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Surgical extractions are a common dental procedure used to remove a tooth that cannot be easily accessed or removed through a simple extraction. A surgical extraction may be recommended for teeth that are impacted, broken, or severely decayed.

Your dentist may need to refer you to a our dentist Dr Sagar Shah a special interest in Oral Surgery if your extraction is deemed more complex than a routine procedure or at risk of turning into a surgical procedure. Experienced Surgeons routinely perform more complex extractions, ensuring that the extraction is performed safely and effectively.

Wisdom Teeth

One of the most common reasons you may have been referred is that you’ve been having problems with your wisdom teeth. This may be due to pain, swelling or infection to the gum covering the wisdom tooth, also known as pericoronitis. The wisdom tooth may be getting food stuck around the tooth and/or also be decayed.

Horiztonal Impaction

Wisdom Tooth Horizontal Impaction Diagram

Mesial Impaction

Wisdom Tooth Mesial Impaction Diagram

Your wisdom tooth may have no symptoms at all, but there could be an underlying problem developing or a high risk of a problem developing. There is strong evidence to show that wisdom teeth that are mesially or horizontally positioned that have not erupted fully have a high risk of decay occurring within the wisdom tooth and also to the tooth in front. If left alone the decayed tooth may progress further and you could experience pain from both teeth. If the tooth in front is decayed it will need to be repaired by your dentist after the wisdom tooth has been extracted.

A coronectomy may be offered if the inferior dental nerve is in close contact to the wisdom tooth. This technique means only the upper portion of the wisdom tooth is removed leaving some of the tooth root(s) behind. This is to help minimise the risk of damaging the nerve, however there is less than a 3% risk that you may need to have the remaining roots out at a later date.

Vertical Impaction

Wisdom Tooth Vertical Impaction Diagram

Distal Impaction

Wisdom Tooth Distal Impaction Diagram

Why else might I need oral surgery?

Retained Roots

When a tooth is removed by a dentist, the aim is to also remove the roots with it. However, if a tooth breaks during an extraction, lost by accident or decay, the root(s) may be retained in the jawbone and gums, which can cause problems such as infections and/or pain. If this happens, the roots need to be surgically removed.

Retained Root Diagram

Complex tooth positioning

Teeth that are positioned in a way that makes them difficult to extract may require an dental surgeons expertise. This may include teeth that are tilted, turned or otherwise positioned in a way that makes them difficult to grasp and remove.

Multiple Extractions / Suturing

If you need to have multiple teeth extracted, your dentist may refer you to an oral surgeon. This is because an oral surgeon has undergone further training to handle complex extractions and can help ensure a safe and successful outcome. Sometimes you may require sutures (stitches) after receiving a surgical extraction or multiple routine extractions.

Medical Conditions

If you have certain medical conditions or take certain medications that may affect the extraction process, your dentist may refer you to an experienced surgeon. This could include conditions such as bleeding disorders, heart disease or diabetes. Additionally, those who are undergoing chemotherapy or due to an upcoming operation in hospital, may need compromised teeth removed in order to keep the mouth healthy and minimise risk of infection.


How much will it cost?

A consultation for Oral Surgery with Dr Sagar is £150, however if an X-ray has been provided at point of referral or before attending, there may not be a need for the consultation or subsequent fee. A routine extraction costs £185 and surgical extractions cost £330 or £380 depending on complexity.

How long does it take to recover from a tooth extraction?

Recovery time varies from patient to patient and depends on the complexity of the extraction. In general, it takes about one to two weeks to fully recover from a tooth extraction.

What type of anaesthetic is used?

A Local anaesthetic will be used - this is an injection into gum surrounding the tooth, and is rather similar to that you may have had with your dentist for a filling.

Can I eat after a tooth extraction?

It is recommended that you wait at least an hour after or until the anaesthetic has worn off before eating or drinking anything hot. Soft foods are recommended during the first few days, you should avoid eating hard or crunchy foods that could irritate the extraction site.

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