| Service | 🇺🇦 Ukraine | 🇨🇿 Czech Republic | 🇹🇷 Turkey |
|---|---|---|---|
| Baby tooth extraction, simple | from USD 22 | from USD 21 | from USD 52 |
| Baby tooth extraction, complex | from USD 32 | — | — |
| Paediatric dentist consultation | from USD 12 | from USD 71 | from USD 43 |
| Computer-controlled anaesthesia | from USD 13 | from USD 7 | from USD 7 |
Prices in the “Ukraine” column come from MediUkraine’s partner clinics. The Czech Republic and Turkey columns show the lower bounds of prices published by clinics there (for Turkey, also the Turkish Dental Association’s recommended 2026 tariff), collected in August 2026 and converted to US dollars at the rate on the day of collection. A dash means we could not find a comparable published price. In any country, the final cost is set by the clinic after an examination.
Baby teeth are designed to be temporary. Beneath each one in the jaw lies a permanent tooth bud, and as it grows, the root of the baby tooth gradually resorbs: by the time the tooth is ready to fall out, almost nothing is left of the root, so it loosens and comes out on its own. The lower incisors are replaced at about 6–7 years, the canines and second molars at 10–12; these ages are approximate and vary noticeably between healthy children.
Extraction is based on clinical need, not on a timetable. A tooth is taken out when caries has destroyed so much of the crown that there is nothing left to restore; when infection has spread beyond the root tip and a gum boil or swelling has appeared; when the tooth has been injured and the root is fractured; when the root has resorbed and the loose tooth gets in the way of eating; or when the tooth has stayed too long and is blocking the permanent tooth.
There are also orthodontic reasons. Sometimes a baby tooth is removed as part of an orthodontist's plan: to make room for a permanent tooth coming through in the wrong place, or to balance the timing of tooth replacement on the two sides of the jaw. This decision is based on X-ray measurements, not on getting the tooth "out of the way", and it almost always comes with follow-up monitoring or an appliance.
It is just as important to know when not to rush. A baby tooth with caries, even deep caries, can usually be treated: a pulpotomy and a paediatric crown let the tooth stay until it falls out naturally. The reason is simple: the earlier a tooth is lost, the more time the neighbouring teeth have to move into its place. This matters most for the back teeth: the second baby molar holds the space for the permanent premolar, and losing it early most often leads to crowding.
MediUkraine is a treatment search and coordination service, not a clinic. We choose the clinic and a dentist with the right specialism, agree the date and support your family throughout, including if you are travelling from abroad. Whether to treat or extract the tooth is decided by the paediatric dentist after an in-person examination and an X-ray.
Travel. Ukrainian airspace is closed, so there are no commercial flights. Patients reach Lviv overland, most often from Poland: Rzeszów and Kraków airports are the usual entry points, with a train, bus or private transfer onward to the border and on to the city. Lviv is roughly 70 km from the Polish border, the shortest crossing of any Ukrainian city.
Visas. Citizens of the EU, the United Kingdom and the United States do not need a visa for short stays in Ukraine. Rules depend on your citizenship, so check your own before booking.
Safety, plainly. Ukraine is at war. Air raid alerts occur in Lviv, and an appointment can be interrupted by one. Several governments advise against travel to Ukraine, and while that advice stands, ordinary travel and medical insurance is often void — confirm your cover with your insurer before you commit to anything.
Language. MediUkraine handles correspondence, scheduling, the written treatment plan and the quote in English. The clinic's team communicates with international patients in English.
Payment. You pay the clinic directly. Our coordination service is free of charge for you.
More on travel, safety and insurance: Safety and travel.
The work starts with an X-ray, not with forceps. The dentist looks at how far the root has resorbed: if a third or less of it is left, the tooth usually comes out easily, and the case is considered simple. If the roots are intact and spread apart around the permanent tooth bud, or the crown is broken down to the gum line, the extraction is planned as complex, with the roots sectioned and removed one by one. You are told about this before treatment starts, because both the length of the appointment and the quote depend on it.
Pain relief for children has two steps. First a numbing gel is applied to the gum so the needle is not felt; a few minutes later the dentist injects the anaesthetic with a fine needle. The main drug is articaine at a children's dose calculated by weight. With computer-controlled delivery, a pump delivers the solution slowly and gently, so the child does not feel the sense of pressure that frightens children more than the injection itself. In the lower jaw, nerve blocks are used sparingly in children: they numb half the lip and tongue for several hours, which is the main reason for bitten lips after a visit.
