Oral surgery is the oldest branch of dental medicine. Tooth extraction has been the most common oral surgical procedure, and unfortunately it is still necessary in some cases, even today. The first dental practitioners typically only extracted teeth. Fortunately, dental medicine, or stomatology, developed over time in quite another direction, primarily as preventative, restorative and reconstructive dentistry.

Dental Esthetic Center experts follow the latest breakthroughs in dental and general medicine. The current position of the medical profession, on this subject, is that tooth extraction is an acceptable procedure only when there are no other possible solutions or when the overall health of the organism is compromised.

Oral surgery has developed as a special branch of dentistry which, in addition to tooth extraction also involves a number of procedures dealing with correcting adverse anatomical structures in the oral cavity, such as: tooth and jaw trauma, aesthetic imperfections and defects in the area of the face and jaw, orthodontic procedures, root canal treatments, implantology in terms of reconstructions of bone tissue and sinuses in order to create sufficient implant placement space and functional disorders of the chewing system.

All oral surgical procedures performed at Dental Esthetic Center, as well as other dental procedures, are carried out in absolutely sterile conditions, using sterile instruments and are completely painless, due to the use of local anaesthesia.

Tooth extraction

It is still one of the most common procedures in oral surgery. We perform this procedure in following cases:

  • advanced caries that destroyed the crown and the root of the tooth to such an extent that augmentation is not possible
  • extensive inflammatory bone processes in the area of ​​the top of the root of the tooth, that can no longer be treated
  • advanced periodontal disease, when most of the supporting structures of the teeth are lost
  • when the root of the tooth breaks, and the fracture is so below the bone level that the tooth can no longer be augmented
  • vertical tooth fracture, when the tooth splits, longitudinally, in two parts
  • impacted (non-obstructed) and semi-impacted wisdom teeth, which cause inflammatory reactions


Apicectomy is a surgical procedure for removing the top of the tooth root and the inflammatory process in the surrounding bone, which can be a granule or a cyst. It is always preceded by an endodontic surgery or filling of the tooth canal, which is a prerequisite for performing the apicoectomy.

Apicoectomy is used when the inflammatory process around the tooth root is so extensive that endodontic treatment of the tooth alone is not enough to heal the bone surrounding the top of the root. We also apply it in cases of cysts. A cyst must be subject to apicoectomy because it never heals and always spreads the infection and destroys the surrounding bone tissue.

Apicoectomy is also performed when, for some reason, we cannot endodontically fill the root canal completely. Causes for this can be narrowed or completely closed root canals due to calcification caused by a reaction of inflamed dental pulp, existing root augmentations, residual of broken endodontic instruments, or anatomical anomalies in the root canal.

We may also resort to performing apicoectomy in cases of fractured end of the root.


Alveolectomy - complicated tooth extraction

Alveolectomy is a complicated tooth extraction, most commonly caused by an impacted wisdom tooth which has not grown or is partially grown and causes inflammatory reactions that are usually followed by swelling and are usually very painful. A part of the bone tissue is removed around the tooth, to allow access and create the space for the tooth to be removed.



This procedure allows us to enable the growth of teeth that have developed and are located in the bones of the jaws, but are not visible in the oral cavity. They are revealed by a jaw x-ray.

Corticotomy completely removes the bone-covering tissue of the tooth and thus allows for self-initiation or orthodontic withdrawal from the bone in the event that the tooth cannot grow itself.