Tooth Extraction in London

At Thousand Smile, our goal is always to save your natural teeth whenever possible. But sometimes, when a tooth is too damaged to be restored with a filling, crown, or root canal, a tooth extraction is the best option.

Our dentists will always discuss your treatment options during your consultation, ensuring extraction is only recommended when absolutely necessary.

When is a Tooth Extraction Needed?

Tooth removal may be advised if you have:

Severe tooth decay
Advanced gum disease (periodontal disease)
An abscess that cannot be treated conservatively
A broken tooth beyond repair
Crowded teeth (especially before orthodontic treatment)
Impacted wisdom teeth

In most cases, extractions are carried out at our clinic under local anaesthetic. For complex cases, we may refer you to an oral surgeon in hospital.

Appointment for Tooth Extraction at Thousand Smiles Dental Clinic

Preparing for Your Appointment

Before treatment, your dentist will:

Review your medical and dental history
Ask about medications, allergies, and recent surgery
Explain the procedure in detail and answer your questions

This ensures you feel informed, comfortable, and ready to give consent.

Anaesthesia and Sedation Options

Local anaesthetic – Numbs the tooth and gum. You’ll feel pressure but not pain.
Sedation – Helps nervous patients relax and feel drowsy.
General anaesthetic – Rarely used, reserved for complex extractions, multiple removals, or young children.

The Extraction Procedure

Local anaesthetic is applied.
The dentist widens the socket and loosens the tooth before carefully removing it.
If necessary, the empty socket is stitched to aid healing.
You’ll be given instructions and soft padding to stop bleeding before leaving.

You may feel pressure during the procedure, but it should not be painful. Always tell your dentist if you do feel pain.

Aftercare and Recovery

Most patients recover quickly, though surgical extractions may take longer.

Tips for Healing:

Bite gently on gauze to control bleeding.
Avoid rinsing your mouth for 24 hours.
After 24 hours, rinse with warm saltwater 4 times daily.
Stick to soft foods until chewing is comfortable.
Avoid smoking and alcohol for at least 24 hours.
Brush gently, avoiding the extraction site.

Mild pain, swelling, and stiffness are normal for a few days. Over-the-counter pain relief (ibuprofen or paracetamol) usually helps.

If you notice worsening pain, swelling, or prolonged bleeding, contact us immediately.

Possible Side Effects

Mild bleeding for 1–2 days
Swelling and bruising for up to 10 days
Jaw stiffness for a week

Rare Complications:

Dry socket – Painful condition if the blood clot doesn’t form properly
Nerve injury – Temporary tingling or numbness near the extraction site
Damage to nearby teeth – Especially if neighbouring teeth have large fillings or crowns

Our dentists take every precaution to minimise these risks.