Oral surgery · Targu Jiu
Dento-alveolar and oral and maxillofacial surgery in Targu Jiu
At Hevadent, our team includes specialists in dento-alveolar surgery and in oral and maxillofacial surgery, who diagnose and treat cases that call for complex surgical procedures in the mouth. These include extractions of impacted or partly impacted teeth, apicoectomies, surgical treatment of cysts and other procedures on the bone and soft tissues of the mouth. Each procedure is planned on the basis of the consultation and the imaging, which can be carried out at the clinic.
In short
At Hevadent, the specialists in dento-alveolar surgery and in oral and maxillofacial surgery carry out procedures such as extractions of impacted or partly impacted teeth, apicoectomies, surgical treatment of cysts, reshaping of the alveolar ridge, and procedures on the bone and soft tissues of the mouth. A specialist consultation costs 150 lei.
How complex a tooth extraction is gets settled after the consultation and the X-rays. When a specialist surgical procedure is needed, the dentist recommends an assessment by a specialist. Book a consultation to find out which treatment suits your case.
What dento-alveolar and oral and maxillofacial surgery cover
Dento-alveolar surgery and oral and maxillofacial surgery include procedures on the teeth, the jawbones and the soft tissues of the mouth. They take in extractions of impacted or partly impacted teeth, apicoectomies, removal of cysts, reshaping of the bone ridge, surgical exposure of an impacted tooth for orthodontic treatment, procedures on the bone before dental implants are placed, and procedures on the soft tissues of the mouth. Most of these procedures are carried out under local anaesthetic, at the practice, and the patient goes home the same day.
The difference from a routine extraction is not only one of time. For an impacted tooth, the surgeon may raise a flap of gum, may remove the bone covering the tooth and, in some cases, may section it to make the extraction easier and reduce the force on the surrounding bone. The work is done close to important anatomical structures: the inferior alveolar nerve, for lower wisdom teeth, and the maxillary sinus, for upper teeth. That is why these procedures may call for the experience of a specialist, and why their planning starts from the consultation and the imaging.
The prices in the list reflect how complex the procedures are. A partly impacted wisdom tooth costs 500 lei, a fully impacted one 650 lei, and an impacted canine or premolar 750 lei. An apicoectomy on front teeth and ridge reshaping on one arch cost 700 lei each, and a cystectomy 600 lei. An internal sinus lift costs 1,000 lei, an external one 2,500 lei, and bone grafting 1,000 lei per gram. The list closes with procedures on the soft tissues, many of them carried out with a laser.
The situations that reach the specialist
A wisdom tooth still in the bone or only half through
With no room to come through, a wisdom tooth can stay covered by gum or bone, and bacteria can gather beneath the gum. The area can flare up periodically. Where extraction is indicated, it costs 500 lei for a partly impacted tooth and 650 lei for a fully impacted one.
A root-treated tooth still has infection at the tip
Sometimes, when retreating the root canal is not possible or not indicated, the answer may be an apicoectomy: the tip of the root is removed together with the affected tissue around it. On front teeth it costs 700 lei.
You have a tooth that never came through
A canine left in the bone can be taken out, at 750 lei, or, as part of orthodontic treatment, exposed surgically and drawn gradually onto the arch. Another option, which involves surgical exposure and bonding an orthodontic button, costs 550 lei.
The X-ray shows a possible cystic lesion in the bone
A cystic lesion can grow slowly, without pain, and may be found by chance on an X-ray taken for something else. Diagnosis needs a specialist assessment and, in some cases, histopathological confirmation. Where surgical removal is indicated, a cystectomy costs 600 lei.
You wear a denture and the ridge is sore
After multiple extractions, the bone can be left uneven and cause discomfort beneath a denture. Reshaping the ridge on one arch costs 700 lei and can be carried out before removable prosthetic work.