A simple extraction of a baby tooth with a resorbed root takes minutes. The dentist releases the gum around the tooth, loosens the tooth with narrow-beaked forceps (a movement called luxation) and lifts it out of the socket. The tooth is never yanked out: a sharp jerk breaks the thin root wall and leaves a fragment behind. The child feels pressure and hears a sound, but not pain.
A complex extraction differs not in force but in sequence. The remaining tissue of a broken-down crown is cleared first, and a multi-rooted tooth is sectioned with a bur so that each root can be removed separately without dislodging the tooth bud. If a root has broken off and lies deep, the dentist uses the X-ray to decide whether to retrieve it: sometimes a small fragment above the tooth bud is left and monitored, because retrieving it would cause more damage than the fragment itself. The socket is rinsed and, if needed, closed with a dissolvable stitch that does not need removing.
The key anatomical point is that the permanent tooth bud lies directly beneath the roots of the baby tooth, sometimes literally wedged between them. That is why the elevator is used only sparingly near the root tip, and pressure is directed away from the bud. Damage to the bud is rare, but its consequences appear later: the enamel of the permanent tooth may come through with a white or brown spot, and in more severe cases the shape of the crown or the timing of eruption changes.
The most common consequence of losing a tooth early is not pain or bleeding but loss of space. Teeth stand close together, and as soon as one goes, its neighbours start to tilt and drift into the gap, fastest in the first six months. At the front of the mouth after the age of four the effect is mostly cosmetic, but losing the second baby molar before the first permanent molar has come through is the riskiest situation: the first permanent molar drifts forward, and the premolar is left with no room. A few years later this shows up as crowding that needs braces, or as a permanent tooth that never comes through at all.
A space maintainer is a small appliance that keeps the gap open until the permanent tooth comes through. The most common type is a band on the neighbouring tooth with a soldered loop: it is almost invisible, does not interfere with eating and needs no effort from the child. When teeth are missing on both sides, a palatal arch or a lower lingual arch is fitted; if the second baby molar has been lost before the first permanent molar has come through, there is an appliance with an extension under the gum that guides the erupting molar. A removable plate with an artificial tooth suits the front of the mouth, where appearance also matters, but it only works if the child actually wears it.
Another common situation is a permanent incisor coming through behind the baby tooth, so that for a few weeks the child has two rows of teeth. This is known as "shark teeth", and in itself it is nothing to worry about: in most children the baby incisor becomes loose and falls out on its own within a few weeks, and the tongue gradually pushes the permanent tooth into place. Intervention is needed when the baby tooth stays firm on an unresorbed root for a month or two, when the permanent tooth has already come through to two thirds of its height while the baby tooth stays put, or when the gum around it has become inflamed. The decision is made after an examination, not from a photograph, and you should not try to wiggle the tooth out at home with your fingers or a thread.
When a child cannot be treated in the chair, because of age, anxiety or the amount of treatment needed, nitrous oxide sedation or general anaesthesia is discussed; this is a separate service with its own preparation and a separate page in the catalogue. Conversely, if the tooth can still be saved, a pulpotomy with a paediatric crown is considered before deciding on extraction: it keeps the tooth until it falls out naturally and removes the need for a space maintainer altogether.
Straight after the extraction your child bites on a gauze pad over the socket for 15–20 minutes, which is usually enough for the bleeding to stop and a clot to form. The clot protects the bone, so for the first day it must be left alone: no rinsing, no drinking through a straw, no spitting, no poking at the area with the tongue or a finger.
For the next 2–4 hours the lip, cheek and part of the tongue stay numb, and this is the riskiest part of the day. Children are tempted to bite the "funny" lip and feel no pain; the typical result, by evening, is a swollen, bitten lip with a sore. So keep an eye on your child during this time and remind them about the lip every few minutes.
Your child can eat after two hours; for the first two days, food should be lukewarm and soft: no hot soup, no crackers or nuts, nothing spicy. It is better to chew on the other side. A cool drink or ice cream on the first day is more likely to help than to harm, but not through a straw.
Pain is usually moderate and passes within a day or two. Give paracetamol or ibuprofen at a dose based on weight, ideally before the anaesthetic wears off rather than once the pain starts. Brush the teeth the same evening, carefully avoiding the socket; mouth rinses are only used if the dentist prescribes them.
