Wisdom Tooth Removal Chembur — CBCT-Guided Extraction

A simple tooth extraction in Chembur costs from ₹1,500 and an impacted wisdom-tooth surgery from ₹4,500–₹7,500 at Urban Smiles, plus ₹2,500 CBCT if indicated. Dr. Prasanna Dhatavkar is a trained oral surgeon (MDS) — impacted wisdom teeth, broken roots and atraumatic extractions are routine and planned on CBCT to map the nerve before any cut.

Who this is for

• Adults with severe wisdom-tooth pain, recurrent pericoronitis or food-trap infections.
• Teeth fractured below the gum line where root remnants need surgical retrieval.
• Failed RCT with persistent abscess where retreatment isn't indicated.
• Overcrowding cases where an orthodontist has referred you for premolar extraction.
• Patients planning a future implant — atraumatic extraction + socket preservation protects the bone.

What we don't do

• We don't extract teeth that can be saved with a single-sitting RCT — we explain that route first.
• We don't remove an asymptomatic wisdom tooth without a clear clinical reason; "preventive removal of all four" is rarely the right call.
• We don't extract an impacted lower wisdom tooth without a CBCT — its proximity to the inferior alveolar nerve has to be measured, not guessed.
• We don't skip socket preservation grafting when an implant is planned — the bone you save now is the bone you place into later.

When to consider Tooth Extractions

You may benefit from tooth extractions in Chembur if you notice:

• Severe wisdom-tooth pain or swelling
• Tooth broken below the gum line
• Failed RCT with persistent abscess
• Repeated infections in the same tooth (pericoronitis)
• Difficulty cleaning a partially erupted wisdom tooth
• Orthodontic referral for crowding

Benefits of Tooth Extractions at Urban Smiles

• Atraumatic technique preserves alveolar bone for any future implant
• CBCT 3D imaging maps the inferior alveolar nerve before any incision
• Surgeon-led — complex cases done in-house, no hospital referral
• Soft-tissue laser cuts down bleeding and post-op swelling
• Same-day immediate implant option in carefully selected cases
• Written quote before the chair; antibiotics prescribed only when clinically indicated

How the procedure works

1. Assessment & imaging

   Digital RVG for routine cases; CBCT 3D scan for impacted lower wisdom teeth, broken roots and any tooth with anatomy near the inferior alveolar nerve or maxillary sinus.

   Equipment: RVG digital X-ray · CBCT

   Why it matters: Nerve and sinus mapped before any incision; complications planned out of the case.

2. Anaesthesia

   Topical gel first, then local anaesthesia (lignocaine with adrenaline). 3–5 minute wait for full numbness; pulp tested before any cut. N₂O conscious sedation if you'd like it.

   Equipment: Topical anaesthetic · LA syringe · optional N₂O

   Why it matters: Pressure only — not sharp pain. Sedation calms anxious patients without IV access.

3. Atraumatic simple extraction

   Periotomes and luxators sever the periodontal ligament before the tooth is moved; gentle controlled forces deliver the tooth without fracturing the socket walls.

   Equipment: Periotomes · luxators · forceps

   Why it matters: Preserved socket walls protect bone for future implants; less post-op pain than legacy elevator-and-twist technique.

4. Surgical / impacted wisdom extraction

   Small gum-flap raised; tooth sectioned with a high-speed handpiece if needed; bone trough kept to a minimum; sutures placed.

   Equipment: Surgical handpiece · sectioning bur · diode laser · resorbable sutures

   Why it matters: Sectioning beats brute force on impacted teeth — less bone removed, faster healing.

5. Socket preservation (when implant is planned)

   Bone graft material packed into the socket and covered with a membrane. Maintains ridge height and width during the 3–4 month wait for implant placement.

   Equipment: Bone graft material · membrane · sutures

   Why it matters: No collapse of the buccal plate. The implant later sits in mature, mineralised bone instead of a defect.

6. Soft-tissue laser haemostasis

   Diode laser used along incision lines and granulation tissue to cut bleeding and reduce post-op inflammation.

   Equipment: Diode soft-tissue laser

   Why it matters: Less bleeding intra-op; less swelling on day 1.

7. Post-op plan & follow-up

   Detailed written post-op instructions, prescription only if clinically indicated, suture review at 7–10 days, and (if grafted) implant timing pre-booked.

   Equipment: Post-op kit · recall scheduler

   Why it matters: Dry-socket prevention is mostly behavioural — written instructions get followed; verbal ones don't.

Who is eligible?

• Tooth beyond restoration (deep decay, vertical fracture, failed RCT with apical abscess)
• Impacted wisdom tooth causing pain, infection or damage to neighbouring tooth
• Orthodontic referral for premolar removal in crowding cases
• Persistent baby tooth blocking the adult tooth eruption
• Pre-prosthetic surgery preparing the arch for dentures or implants

Aftercare & recovery

• Bite on the gauze pack for 30 min — don't keep changing it
• No spitting, no straws, no smoking for 48 hours (prevents dry socket)
• Cold compress outside the cheek for the first 6 hours; warm-salt rinses from day 2
• Soft, cool diet for 2 days; chew on the opposite side for a week
• Take prescribed painkillers before the local anaesthesia wears off — easier than catching up after
• Return for suture review at 7–10 days; report any sudden pain spike, swelling or bad taste immediately

Why choose Urban Smiles for Tooth Extractions in Chembur

Dr. Prasanna Dhatavkar is an MDS-trained oral surgeon — complex wisdom teeth, broken roots and impacted canines are routine here, not referrals out. CBCT used to map the inferior alveolar nerve before any surgical wisdom case. Atraumatic technique + soft-tissue laser keeps post-op swelling and bone loss to a minimum.