There is too little bone where a tooth is missing
Bone grafting can rebuild the bone volume needed to place a dental implant, and a sinus lift allows the bone height to be increased in certain areas of the upper jaw. An internal sinus lift costs 1,000 lei, an external one 2,500 lei, and bone grafting 1,000 lei per gram. Planning these procedures is part of implant treatment.
A growth on the gum or a frenum pulling at the lip
Certain growths on the lining of the mouth may need surgical removal, following a medical assessment. The procedure costs 350 lei by the conventional surgical method or 600 lei with a laser. Laser frenuloplasty costs 350 lei, and laser gingivoplasty 175 lei per tooth.
From consultation to healing
The consultation and the imaging
A specialist consultation costs 150 lei. X-ray imaging is essential for planning surgical procedures. A panoramic X-ray costs 85 lei in digital format or 100 lei on film, and a CBCT scan, when needed, between 175 and 400 lei, depending on the area examined.
Talking through medication and conditions
Say which medicines you take, especially anticoagulants, osteoporosis medication (including bisphosphonates) or diabetes treatment, and what conditions you have. This information can influence the preparation for the procedure and its timing; it is not simply a form to be filled in.
Anaesthetic and the procedureusually 7–10 days before the stitches come out, if needed
The area is anaesthetised locally and the surgeon checks it has taken before starting. For an impacted tooth or a cyst, a flap of gum may need to be raised and part of the bone removed. At the end, if needed, stitches are placed, which either come out at a later visit or dissolve, depending on their type.
The first hours afterwards
A blood clot forms over the wound, which protects the area and helps it heal. Bite firmly on the gauze for as long as you are told, hold something cold against the cheek as the surgeon advises, and do not rinse your mouth for the first 24 hours. Avoid alcohol, smoking and drinking through a straw, because they can affect how the clot forms and stays in place.
Healing and what comes nextthe bone can take a few months to rebuild
The gum usually heals in the first weeks, while the bone takes several months to rebuild. After a sinus lift or bone grafting, the timing of implant placement is decided by the surgeon, according to how healing progresses and to the clinical and imaging assessment. In some cases the implant can be placed in the same procedure as the bone graft.
A wisdom tooth that keeps flaring up needs a medical assessment. Book a consultation to find out which treatment suits you.
What a surgical procedure costs
Surgical treatment
| Extraction of a partially impacted wisdom tooth | 500 lei |
| Extraction of an impacted wisdom tooth | 650 lei |
| Extraction of an impacted tooth (canine/ | 750 lei |
| Internal sinus lift | 1,000 lei |
| External sinus lift | 2,500 lei |
| Bone grafting, per gram | 1,000 lei |
| Reshaping of the bone ridge, one arch only | 700 lei |
| Apicoectomy, root tip surgery (front teeth) | 700 lei |
| Surgical exposure of an impacted tooth and bonding of an orthodontic button | 550 lei |
| Cyst removal (cystectomy) | 600 lei |
| Laser removal of soft tissue growths | 600 lei |
| Surgical removal of soft tissue growths | 350 lei |
| Laser frenuloplasty/ | 350 lei |
| Laser gingivoplasty, 1 tooth (crown lengthening) | 175 lei |
The price of a surgical procedure depends on its type and complexity. Book a consultation to set out the treatment plan and what it will cost.
How to prepare for the procedure
Eat before your appointment, if the procedure is under local anaesthetic: the area will be numb for a few hours afterwards, and on an empty stomach feeling unwell is more likely. Do not come after a sleepless night, and avoid alcohol before the procedure. If procedures make you anxious, bring someone with you and tell the surgeon before you start.
Bring the full list of your medicines, with doses. Anticoagulants and antiplatelet drugs are not stopped on your own initiative, because interrupting them can carry significant risks. Any change to your treatment is decided by the doctors involved. Osteoporosis medication, such as bisphosphonates, matters particularly for procedures on bone. Say as well if you have had surgery recently or are undergoing cancer treatment.
Plan the day after. Avoid heavy physical effort and demanding activities straight after the procedure, as the surgeon advises. If you work shifts, pick a time after which you can rest.
