Tooth extraction

When is it necessary to extract a tooth? Genuinely, there is a range of dental and dentofacial system conditions, which at their “advanced” stages make further therapeutic procedures impossible or counterproductive. These conditions include extensive caries lesions, periodontitis (tooth root adjacent tissue inflammation), dental root fracture, mechanical teeth traumas, periodontal tissue diseases, etc. In all these cases, with no possibility of therapeutic treatment and tooth restoration with the support on the root, tooth extraction with further dental implantation and prosthetics is an advisable procedure.

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How Teeth extraction is done in our clinic?

Consultation and Examination

The dentist conducts an examination to determine the need for tooth extraction and discusses all aspects of the procedure with the patient. The doctor also gathers medical history and specifies any allergies or contraindications. Before extraction, it is always necessary to perform an X-ray or 3D X-ray in more complex cases to get clear understanding of the condition of the tooth and the surrounding tissues.

Anesthesia

Before extracting a tooth, the dentist administers local anesthesia to ensure maximum comfort. For more complex extractions, we recommend performing the procedure under general anesthesia to reduce patient anxiety and discomfort.

Tooth Extraction

Depending on the complexity of the case, the dentist uses various instruments to extract the tooth. The procedure may take anywhere from a few minutes to longer if the tooth is complicated or impacted.

Post-Procedure Recommendations

After extraction, the dentist provides the patient with recommendations for oral care and managing post-operative discomfort, including advice on diet and medications.

Condition Monitoring

Depending on the situation, a follow-up visit may be scheduled to check the healing process and address any concerns regarding the site from which the tooth was extracted.

Wisdom teeth extraction

Tooth extraction may be necessary if it causes pain, is affected by decay, or creates issues with the neighbouring teeth, as well as before orthodontic treatment. Over the years, the wisdom teeth have become rudimentary as they virtually do not participate in the chewing process; they also decay quickly due to inadequate cleaning with a toothbrush.

Before extraction, the dentist conducts a detailed examination and always orders a 3D X-ray to better assess the anatomical features of the area, as the nerves are located very close to the wisdom teeth. Local anesthesia is used during the extraction to ensure maximum comfort for the patient, but in complex cases or when removing multiple wisdom teeth, it is recommended to perform the procedure under general anesthesia to reduce stress and discomfort.

After extraction, the dentist places stitches in the socket to promote quick healing and prescribes necessary medications. In the first three days, there may be elevated temperature, swelling on the extraction side, and tenderness, but with proper care and adherence to all recommendations from the dentist, the healing process will be quick and successful. Regular follow-up visits will allow monitoring of the healing process and ensure the health of the oral cavity.

What our patients say

Positive feedback from patients confirms the high level of trust in our work. We greatly value every opinion, as it helps us continuously improve the quality of our services.

I express my sincere gratitude to hygienist Inga for her professional and attentive approach! Inga carried out the procedure as comfortably as possible, explained each step in detail, and provided valuable advice on dental care. I was especially impressed — painless, modern equipment, and an individual approach. From now on, I will go only to Inga! If you want high-quality preventive care and perfectly clean teeth, I definitely recommend her!

Dmitrijs Malinovskis

Dr. Liga and her team, as well as the administrator, are very caring, kind, and professional. Thank you!

Irina Rumjanceva

I visited Anastasia Jevdokimova for a hygiene procedure — an outstanding specialist and a true professional. I have never had such thorough and high-quality hygiene treatment before. A great clinic with professional specialists!

Darja Jansone

I would like to express my appreciation for the work of the clinic administrator Arturs and extend my sincere gratitude. Nowadays it is very rare to meet someone who performs their duties with such responsibility and attention to detail. It is clear that he does his job not out of formality, but with genuine integrity and dedication. Additionally, thanks to Dr. Pastare’s sensitive and professional work, I would like to continue using the services of Sky Dream Clinic.

Ilja Dmitrijevs

A great place with a responsive staff and qualified doctors. Dr. Jelena Pastare explained everything clearly and completely, without unnecessary information. Everyone was very kind and attentive. I really liked the visit — everything was clear. Thank you!

Alesja Kalmakova

I visited this clinic today for treatment of tooth decay. Everything was great! And special thanks to doctor Anna Petrova. She was very kind and accurate. She is a real professional, and I definitely can recommend her. Thank you!

Antanas Leo

For my son, who is very sensitive, everything was done so professionally and quickly that we got through it without any stress. A huge thank you to Dr. Jakovļeva and Sky Dream Clinic!

