Oral Surgery · Last reviewed May 2026
Tooth Extraction Done
Right.
Picasso Dental performs simple to surgical tooth extractions in Vietnam, including wisdom tooth removal from straightforward erupted molars through to impactions near the inferior alveolar nerve, every complex case planned on CBCT 3D imaging. Two of our six branches operate inside accredited hospitals (Vinmec Da Nang, Link General Da Lat) for surgical cases requiring on-site emergency support and sedation.
What is a Tooth Extraction?
A tooth extraction is the surgical removal of a tooth that cannot be saved by other means, typically because of severe decay, fracture below the gumline, advanced gum disease, impaction, or to make space for orthodontic treatment. Modern extractions are performed under local anaesthetic with sedation available; atraumatic technique preserves surrounding bone for a possible future implant. Most patients return to normal activity within 24–48 hours.
Why Picasso for Extractions
Full Range, Simple to Surgical
From a single mobile tooth through to a fully impacted wisdom tooth near the inferior alveolar nerve, every category of extraction is handled in-house. No external referral required.
CBCT for Complex Wisdom Teeth
Any wisdom tooth approaching the inferior alveolar nerve is mapped on a Cone Beam CT scan before surgery. The nerve canal is visualised in 3D so risk is quantified, not estimated.
Hospital-Based Surgical Options
Two of our six branches operate inside accredited hospitals, Vinmec International Hospital Da Nang and Link General Hospital Da Lat. For long surgical extractions, IV sedation cases or patients with complex medical histories, on-site emergency support is built in.
Atraumatic Technique
Periotomes and gentle elevation rather than crude leverage. Bone walls and soft tissue are preserved as much as possible, important if you may want an implant in the same site later. We do not destroy what could become future foundation.
Sedation Available
Oral and IV sedation can be arranged at our hospital-partner branches for anxious patients, gag reflex sufferers, and long surgical sessions. Administered by qualified anaesthesiologists, with full recovery monitoring.
Same-Day Implant Where Suitable
When the tooth needs to come out and bone walls are intact, immediate implant placement may be possible in the same visit. Decided after CBCT, gum assessment and an honest discussion of the tradeoffs versus delayed placement.
Itemised Extraction Pricing
Difficulty is decided after clinical examination and X-ray, not on the phone. For published rate cards across baby teeth, mobile teeth, simple to difficult permanent teeth, wisdom teeth (including near-nerve cases), coronectomy, surgical exposure, alveolectomy, cyst removal, frenectomy and adjunct procedures, see the dedicated cost guide.
Considering the gap left behind? See single dental implants or implant-supported bridges.
Extraction Types Explained
Six common scenarios, your treatment is decided after clinical exam and imaging, not from a website. The categories below explain what each price level reflects.
Baby Tooth
A primary tooth that has not exfoliated naturally, is decayed beyond restoration, or is blocking an erupting permanent successor. Most are loosened gently with topical and a small amount of local anaesthetic.
Mobile Tooth (Grade III)
A permanent tooth with severe periodontal bone loss, mobile in three planes. Often comes out with little force; sometimes the simplest extraction we do despite involving a permanent tooth.
Permanent Tooth: Simple to Difficult
A standard erupted permanent tooth, ranging from a straightforward single-rooted incisor to a curved-root molar with brittle structure. Difficulty rises with root anatomy, brittleness, and access.
Wisdom Tooth: Standard
An impacted or partially erupted third molar that does not approach the inferior alveolar nerve. Surgical access, sectioning, suture, recover. Difficulty depends on impaction depth and angulation.
Wisdom Tooth: Near Nerve
A wisdom tooth where the root is intimate with the inferior alveolar nerve canal on CBCT. Higher complexity, longer surgery, higher nerve injury risk that we quantify case by case. CBCT mandatory.
Coronectomy
A nerve-sparing alternative for wisdom teeth where root removal would carry unacceptable nerve injury risk. Only the crown is removed; the roots are left in place under the gum to migrate over time.
