Wisdom Tooth Extraction

Contact us today if your wisdom teeth are causing discomfort

  • Relieve pain
  • Prevent overcrowding
  • Treat infection

Wisdom teeth are the last to emerge and sometimes there is not enough room in the jaw for them to come through completely. When this happens, it may be advisable to have the wisdom teeth removed because they can be painful and prone to trapping food.

Emerging wisdom teeth can cause a number of dental problems. If there is not enough room in the jaw, or if they erupt at an angle, they will push against the other existing teeth, which can cause quite severe pain.

Also, if they do not erupt completely from the gums, a flap of gum is sometimes left covering part of the tooth. This forms a pocket which collects food, plaque and bacteria and can be prone to tooth decay and gum infection.

If your wisdom teeth are causing you any discomfort, it may be easier to have them removed completely.

Removing a Wisdom Tooth at The Neem Tree

If your wisdom teeth are causing you pain, your Neem Tree dentist may decide that the best solution is to remove one or all of them. Wisdom teeth are not necessary for chewing food, and removal of them is one of the most frequently carried out oral surgical procedures.

We use anaesthetic and as few appointments as possible to ensure your wisdom teeth are removed as painlessly and comfortably as possible.

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

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Fee Guide

Cosmetic

Composite Veneers
from £650
Porcelain Veneers
from £795
Dental Bridge (per unit)
from £795
Dental Crowns
from £795

Family Dentistry

Children’s Dental Health Check-up
from £40
Baby Under 2 Years Old Check-up
Free

General

Emergency Dental Appointments
£95
New Patient Examination
from £69
Digital X-ray
from £17
OPG X-ray – Esher only
from £55
CT Scan (both arches) – Esher only
from £220
CT Scan (single arch) – Esher only
from £115
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
450

Hygiene

Simple Hygiene (30 mins)
from £79
Hygiene with Dentist
from £115
Tooth Stain Removal inc. AirFlow (45 mins)
from £105
Perio Hygiene (60 mins)
from £260

Implants

Dental Implants
from £1,500
Dental Implant Crown
from £1,250
Dental Crown
from £795
All-on-4
from £12,000
Sinus Augmentation
from £800
Implant Bone Grafting
from £800
Full Arch Restoration (per jaw)
from £12,000

Orthodontics

Consultation & Report
from £160
Lateral Cephalogram
from £50
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 £2,900 – £4,500
Metal Braces
from £2,800 – £4,500
Pull Down Retainer
from £150
Fixed Bonded Retainer (per arch)
from £350

Periodontics

Specialist Consultation
£160
Gum Grafting
Please contact
Crown Lengthening Surgery
from £600
Peri-implantitis
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

Whitening

Enlighten Teeth Whitening
from £750
Home Teeth Whitening
from £375

Learn more about removing wisdom teeth

What happens during a wisdom tooth extraction?

Before your wisdom tooth extraction, your mouth will be X-rayed to give your Neem Tree dentist a clear picture of the position of your teeth, including the roots. You will be given a local anaesthetic injection. A sedation can also be provided to help you relax if you are nervous about the procedure.

The wisdom tooth extraction procedure depends on the position and angle of your teeth, making each extraction different. Wisdom tooth extraction typically takes around twenty minutes, but the time may vary depending on the patients teeth. After the extraction, some swelling, bruising and stiffness of the jaw is normal, but shop-bought painkillers should be sufficient to manage any pain you may experience.

If your wisdom tooth has not come through the gum, a small incision will be made in the gum to access it. A small piece of the bone covering the tooth will also need to be removed during the procedure. If the tooth has broken through the gum already, there is no need to make an incision in the gum. 

During the procedure you will feel some pressure just before the tooth is removed however, you should not feel any pain as the whole area will be numb. If you do feel any pain during the procedure, you can tell your dentist or oral surgeon so they can give you more anaesthetic.

To minimise recovery time and reduce the chances of complications, it is important to stick to the strict post-surgical care routine advised by your dentist. This will include eating soft foods for the first few days, and avoiding rinsing your mouth out for the first day to prevent damage to the blood clot that will form in the socket of the removed tooth.

