Tooth Extraction

Contact us today for fast, painless treatment.

  • Relieve pain
  • Treat infection
  • Remove damaged teeth

A tooth extraction may be required if the tooth has become too damaged, or if the gum has deteriorated and can no longer support it. Tooth extractions are relatively quick and simple procedures and you will be sedated so that it should also be painless.

Your teeth are very important to us, and for this reason our aim is to preserve and maintain the life of your teeth for as long as possible. However, in certain circumstances this may not be possible, and a tooth extraction may be required.

If tooth decay becomes severe, it can damage the root of the tooth and lead to an infection. To prevent this from spreading, it may be easier to remove the tooth entirely.

You may also need to have a tooth extracted if your gums become infected and begin to pull away from the tooth. When this happens, the tooth loses its support and stability in the jaw.

Tooth Extractions at the Neem Tree

At the Neem Tree, we will do all we can to ensure you retain your natural teeth and we will only perform an extraction as a last resort. When we do have to remove a tooth, our extractions are performed swiftly, comfortably and painlessly.

Before we extract a tooth, we will discuss your options for an artificial replacement, whether this be a dental implant, a bridge or another alternative.

We are even able to pre-fabricate a temporary prosthesis to replace the tooth planned for extraction and place it immediately after the extraction has occurred so that you will not have a gap present when you leave.

Contact us today to find out more about tooth extractions from our practices in Esher, Surrey or Wandsworth, South West London.

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Fee Guide


Composite Veneers
from £650
Porcelain Veneers
from £1,200
Dental Bridge (per unit)
from £795
Dental Crowns (Anterior)
from £875
Dental Crowns (Posterior)
Same-day Crowns - Anterior (Esher only)
Same-day Crowns - Posterior (Esher only)
Composite bonding
from £255

Family Dentistry

Children’s Dental Health Check-up
from £40
Babies (Under 2 Years Old) Check-up


Emergency Dental Appointments
New Patient Examination
from £69
Digital X-ray
from £17
OPG X-ray
from £75
CT Scan (both arches)
from £220
CT Scan (single arch)
from £150
Simple Tooth Extraction
from £260
Surgical Tooth Extraction
from £460
Wisdom Tooth Extraction
from £650
Tooth Fillings (Small)
from £160
Tooth Fillings (Medium)
from £205
Tooth Fillings (Large)
from £255
Root Canal (Anterior)
from £550
Root Canal (Posterior)
from £815
Sports Mouthguards
from £200
Mouthguard for grinding


Simple Hygiene (30 mins) - Esher
from £79
Simple Hygiene (30 mins) - Wandsworth
from £89
Complex Hygiene (45 minds - 1 hour)
from £99
Hygiene with Dentist
from £115
Tooth Stain Removal inc. AirFlow (45 mins)
from £105
Perio Hygiene (60 mins)
from £260


Dental Implants
from £1,500
Dental Implant Crown
from £1,250
Dental Crown
from £895
All on Four Dental Implants
from £12,000
Sinus Augmentation
from £800
Implant Bone Grafting
from £800
Full Arch Restoration (per jaw)
from £12,000


Consultation & Report
from £80
OPG (Orthopantomogram)
from £75
Study Models
from £50
Ceramic Braces
from £4,500 – £4,800
Damon Braces
Please contact us
Incognito Braces
from £8,000
Invisalign Check-up & Appointment
from £500
Invisalign Upper & Lower
from £3,900 – £5,000
Metal Braces
from £2,900 – £4,600
Pull Down Retainer
from £150
Fixed Bonded Retainer (per arch)
from £350
Removable Retainers


Specialist Consultation (excl. diagnostic x-rays)
Periodontal Review (1 hour)
6-point Periodontal Chart
Gum Grafting
Please contact
Crown Lengthening Surgery
from £600
from £425
Surgical Periodental Treatment
from £575
Periodontal Maintenance
from £145
Non-Surgical Root Surface Debridement
from £425 per hour
Pinhole Gum Grafting
from £1,250


Enlighten Teeth Whitening
from £750
Home Teeth Whitening
from £450

Learn more about tooth extractions

Why are teeth extracted?