The clinic sits at Strada Victoriei nr. 170, across the road from Lidl, and there is private parking accessed from Strada Victoriei. The timetable is 08:30 to 19:30 Monday through Thursday, and 08:30 to 15:00 on Friday.
Worth knowing before a procedure
Why the price of a wisdom tooth varies so much
The list has three prices for removing a wisdom tooth, and the difference between them reflects the anatomy and the complexity of the procedure.
A fully erupted wisdom tooth costs 400 lei. A partly impacted one, only half through the gum, costs 500 lei, and a fully impacted one, still in the bone, costs 650 lei. Depending on where the tooth sits, the extraction may involve lifting the gum, removing part of the bone or sectioning the tooth so it comes out more easily.
How complex the extraction is gets settled after the consultation and the X-rays, which show the position of the tooth, its roots and its relationship to the neighbouring anatomy, such as the inferior alveolar nerve or the maxillary sinus.
When an apicoectomy is done instead of an extraction
A tooth with infection at the tip of the root is usually treated endodontically, that is, through the root canal. If the infection persists and root canal retreatment is not possible or not advisable, a surgical alternative can be an apicoectomy: the surgeon removes the root tip together with the affected tissue around it, so the tooth can be kept on the arch. On front teeth, an apicoectomy costs 700 lei.
There are also situations in which the tooth can no longer be kept, such as certain vertical root fractures or advanced loss of the supporting tissues. The surgeon decides, after the clinical and X-ray assessment, whether the tooth can be kept or whether it needs to come out.
What a dental cyst is and why it is removed
A dental cyst is an abnormal cavity, usually filled with fluid, that can form in the bone, often around the root tip of a tooth whose pulp has died or around the crown of an impacted tooth. It can grow slowly and often causes no symptoms. As it enlarges, it can lead to loss of the surrounding bone and shift the neighbouring teeth.
Surgical removal of the cyst, called a cystectomy, costs 600 lei. It is usually done under local anaesthetic, by opening surgical access and removing the lesion. The diagnosis may need histopathological confirmation. Depending on the case, the tooth involved may be kept with treatment or may need to be extracted, a decision taken after the clinical and X-ray assessment.
What a sinus lift and bone grafting mean
After a tooth is lost, the bone in that area can shrink, and at the back of the upper jaw the maxillary sinus can extend into the space where bone was lost. A sinus lift raises the sinus membrane to increase the bone height available for implants, sometimes with the help of a bone graft material. The internal version is done through the site prepared for the implant and costs 1,000 lei, the external one, through a window in the side of the bone, 2,500 lei.
Bone grafting rebuilds bone volume in width or height and costs 1,000 lei per gram of material. Both are surgical procedures linked to dental implant treatment, whose stages are described in the implant section.
Frequently asked questions
Does a surgical procedure hurt
What is the difference between a routine and a surgical extraction
What does an impacted wisdom tooth extraction cost
Do all wisdom teeth have to come out
Why do I need a CBCT scan before the procedure
How long is recovery after a surgical procedure
I take anticoagulants or I have diabetes. Can the procedure be done
I am afraid of the procedure. What can I do
Dento-alveolar surgery in Targu Jiu
Strada Victoriei nr. 170, Târgu Jiu, Județul Gorj, 210234opposite Lidl
ParkingPrivate patient car park, entered from Strada Victoriei
Phone0374 003 220Mobile0762 622 208WhatsApp0762 622 208Emailoffice@hevadent.ro
Opening hours
- Monday – Thursday
- 08:30 – 19:30
- Friday
- 08:30 – 15:00
- Saturday – Sunday
- Closed
Related treatments
Book a surgical consultation
Dr. Paul Pegeanu, medic specialist in dento-alveolar surgery (Romanian specialist grade), and Dr. Eduard Ciuca, medic specialist in oral and maxillofacial surgery (Romanian specialist grade), carry out the clinic's surgical procedures. A specialist consultation costs 150 lei. Call 0374 003 220 or send the booking form.