Pain or swelling
Discomfort in the back of the mouth, swollen gums, or difficulty opening the mouth.
Planned and personalized oral surgery
Oral surgery and extraction of wisdom teeth in Lima
We evaluate impacted wisdom teeth, fractured teeth, and complex extractions through clinical examination and diagnostic imaging, including 3D tomography when indicated.
Comprehensive clinical evaluation
2D and 3D imaging diagnosis
Conscious sedation based on evaluation
Care in San Borja and Barranco
Digital diagnosis
Planning based on each case
14+
Years of experience
Transforming smiles
Personalized evaluation
Not all of them need extraction
2D/3D
Imaging diagnosis
Depending on the complexity of the case
Wisdom teeth
When should wisdom teeth be removed?
Wisdom teeth usually erupt in late adolescence or young adulthood. Some find enough space, while others remain impacted, tilted, or partially covered by the gum.
The decision to remove them depends on their position, the available space, the presence of symptoms, and their relationship with nearby teeth or anatomical structures.
Infecciones repetidas
The gum that partially covers the tooth can trap food and bacteria.
Tilted or impacted position
It may come into contact with the second molar or make cleaning between both teeth difficult.
Cavities that are hard to treat
Its location can make cleaning and access for a proper restoration difficult.
Damage to the neighboring tooth
A poorly positioned third molar can promote cavities or resorption in the nearby tooth.
Orthodontic indication
It may be recommended when the extraction is part of an individualized orthodontic plan.
Evaluation and diagnosis
When might you need oral surgery?
Oral surgery includes procedures ranging from a simple extraction to the treatment of impacted teeth, wisdom teeth, root remnants, and other cases that require more careful planning.
Impacted wisdom teeth
When a third molar does not have enough space to erupt, it may remain partially or completely impacted within the bone or gum.
- Pain in the back area of the jaw.
- Recurrent swelling or infection.
- Difficulty cleaning properly.
Dientes fracturados
An extensive fracture can make it impossible to restore the tooth, especially when it involves the root or lies below the gum line.
- Fracturas profundas.
- Teeth with a poor prognosis.
- Pain when biting or chewing.
Infecciones recurrentes
A tooth with a persistent infection can cause pain, swelling, a bad taste, or repeated episodes that require treating the cause.
- Swelling of the gum or face.
- Discharge or bad taste.
- Episodes of recurring pain.
Restos radiculares
Some previous extractions can leave root fragments that need to be removed before a prosthesis or an implant, or because of the risk of infection.
- Retained roots.
- Localized pain or swelling.
- Preparation for implants.
Dientes retenidos
Canines or other teeth may remain inside the bone and require surgical exposure or extraction, depending on the orthodontic plan and the position of the tooth.
- Canines that did not erupt.
- Dientes en posición anómala.
- Treatments coordinated with orthodontics.
Preparation for other treatments
Some teeth must be removed before starting orthodontics, oral rehabilitation, prosthesis placement, or dental implant treatment.
- Orthodontic planning.
- Preparation for prostheses.
- Comprehensive rehabilitation.
Not all extractions need surgery
The type of procedure depends on the position of the tooth, its relationship with the bone, the roots, and nearby anatomical structures. That is why we first carry out a clinical evaluation and request imaging when indicated.
Diagnosis for oral surgery
An accurate diagnosis allows us to plan the surgery with greater precision
The clinical evaluation and the imaging indicated for each case allow us to analyze the position of the tooth, its roots, the surrounding bone, and its relationship with nearby anatomical structures.
3D dental tomography
Available at our San Borja location
01
Technology at the clinic
We perform 2D and 3D studies according to each patient's clinical needs, without having to refer them to another center.
01
Clinical evaluation
First we review your history, symptoms, and oral condition. This evaluation helps identify the area to be treated and determine which imaging study can provide useful information.
02
Panoramic X-ray
It offers a general view of the jaws, teeth, and bone. In many cases it provides the initial information needed to assess an extraction.
Initial study depending on the case
03
3D dental tomography
When indicated, it allows the tooth to be analyzed in three dimensions, the shape of its roots to be evaluated, and its relationship to the inferior alveolar canal or other nearby structures to be studied.
Indicated according to professional evaluation
04
Personalized surgical plan
With the clinical and radiographic information, we define the type of procedure, the necessary care, and the appropriate alternatives for each case.
Do all patients need a 3D tomography?
No. In some cases a panoramic X-ray provides the necessary information. A tomography is requested when it can provide additional data relevant to planning.
Care process
How is it performed? oral surgery?