There are a wide range of reasons why extractions are performed, excessive tooth infection, tooth decay and crowding can all require an extraction. The most common reason for removal is that teeth have become unrestorable through severe tooth decay, dental trauma, severe infection or periodontal disease.

Tooth removal may be necessary if a tooth is so severely damaged or broken that it cannot be repaired with any other treatment or dental restoration such as a root canal or a crown. Additionally, impacted teeth may also need to be extracted from time to time because they cannot erupt properly. This is usually the case for wisdom teeth. 

Extraction may be necessary for the following instances: 

  • Irreparable tooth damage (usually due to infection or severe decay)
  • A solution to periodontal disease
  • Extraction may help an impacted tooth
  • Eliminate overcrowding issues
  • Necessary after incident / accident 

Book an appointment at one of our practices today to have your tooth extracted comfortably, painlessly and safely.

What happens during a tooth extraction?

Tooth extraction is a relatively quick outpatient procedure that is done throughout one visit. It is usually performed by a dentist or oral surgeon with either local or general anesthesia. 

Your tooth extraction will either be simple or surgical, depending on whether your tooth is visible or impacted. 

Simple extraction: During a simple extraction you will receive a local anesthetic which will numb the entire area around your tooth so the only thing you will feel is pressure while the tooth is being extracted, not any pain during the procedure. Your dentist will use an instrument to loosen the tooth and then use forceps to remove it. 

Surgical extraction: You will likely receive both local and intravenous anesthesia which will make you both numb and relaxed. You may also receive general anesthesia depending on any medical conditions you may have. With general anesthesia, you will remain unconscious during the entire procedure. After the surgeon has administered your anesthetic, they will cut a small incision in your gum and then proceed to remove the tooth. Sometimes they may also need to remove the bone around your tooth or cut your tooth before it is extracted.

To learn more about having a tooth pulled, contact one of our practices in  Wandsworth, South West London or Esher, Surrey.

How do I know if I need a tooth pulled?

There are many different signs that you may experience that can hint that you may need your tooth extracted. It is very important that you keep up with your regular dental appointments so your dentist can assess your teeth and you will know if anything alarming is happening before any further damage occurs. 

Here are a few signs that may mean that a tooth extraction is necessary:

  • Severe tooth pain
  • Jaw stiffness or pain
  • History of gum disease or present gum disease
  • Swollen gums surrounding only specific teeth
  • Pain while biting or chewing 

If one of your teeth is causing you discomfort, book an appointment with one of our practices in  Wandsworth, South West London or Esher, Surrey to have the tooth saved or removed.

Does having a tooth removed hurt?

Getting a tooth pulled can hurt however, you will be given a form of anesthetic during the procedure which should eliminate any pain. The only thing that you will feel is a bit of pressure during the time that the actual tooth is being removed. This will only be some pressure, you will not feel any pain. 

You may experience some pain after the procedure has been complete, usually dentists recommend over the counter pain medication to help manage with any pain. Your mouth and jaw may feel a bit weird for a couple days until you adjust to the missing tooth. 

If you do feel any persistent pain after the procedure, be sure to book an emergency appointment with your dentist.

Can I go back to work after a tooth extraction?

You will stop bleeding almost immediately which will make you think that you can go back to work the next day but that isn’t always a good idea. You should avoid any vigorous exercise or stress for a few days after surgery. However, most patients do not require any time off work after an extraction. 

The first few hours after your extractions are very important for your blood clot to form. It will be very fragile which means it can easily be dislodged within the first couple days after extraction, which could prompt infection. Even if your blood clot has formed, you may still have blood seepage and having to dab out blood out of your mouth repeatedly is not particularly pleasant for you. 

Taking an extra day off after your procedure will make the healing process a bit easier for you so you can take some time for yourself to recover. Additionally, it may be worth scheduling your extraction for a Friday afternoon so you have the whole weekend to recover.

Contact us today to find out more about having a tooth removed in Wandsworth, South West London or Esher, Surrey.

What are the risks of a tooth extraction?