Contact us today to have a wisdom tooth removed in Esher, Surrey or Wandsworth, South West London.

How long does wisdom tooth removal take?

How long wisdom tooth removal takes varies depending on your individual case. Simple removal procedures can take a few minutes but it can also take longer than 20 minutes if your situation is more complicated.

Book an appointment for wisdom tooth extraction in Esher, Surrey or Wandsworth, South West London.

What are wisdom teeth?

Wisdom teeth are the third set of molars in the very back of your mouth and are the last adult teeth to emerge in the mouth. There are usually four, two on the top and two on the bottom right at the back of the jaw. These teeth usually start emerging between the ages of 17 and 25 and move up through your jawbone on their journey to break through your gum line and become part of your chewing mechanism. 

There are some people who never develop wisdom teeth while for others, their wisdom teeth erupt just as normally as their other molars did and cause them no issues. 

Most adults have along the way experienced wisdom teeth problems. This is usually because of the eruption pain that occurs when they are coming through, much like teething in children. However, wisdom teeth are very unique in that they can have an abnormal shape, root formation and eruption position.

Quite commonly these teeth can become “impacted” which is the technical term for stuck behind the teeth in front. This is because the angulation they decide to erupt can be somewhat unpredictable.

If they erupt and cause pain, it is usually the soft tissue gum around the tooth which becomes inflamed and becomes a trap for food. This causes further inflammation and swelling around the gum. The opposing wisdom tooth can then bite down on the already inflamed gum causing further swelling and a cycle of recurrent inflammation and infection occurs.

Most of the time this can be treated with good oral hygiene, cleaning the area well either with an electric toothbrush or professionally with a hygienist / dentist. If this persists and the swelling and infection worsens it can result in pain, facial swelling, temperatures and limited mouth opening.

To learn more about having wisdom teeth removed, contact one of our practices in Esher, Surrey or Wandsworth, South West London.

Why do I need my wisdom teeth extracted?

Your dentist may recommend that you should have your wisdom teeth removed if they are causing you severe pain or infection. If your wisdom teeth get impacted and cannot break through your gums or crowd your other teeth it may be a good idea to have them removed. 

Not all wisdom teeth removals are necessary but if your wisdom teeth are causing you a lot of pain then it would be wise to get them removed. 

To find out more about wisdom teeth, contact our practices in Esher, Surrey or Wandsworth, South West London.

When should I have wisdom teeth removed?

Wisdom tooth extraction should only happen when necessary. Guidelines created by the national institute of clinical excellence (NICE) have provided certain situations where they should be removed, which is based on the most relevant and up to date clinical research.

Situations, where there is decay in the wisdom tooth, decay in the tooth adjacent, several infections requiring 3 or more courses of antibiotics, or one severe infection, are just some of the indications for removal of wisdom teeth.

Ultimately, removing them must provide some benefit to you, but this should be weighed up against the risks.

If your wisdom teeth are causing you discomfort, contact us in Esher, Surrey or Wandsworth, South West London.

What are the risks of removing wisdom teeth?

Whenever we treat patients, there must be a benefit, which must outweigh the risks. The main risks of wisdom tooth extraction are pain, swelling, bleeding, infection, stitches, damage to adjacent teeth and retained roots. There is also a nerve in very close proximity to lower wisdom teeth which can be susceptible to damage.

This risk can vary from person to person and often depends on how close the nerve actually is to the wisdom tooth.

This must be imaged with a special form of imaging known as OPG (orthopantomogram) / DPT (dental panoramic tomogram) and nowadays 3D scanning with a CBCT (cone beam computerised tomography) is also common practice.

Whilst the risk of nerve damage is quite low in general, if nerve damage does occur, there can be persistent numbness, pain or altered sensation of the lip, chin and tongue which may or may not recover. This is why it is important to be seen and treated by a suitably trained clinician to assess, diagnose and treat you accordingly.

  • A key risk of getting your wisdom teeth extracted is dry socket. That can be very painful. 
  • Another risk is exposure of bone when the post-surgical clot is lost from the site of the socket where the tooth was removed. 
  • Infection in the empty socket is a risk from bacteria or trapped food particles.