Each procedure is planned individually. We explain the process, answer your questions, and give specific instructions for your recovery.
Primera etapa
Prior preparation
We confirm your medical history, medication, allergies, and the surgical plan. We also review the instructions you must follow before the procedure.
Segunda etapa
Application of anesthesia
Before starting, we administer local anesthesia and check that the area is properly numb. You may feel pressure or movement, but you must let us know if you feel any pain.
Tercera etapa
Surgical procedure
We make the access and remove the tooth according to its position and anatomy. At the end we clean the area and place sutures when indicated.
The duration depends on the complexity of each case
Cuarta etapa
Indicaciones posoperatorias
We explain how to use the prescribed medication, diet, hygiene, physical activity, and the warning signs that mean you should contact the clinic.
Quinta etapa
Healing check-up
At the check-up we review the progress of the treated area, answer your questions, and remove the sutures when the material used requires it.
Do you need sedation for oral surgery?
If you have intense anxiety or need a more complex procedure, we can evaluate whether a sedation option is appropriate based on your medical history and the planned treatment.
Anxiety management
Local anesthesia and conscious sedation: they are not the same
Feeling nervous before an extraction or oral surgery is common. We talk with you, answer your questions, and evaluate what measures can help you go through the procedure with greater peace of mind.
Sedation is not automatically indicated.
The decision depends on your general health, medication, level of anxiety, type of surgery, and professional evaluation.
Prior evaluation
When may it be considered?
Ansiedad dental intensa
When fear makes it difficult to stay calm during treatment.
Reflejo nauseoso marcado
When the gag reflex makes dental care difficult.
Procedimientos seleccionados
In certain surgeries or longer treatments.
Complete medical history
Fasting, if indicated
Companion, when applicable
Clinical evaluation is essential
Report any illnesses, pregnancy, allergies, regular medication, anticoagulants, and history of reactions to anesthetics or sedatives.
Recovery and follow-up
Care after oral surgery
Protecting the clot, following the prescribed medication, and respecting the surgeon's instructions support proper recovery. Care may vary depending on the procedure and each patient.
0–24 h
First dayProtect the clot
Keep the gauze in place for the indicated time. Avoid spitting, rinsing forcefully, using a straw, or touching the area. Wait until the anesthesia wears off before chewing.
2–3 días
Initial recoveryManage the discomfort
Swelling may increase during the first 48 to 72 hours. Use external cold only when indicated and follow the medication, diet, and hygiene guidelines you received.
Follow-up
Follow-upCheck the healing
Come on the indicated date to assess progress, resolve questions, and have the sutures removed when the material used requires it.
Recomendaciones
What you should do
Soft diet and hydration
Prefer soft, cool, or lukewarm foods and drink water directly from the glass.
Higiene cuidadosa
Gently clean your other teeth and follow the specific instructions for the operated area.
Medication as prescribed
Follow the doses and schedules. Do not stop, combine, or substitute medications on your own.
Rest and follow-up
Reduce activity during the initial recovery and attend the scheduled follow-up.
Precauciones
What you should avoid
Spitting, sucking, or rinsing forcefully
During the first 24 hours these actions can dislodge the clot and restart bleeding.
Smoking or drinking alcohol
They can interfere with healing and increase the risk of complications.
Hot, hard, or irritating foods
Avoid crunchy, very hot, spicy foods, foods with seeds, or foods that are hard to chew.
Intense exercise or touching the wound
Avoid exertion and do not touch the area with your fingers, tongue, toothbrush, or other objects.
When to ask for help
Signs that require attention
Heavy bleeding that does not decrease after applying firm pressure with clean gauze.
Intense pain, progressive swelling, fever, discharge, bad odor, or persistent bad taste.
A rash, swelling, or other reaction after taking a medication requires assessment.
Seek emergency care immediately. Do not wait for a reply on WhatsApp.
The instructions given by your surgeon take precedence over these general recommendations, because each patient and procedure is different.
Ask about my recoveryDo you need an evaluation for oral surgery?
Schedule a consultation to review your case and receive a personalized treatment plan.
Tratamientos complementarios
Otros procedimientos de oral surgery
In addition to wisdom teeth, there are other situations that may require surgical treatment. The indication depends on the clinical examination, imaging, and the diagnosis of each patient.
01
Extracciones complejasFractured teeth and root remnants
A tooth with a deep fracture, extensive destruction, or root fragments may need a surgical extraction, depending on its position, anatomy, and the possibility of restoration.
