Extraction of impacted or ectopic teeth

Advanced Diagnosis. Gentle Technique. Lasting Relief.

Sometimes teeth grow in the wrong direction, stay buried under the gums, or emerge in unusual locations. These are called impacted or ectopic teeth, and while they may not always hurt at first, they often create problems down the line.

At TRUE SMILE Dental Centre on Al Reem Island, we approach impacted tooth extractions with precision and empathy. Our experienced surgical dentists use modern imaging and minimally invasive techniques to safely remove problematic teeth, from awkwardly angled wisdom teeth to displaced canines near the nasal cavity.

If you've been told a tooth "hasn’t come in," or you’re feeling pressure or pain in the back of your jaw, we’re here to help.

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Medically reviewed byDr. Yazan AbukhalafOral & Maxillofacial Surgeon, PhD

Reviewed: September 2026

What Are Impacted and Ectopic Teeth?

In simple terms:
Impacted teeth are stuck. They try to erupt but get blocked by bone, gums, or nearby teeth.

Ectopic teeth erupt where they’re not supposed to, like in the roof of the mouth or even the sinus area.

While wisdom teeth are the most commonly impacted, we also see ectopic canines, extra teeth (called supernumerary), and even misplaced premolars. These cases often require surgical attention to avoid damaging surrounding structures.

How Do I Know If I Need Surgical Tooth Removal?

You may not realise a tooth is impacted until a dentist finds it on an X-ray. But many patients do experience signs, including:

Recurring discomfort in the jaw or behind the molars
Puffiness or tenderness in the gums
Trouble opening the mouth fully
Pressure against adjacent teeth
Unpleasant taste or odour from trapped bacteria
Crooked teeth, especially in the front (often due to impacted canines)

We often identify impacted or ectopic teeth during orthodontic planning, wisdom tooth evaluation, or in response to recurring infections.

Why Early Intervention Matters

Delaying treatment for an impacted tooth can lead to serious consequences:

Infection in the surrounding bone
Destruction of adjacent tooth roots
Formation of cysts or lesions
Chronic headaches, sinus problems, or TMJ tension
Interference with planned braces or aligners
In some cases, visible facial asymmetry or jaw discomfort

At TRUE SMILE, our goal is to resolve the problem before it gets worse, and to do so with the least disruption to your life.

How We Remove Impacted or Ectopic Teeth, Step by Step

Step 1: Personalised Evaluation

Your journey starts with a careful exam, panoramic X-ray, and often a 3D CBCT scan. These tools help us map out the tooth’s position, depth, and its relationship to vital structures like nerves or sinuses.
For example, if a lower wisdom tooth is lying horizontally and close to the mandibular nerve, we’ll adjust our technique to avoid damage, or coordinate with a maxillofacial surgeon for complex cases.

Step 2: Tailored Anaesthesia and Comfort Plan

Depending on your age, health, and level of anxiety, we offer a range of anaesthesia options:

Local anaesthesia for straightforward cases
Nitrous oxide sedation (laughing gas) for anxious patients or children
Conscious sedation or general anaesthesia for deeply embedded or multiple extractions

You’ll never be rushed into a decision. We’ll help you choose the safest and most comfortable option.

Step 3: Precise Surgical Removal

Using sterile microsurgical instruments, we create a small flap in the gum and remove any bone necessary to access the tooth. The tooth is then gently sectioned and removed. The area is cleaned, sutured (if needed), and stabilised for healing.
In children, we often combine the procedure with paediatric sedation techniques and distraction methods to keep the experience smooth and non-traumatic.

Special Focus: Ectopic Canines and Supernumerary Teeth

In teens and children, misplaced canines can interfere with dental development. If caught early enough, we may refer for orthodontic exposure and guidance to bring the tooth into place. But if the ectopic tooth is far from the arch or causing complications, surgical extraction is the safest route.

Likewise, extra teeth, especially near the front, can cause spacing issues or even push permanent teeth out of alignment. We coordinate with orthodontists to ensure timing and treatment are optimised.

Recovery: What You Can Expect

Every case is unique, but here’s a general healing timeline:

First 24 hours: Slight bleeding, swelling, and numbness as anaesthesia wears off
Day 2 to 3: Swelling peaks, then starts to subside. Discomfort managed with pain relief
Day 4 to 7: Significant improvement. You may return to work or school
Week 2 and beyond: Stitches dissolve or are removed. Socket continues to heal
Follow-up: We check healing progress, adjust hygiene instructions, and answer your questions

Most patients recover quickly with minimal complications. Children often bounce back in just a few days.