The gum over the socket closes in about 7–10 days, while the bone remodels over months; this is a normal timeframe that cannot be sped up. The permanent tooth will appear in its own time: if the baby tooth was lost close to its natural time, expect a wait of a few weeks to six months; if long before, sometimes years. Only a dentist can estimate the timing for a particular child from an X-ray, and even then only approximately.
Contact the dentist before the scheduled check-up if bleeding continues for more than an hour despite a gauze pad, if the pain gets worse rather than better on the second or third day, or if your child develops a temperature, a swollen cheek, an unpleasant smell or pus from the socket. The check-up is usually 7–10 days later, and the space maintainer is decided on at the same visit.
Step 1. Examination and X-ray. The dentist looks at the tooth and the gum around it, checks how loose it is, takes a periapical X-ray and assesses how much root is left and where the permanent tooth bud lies. This is where the key decisions are made: whether to extract or still treat the tooth, and whether a space maintainer will be needed. You see the X-ray and receive an itemised quote.
Step 2. Settling in and pain relief. The dentist shows your child the instruments and explains them in simple words, gives them the mirror to hold and puts on a cartoon. A numbing gel is applied to the gum, and a few minutes later the anaesthetic is injected with a fine needle or a computer-controlled system that delivers it slowly. Then there is a 5–10 minute wait for it to work.
In total the appointment takes 15–30 minutes, and the extraction itself is the shortest part. Between the X-ray that guides the decision and the aftercare advice at the end come settling in, the numbing gel and anaesthetic with a pause for it to work, checking sensation, the extraction itself (with forceps or by sectioning the roots) and the gauze pad with a clot check. No hospital stay is needed, you go home straight away, and your child can return to normal activities the same day once the numbness wears off.
Treatment rarely fits into one visit, and it ends not on the day of the extraction but when the permanent tooth fills the gap. The consultation and the check-up are usually two to three weeks apart; after that, everything depends on which tooth was lost and how long it had left before falling out naturally.
The shortest scenario is a tooth that would have fallen out within a few weeks anyway: examination, extraction, check-up after 7–10 days, and that is all. There is no need to hold the space, because the permanent tooth is already just under the gum and will come through very soon.
A longer scenario applies when the tooth had more than a year left. A space maintainer is then added to the plan: an impression or a scan is taken at the check-up, the appliance is made in the laboratory within a few days and fitted at a separate short visit. After that come check-ups every 3–6 months to make sure the band has not come loose, the loop is not pressing on the gum, and to see whether the permanent tooth has started to come through.
The longest option is the early loss of a back tooth at 4–6 years. The space maintainer then has to be worn for years and replaced from time to time as the jaw grows. This is not an extra service but part of the treatment, and it is planned straight away, not when the space has already been lost.
Some steps can be done outside the trip: the consultation based on existing X-rays is held remotely and the plan and quote are agreed in advance, leaving the examination, the extraction and the check-up for the visit itself. After that, your local dentist takes over monitoring, which is what the record, the X-rays and the written space maintainer recommendation are for. If a follow-up X-ray shows the neighbouring teeth starting to drift, the plan is reviewed with an orthodontist rather than waiting for the permanent tooth to come through.
The main risk is not the extraction itself but a hasty decision. When a baby tooth is removed long before its time, its space goes with it: the neighbouring teeth tilt into the gap within a few months, and the permanent tooth has nowhere to come through. The consequences show up not straight away but years later: crowding, a tooth that comes in out of line or not at all, and orthodontic treatment that could have been avoided. That is why a tooth that can still be treated is treated, and if extraction is unavoidable, the space is held with an appliance.
Damage to the permanent tooth bud is a rare but real complication, because the bud lies directly beneath the roots of the baby tooth. It does not show straight away but only when the permanent tooth comes through: a white or brown spot on the enamel, a changed crown shape, or altered eruption timing. The risk is reduced by an X-ray beforehand, sectioning the roots instead of pulling the whole tooth, and sparing use of the elevator near the root tip.
Early complications are mostly local. Bleeding that starts again at home usually stops with a fresh gauze pad held for 20 minutes; if it does not, a dentist is needed. Socket inflammation is less common in children than in adults and shows up as worsening pain on the second or third day, a bad smell and a temperature. A root fragment deliberately left to be monitored usually works its way out as the tooth bud grows.
The most common complication in children has nothing to do with the socket: it is a bitten lip or cheek while the anaesthetic is still working. The sore heals within a few days but looks alarming, and parents often take it as a sign that "something has gone wrong". The psychological side matters too: an extraction done by force, with the child held down, leaves a fear that lasts for years and makes every later visit harder. If a child will not cooperate, the right approach is to stop and reschedule or discuss sedation, not to push on.