How an Extraction Works
Five steps from examination through follow-up. Most simple extractions take 30–45 minutes total chair time; surgical wisdom teeth take 60–90 minutes.
Examination + Imaging
Clinical exam plus a panoramic or periapical X-ray. CBCT 3D scan if a wisdom tooth approaches the inferior alveolar nerve.
Day 1 · 30 minLocal Anaesthetic
Targeted local administered. Sedation arranged in advance for anxious patients or long surgical extractions.
Surgery · 5–10 minAtraumatic Extraction
Tooth loosened with periotomes and elevated. Surgical extractions may involve sectioning the tooth or removing a small amount of bone.
Surgery · 15–60 minSutures + Gauze
Sutures placed for surgical cases; firm gauze pressure for 30–60 minutes to control bleeding before you leave.
Same day · 30–60 minAftercare + Follow-up
Written aftercare, painkillers if appropriate, antibiotics for surgical cases. Suture removal and healing check at 7–10 days.
Day 7–10 · 15 minWho Is, and Isn't, a Good Candidate?
Extraction is a one-way decision. We confirm it is the right call after exam, X-ray and a discussion of alternatives, not before. Here's the honest version.
Extraction Is The Right Tool If
The tooth is unrestorable, split below the gumline, decay too deep, or fractured beyond repair.
The tooth has severe periodontal bone loss and is mobile in three planes (Grade III).
An impacted wisdom tooth is causing pain, infection, decay it cannot be cleaned out of, or damage to the neighbouring tooth.
Your orthodontic plan calls for extraction to create space.
A baby tooth is blocking the eruption of its permanent successor.
You have an acute infection (abscess) that drainage and root canal cannot resolve.
Extraction May Not Be Right If
The tooth is restorable with a root canal and crown, saving a natural tooth is almost always preferable.
You have an uncontrolled bleeding disorder without medical clearance and a coagulation plan in place.
You have recently received IV bisphosphonate therapy, osteonecrosis risk is significant and case-specific clearance is needed.
You are pregnant, we postpone any elective extraction until after delivery, treating only urgent cases conservatively.
An asymptomatic, fully erupted wisdom tooth is being cleaned well, watchful waiting is often the right answer.
You have recent radiation therapy to the jaws, specialist coordination is required first.
Risks & Honest Tradeoffs
Most extractions heal uneventfully in 7–10 days. Here is what the literature reports, what can go wrong, and how Picasso minimises every avoidable risk.
Documented Outcome
The vast majority of extractions heal without complication within 7–10 days for soft tissue and 3–6 months for full bone fill. Surgical complication rates are well documented in the oral surgery literature and decline meaningfully with operator experience and CBCT planning for complex cases.
What Can Go Wrong
Dry socket (alveolar osteitis) at 2–5% overall and notably higher for impacted lower wisdom teeth. Infection, especially in surgical cases. Nerve injury below 1% for wisdom teeth near the inferior alveolar nerve when planned on CBCT. Adjacent tooth damage, rare with careful technique. Sinus communication for some upper molar extractions.
How We Minimise Risk
CBCT 3D imaging mandatory for any wisdom tooth approaching the inferior alveolar nerve. Atraumatic technique to preserve bone. Autoclave sterilisation. Medical history screening flags anticoagulants, bisphosphonates and uncontrolled diabetes. Antibiotic prophylaxis for surgical cases where indicated.
Dry Socket: How to Avoid It
Published rates are 2–5% of extractions overall and around 30% in some studies of impacted lower third molars (Blum 2002). To prevent it: no smoking for 48 hours, no straws, no aggressive rinsing or spitting, follow the written aftercare exactly. We provide gentle saline rinses from day 2 and a chlorhexidine option for high-risk cases.