There are a few risks to be aware of if you are considering undergoing a tooth extraction however, if your dentist is highly recommending the procedure to you, it’s likely that the benefits will highly outweigh any slight chance of complications occurring. Here are a few risks that you should look out for:

  • Bleeding that lasts longer than 12 hours
  • Sever fever (signalling infection)
  • Dislodged clot
  • Persistent cough
  • Vomiting
  • Chest pain
  • Swelling around the surgical state 

It is very important that you contact your dentist if you experience any of these symptoms after your extraction. 

To learn more about the pros and cons of having a tooth removed, book an appointment with one of our practices in Wandsworth, South West London or Esher, Surrey.

What is the recovery period after a tooth extraction?

Tooth extractions don’t usually have a long healing time. It normally takes a few days to recover after a tooth extraction. The bleeding should stop within a few hours after. The following steps should help ensure that your recovery goes as smoothly as possible. 

  • Take any medications that you have been prescribed or use over the counter painkillers.
  • It is important that you relax and rest for at least the first 24 hours. Even though you can, do not jump immediately into your routine the following day.
  • Use a straw for the first 24 hours when drinking.
  • It would be a good idea to refrain from drinking any other fluids other than water. No soft drinks or alcohol for a few days after your procedure.
  • Do not smoke.
  • Use pillows to prop your head up when you are sleeping and when you lie down.
  • Brush and floss your teeth like normal but avoid the extraction site
  • The day after your procedure, stick to eating soft foods such as yogurt and soup.
  • 24 hours after the extraction, do a salt water rinse.
  • As you heal over the next day or so, you can slowly reintroduce your regular foods back into your diet. 

If you do experience any persistent pain that will not go away several days after extraction, make an appointment to see your dentist as soon as possible.  

Can I smoke after having a tooth removed?

It is very important to make sure that you do not smoke after your tooth extraction. This is because cigarette smoke contains chemical toxins that can delay the healing process and potentially hinder it and create an infection. It can be dangerous to both your gum and mouth tissues. 

If you smoke, you are exposing your healing gums to these toxins and it can result in serious complications including dry socket, infection and severe inflammation. 

To learn more about how smoking can damage your oral healthy, contact us today.

How to fill a gap from a missing/ extracted tooth?

There are a few dental treatments available for when you have a gap in your teeth. After you have a tooth extracted it can prompt your other teeth to move slightly and change the alignment of your teeth which is why it may be a good idea to discuss your options of filling the gap after you have your tooth extracted. 

Your options are to use a dental bridge, dentures, veneers, implants or crowns. There are a variety of options that you can consider. 

Book an appointment with us today to discuss which option will be best for you. 

What are the signs of infection after the tooth is extracted?

There are signs that you may have an infection. These signs include a high temperature, yellow or white discharge from the extraction site, persistent pain, swelling and bleeding. 

Having any sort of persistent pain after the extraction is a sign that you may have a complication with your extraction. If you are experiencing any signs that you may have an infection at the extraction site, contact your dentist and book an appointment as soon as you can. 

Advantages of tooth extraction

  • Tooth extraction can prevent the spread of tooth decay and infection
  • Can help overcrowding issues
  • Removes dead and dying teeth

Disadvantages of tooth extraction

  • Post surgical risks
  • Improper teeth alignment
  • Dry socket
  • Bite collapse
  • Nerve injury 
  • Will leave a gap if the tooth is not replaced

What can I eat after the tooth is pulled?

As a precaution for the best and quickest recovery period. For the first 24 to 48 hours, eat only liquids and soft foods. This involves foods such as yogurt and ice cream. 

When you have any dental pain or procedures it’s common that a lot of people dine on ice cream while they recover because cold foods may help with some of the discomfort you may be experiencing. As you start to feel better and your mouth begins to feel like normal again after the extraction, you can try to slowly begin incorporating more solid foods back into your diet. 


Local Anesthesia

This type of anesthesia is the loss of pain sensation over a specific area without the loss of consciousness. Numbing a tooth is an example of local anesthesia.

Impacted Tooth

A tooth that has been prevented from entirely or partially breaking through the gums.

Periodontal Disease

Periodontal disease, or gum disease, is an infection in the soft tissue around the tooth that occurs when plaque and calculus are not cleaned away properly. Gum disease results in sore, swollen and bleeding gums.