Book an appointment in Esher, Surrey or Wandsworth, South West London to find out more about having a wisdom tooth pulled.

Benefits of getting the wisdom teeth removed.

  • Prevents any damage occurring to any nearby teeth
  • The biggest benefit is that it reduces any pain you were experiencing with the wisdom teeth
  • Prevents cysts, tumours and any jaw damage due to the pressure caused by wisdom teeth
  • Prevents food becoming trapped under the gums if the tooth is partially erupted.

If you want to learn more about having wisdom teeth pulled in Esher, Surrey or Wandsworth, South West London, contact us today.

When do wisdom teeth come in?

Wisdom teeth erupt at different times for everyone. For most people they usually come in between the ages of 17 and 25. If you are worried about your wisdom teeth they can be spotted on X-rays.

Book an appointment for wisdom tooth removal from out practices in Esher, Surrey or Wandsworth, South West London.

Why do wisdom teeth come in late?

Wisdom teeth begin to form around your tenth birthday and are the last set of molars on the tooth-development timeline. This is why you don’t usually erupt until you are between the ages of 17-25. It is normal for wisdom teeth to arrive in your late teens or early twenties. Some people’s wisdom teeth erupt and are positioned straight and normally, but many people’s teeth grow horizontally or at an awkward angle which is what often makes them quite painful and causes them to crowd other teeth. 

Impacted wisdom teeth are misaligned and can’t erupt through the gums, so they stay trapped inside soft tissues. This is what makes them quite painful for some patients which is why they are removed.

To learn more about wisdom teeth extraction, book an appointment in Esher, Surrey or Wandsworth, South West London.

Does having your wisdom teeth removed hurt?

Nowadays with the advent of good local anaesthesia and intravenous sedation availability, wisdom tooth extraction is uncomfortable at worst.

However, wisdom teeth that are deeply embedded within the bone may require a surgical approach with bone removal.

If this is the case it is generally the post operative swelling which causes pain afterwards. If this is controlled with local measures such as ice packs and regular anti-inflammatory drugs, the pain can be well tolerated. If you are unlucky to suffer with an infection, this can cause pain which can be remedied by seeing the relevant clinician and treat it accordingly.

If you do feel any pain during the procedure, let your dentist know and they will administer more anesthetic to the area.

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

How long does it take to recover?

Most people fully recover from wisdom teeth surgery within a week but it can take up to 2 weeks for some people if your teeth were impacted or came in at an awkward angle. However the wound itself that is left behind after surgery will not be completely healed for months, so you can still develop an infection weeks after the extraction. 

Right after your removal, your cheeks and mouth may be swollen. This may be especially worse during the first couple days but it will gradually improve. Using over the counter pain relief medication and gently pressing a cold cloth to your face will help reduce the pain and swelling. You may also have some mild visible bruising on your cheek. This will also subside within your week or 2 of recovery. 

You will feel more pain after the surgery rather than during. The pain afterwards may be especially worse if the extraction itself was difficult or complicated. 

You may also have an unpleasant taste in your mouth. However, all these are normal symptoms after you have had your wisdom teeth extracted which should all subside after 2 weeks after surgery. 

If you experience any excess bleeding, severe pain, or any other unusual symptoms, report them to your dentist immediately. 

To find out more about wisdom teeth extraction, book an appointment with our practices in Esher, Surrey or Wandsworth, South West London.

Is it necessary to have wisdom teeth removed?

Not necessarily, there are alternative less invasive options which may be more suitable.

Deep cleaning – this can be done with a hygienist or dentist who can then provide some oral hygiene instructions to ensure the area is kept as clean as possible.

Smoothing the opposing wisdom tooth – The pain from wisdom teeth can often come from the gums around them being inflamed. On biting, if the opposing wisdom tooth compresses these inflamed tissues it can result in worsening pain and inflammation. By smoothing this opposing wisdom tooth, it can often alleviate the symptoms without having to remove the wisdom tooth with inflamed gums.

Remove the opposing wisdom tooth – Quite similar to the example above, the removal of the opposing wisdom tooth can be considered if smoothing it doesn’t help.

