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Extractions · General dentistry

Tooth Removal

Tooth Removal Lewisham – Greenwich – Blackheath

Anaesthetic

Local

Sedation

IV available

When does a tooth need to come out?

Tooth removal, or extraction, is sometimes the healthiest option for your mouth. A tooth may need to come out if it is badly decayed, infected, or too weak to hold a filling or crown. Teeth are also removed to make space for orthodontic treatment, or when wisdom teeth cause problems.

We always look at other options first. If removal is right for you, we’ll explain why and what happens, and take it at your pace. Our practice is in Lewisham, close to Greenwich and Blackheath.

Why have a tooth removed?

  • It should ease the pain the tooth has been causing.
  • It removes a source of infection from your mouth.
  • It helps protect the teeth and gums around it.
  • It can make room for teeth to be straightened with braces or aligners.

Could the tooth be saved? Root canal treatment or a crown may be an option. We’ll go through them with you first.

Replacing a removed tooth

  • Dental implant

    A fixed replacement that doesn’t affect your other teeth. See dental implants.

  • Bridge

    A false tooth held by the teeth either side. See dental bridges.

  • Denture

    A removable option for one or more teeth. See dentures.

What happens

  1. Assessment

    We examine the tooth, take X-rays and check your medical history. If the tooth is complex, we may take a 3D scan.

  2. Your options

    We explain why the tooth should come out and what the alternatives are. You decide when you’re ready.

  3. Removing the tooth

    The area is numbed with local anaesthetic. You may feel pressure, but you shouldn’t feel pain. We talk you through each step. IV sedation is available if you’re nervous.

  4. Aftercare

    We give you clear aftercare advice to help the area heal and ease any soreness. We also talk about replacing the tooth if you need to.

Tooth removal at SmileUp

  • Unhurried appointments, with time to explain and answer your questions
  • IV sedation available for nervous patients
  • Problem wisdom teeth? See wisdom tooth removal
  • Open six days · Mon, Tue until 7:30pm

Questions we’re often asked

Does having a tooth out hurt?
The area is numbed with local anaesthetic, so you shouldn’t feel pain during the extraction. You may feel pressure. Afterwards some soreness for a few days is normal, and painkillers usually help.
How much does tooth removal cost?
The price depends on the tooth and how easy it is to remove. Surgical extractions start from £400 for an upper tooth and £500 for a lower one. You get the price before treatment.
How long does it take to heal after an extraction?
Most patients feel better within a few days. Rest on the day, eat soft food and avoid smoking while the area heals. Call us if the pain gets worse after a few days instead of better.
Can the tooth be saved instead?
Sometimes, yes. Root canal treatment or a crown can save some damaged or infected teeth. We always look at the alternatives first and only recommend removal when it is the healthiest option.
Should I replace a missing tooth?
It is usually worth it. A gap can let the teeth around it shift and the bone shrink, and it can affect eating and speaking. Implants, bridges and dentures are all options.
I’m very nervous. Can I still have a tooth out?
Yes. Tell us how you feel and we’ll take it at your pace. IV sedation is available if you need it. It helps you feel relaxed, and you may remember little of the treatment.

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