Nerve Injury & Wisdom Teeth
For wisdom teeth where the root is intimate with the inferior alveolar nerve, a permanent nerve injury rate below 1% is the literature benchmark when surgery is CBCT-planned and performed by experienced clinicians. Where the risk is unacceptably high, we discuss coronectomy, leaving the roots in place under the gum, as a documented nerve-sparing alternative.
What We Will Tell You No To
Extracting a tooth that can be saved with a root canal and crown, saving the natural tooth is almost always the better answer. Removing an asymptomatic, well-cleaned wisdom tooth on the assumption that it must come out one day. Operating on a high-risk patient without proper medical clearance. We say no when no is the right answer.
Common Questions
How much does a tooth extraction cost?
The fee depends on whether it is a baby tooth, mobile tooth or permanent tooth, and on difficulty (simple, moderate or difficult), with wisdom teeth priced separately depending on impaction depth and nerve proximity. After your free consultation we provide a written, itemised quote. For published rates, see the full pricing index.
Does it hurt?
Local anaesthetic is profound, you feel pressure during the procedure, not pain. Most patients describe the post-operative experience as 2–3 days of mild swelling and tenderness controlled with over-the-counter pain relief. Surgical wisdom tooth extractions can be more uncomfortable for the first 48 hours; we provide a tailored pain plan and antibiotics where indicated.
How long does healing take?
Soft tissue closes in 7–10 days. Bone fills in over 3–6 months, this matters if you are planning an implant in the same site. Most patients return to normal activity within 24–48 hours after a simple extraction; surgical wisdom teeth typically need 3–5 days of reduced activity.
Can I drive home after my extraction?
After a simple extraction under local anaesthetic only, yes. After IV or oral sedation, no, you must arrange a ride home and avoid driving for 24 hours. We confirm the plan at booking so transport is arranged in advance.
Will I need stitches?
Simple extractions of mobile teeth or single-rooted teeth often need no sutures. Surgical extractions, including most wisdom tooth removals, are sutured to support healing. Stitches at Picasso are typically dissolvable; if not, removal at 7–10 days is a small fee.
What is dry socket and how do I avoid it?
Dry socket (alveolar osteitis) is a painful exposure of bone that occurs when the protective blood clot breaks down too early. Published rates are 2–5% of extractions overall and notably higher for impacted lower wisdom teeth (Blum 2002). To prevent it: no smoking for 48 hours, no straws, no aggressive rinsing or spitting, and follow the aftercare instructions exactly.
When should a wisdom tooth be removed?
When it is causing pain, recurrent infection (pericoronitis), decay it cannot be cleaned out of, damage to the neighbouring tooth, or cyst formation. Asymptomatic, fully erupted wisdom teeth that can be cleaned do not need removal. We assess each case and tell you honestly when watchful waiting is the right answer.
What happens if my wisdom tooth is near the nerve?
We take a CBCT 3D scan to map the inferior alveolar nerve canal precisely. Where the tooth root is intimate with the nerve, we discuss two options: full extraction with a nerve injury risk that we quantify case by case, or a coronectomy where only the crown is removed and the roots are left in place.
Can I have an implant the same day as my extraction?
Sometimes. Immediate implant placement is possible when bone walls are intact, gums are healthy, and there is no acute infection at the site. Your CBCT scan tells us on day one whether your case qualifies. Where conditions are not right, we extract atraumatically, allow 3–4 months of healing, and place the implant into preserved bone. See our dental implants page for full pricing.
Can international patients have an extraction in a single trip?
Yes for routine extractions and most wisdom teeth, the procedure plus a 7–10 day soft tissue healing window fits within a 10–14 day trip. For combined extraction plus immediate implant, you stay through suture removal then return for the final crown. See our international patient guide for trip planning.
Start Here
Get an Honest Plan
Before Anything Comes Out.
Book a free consultation. We will examine the tooth, take the right X-ray, tell you whether extraction is genuinely the right call, and quote the case in writing before any clinical decision is made.