We only remove a tooth when there is no realistic way to save it — your own tooth is always better than any prosthesis. The X-ray is taken on site, in the same visit, so the difficulty and the price are settled straight away, without a second appointment.
Any tooth of your own, even a partly damaged one, is worth more than an implant. It holds the bone, holds the bite and costs nothing. That is why extraction is always the last option.
A tooth someone said 'has to come out' can often be saved with root canal treatment and a crown. It is the X-ray that shows how much of the root is intact, whether there is inflammation at the apex and whether there is enough bone. Without an image that decision cannot be made.
But there are cases where extraction is not merely justified but urgent: otherwise the infection spreads to neighbouring teeth, into the bone, and sometimes further.
On the left: when a tooth cannot be saved. On the right: when extraction must wait.
If the pain is severe but extraction is not possible right now, that does not mean you have to endure it. The infection is brought under control, the pain is removed, and the extraction is carried out in safe conditions.
The price depends not on the tooth but on the shape and position of the root. The X-ray shows which category your case falls into.
| Type | When it applies | Duration | Price |
|---|---|---|---|
| Simple extraction | The root is intact, accessible and straight | 10-20 minutes | 10,000 ֏ (≈ $25) |
| Complex extraction | The root is broken or curved and must be sectioned | 30-40 minutes | 15,000 ֏ (≈ $40) |
| Wisdom tooth, simple | Fully erupted, in a normal position | 20-30 minutes | 20,000 ֏ (≈ $55) |
| Wisdom tooth, moderate | Partly erupted, tilted | 40-60 minutes | 35,000 ֏ (≈ $95) |
| Wisdom tooth, complex | Fully within the bone, lying horizontally | 60-90 minutes | 70,000 ֏ (≈ $190) |
Charged separately: anaesthesia 1,000 ֏ (1 carpule), X-ray 1,000 ֏, and if needed a haemostatic sponge 5,000 ֏ or curettage 5,000-10,000 ֏.
A simple extraction takes 10-20 minutes. The whole visit is about half an hour.
We see the number of roots, their shape and position and how close they are to nearby structures. This is where it is decided whether the extraction is simple or complex.
Local anaesthesia. We wait 5-10 minutes for it to take full effect and check sensitivity before starting.
The tooth is released from its ligament and lifted out. You will feel no pain — only pressure and movement. In a complex case the tooth is sectioned so that less bone is traumatised.
The socket is cleaned of inflamed tissue. If needed, a haemostatic sponge and a suture are placed — this speeds up healing.
Keep the gauze in for 20-30 minutes. You get written aftercare instructions and the doctor's phone number in case anything worries you.
The socket fills in gradually. Here is what happens and when.
A blood clot forms — it is what protects the socket. Mild swelling and soreness are possible. That is normal.
The gum closes over and the pain goes. After a simple extraction almost nothing bothers you within 7 days.
The bone in the socket rebuilds fully. Only after this period can an implant be placed.
Almost every complication comes from breaking these rules. Especially on day one.
This question usually gets asked late. Better to know now.
After an extraction the bone loses its load and starts to resorb — about 25% of its volume in the first year. The neighbouring teeth tilt into the gap, the opposing tooth drifts out of place and the bite is disturbed.
That is why the gap is best restored within 3-6 months, while there is still enough bone. Later it is still possible, but bone augmentation is often needed by then, which makes treatment longer and more expensive.
The exception is a wisdom tooth — it does not need replacing.
The options are an implant (which preserves the bone) or a bridge. The full list is in the price list.
During the procedure, no — it is done under local anaesthesia. You will only feel pressure. Once the anaesthesia wears off (2-4 hours) there may be pain, relieved by a usual painkiller and easing day by day.
Nothing at all for the first 2-3 hours. After that soft, not hot food, chewing on the opposite side. On the first day avoid spicy, sour and hard things.
As late as possible, at least 3 days. Smoking is the number one cause of dry socket: the smoke and the suction of inhaling dislodge the protective clot.
A wisdom tooth is often fully or partly inside the bone, with curved roots close to the nerve. Such an extraction is effectively surgery, involving opening the bone and sectioning the tooth. The X-ray shows which category yours is.
No. If it has grown in correctly, takes part in chewing and can be cleaned, we leave it. It is removed when it is tilted, presses on its neighbour, causes repeated inflammation, or decay forms underneath it that cannot be reached.
We accept payment by card only, in accordance with the legislation of the Republic of Armenia.
The consultation is free. We will examine you, take an X-ray and tell you honestly whether the tooth can be saved or needs to come out.