Why TRUE SMILE?

We don’t just remove teeth, we care for people. At TRUE SMILE, our approach includes:

Expert surgical planning, especially for deep or risky impactions
Custom sedation options, including gentle care for children and anxious adults
A focus on prevention, protecting your future bite, smile, and facial symmetry
Multilingual team to guide you in English, Arabic, Russian, Spanish, and more
Clean, modern facility located conveniently on Al Reem Island

You’re not just getting a procedure. You’re receiving thoughtful, comprehensive care tailored to your comfort and long-term wellbeing.

Included in your treatment:

Initial consultation and imaging
Pain management and sedation (as discussed)
Full sterile surgical protocol
Aftercare materials and home instructions
One follow-up visit within 7 to 10 days

Insurance assistance available

Cost for Extraction of impacted or ectopic teeth

Check full price-list

Alveoloplasty 1440-2400 (AED)

Enucleation of cyst/granuloma, odontogenic and non-odontogenic 3000 (AED)

Excision of cyst 2400 (AED)

Extraction of residual roots of a permanent tooth 700-850 (AED)

Surgical extraction of a permanent tooth 1500-1800 (AED)

Extraction of an impacted wisdom tooth 1800-2400 (AED)

Frenectomy 1800-2100 (AED)

Simple extraction of a permanent tooth 700 (AED)

Vestibuloplasty 3000-3900 (AED)

Our doctors

We've assembled an international team of dental experts who use cutting-edge technology — from 3D diagnostics to anti-stress dentistry with nitrous oxide.

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Why choose True Smile

International expertise under one roof

A truly global team with experience from leading clinics in different countries.

Anti-stress dentistry for adults and children

Gentle adaptation, calm communication, and nitrous oxide sedation when anxiety gets in the way.

Precise diagnostics, clear treatment plans

We explain every step, show options, and build a plan that matches your goals and budget.

Comfort-first, pain-controlled care

Modern anaesthesia and careful technique to keep treatment smooth and comfortable.

Family dentistry you can trust

From children's check-ups to complex adult cases, we care for smiles at every age.

Multilingual team

Our dentists and coordinators speak multiple languages, so you'll always feel understood.

CAPP MENA Dental Awards

Average rating our clinic

4,9 /5 based on 598 reviews

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We answer frequently asked questions

Extraction of impacted or ectopic teeth is a surgical procedure designed to remove teeth that are improperly positioned or trapped beneath the gum line or bone, making conventional extraction challenging.

The procedure may involve surgical incisions, removal of surrounding bone, and sectioning the tooth into smaller pieces to safely extract it.

Factors such as overcrowding, abnormal eruption angles, or developmental disturbances can cause teeth to become impacted or erupt in ectopic positions.

Challenges include limited access, increased risk of damage to surrounding nerves and tissues, and the need for advanced surgical techniques to ensure a safe extraction.

Patients should follow all pre-operative instructions, which often include undergoing imaging studies, adhering to fasting guidelines if necessary, and discussing any medical concerns with their dental professional.

The recovery process typically involves managing swelling and discomfort with prescribed medications, maintaining proper oral hygiene, and monitoring for complications such as infection, dry socket, or delayed healing.

What Our Patients Say – Testimonials

Hear from the people who trust us with their smiles. Real experiences from our patients in Abu Dhabi.

       
   True Smile Dental Center Abu Dhabi
   598 Google reviews 
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      Posted on Google  
   
   Ashish Amin 
 25 October 2026
 
 
 Trustindex verifies that the original source of the review is Google. It was my second time with Tru Smile and Dr Ali Gibreel was great! He was professional, educational and caring. Will be back
  
 
     Posted on Google  
   
   Maha Almazrouei 
 24 October 2026
 
 
 Trustindex verifies that the original source of the review is Google. I had a wonderful experience at True Smile Dental with Dr. Mustafa and Dr. Faten. Both are professional, kind, patient, and attentive to detail. They make you feel comfortable and well cared for throughout the treatment, taking the time to ensure you have a positive experience.

I truly appreciate their dedication, care, and professionalism. The clinic has a welcoming atmosphere, and the overall service is excellent.

I’m very happy with my experience and highly recommend True Smile Dental, Dr. Mustafa, and Dr. Faten to anyone looking for excellent dental care and a team that genuinely cares about its patients! ⭐️
  
 
     Posted on Google  
   
   Paulo Dal 
 23 October 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Ramona is exceptional, caring, and attentive. She explains everything in great detail, and I feel completely confident entrusting my smile to her.