This is usually reserved for situations where the lower wisdom tooth is quite close the nerve (mentioned above) and is at risk of being damaged. This prevents running the risk of damaging the nerve and removes the problem of the opposing wisdom tooth crushing and compressing the inflamed gums.

To have a wisdom tooth removed, book now at our practices in Esher, Surrey or Wandsworth, South West London.

What happens if you don't get your wisdom teeth taken out?

As long as there is no dental disease in the wisdom tooth, adjacent teeth or surrounding region, there is no adverse risks in leaving them as they are as long as good oral hygiene is maintained.

It is therefore important to regularly visit the dentist to ensure that the wisdom teeth are in good health in addition to the rest of the mouth.

If you are suffering and want a wisdom tooth pulled, book now at our practices in Esher, Surrey or Wandsworth, South West London.

What is the average age for your wisdom teeth to come in?

Wisdom teeth erupt between the ages of 18-25 on average but can occur earlier and even later.

To find out more about wisdom teeth, contact our practices in Esher, Surrey or Wandsworth, South West London.

How are you supposed to sleep after wisdom teeth removal?

To avoid swelling up, we advise that you take the relevant anti-inflammatory medications as prescribed by your dentist, use local measures such as ice packs and sleep slightly upright.

Book an appointment for wisdom tooth removal in Esher, Surrey or Wandsworth, South West London if you experience any discomfort.

Why do wisdom teeth hurt?

Wisdom teeth can hurt because of decay in the tooth itself progressing into the nerve of the leading to persistent sensitivity. Furthermore, impacted wisdom teeth can also cause decay in the adjacent teeth.

Improper oral hygiene can also cause gum disease and inflammation around the wisdom tooth. This can quite often be due to difficulty in accessing this area as it is right at the back of the mouth.

If the inflammation persists, this can cause the gums to swell up and lead to discomfort.

If the opposing wisdom tooth compresses these inflamed gums, it can further worsen the pain and swelling.

If you are in pain and wish to have a wisdom tooth pulled, book now in Esher, Surrey or Wandsworth, South West London.

How much does it cost to have your wisdom teeth removed?

The cost can vary depending on the extent, severity and procedure involved. But is charged from £650 at the Neem Tree.

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

What is the best pain relief for wisdom teeth?

It is firstly most important to identify the cause of the wisdom tooth pain which will then help manage it appropriately. By seeking a dentists opinion they will be able to provide the best way to manage the pain.

In the interim warm salty mouth rinses are good in addition to chlorhexidine based mouthwashes which are routinely available from your local pharmacy.

Routine pain killers as best advised by your GP or pharmacist are also recommended whilst you are waiting for your wisdom tooth extraction.

In order to reduce pain and aid recovery you should:

 

  • Use painkillers such as Paracetamol or Ibuprofen (always use these how they are intended). Ibuprofen is arguably one of the best forms of pain relief after wisdom tooth removal.
  • Avoid any strenuous activity and exercise until you have recovered after three to four days.
  • For at least the first 24 hours, avoid rinsing, spitting, hot drinks or anything else that may dislodge the blood clots that form in the empty tooth socket. This is because the blood clots help the healing process significantly.
  • Eat soft foods for the first couple days after surgery

Contact us today to find out more about removing your wisdom teeth in Esher, Surrey or Wandsworth, South West London.

Glossary

CBCT (cone beam computerised tomography)

A special x-ray that allows us to create 3D images of your teeth and, gums and jaw.

DPT (dental panoramic tomogram)

A DPT is an x-ray that allows us to take images of the full jaws and teeth.

Eruption

Eruption is the process of teeth breaking through the gums and appearing visibly in the mouth.

Extraction

Extraction is the process of removing a tooth from the gum entirely.

Inflammtion

Gum inflammation is usually caused by not brushing your teeth properly. As plaque and bacteria build up the gums begin to swell and can become red and painful.

Local anesthesia

Local anesthesia is the process of numbing a specific area without losing consciousness. Numbing a wisdom tooth is an example of local anesthesia.

OPG (orthopantomogram)

An OPG is an x-ray that allows us to take panoramic pictures of your entire jaws and teeth.

Wisdom Teeth

Wisdom teeth are the last molars to emerge, usually between the ages of 18 and 25.