Zane Salmane

A huge thank you to the SKY DREAM CLINIC team for their excellent work and attentive attitude! You are true professionals who make the world a little kinder and people’s smiles even more beautiful. Special thanks to Dr. Jevgenijs Kiliarskis! Golden hands! Thank you!

Svetlana Lisone

Today I visited Sky Dream Clinic for the first time. It’s conveniently located and has a modern, welcoming atmosphere. I was greeted by friendly administrators and then met my dentist. Dr Arina Šutkina was kind, professional, and attentive. She created a treatment plan and started the first stage of the work. Her assistant Ieva was also very pleasant to work with. It was a real pleasure to be treated in this clinic by such a good doctor. Highly recommended!

Katerina Perepichai

Many thanks to the reception girls for their warm welcome and to hygienist Ināra Karpova for her precise and careful work. The result is surprisingly good! Thank you!

Signe Kocina

Very kind and caring staff — from the very first moment I felt welcome and understood. Everything was carefully explained, and every question was answered clearly. In my opinion, a positive attitude towards the patient is 90% of a successful result, and here it was absolutely perfect. During the visit I felt no stress — only calmness, confidence, and trust in what was happening. Thank you for such a professional and truly human approach!

Kristīne Zvejniece

The best clinic in Riga! I recommend doing a Dental Check-Up (full dental diagnostics) once a year — you’ll see 3D images of your teeth and be able to identify potential issues early, so toothache doesn’t catch you off guard while travelling or at an important moment. I was given a treatment plan that allows me to plan my finances and fix my teeth on time. The staff patiently answered all my questions and offered personalised advice on how to improve my smile in a gentle and natural way. Truly recommended from the heart!

Baiba Svjatska

They did a fantastic job treating my three-year-old’s cavities — without anaesthesia! A wonderful attitude towards both children and parents. My child went to the dentist with real joy.

Laura Kalveniece

The new clinic premises are spacious, bright, and have a pleasant modern atmosphere. I’m glad that hygienist Inga and dentist Līga continue their work here — I’ve always experienced excellent service and never had any problems.

Davis Cipans

A top-class clinic. Every step and every procedure is carried out with care, reducing fear and stress to a minimum. The whole team is extremely friendly and professional.

Oļegs Vavilovs

An excellent clinic with a wonderful paediatric dentist! My five-year-old child happily goes for treatment and is never afraid. The doctor managed to make him curious rather than scared. The injection is given so gently that the child doesn’t even notice it. It was very important for me to avoid general anaesthesia, and we succeeded. Highly recommended!

Hanna Vauchkova

A very pleasant atmosphere and impeccable service — from the reception desk to the dental chair and back again. I would like to compliment administrator Jekaterina for her exceptionally polite and caring approach. I truly recommend Sky Dream Clinic to everyone.

Linda Ansone

I visited this clinic for a dental diagnostic appointment with Dr Marija (if I remember correctly), who is from Ukraine. She photographed my teeth, performed a 3D scan, and explained everything in detail about each tooth. Her knowledge and attitude were excellent — I’m very satisfied! She’s still learning Latvian, but already speaks it quite well. Thank you!

Bikerman Intruder

Very kind and attentive service. My tooth started hurting, and they found time for me that very same day! The doctor was highly knowledgeable and explained everything clearly and thoroughly.

Kecija Salceviča

Meet our team

Dmitrijs Papsujevičs

Сhief doctor, prosthodontist, implantologist, surgeon, Member of the Board

15 Years of Experience
Languages: Latvian, English, Russian

Jevgenijs Kiliarskis

Dentist with experience in surgery, prosthetics and implantology

15 Years of Experience
Languages: Ukrainian, English, Russian

F.A.Q.

The wisdom teeth should be removed if they cause pain, inflammation, or if they are improperly positioned and pressing on the neighbouring teeth. Preventive removal may also be recommended if it is anticipated that the wisdom teeth could become problematic in the future.

The procedure is usually performed under local anesthesia, making the extraction painless. After the procedure, there may be mild discomfort or swelling, but these can be managed with pain relief medication.

The removal of a wisdom tooth can vary from 20 to 60 minutes, depending on the complexity of the case and the position of the tooth.

Recovery typically takes from a few days to a week, but complete healing may take several weeks. Swelling and discomfort may occur during the first few days.

In most cases, local anesthesia is used; however, in complex situations or when removing multiple wisdom teeth, general anesthesia may be recommended.

After wisdom tooth removal, it is important to follow the dentist’s recommendations, including resting, applying cold compresses, avoiding hard foods, and regularly monitoring the site for any complications.

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