Precise bone work
More precise and controlled work with bone tissue.
Service
Tooth extraction for dogs and cats in Kyiv
Teeth are extracted only where clinically indicated after examination and dental radiography. My first task is to assess whether a tooth can be safely preserved; if extraction is necessary, I perform it as precisely as possible with local pain control, radiographic checks and careful handling of surrounding tissues.
For complex extractions I use the ACTEON Piezotome CUBE ultrasonic system. Extraction remains one treatment option, not an automatic response to every dental problem: where a tooth can be predictably preserved, endodontics, restoration, vital pulp therapy, a crown or periodontal treatment may be considered.
When extraction may be indicated
Indications are determined after clinical assessment and dental radiography. The situations below are examples, not automatic grounds for extraction without diagnostics.
- ✓Substantial loss of periodontal support with critical mobility
- ✓A tooth fracture that cannot reasonably be preserved
- ✓Selected stages and types of tooth resorption in cats
- ✓Persisting temporary teeth where there are clinical grounds for extraction
- ✓Unerupted, retained or impacted teeth with surgical indications
- ✓Teeth with irreversible infection or structural destruction
When a tooth can be preserved
Where the prognosis is favourable, tooth-preserving methods may be considered. The decision depends on the crown, pulp, root, bone support and the feasibility of home care.
- ✓Endodontic root canal treatment
- ✓Vital pulp therapy where indicated
- ✓Tooth restoration (filling)
- ✓A dental crown in selected cases
- ✓Periodontal or regenerative treatment in some situations
Dogs and cats: what differs
In dogs, periodontitis, dental trauma and fractures, persisting temporary teeth and impacted teeth are more common. In cats, important causes include tooth resorption, periodontitis, selected cases linked to chronic gingivostomatitis, and fractures. The extent of treatment for gingivostomatitis is individual — there is no single extraction protocol for every patient.
Diagnostics before extraction
Before deciding on extraction, every tooth is assessed, periodontal probing is performed and dental radiographs are taken. Images help evaluate the roots, bone, hidden lesions and whether preservation is possible. Without radiographs, treatment planning cannot be reliable.
How the procedure works
The procedure is carried out under inhalational anaesthesia with monitoring. Local dental blocks reduce pain in the treatment area. Tissue-sparing techniques are used according to anatomy; piezosurgery may be appropriate in complex sites. After extraction the socket is managed, sutured where needed, and the result is confirmed with control radiographs.
Recovery and feeding
Guidance is individual and depends on the number and type of teeth removed. Pain relief is prescribed where indicated. Softer food may be recommended temporarily. Many animals eat more comfortably once a source of chronic pain is removed — there is no universal healing timeline.
Who this procedure is for
- ✓Teeth with critical mobility due to substantial loss of periodontal support
- ✓Fractured teeth that cannot be predictably preserved
- ✓Selected stages and types of tooth resorption in cats
- ✓Persisting temporary teeth where clinically indicated
- ✓Unerupted, retained or impacted teeth requiring surgical extraction
- ✓Teeth with irreversible infection or structural destruction
Symptoms that may indicate this procedure
Loose or lost tooth
In an adult pet, mobility or loss of a permanent tooth is not normal and may relate to disease of the supporting tissues or trauma.
What loose or lost teeth mean →Broken tooth
Even a small chip can damage the inner tissues of the tooth and cause pain.
More about treating a broken tooth →Facial or under-eye swelling
May be linked to dental disease and needs a prompt examination.
What to do about facial swelling →Temporary teeth haven't fallen out
A permanent tooth may erupt alongside and affect the bite and gum health.
About temporary teeth in puppies →How diagnosis works
- ✓Assessment of every tooth under controlled general anaesthesia
- ✓Periodontal probing
- ✓Dental radiography of the roots and surrounding bone
- ✓Assessment of whether the tooth can be preserved before extraction
- ✓Post-extraction radiographs to confirm completeness
How the procedure works
- ✓Inhalational anaesthesia with monitoring
- ✓Local dental blocks — anaesthesia of the treatment area
- ✓Careful extraction planned around tooth anatomy and the condition of the bone
- ✓For complex extractions, precise bone work with ACTEON Piezotome CUBE
- ✓Radiographic confirmation of complete root removal
- ✓Socket suturing where indicated
- ✓Individual post-operative guidance
Careful extraction with ACTEON Piezotome CUBE
During a complex extraction, the goal is not only to remove the root completely but also to preserve as much surrounding bone and soft tissue as possible.
