Treatments
Tooth extraction and wisdom teeth
We remove teeth that can’t be saved, and wisdom teeth that are causing problems, at our practice on Wimpole Street in Marylebone. Most extractions are done under local anaesthetic in a single appointment. For wisdom teeth close to the nerve, a CT scan can be taken on site to plan the safest approach.
When does a tooth need removing?
- Severe decay or a fracture that can’t be repaired
- Advanced gum disease with a loose tooth
- Infection that root canal treatment can’t resolve
- To make space for orthodontic treatment
- Wisdom teeth that are causing problems
Wisdom teeth
Wisdom teeth don’t always need removing. We usually recommend removal when they cause repeated infections of the gum around them (pericoronitis), decay that can’t be treated, damage to the tooth in front, cysts, or other problems. Teeth that are healthy and not causing problems are often best left alone and monitored.
What happens
- Assessment: an examination and X-ray, plus a CT scan if the roots are close to the nerve or sinus.
- The extraction: under local anaesthetic. Surgical extractions may involve a small cut in the gum and dissolvable stitches.
- Aftercare: we give you written instructions and are available if you have concerns.
- Replacing the tooth: if the tooth needs replacing, we’ll talk through options, including dental implants. A socket graft at the time of extraction can help preserve the bone.
Recovery
Most people take a day or two to recover from a simple extraction, and a few days from a surgical one. Swelling and stiffness usually peak around the second or third day.
Fees
Fees depend on whether the extraction is simple or surgical, and are confirmed in your treatment plan after assessment. See our fees page.
Questions patients ask
Does having a tooth out hurt?
The area is numbed with local anaesthetic, so you’ll feel pressure but not pain. Some soreness afterwards is normal and is usually managed with ordinary painkillers.
How long does wisdom tooth removal take?
A straightforward wisdom tooth may take 20–30 minutes; a more difficult one can take longer. We’ll give you an idea at your assessment.
What is dry socket?
Dry socket is when the blood clot is lost from the socket, causing pain a few days after an extraction. It is more common after lower wisdom teeth and in smokers. If it happens, contact us and we’ll treat it.
Should I replace a missing tooth?
Not every missing tooth needs replacing, but gaps can let neighbouring teeth drift and affect your bite. Options include implants, bridges and dentures.
Results vary from person to person. Every treatment begins with a consultation and a written treatment plan.
Reviewed by Dr David Guy BDS (Wales) · GDC No. 81898 · Updated November 2026