Oral surgery – Warsaw – Niewada Clinic

It’s obvious that you’re apprehensive about pulling out your third molars or other procedures that oral surgery offers. You have certainly heard more or less true stories about such treatments. We will tell you a completely different story. The story of the Patient who asked after the procedure: “Is this it? It’s impossible… I didn’t feel anything.” How is it possible?

This is the result of a safe and minimally invasive method of tooth extraction using the ÖGRAM technique. After the procedure, the gums heal quickly and our patient forgets he ever had his third molars removed.

At Niewada Clinic you will feel completely safe

Whether we are removing a tooth, placing implants, perform sinus lift or bone regeneration, in our clinic your comfort during and after the surgical procedure is our top priority. That is why at Niewada Clinic surgical procedures are performed with minimally invasive methods, using the state-of-the-art microsurgical techniques and tools. We always work under high magnification using a microscope and loupes, because this guarantees precision and thus excellent surgical results. 

We Treat Painlessly

We have already mentioned that our patients’ comfort is important to us. If you’re stressed about the procedure, afraid of the pain, or just worried if you “can do it” – we have a solution.


To perform the procedure without unnecessary stress and in comfortable conditions we use nitrous oxide. Our doctor administers it through a specialized device before the procedure. It will reduce your fear and allow you to relax. Then we’ll give you anesthesia using The Wand computerized anesthesia system, so gently that you won’t even know when it’s over. We will perform the surgical procedure and you can return to your daily activities with peace of mind. We know this will be the case because our patients tell us so.

Treatment under general anesthesia

Some patients tell us half-jokingly that it would be best if they could enter the office and right after that leave already cured, and the procedure itself was a snap. This is what the general anesthesia, which we use in our clinic, looks like.


Our experienced anesthesia team will handle this in a professional and safe manner for you. When you come to our clinic, we will take care of everything and you will wake up already after the surgical procedure, all under the guidance of a specialist anesthesiologist and nurse anesthetist. Surgery is not at all as scary as it may seem, especially with the use of modern solutions that set our clinic apart.

Modern Surgical Treatment - Rapid Healing After Surgery

We take pride in treating you without pain, stress and in a comfortable environment. However, we wouldn’t be ourselves if we didn’t have something more to offer…


For years now, we have routinely used A-PRF (Platalet Rich Fibrin). This is a technique in which fibrin safely obtained from your blood accelerates healing after a tooth extraction. With A-PRF, we avoid complications, wound infection and bone loss. These and other 21st century medicine solutions make surgery at Niewada Clinic extremely effective.

Detailed Diagnostics and Computed Tomography in Surgery

Accurate diagnosis is the foundation of a successful surgical procedure. For example, wisdom teeth may be located in anatomically sensitive areas. We will know if this is the case for you prior to surgery, because we will perform a computed tomography (CBCT) scan with a CT scanner from a reputable company Vatech.


We will evaluate the situation in 3D and do so with very low X-ray dose and very high resolution of our CBCT machine. With us you are completely safe!

Professional Regenerative Procedures of Jaw Bone at Niewada Clinic

For years at Niewada Clinic we have been replacing missing teeth by placing implants and reconstructing tooth crowns on them. An implant is a type of strong titanium screw that is embedded into the bone in place of a missing tooth. Just like any screw, an implant needs good support, which is why we need to take care of the quantity and quality of the bone (that is also one of the reasons we use A-PRF after tooth extraction). Sometimes there is not enough bone, especially in patients who wait a very long time before restoring their missing teeth… If this is the case, we will restore your alveolar process with bone regeneration (BONE GRAFTING) or a sinus floor augmentation (SINUS LIFT).

Maxillary sinus floor augmentation (SINUS LIFT)

In the jaw, above the roots of the upper teeth, each of us has maxillary sinuses, which are air-filled spaces. Sometimes the floor of these sinuses is very thin, which precludes us from placing an implant and reconstructing the missing tooth. In such cases, after a thorough diagnosis with computed tomography (CBCT), advanced surgery comes into play. We increase the thickness of the bone at the site where the implant will be placed in the future, for example using biomaterials.

Direct approach

Indirect approach

Root resection

We encounter cases where the tooth cannot be successfully treated with root canal therapy for various reasons. Surgery in the form of root apex resection of the infected root may be a last resort. In this situation, we cut out the root tip along with the infected tissues under a microscope through a small window in the bone. This way, we will stop the inflammatory process and help you to keep your natural tooth.


Should the third molars (wisdom teeth) be removed?

Some wisdom teeth grow without causing any problems, but sometimes they grow at an improper angle and push on the neighboring teeth and the gums. We then speak of “fully or partially retained wisdom teeth”. This can cause pain and infection. Cleaning them can be difficult, leading to tooth decay and gum infections. Crowded wisdom teeth in the upper jaw often lean to the side and rub against the cheek. This often results in irritation of cheeks mucosa and chewing problems.


If there is not enough room for your wisdom teeth to grow properly, surgery may be necessary. Removing a tooth early can prevent future problems such as:

  • pain



    difficulty opening the mouth

    damage to other teeth


    teeth grinding/bruxism

How Long Should I Not Eat After Surgery?

We advise you not to eat or drink for at least 2 hours after the procedure. If the anesthesia is still effective after this time, wait until the symptoms have subsided. If you feel like the anesthesia is still in effect the day after the surgery, you should tell the doctor who performed the procedure immediately.

Can I Use Painkillers After Surgery?

If you are in pain, take a painkiller if necessary – Ibuprofenum or Ketoprofenum. Aspirin should not be used because it increases bleeding from the wound.


Swelling after a procedure is a normal reaction of your body. It usually starts to slowly subside from day 4 after the visit. We recommend that you apply a cold compress to the post-operative area immediately after the surgical procedure to reduce swelling and soreness.

What Should I Do to Accelerate the Healing Process?

Until the stitches are removed, avoid mechanical irritation of the post-operative site, do not brush your teeth and eat with the other side of your mouth.


Eating ice cream is a good option as it further cools the post-operative area. If there is damage to this area, the results of treatment may be compromised. Avoid physical exercise and don’t smoke cigarettes. Nicotine and tar significantly worsen treatment outcomes.

How Should I Prepare Before Bone Regeneration Procedure?

Since the effect of augmentation is largely dependent on the patient’s regenerative capacity, proper preparation before surgery is important.


In order to achieve the best results, we refer the patient for appropriate blood tests and vitamin D and C levels tests; if they need to be improved, we recommend appropriate supplementation.

Do I Have to Follow Any Special Recommendations After the Sinus Lift Procedure?

To prevent unnecessary pain and infection after the procedure, it is important to follow your doctor’s instructions. Do not increase the pressure in the sinus, that is, do not sneeze or blow your nose. Do not dive for 3 months.


 To reduce swelling of the cheeks, apply cold compresses to the side where the sinus lift was performed. The bone reconstruction process takes 6 to 9 months.


To learn more about sinus lift procedure, schedule a consultation with our specialist Dr. Paweł Niewada.