In these cases I use ACTEON Piezotome CUBE. Its tip uses controlled ultrasonic micro-oscillations, allowing gradual access to the root and removal of the necessary amount of bone without uncontrolled instrument rotation.
Continuous irrigation cools the surgical area, flushes away small particles and improves visibility. This technique helps minimise unnecessary tissue trauma, and the early post-operative period may involve less swelling and discomfort.
Tissue preservation
Minimising unnecessary trauma to adjacent structures.
Micro-oscillations
Controlled ultrasonic micro-oscillations rather than uncontrolled rotation.
Irrigation
Continuous cooling and cleaning of the working area.
Why anaesthesia is needed
Tooth extraction is performed under inhalational anaesthesia with local dental blocks. Anaesthetic risk is assessed individually — no anaesthetic is completely risk-free.
More on this: anaesthesia in veterinary dentistry.
Technology and equipment
Dental X-rayACTEON Piezotome CUBEMicrosurgical instruments
Possible results
- ✓Removal of a source of chronic pain and infection when the tooth cannot be preserved
- ✓Complete root removal confirmed on radiograph
- ✓More comfortable eating after healing in many cases
What the owner receives after the procedure
- ✓Individual feeding guidance depending on the number and type of teeth removed
- ✓Pain relief after the procedure as prescribed
- ✓A healing check where indicated
What affects the fee
Cost depends on the tooth, root anatomy, extraction complexity, number of affected teeth, related treatment and the anaesthetic support required. An exact estimate follows dental radiography. See the fees page for guidance.
Related clinical case
Fractured tooth and a hidden abscess in a Pomeranian
Spitz · 5 years
View case →Frequently asked questions
No. The decision depends on the tooth, pulp, root, bone support and radiographic changes. In some cases endodontics, tooth restoration (filling) or other preservation methods are possible.
No. A photo shows only the visible part. The roots, bone and many pathologies under the gums are assessed during examination and dental radiography.
Beforehand, images help assess the roots, bone and whether the tooth can be preserved. Afterwards, they confirm that the roots have been fully removed. Retained fragments can sustain pain and inflammation.
In most cases dogs eat comfortably once healed — even after several teeth have been removed. Chronic pain from a diseased tooth often interferes with eating more than the absence of an individual tooth.
Yes — many cats eat better once painful teeth are removed. The extent of extraction and feeding guidance are decided individually.
A persisting temporary tooth often needs extraction, especially if it interferes with eruption of the permanent tooth or creates crowding. The decision is made after examination.
The tooth, root anatomy, complexity, number of teeth, related treatment and anaesthetic support. An exact estimate is formed after diagnostics.
When more precise work with mineralised tissue is needed in complex sites — for example unerupted teeth or a thin bone bridge. The instrument does not replace surgical planning.
No. A simple extraction often does not require bone work. ACTEON Piezotome CUBE is used where clinically indicated — for example with complex root anatomy, retained teeth, or where precise access and preservation of surrounding tissue are especially important.
More about piezosurgery →© dr.vetstomat. Original content.
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More about COHAT →Dental Radiography
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How dental radiography works →Piezosurgery
Piezosurgery is a modern way to work with bone using controlled ultrasonic micro-oscillations. It enables more precise complex dental procedures, helps protect adjacent soft tissue and minimises unnecessary tissue trauma.
More about piezosurgery →Oral Surgery
Complex dental procedures: extractions, soft-tissue work and piezosurgery where indicated.
More about oral surgery →Endodontics & Tooth Preservation
Root canal treatment and vital pulp therapy to preserve traumatised or diseased teeth where clinically indicated.
How root canal treatment works →Periodontology & Regenerative Therapy
Professional hygiene, diagnosis and treatment of periodontal disease — from gingivitis to regenerative therapy where indicated.
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Inhalational anaesthesia with monitoring provides controlled conditions for comprehensive dental diagnostics and treatment.
Anaesthesia safety →