Complex Tooth Extraction

Dentoalveolar surgery is the surgical management of diseases of the teeth and their supporting hard (ie. bone) and soft (ie. gum, muscle) tissues.

The tooth extraction and especially the complex tooth extraction is the most common type of dento-alveolar surgery.  It may be recommended as a treatment for teeth that are crowded, diseased beyond restoration, impacted and un-erupted, or supernumerary (extra).  A tooth that falls to emerge or fully break through the gum tissue is, by definition, “impacted”.  While this is a common problem associated with third molars, or wisdom teeth, which are the last teeth to develop and erupt into the mouth, other teeth can also become impacted.

We have the extensive surgical training and experience in diagnosing and extracting any type of teeth.  Whether the extraction is simple or complicated by impaction, disease or infection we have the surgical  skills to provide the best treatment plan available to remove them the most effective way possible.

Wisdom teeth (Third Molars)

In recent years there has been a lot of discussion about wisdom teeth, or third molars – why should they be removed; when should they be removed; do they have to be removed?

It seems that everyone has an option, but there is one undeniable truth: When it comes to your wisdom teeth, the worst thing you can do is ignore them!


300 mts. North from Distrito 4, Escazú, San Jose, Costa Rica.

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300 Mts. North from Distrito 4, Escazú, San Jose, Costa Rica.

Whatsapp: (506) 8380-9021   CR: (506) 2283-2710

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Copyright by Dr.Oscar Reiche Fishel. Maxillofacial Surgeon, Specialist in Orthognatic Surgery, Dental Implants, All on 4®, TMJ Disorders and Oral Pathology.