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Home  /  Treatments  /  Extractions & wisdom teeth

Oral surgery · Everyday dentistry

When no dentist in the world can save the tooth.

An extraction is the last resort, considered only once every way of saving the tooth has been weighed. At Sardinia House in Holborn all our dentists carry out extractions; surgical and wisdom-tooth cases are usually seen by Dr Shivan Dave, who trained in hospital oral surgery, or Dr Adam White. Most take a single visit under local anaesthetic, with IV sedation available if you would rather be less aware. Guide fee from £395; wisdom teeth from £550.

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A surgery at Sardinia House with its chair and screen

Guide fee

From £395

Visits

Usually one, plus a review if needed

Sedation

IV conscious sedation available

With

All our dentists; surgical cases with Dr Shivan Dave or Dr Adam White

Who it is for

When removing a tooth is the right decision

A tooth that cannot be rebuilt

Decay or a fracture can reach a point where there is too little sound tooth left to hold a filling or a crown. When that is the case, a planned removal protects the bone and gum around it for whatever comes next.

A wisdom tooth that keeps flaring up

A wisdom tooth that has only partly come through traps food and plaque beneath a flap of gum. Repeated infections, swelling and pain are usually a sign that it would be better out than in.

Advanced gum disease or infection

When the bone supporting a tooth has been lost to gum disease, or an infection at the root cannot be settled with root canal treatment, removing the tooth clears the source and lets the area heal.

Making room for what comes next

Sometimes a tooth is removed as part of a wider plan: to make space for orthodontic treatment, or to prepare for an implant placed in the same site once the socket has healed.

The difference

What makes the difference

A surgical background for the harder cases

Simple extractions are carried out by all our dentists. Surgical extractions and wisdom teeth are usually seen by Dr Shivan Dave or Dr Adam White. Shivan worked in hospital oral surgery at King's College Hospital before private practice, so impacted wisdom teeth are familiar work rather than an exception to the week.

Seeing the roots in three dimensions

Where a wisdom tooth sits close to the nerve in the lower jaw, or the roots are curved, a CBCT scan on site shows their exact position. We plan the approach before the appointment, so there are fewer surprises on the day.

Planned with the replacement in mind

If the tooth is to be replaced, we decide that before it comes out. Removing it gently, and preserving the bone and gum around the socket, makes a later implant or bridge easier to fit well.

Sedation, when you want it

If the thought of the appointment is the hardest part, our dental sedationist Dr Damien Reilly can provide IV conscious sedation. You stay awake and able to respond, but relaxed and with little memory of the procedure afterwards.

The process

What happens at an extraction

01

Assess and plan

We examine the tooth, take a digital X-ray and, for wisdom teeth or complicated roots, a CBCT scan. You receive a written plan with the fee and, where relevant, the options for replacing the tooth.

02

Numb the area

The tooth and the gum around it are numbed with local anaesthetic. We wait until it has fully taken effect, and check, before anything else happens. Sedation, if you have chosen it, is started before this point.

03

Remove the tooth

The tooth is loosened and lifted out with steady pressure. For a surgical extraction, a small opening in the gum lets us reach the tooth, which may be divided and removed in sections to keep the socket small.

04

Settle and close

The socket is cleaned and, where needed, closed with a few dissolving stitches. You bite on a gauze pad until the bleeding stops, and go home with written aftercare and a number to ring if anything worries you.

Afterwards

Aftercare

Keep the area undisturbed for the first day: no rinsing, no hot drinks, no smoking and no strenuous exercise, so the blood clot in the socket can form. From the second day, rinse gently with warm salt water after meals. Eat soft food on the other side, take the painkillers we recommend, and call us if bleeding, swelling or pain gets worse rather than better.

Guide fees

Extraction, front tooth or premolarfrom £395
Molar extractionfrom £495
Surgical extractionfrom £495
Upper wisdom toothfrom £550
Lower wisdom toothfrom £595

Guide fees. Nothing is started until your plan, with every fee written down, is in your hands. See all fees

Good to know

The questions we are asked most

Does having a tooth out hurt?+

The local anaesthetic means you should feel pushing and pressure, not pain. Once it wears off, the socket is usually sore for a few days and settles with ordinary painkillers. Surgical and wisdom tooth removals tend to be more tender than simple ones.

How much does a tooth extraction cost in Holborn?+

Our guide fees start at £395 for a front tooth or premolar and £495 for a molar. Upper wisdom teeth are from £550 and lower wisdom teeth from £595. The exact fee is confirmed in writing after we have examined the tooth and seen the X-ray.

Do wisdom teeth always need to be removed?+

No. A wisdom tooth that has come through fully, is easy to clean and is causing no trouble can usually stay. We suggest removal when a tooth is repeatedly infected, decayed, damaging its neighbour or impossible to keep clean.

How long does it take to heal?+

The socket is usually comfortable within a week, and the gum closes over in two to three weeks. Bone fills the socket over several months. Surgical extractions and lower wisdom teeth can take a little longer to settle.

Can I be sedated for the extraction?+

Yes. IV conscious sedation is provided by our dental sedationist and is quoted in writing at your consultation. Arrange for someone to collect you, and plan a quiet rest of the day.

What are the options for replacing the tooth?+

A dental implant, a bridge or a denture, depending on the site and what you prefer. If an implant is likely, we plan the extraction with that in mind. Some gaps, such as a wisdom tooth, do not need replacing at all.

Can I go back to work the same day?+

After a simple extraction under local anaesthetic, most people can return to a desk the same day, provided they avoid exertion. After sedation or a surgical extraction, plan to take the rest of the day off.

Can a wisdom tooth be removed as an emergency?+

Sometimes. If the gum over a wisdom tooth is infected, the first step is usually to clean the area and settle the infection, with antibiotics where they are needed. The tooth itself can then be removed, often within days and usually by Dr Shivan Dave or Dr Adam White, once the surrounding tissue has calmed and the position of the tooth has been checked on an X-ray.

Related treatments

Dental implantsA titanium root planned in 3D, placed with a guide and crowned from a digital scan.Read moreEmergency dentistToothache, swelling, broken teeth and lost crowns, usually seen the same day.Read moreSedationIV conscious sedation from a dedicated sedationist, for anxiety and longer visits.Read more

Reviewed by Dr Shivan Dave · GDC 155149.Page prepared October 2026.

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OpenMon–Thu from 8am, late on Wednesdays, Fri from 8.30am
Nearest stationHolborn, around 5 min
Part ofDental Group