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Phone +44 (0) 20 7486 5180 Email hello@thisisitdental.london Harley Street 99 Harley Street, London W1G 6AQ

General dentistry

Tooth extractions

Simple and surgical extractions carried out under local anaesthetic, with sedation available for anxious patients or complex cases.

Extractions at a glance

At This Is It Dental, extractions are recommended when a tooth cannot be saved — or when removal is the safest option for your overall health. We assess with X-rays and explain alternatives honestly.

Fees and sedation options are agreed before treatment day. Clear written aftercare helps healing, and we discuss bridges, dentures or implants if you want to replace the tooth long term.

Simple extractions and surgical removal of impacted teeth are planned with X-ray review before your appointment — you know what to expect before you sit in the chair.

Quick overview

When needed?

Severe decay, gum disease, infection, trauma or crowding — when root canal or other care cannot restore the tooth predictably.

The procedure

Local anaesthetic for all extractions; surgical removal when the tooth is impacted or roots are complex.

Aftercare

Written instructions, pain management advice, and review if healing needs checking — most sites settle within one to two weeks.

Why have extractions here?

Clear advice

Honest guidance on save vs remove.

Calm care

Extra time for nervous patients.

Sedation available

IV sedation quoted when suitable.

Your extraction journey

Most extractions are planned over two steps — assessment first, then treatment.

  1. 1
    Before you commit

    Assessment & x-ray

    We examine the tooth, discuss alternatives, and explain fees and sedation options — you decide when to book treatment.

  2. 2
    Treatment day

    Anaesthetic & confirmation

    Local anaesthetic is given; we wait until you're fully numb before proceeding — no extraction begins until numbness is confirmed.

  3. 3
    During procedure

    Extraction

    The tooth is removed under local anaesthetic (and sedation if arranged). Most appointments take 30–45 minutes.

  4. 4
    After treatment

    Written aftercare & review

    Follow aftercare instructions. We review if needed and discuss implants, bridges or dentures if you want to replace the tooth.

Dr Ramesh Siva, Implant & cosmetic dentist

Implant & restorative dentistry

Ask Dr Ramesh Siva a question

Ask about extractions, pain or replacing a missing tooth.

Pricing

Assessment fee may apply separately — quoted before you book extraction.

  • Simple extraction £150
  • Surgical extraction from £350
  • IV sedation (per session) £395
  • Socket preservation graft from £350

Frequently asked questions

Will extraction hurt?

The area is numb during treatment; soreness afterwards is managed with standard pain relief and our aftercare advice.

How long is recovery?

Most people return to normal activities within a few days; full socket healing takes longer.

Should I replace the tooth?

We discuss implants, bridges and dentures — the right choice depends on the gap, bone and your goals.

Can I drive after sedation?

No — you need an escort and must not drive for 24 hours after IV sedation.

Book an honest assessment to find out your options

We'll explain whether extraction is needed and what happens next.