Tooth extraction in Vietnam
Tooth extraction and oral surgery in general cost ridiculously high in countries like Australia, New Zealand, Hong Kong, etc. Therefore, each year, we welcome a lot of patients from these countries traveling to Vietnam to have tooth extraction done at one-tenth of the price in their home country while enjoying a tropical vacation in Hanoi, Ho Chi Minh, or coastal cities – Da Nang, Nha Trang. Let’s learn more about this procedure from a dental tourism patient’s point of view.
The procedure of tooth extraction
When choosing Tooth Extraction Treatment in Vietnam, patients are likely to undergo one or two appointments.
Stage 1: Diagnosis
During diagnosis, your dentist will examine your teeth, take a CBCT x-ray to determine the difficulty level of the extraction and discuss the procedure. If it’s a wisdom tooth removal then CBCT x-ray is crucial for the diagnosis. Since the two nerves in jawbone lie in close proximity to the lower impacted wisdom teeth. The lingual nerve provides sensation in your tongue whilst the inferior alveolar nerve gives sensation to the lower lip and skin overlying the chin. These nerves need to be foreseen and taken care of so that they will not be bruise during the extraction procedure.
The dentist may want to make sure all conditions are stable before you undergo tooth extraction. You might be prescribed antibiotics in the days leading up to the procedure depending on your medical condition and the difficulty level of the extraction.
Stage 2: Extraction
If it’s a simple extraction, you will receive local anesthesia, which numbs the area around your tooth so you will not feel pain during the procedure. The dentist then uses the elevator to loosen the tooth and forceps to remove it.
If it’s a surgical extraction, you will likely receive local anesthesia before extraction. The dentist or oral surgeon will use a small incision to cut into your gum to reveal the jaw bone. The dentist may remove bone around your tooth or divide the tooth into smaller parts before extracting them. The Ultrasonic Piezo machine might be used to separate the ligament and the tooth before extraction, making the extraction less hurtful and helping quicker recovery.
In some cases, a bone graft might be needed. A socket preservation graft placed immediately after tooth extraction helps to preserve bone volume and architecture by minimizing post-extraction bone resorption. A dental implant in Vietnam is also needed in the case the extracted tooth is necessary for a functional occlusal and needs to be replaced with an artificial tooth.
It normally takes a few days to recover after tooth extraction. The dentist will give you instructions to follow in order to reduce pain and help your wound to heal faster.
Cost of tooth extraction in Vietnam
The cost of a tooth extraction surgery in Vietnam varies from $22 for Single rooted tooth extraction to $229 for Class III Impacted wisdom tooth removal surgery (in which all or most of the third molar is in the ramus of the mandible. The third molar is on a level with the occlusal plane).
|Single root removal||Per tooth||22|
|Multi root removal||Per tooth||30|
|Premolar extraction||Per tooth||22|
|Molar extraction||Per tooth||43|
|Vertically impacted wisdom tooth extraction||Per tooth||65|
|Class I Impacted wisdom tooth removal||Per tooth||86|
|Class II Impacted wisdom tooth removal||Per tooth||129|
|Class III Impacted wisdom tooth removal||Per tooth||216|
|GBR after wisdom tooth removal||Added||129|
The complexity of the case is the most important cost driver. The wisdom teeth are usually the most difficult ones to deal with since they’re usually placed inside the jawbone while affecting other teeth and nerves.
Recovery from Tooth extraction
On the first day after the extraction, Continue biting on the gauze for 30-60 minutes following your procedure. Do NOT spit, rinse, suck (using a straw), smoke, drink carbonated or alcoholic beverages for at least 24 hours. Passively empty your mouth when needed. The goal is to keep blood clot in the socket to prevent bleeding and a painful complication known as DRY SOCKET.
On the second day, you will most likely experience one or more of the following symptoms: Minor pain, swelling, bruising, limitation in opening or closing your mouth, pain in jaw or ear, sore throat. It is important to listen to your body and take it easy. No heavy lifting, spitting, sucking, alcohol or smoking.
It takes a couple of days to recover after tooth extraction, so most dentists in Vietnam recommend resting for at least 48 hours before flying. This enables you to get the rest you need for smooth and fast recovery. While it is safe to fly after dental procedures, it can be especially uncomfortable to travel within the first 24 to 48 hours. Flying can cause minor pain and discomfort even in healthy individuals who haven’t recently had dental work completed. Sinus pressure, headaches, and even toothaches can result from changes in altitude or cabin pressure. Any of the issues can be intensified for a person who has recently undergone a tooth extraction procedure.
Tooth extraction home care instruction
If you leave the office with a gauze sponge in your mouth, you may discard it once you return home as long as the bleeding has stopped unless you have been instructed otherwise. DO NOT sleep with the gauze sponge in your mouth.
Start gently brushing the teeth the first evening, using hot water to soften the toothbrush bristles. Toothpaste is generally O.K. Take special care to be gentle around the surgical areas.
Brush gently. A gentle lukewarm salt water rinse can be used to freshen your mouth. But again, do not spit; just let the fluid passively empty. The corners of your mouth may become cracked and dry – moisturize frequently.
Over-the-counter- pain medication may be taken as directed on the bottle to relieve discomfort.
Some discomfort may be present for 7-10 days following the simplest surgery. This is common after oral surgery and may last as long as 7-10 days. Swelling may reach its peak 3 days after surgery, and even if it is severe it is ordinarily no cause for alarm. Apply cold compresses to the affected area at 10-minute intervals for the first 24 hours to minimize swelling. Any swelling that occurs usually begins to diminish within 72 hours; call the office if there is no change.
The skin in the area of the surgery may become yellow, black and blue. This will gradually disappear within 10 – 21 days and requires no treatment.
Some oozing of blood is normal for the first 12-24 hours. Put a hand towel on your pillow as some drooling can occur when you are numb. If you experience excessive bleeding, apply firm pressure with 1-2 folded gauze pads or damp tea bag on the affected area for 30-60 minutes and keep your head elevated. Call the office if the bleeding does not subside.
- Drink plenty of fluids
- Avoid carbonated and alcoholic beverages
- A soft diet will be easiest: yogurt, milkshakes (no straw), soups, fish, pasta
- Foods rich in protein-eggs, meats, cottage cheese-is desirable to promote healing
- Nothing too spicy is recommended
- DO NOT use a straw for the first 2 weeks after surgery
- Avoid rice and brittle, crunchy or chewy foods for several days
- It is normal to have a little tenderness while chewing and difficulty opening wide
If you have received sutures, avoid playing with them. A fifteen-minute appointment will be needed to remove the sutures in 7-10 days.
If you have been prescribed antibiotics, take them as directed until they are all gone, even if symptoms dissipate. Some antibiotics can interfere with the effectiveness of birth control pills or other medications. If pain medication or a mouth rinse is prescribed take as directed.
You should not smoke for 5-7 days after surgery. One cigarette may dramatically increase your pain and slow the healing.