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Complex issues

Wisdom teeth removal

Assessment, planning and extraction of problematic wisdom teeth — including surgical removal of impacted teeth, under local anaesthetic or sedation.

Wisdom teeth at a glance

Wisdom teeth may be fully erupted, partially erupted or impacted — removal is recommended when they cause pain, infection, decay, or damage to adjacent teeth, not simply because they are present.

Not all wisdom teeth need removing. We assess each case with a periapical or OPG X-ray and give you an honest recommendation — including when leaving the tooth alone is the right answer.

Surgical extractions at This Is It Dental are planned with X-ray review before the appointment; sedation is available if you're anxious; and post-operative instructions are given in writing with a contact number for the first 48 hours.

Quick overview

What's involved?

Wisdom teeth that are fully erupted can often be removed like any other tooth. Impacted teeth require a small surgical procedure — a gum incision, sometimes bone removal, and sectioning of the tooth before extraction.

Who needs removal?

Patients with pain, infection, decay or damage to the adjacent tooth caused by the wisdom tooth. Not all wisdom teeth need removing — we'll tell you honestly if yours should be left.

Alternatives

Antibiotics can manage acute infection temporarily but don't solve the underlying problem. Root canal on a wisdom tooth is rarely advisable. In some cases, monitoring with regular X-rays is appropriate.

Why have wisdom teeth assessed?

Resolves pain and infection

Removing the cause eliminates recurrent problems at the back of the mouth.

Protects adjacent teeth

Impacted wisdom teeth can damage the tooth in front — early removal prevents this.

Sedation available

Anxious patients can be sedated so the procedure is comfortable and unremembered.

Your wisdom tooth journey

Most wisdom tooth extractions are completed in a single appointment of 30 to 90 minutes.

  1. 1
    Before you commit

    X-ray review & consultation

    We review your X-rays, explain what type of extraction is needed, quote the fee, and discuss sedation if wanted.

  2. 2
    Start of procedure

    Anaesthetic & preparation

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

  3. 3
    During procedure · 15–60 min

    Extraction

    Simple extractions take 15–20 minutes; surgical cases involving impacted teeth may take 45–60 minutes including suturing if required.

  4. 4
    Post-procedure

    Aftercare & review

    Written aftercare is given with our emergency number; sutures (if used) are removed 7–10 days later; most patients are comfortable within 3–5 days.

Dr Ramesh Siva, Implant & cosmetic dentist

Implant & restorative dentistry

Ask Dr Ramesh Siva a question

Ask about wisdom teeth, pain, sedation or extraction planning.

Pricing

Extraction fees depend on difficulty and whether sedation is required.

  • Simple wisdom tooth extraction from £250
  • Surgical extraction (partially impacted) from £450
  • Surgical extraction (fully impacted) from £650
  • IV sedation (per session) £395
  • Post-operative review Included in surgical fee

Frequently asked questions

How painful is the recovery?

Most patients manage with over-the-counter pain relief for 2–3 days; surgical cases may be sore for 5–7 days.

Can both sides be done at once?

Sometimes, depending on complexity — we'll advise whether simultaneous removal is practical for your case.

What is dry socket?

A painful complication where the blood clot in the socket is lost — we give specific aftercare instructions to minimise the risk.

Do I need someone to drive me?

Yes if having sedation — a responsible adult must accompany you and you cannot drive for 24 hours. Local anaesthetic cases don't require an escort.

Get an honest assessment of your wisdom teeth

Book an X-ray review to find out whether removal is actually needed.