Contraindications are mostly temporary. A planned extraction is postponed if your child has a cold with a cough and a temperature, acute herpetic stomatitis, or in the first days after a vaccination. Special care is needed for children with clotting disorders and blood diseases, who are managed jointly with a haematologist, sometimes in a hospital setting; children with congenital heart defects, who are prescribed antibiotic prophylaxis before the procedure where indicated; and children with allergies to anaesthetics. Tell the dentist about all of these conditions before treatment starts, not afterwards.
Only a dentist who has examined your child and seen an X-ray can predict the outcome; judging from a photograph does not work here. You have the right to a second opinion: the X-ray, the record and the quote stay with you, and they can be shown to another specialist before the tooth is removed. If needed, MediUkraine arranges a repeat consultation at another partner clinic.
📍 Lviv, Ukraine
A dental clinic in Lviv with a separate doctor for each field: oral surgery and implants, prosthodontics, restorative dentistry, endodontics under a microscope, periodontics, orthodontics and paediatric dentistry.
It is extracted when it can no longer be restored: caries has destroyed the crown down to the gum line, infection has spread beyond the root tip and a gum boil has appeared, an injury has fractured the root, or the tooth is so loose that it gets in the way of eating. An orthodontist may also recommend extraction for other reasons. In all other cases the aim is to keep the tooth until it falls out naturally: deep caries and even pulpitis in baby teeth are treated, and the tooth is covered with a paediatric crown. The reason is simple: the child's own tooth holds the space for the permanent one better than any device.
At MediUkraine's partner clinic, a simple extraction costs from USD 22 a complex one from USD 32 and a paediatric dentist consultation from USD 12. Computer-controlled anaesthesia is charged separately, from USD 13; numbing gel and local (infiltration) anaesthesia are usually included in the extraction price. The X-ray, a space maintainer and sedation are separate items in the quote. The clinic sets the final figure after an examination and an X-ray.
It is a small appliance that keeps the gap open until the permanent tooth comes through: most often a band on the neighbouring tooth with a loop, less often a palatal arch or a removable plate. It is not always needed: if the tooth was due to fall out within a few weeks, the space will not close. But when a back tooth is lost early, especially the second baby molar, the neighbouring teeth drift within a few months, and the permanent tooth runs out of room. The dentist decides from an X-ray, before the extraction rather than after it.
This is common at 6–7 years and is known as "shark teeth". Usually the baby incisor becomes loose and falls out on its own within a few weeks, and the tongue gradually pushes the permanent tooth into place, so no intervention is needed. See a dentist if the baby tooth does not move at all for a month or two, if the permanent tooth has already come through to two thirds of its height while the baby tooth stays put, or if the gum around it has become inflamed or hurts. In that case the baby tooth is removed, and there is usually enough room for the permanent one. Do not try to wiggle the tooth out at home with your fingers or a thread.
Pain relief has two steps: first a gel is applied to the gum so the needle is not felt, then the anaesthetic is injected with a fine needle at a children's dose based on weight. Computer-controlled delivery is also available: the solution goes in slowly, without a feeling of pressure, and children find it easier. After 5–10 minutes the dentist checks sensation and only then starts work. The child feels pressure and hears a sound, but not pain. After the visit the lip and cheek stay numb for another 2–4 hours, so keep an eye on your child to make sure they do not bite their lip.
Talk at home a day or two beforehand, calmly and without words such as "painful", "injection" or "pull out". Do not promise that "they won't do anything": after the visit, a promise like that costs you your child's trust. Feed your child an hour to an hour and a half before the appointment, bring a favourite toy and headphones, and book the visit itself for the morning. For very anxious children there is an introductory visit without treatment: your child sits in the chair, gets used to the treatment room and goes home. If your child will not cooperate at all, discuss sedation with the dentist: holding a child down by force is the worst possible option.
It depends on how early the baby tooth was lost. If the extraction was close to the tooth's natural time, the permanent tooth usually appears within a few weeks or months. If the tooth was lost a year or two early, the wait is longer and the socket heals over with firm gum tissue; this does not prevent eruption. Approximate ages for tooth replacement: lower incisors at 6–7 years, canines and second molars at 10–12. The dentist can estimate the timing for your child more precisely from an X-ray, which shows the stage of root formation of the permanent tooth.
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