In addition to her extensive experience, she has gained knowledge and expertise in Brazil, Australia, and now the United Arab Emirates.

Dr. Ramona is a solid 10/10!
  
 
     Posted on Google  
   
   Alexandre Aviz 
 23 October 2026
 
 
 Trustindex verifies that the original source of the review is Google. All the Dr are very professional and give you a clear explanation about your issue! Fast and good!
  
 
     Posted on Google  
   
   Rola El Nounou 
 19 October 2026
 
 
 Trustindex verifies that the original source of the review is Google. My kids are Dr.Faten's patients, she is soo adorable and knows how to deal with kids in a professional sweet way.
  
 
     Posted on Google  
   
   Ahmed 
 4 October 2026
 
 
 Trustindex verifies that the original source of the review is Google. Exceptional work from Dr. Ali Gibreel
  
 
     Posted on Google  
   
   Ziad Eid 
 30 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. I had an amazing experience with Dr. Ali Gibreel. He fixed all of my teeth exactly the way I wanted, and I’m extremely happy with the final result!

He was very professional throughout the entire process, explained everything clearly, and made me feel comfortable and confident from the beginning.

I had been looking at many different clinics before deciding where to do my teeth, but I’m really glad I chose this place. I finally felt comfortable and in good hands here, and the result exceeded my expectations.

A big thank you to Dr. Ali Gibreel for the great work. Highly recommended!
  
 
     Posted on Google  
   
   Andrea Salazar 
 26 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. It’s a very good dental clinic with good equipment and installations. The staff and doctors are very qualified. Dr. Karan is a very good professional that explained the complete treatment very clear and suggested the best option.
  
 
     Posted on Google  
   
   Akzhan Bugubayeva 
 20 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. I want to express my gratitude to Dr. Mustafa Sarikahya. For his painstaking work, which he did in the treatment of my root canals.

I came with strong pain over the sixth tooth, and the doctor entered my position, took into account the fact that I am a breastfeeding mother and did the treatment without antibiotics, it took more visits (and more work to him). In addition to his professional skills, I was pleasantly surprised by his human quality: English is not my native language, and I did not immediately understand what kind of treatment I have to do. And the doctor explained the same thing to me several times, until I understood exactly what was waiting for me.

He took out the best treatment tactics. It's a great success that I got to Dr. Mustafa.
  
 
     Posted on Google  
   
   Diana Bashirova 
 19 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. +1
Зубы …это то, с чем мучается вся наша семья. Элайнеры, брекеты, кариес, мы собрали всё! С момента переезда в Абу Даби успели попробовать много разных клиник, но наконец нашли ту самую.

Профессионализм врачей, качество лечения и сервис- все действительно на очень высоком уровне. Теперь все пятеро ходим только сюда.

Отдельное спасибо доктору Наталье - настоящему мастеру своего дела! И доктору Навару, который умеет найти подход к любому ребёнку и сделать так, чтобы поход к стоматологу больше не был чем-то страшным.

Спасибо всей команде! ❤️ Когда даже лечение зубов может быть в удовольствие .. это точно о вашей клинике.

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Articles

Extraction of impacted or ectopic teeth

What Are Impacted and Ectopic Teeth?

How Do I Know If I Need Surgical Tooth Removal?

Why Early Intervention Matters

How We Remove Impacted or Ectopic Teeth, Step by Step

Step 1: Personalised Evaluation

Step 2: Tailored Anaesthesia and Comfort Plan

Step 3: Precise Surgical Removal

Special Focus: Ectopic Canines and Supernumerary Teeth

Recovery: What You Can Expect

Why TRUE SMILE?

Cost for Extraction of impacted or ectopic teeth

Our doctors

Dr. Natalia Lola

Dr. Nazifa Yakubova

Dr. Shan Alvi

Dr. Yazan Abukhalaf

Dr. Mustafa Sarikahya

Dr. Karan Kalra

Dr. Tina Kumar

Dr. Ali Gibreel

Dr. Ramona Kleinschmidt Do Valle

Dr. Nawar Khafaji

Dr. Faten Souki El Jurdi

Dr. Tatiana Pestova

Dr. Irina Evstafeva

Why choose True Smile

Don't know what service you need?

We answer frequently asked questions

What Our Patients Say – Testimonials

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