bright and the equipment is new — I want to mention that separately. They set up an installment plan on the spot, no running around to banks. They created my file right away, asked for my passport only once, no complaints there. Sterility is out in the open, instruments were opened in front of me, no complaints there.
I came on the advice of my colleague. . . Our whole family received treatment here, they made sure it was painless. Rustam explained my situation clearly.
I spent a long time looking for a clinic near my home. I didn't expect it to be completely painless. They did exactly what was planned, nothing extra, and didn't order unnecessary X-rays. In my opinion, the main thing is that they don't pressure you into a decision. They messaged me the next day to ask how I was feeling — thank you for that too. I'll keep coming here, no question. Shoe covers, a cup, a napkin — small things, but everything was there. They answered my questions even after the appointment, via messenger. Parking is in the courtyard, I found a spot, as it should be. They didn't push anything unnecessary.
I spent a long time looking for a clinic near my home. I came here on a colleague's recommendation. No stress. To be honest, I'm still surprised that it was painless. We came in for a consultation and stayed for treatment. We were seen right on time, no waiting, and I want to point that out specifically (we laughed about it at home later). We're happy with the result, which is what I wanted. The receptionist called back when she promised to, and I'm grateful for that too.
Our whole family received treatment here. We're happy with the results (we laughed about it at home afterwards). Aruzhan is the kind of doctor you keep coming back to.
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