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Tooth Extraction

Gentle removal of teeth when repair isn't possible or advisable

Written by Dr Tristan TinnFounder & Clinical Director

What Is Tooth Extraction?

Tooth extraction is the gentle removal of a tooth when repair isn't possible or advisable. The procedure is performed under local anaesthetic to ensure you're completely comfortable throughout.

While we always try to save teeth whenever possible, sometimes extraction is the best option for your long-term oral health. Modern techniques make the procedure as comfortable and straightforward as possible.

Why Might You Need Tooth Extraction?

Severe Tooth Decay

When decay has progressed too far and the tooth cannot be saved with fillings, crowns, or root canal treatment.

  • • Extensive damage to tooth structure
  • • Risk of infection spreading
  • • Tooth beyond repair
  • • Pain and discomfort

Gum Disease

Advanced periodontal disease can cause teeth to become loose and unstable, making extraction necessary.

  • • Loose teeth from bone loss
  • • Severe gum infection
  • • Teeth beyond saving
  • • Risk to surrounding teeth

Impacted Wisdom Teeth

Wisdom teeth that don't have enough room to emerge properly can cause pain, infection, and damage to other teeth.

  • • Teeth trapped in jawbone
  • • Pain and swelling
  • • Risk of infection
  • • Damage to adjacent teeth

Orthodontic Treatment

Sometimes teeth need to be removed to create space for proper alignment during orthodontic treatment.

  • • Crowded teeth
  • • Creating space for alignment
  • • Improving bite function
  • • Better treatment outcomes

What Happens During Tooth Extraction?

Step 1: Examination & X-rays

Your dentist will examine the tooth and take X-rays to assess the situation and plan the best approach for removal.

Step 2: Local Anaesthetic

The area around the tooth is numbed with local anaesthetic to ensure you're completely comfortable throughout the procedure.

Step 3: Tooth Removal

The tooth is gently loosened and removed using special dental instruments. The procedure is usually quick and straightforward.

Step 4: Aftercare Instructions

You'll receive detailed instructions on how to care for the extraction site to ensure proper healing and prevent complications.

Recovery & Aftercare

Proper aftercare is essential for healing and preventing complications. Here's what to expect and how to care for your extraction site:

Side Effects Are Temporary

All side effects from tooth extraction are temporary and typically resolve within a few days to a week. Common side effects include mild pain, swelling, and slight bleeding, all of which are normal parts of the healing process.

Immediate Aftercare

  • • Bite on gauze for 10-20 minutes
  • • Avoid rinsing for 24 hours
  • • Take pain relief as directed
  • • Apply ice packs to reduce swelling
  • • Rest and avoid strenuous activity

Long-term Care

  • • Gentle salt water rinses after 24 hours
  • • Soft foods for the first few days
  • • Avoid smoking and alcohol
  • • Continue normal oral hygiene elsewhere
  • • Follow up appointments as scheduled

How Much Does Tooth Extraction Cost?

The cost of tooth extraction varies depending on the complexity of the case. Here's a general guide to UK prices:

NHS Treatment

  • • Simple extraction: £70.70
  • • Surgical extraction: £70.70
  • • Covers consultation and procedure
  • • May have waiting lists

Private Treatment

  • • Simple extraction: £150-£300
  • • Surgical extraction: £300-£600
  • • Wisdom tooth removal: £200-£1,000
  • • Consultation included
  • • Same-day appointments available

Note: Prices vary by location and practice. Emergency extractions may cost more. Many practices offer payment plans for complex procedures.

Frequently Asked Questions

Is tooth extraction painful?

Tooth extraction is performed under local anaesthetic, so you shouldn't feel pain during the procedure. Any discomfort afterwards is usually mild and manageable with over-the-counter pain relief.

How long does recovery take?

Most people recover from tooth extraction within 3-7 days. The initial healing takes about 1-2 weeks, while complete bone healing can take several months.

What can I eat after extraction?

Stick to soft foods for the first few days, such as soup, yoghurt, mashed potatoes, and smoothies. Avoid hot foods, hard foods, and anything that requires vigorous chewing.

When should I contact my dentist?

Contact your dentist if you experience severe pain that doesn't improve with pain relief, excessive bleeding, signs of infection, or if you have any concerns about your healing.

What is a dry socket and how can I prevent it?

A dry socket occurs when the blood clot that forms in the extraction site is dislodged or dissolves, exposing the bone and nerves. This can cause severe pain. To prevent dry sockets: avoid smoking, don't use straws, avoid vigorous rinsing for 24 hours, and follow all aftercare instructions carefully. If you experience severe pain 2-3 days after extraction, contact your dentist immediately.

Will I need a stitch?

Whether you need stitches depends on the complexity of the extraction. Simple extractions usually don't require stitches, while surgical extractions or larger teeth may need stitches to help the gum tissue heal properly. Your dentist will inform you if stitches are needed and provide specific care instructions for them.

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Written by: Dr Tristan Tinn, Founder and Clinical Director of HelpDental

Last updated: September 25, 2025

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