02
Orthodontics and surgeryExposure of canines or impacted teeth
Some teeth remain inside the bone and may require surgical exposure to facilitate their traction, in coordination with orthodontic treatment.
03
Tejidos blandosLabial or lingual frenectomy
It is evaluated when a frenulum limits mobility or interferes with the tissues, hygiene, or orthodontic treatment. The indication is determined after a functional assessment.
04
Diagnosis of lesionsOral tissue biopsies
When a lesion needs to be studied, a tissue sample may be taken and sent to a specialized laboratory for pathological analysis.
05
Oral pathologyCysts and selected lesions
Soft tissue or bone lesions require clinical evaluation and imaging. Their management or referral depends on the diagnosis, size, location, and complexity.
06
ImplantologySurgical preparation for implants
Before placing an implant, a planned extraction, conditioning of the area, or another complementary procedure may be indicated, depending on the volume and condition of the tissues.
Personalized evaluation
First we confirm the diagnosis and the alternatives
Not all impacted teeth, lesions, or root remnants require the same treatment. We review your symptoms, the clinical examination, and the images before recommending a procedure.
We answer your questions
Frequently asked questions about oral surgery
These answers provide general guidance. The diagnosis, duration, recovery, and cost depend on the clinical evaluation and the characteristics of each procedure.
01 Is wisdom tooth surgery painful?
Before starting, local anesthesia is administered to block sensation in the area. During the procedure you may feel pressure, movement, or vibration. If you feel pain, you must tell the professional immediately. Afterward, discomfort and swelling may appear and are managed by following the instructions you receive.
02 How long does a wisdom tooth extraction take?
The duration depends on the position of the tooth, the shape of its roots, the amount of bone covering it, and its proximity to important anatomical structures. A simple extraction may take less time than a completely impacted tooth. The approximate time is estimated after reviewing the images.
03 How much does wisdom tooth surgery cost in Lima?
The cost varies depending on the position of the tooth, the surgical complexity, the imaging needed, and complementary procedures. To provide an accurate quote, it is necessary to carry out an evaluation and review a panoramic X-ray or tomography when indicated.
04 How many days do recovery and swelling last?
Recovery time depends on the complexity, the number of teeth treated, and the patient's usual activity. Swelling may increase during the first 48 to 72 hours and then begin to decrease. Some people resume light activities the next day, while other cases require several days of rest.
05 Can all four wisdom teeth be extracted at once?
In some patients it is possible to perform all four extractions in a single session. The decision depends on the position of the teeth, the estimated duration, health status, level of anxiety, and expected recovery. In other cases it may be more convenient to divide the treatment into two appointments.
06 Do I need a 3D tomography to have a wisdom tooth extracted?
Not all patients need a tomography. In many cases, the clinical evaluation and a panoramic X-ray provide the necessary initial information. A 3D tomography may be requested to study the roots, the position within the bone, or the relationship with the inferior alveolar canal in greater detail.
07 Can I request sedation for oral surgery?
Conscious sedation may be evaluated in patients with intense anxiety, a marked gag reflex, or selected procedures. It does not replace local anesthesia, and its indication depends on the medical history, regular medication, and type of surgery. Fasting and the presence of a companion are requested only when applicable.
08 When should I contact the clinic or seek immediate care?
Contact the clinic if you have persistent bleeding, pain or swelling that gets worse, fever, discharge, bad odor, or a persistent bad taste. If you have difficulty breathing or swallowing, or signs of a severe allergic reaction, seek emergency care immediately and do not wait for a reply on WhatsApp.
Oral surgery in Lima
Take the next step with una evaluación personalizada
Before indicating an extraction or surgery, we evaluate your symptoms, medical history, and the necessary images to prepare a treatment plan suited to your case.
Clinical evaluation
We review the tooth, the nearby tissues, and your history.
Image review
We analyze the X-ray or tomography when indicated.
Plan and quote
We explain the procedure, recovery, and estimated costs.
The final indication and cost depend on the clinical evaluation and the complexity of each procedure.
Choose your clinic
Care in San Borja and Barranco
Message us on WhatsApp to check availability and choose the most convenient location.
Main clinic
V&C Odontólogos
San Borja
Av. de las Artes Norte 364, 5th floor, San Borja.
Behind the La Rambla shopping center.
By prior arrangement
V&C Odontólogos
Barranco
Check availability and available hours at our Barranco location.
Our team will send you the location and the instructions for your appointment.
V&C Odontólogos
13 years transforming smiles
Specialized dental care, digital planning, and personalized follow-up in Lima.