Oral Surgery

Surgical Dentistry at the Highest Level in Berlin

Oral surgery encom­passes surgical proce­dures in the area of the teeth, the jaw, and adjacent soft tissues—from tooth extra­c­tion to complex recon­s­truc­tive measures. As specia­list dentists for oral surgery, Dr. Esther Kluk & Colle­agues at IMPLA·VIO in Berlin-Friedenau offer you the complete spectrum of outpa­tient oral surgical care.

Among the most common proce­dures is wisdom tooth removal as prepa­ra­tion for orth­odontic treatment or to prevent tooth displa­ce­ment, inflamm­a­tion, or pressure pain in the jaw. In cases of persis­tent root canal inflamm­a­tion, a root tip resection can often preserve the tooth. Cyst removal is performed for changes in the teeth, the jaw, or salivary glands. For oral mucosal changes, we examine unclear mucosal findings, perform biopsies, and remove benign growths.

Individually Planned Procedures Under Gentle Anesthesia

Prepa­ra­tory measures for dental prosthe­tics or orth­odontic therapies are also part of our spectrum, such as the exposure of impacted or displaced teeth or plastic-surgical correc­tions of the alveolar ridge. All proce­dures are performed under local anes­thesia, and upon request also with addi­tional intra­ve­nous sedation or under general anes­thesia. We colla­bo­rate closely with an expe­ri­enced team of anesthesiologists—for maximum safety and the most relaxed treatment situation possible.

What is the diffe­rence between a dentist and oral surgery?

A dentist often treats diseases of the teeth, gums, and oral cavity conser­va­tively, for example with fillings, root canal treat­ments, or dentures. Oral surgery becomes necessary when a surgical procedure is required – for instance for a complex tooth extra­c­tion, an impacted tooth, or a cyst. As a specia­list dentist in oral surgery, Dr. Esther Kluk at IMPLA·VIO also treats demanding surgical findings. If needed, proce­dures can be performed under sedation or general anes­thesia.

What falls under oral surgery?

Oral surgery includes surgical treat­ments of the teeth, jawbone, and adjacent soft tissues. This includes, for example, tooth extra­c­tions, wisdom tooth removal, apicoec­tomy, cyst removal, tooth exposure, and pre-prosthetic proce­dures. At IMPLA·VIO, such treat­ments are carefully diagnosed and surgi­cally planned – from routine removal to complex recon­s­truc­tion, always tailored to the anato­mical situation.

What is the diffe­rence between an oral surgeon and a maxillofacial surgeon?

Both special­ties work surgi­cally, but their training focus differs. Oral surgeons are specia­list dentists for surgical proce­dures on the teeth, jaw, and oral mucosa. Oral and maxillofacial surgeons also have medical training and treat more extensive diseases and injuries of the face, jaws, and neck. For many dento­alveolar – i.e., proce­dures involving the teeth and the tooth-bearing jaw area – oral surgery specia­liza­tion, as at IMPLA·VIO, is the right place to go.

When should you see an oral surgeon?

Not every complaint requires a surgical procedure. An oral-surgical assess­ment is advisable if a tooth does not erupt properly, recurrent inflamm­a­tion occurs, a root canal treatment does not heal, a cyst is suspected, or a tooth needs to be prepared for dentures or orth­odontic treatment. An exami­na­tion may also be indicated for unclear changes in the oral mucosa. IMPLA·VIO clarifies which procedure is actually necessary.

How much does it cost to have a wisdom tooth removed?

The removal of a wisdom tooth does not have a fixed price. Key factors are its position, the number of teeth to be treated, proximity to important struc­tures, and the surgical effort involved. A simple removal is assessed differ­ently than a tooth that lies deep in the bone or is impacted. If removal is medically necessary, statutory health insurance generally covers standard wisdom tooth removal, including wound care and follow-up. Decisive for the procedure are the position of the tooth, its proximity to important struc­tures, and the surgical effort. At IMPLA·VIO, treatment is carefully planned using modern imaging. Addi­tional services such as sedation or general anes­thesia are discussed with you in advance and, if appli­cable, billed sepa­ra­tely. Private insurers review coverage based on your indi­vi­dual policy.

How many days of rest do you need after wisdom tooth surgery?

After an uncom­pli­cated wisdom tooth removal, many patients are back to everyday life after just a few days. However, sports and physical exertion should be paused at first to avoid secondary bleeding and increased swelling. On the day of treatment, soft, non-hot foods are recom­mended. Alcohol and smoking should be avoided during the initial healing phase, as they can impair wound healing. How much rest is needed depends on the procedure and indi­vi­dual healing. At IMPLA·VIO, our specia­list dentists in oral surgery will give you specific instruc­tions for your aftercare.

How much does an apicoec­tomy cost?

An apicoec­tomy is often used to preserve a tooth when inflamm­a­tion persists despite root canal treatment or anato­mical factors make repeat treatment more difficult. For patients with statutory insurance, the health insurance fund generally covers the procedure if the tooth is considered worth preser­ving and the medical requi­re­ments are met. At IMPLA·VIO, treatment is carefully planned with modern imaging. We will inform you in advance about possible private add-on services and your indi­vi­dual cost framework.

When is a cystec­tomy performed?

A cyst can go unnoticed for a long time and still grow larger, displace neigh­boring struc­tures, or promote inflamm­a­tion. A cystec­tomy is recom­mended when the lesion should be removed comple­tely – often in the area of the jawbone, a tooth, or adjacent soft tissues. At IMPLA·VIO, the findings are assessed using modern 3D imaging and the procedure is planned precisely. The goal is complete removal while protec­ting the surroun­ding tissue as much as possible.

Tooth Extraction

If a tooth is severely damaged, deeply fractured, or inflamed, tooth extra­c­tion (dental extra­c­tion) may be medically necessary. In our practice in Berlin-Friedenau, we also perform more complex surgical tooth extra­c­tions – safely, gently, and with many years of expe­ri­ence.

Wisdom Tooth Extraction

Wisdom teeth develop later than other teeth, and there is not always enough room for them in the jaw. In many cases, wisdom teeth remain fully or partially trapped in the bone and only partially erupt through the gums.

Root-End Surgery

During an apicoec­tomy (root end surgery), the inflamed tip of a tooth root is surgi­cally removed. This prevents bacteria from spreading to the jawbone and causing bone loss and tooth loss.

Cyst Removal

Cysts in the jaw, mucous membrane, or salivary glands often go unnoticed for a long time because they initially do not cause any symptoms. If left untreated, however, they can increase in size, displace surroun­ding struc­tures, or cause inflamm­a­tion.

Changes in the Oral Lining

Changes in the oral mucosa occur frequently – ranging from harmless irri­ta­tion and benign growths to precan­ce­rous lesions requiring treatment or, rarely, malignant changes. To clarify uncertain findings, we perform a biopsy or a trial excision (surgical removal) at our oral surgery practice in Berlin-Friedenau.