Painless Tooth Extraction in London

Smile Cliniq offers painless tooth extractions services in London and surrounding areas.

At Smile Cliniq, we believe in preserving the natural tooth as much as possible and avoid having to extract a tooth unless it is unavoidable or has a poor long-term prognosis. This is usually when:

The tooth has broken extensively, and therefore not enough tooth structure is left to restore the tooth.
A root canal treatment has failed and the tooth is infected and redoing the root canal is not an option.
There is extensive decay and poor remaining tooth structure.

Tooth extractions at Smile Cliniq are carried out under local anaesthetic to make our tooth extraction in London as painless as possible. We use periotomes and luxators and a gentle extraction technique to preserve as much jaw bone as possible. This, in conjunction with proper tooth extraction aftercare, is important as this will ensure minimal post-operative swelling and pain after tooth extraction, and will also help bone retention for future implant work. Bone retention is also important aesthetically as it avoids the “sunken-in appearance” that people with dental bone loss have.

Please be aware that it is common to experience some post-operative discomfort and swelling and occasional bleeding after extractions, but we use techniques and provide tooth extraction in London aftercare advice to keep these side effects and any pain after tooth extraction to a minimum. On rare occasions, nerve damage and sinus involvement are possible but your dentist will warn you if this is a risk in your case.

Click here for wisdom tooth extraction in London.

Painless Tooth Extraction in London Reviews

London Painless Tooth Extraction Dentists at Smile Cliniq

Dr Abeer Shehadeh

BDS – Damascus University, Syria (2011)

Associate Dentist

Dr Abeer Shehadeh
Dr Chetan Kaher

BDS BSc (Hons) MFDS RCS (Eng)

Principal Dentist
Dr Chetan Kaher
Dr Jitesh Patel

BDS, AKC, MFDS RCS Ed, PgDip (general dentistry)

Associate Dentist With Special Interest In Oral Surgery

Dr Jitesh Patel
Dr Krishen Shah

BDS (Lond) MJDF RCS (Eng) PgCert Dental Ed (Beds) MSc Endo (Lond)

Associate Dentist With Special Interest In Endodontics

Dr Krishen Shah
Dr Nickil Dhokia

BDS (Lond) Kings College, PG Cert Advanced Aesthetic & Restorative Dentistry, MFDS

Associate Dentist | Invisalign & Composite Bonding Provider

Dr Nickil Dhokia
Dr Ravinder Varaich

BDS MFGDP RCS ENG MAE

Associate Dentist | Accredited Expert Witness In Clinical Negligence

Dr Ravinder Varaich
Dr Sarah Bux

BDS MFDS RCS (Ed)

Associate Dentist

Dr Sarah Bux
Dr Sarita Kotecha

BDS – Guy’s, King’s and St. Thomas’s School for Medicine and Dentistry, UK

Principal Dentist

Dr Sarita Kotecha

Socket Preservation After Tooth Removal

After having a tooth extracted, there will be an empty “socket” where the tooth used to be. If the socket is not kept stimulated, the bone that is used to support the tooth starts to resorb and becomes thin and shallow. This can cause a problem when we look at possible treatment options to replace the gap with a partial denture, bridge or dental implant. Tooth extraction socket preservation is the act of minimising bone shrinkage, and therefore preserving the bone’s depth and height to allow for a better outcome for a future denture, bridge or implant.

How Does Tooth Extraction and Socket Preservation in London Work?

Once the tooth has been extracted, a bone graft material may be inserted inside the socket. For tooth extraction and socket preservation in London at Smile Cliniq dental practice, we use NuOss™, Ethoss, Biooss or Easy Graft bone graft material. NuOss is a natural, porous bone mineral matrix, produced by the removal of all-organic components from bovine (cow) bone. Due to its natural structure, NuOss™ is physically and chemically comparable to the mineralized matrix of human bone.

This bone graft material will harden over time and become part of the jaw bone structure, ensuring the provision of sufficient foundation for the placement of future implants, bridges and dentures.

After insertion of the bone graft material, a collagen membrane is placed on top to cover the graft material and allow good healing of the gum tissue. The collagen membrane is sutured into the socket.

Advantages of socket preservation

Prevents the bone from shrinking therefore maintaining horizontal facial bone structure.
Less likely for a replacement denture or reline to be needed, as less bone and gum shrinkage.
Reduced gap formation under the pontic (part of bridge replacing a missing tooth) of a bridge.
Better bone depth and height and therefore a better prognosis when placing a dental implant and less need for future bone graft.
Saves 6 months of healing time to have immediate bone grafting compared to having a bone graft once the socket has healed and shrunk.

Risks of Tooth Extraction

This information serves to help you come to an informed decision regarding your dental treatment.

At Smile Cliniq, we strive to ensure the techniques, instruments and materials we use for tooth extraction in London will minimise any tooth extraction risks to our patients. Please note, that any side effects and complications are uncommon to rare with tooth extraction. Some of the complications associated with tooth extraction risks are no different to any other extractions or oral surgery that you may have experienced previously, the difference being you are now more aware of them. Always follow the tooth extraction aftercare plan provided by your dentist.

There may be some swelling, discomfort or pain after tooth extraction, and this may require pain killers to be administered. There may also be some bleeding of the socket following the procedure. This is usually minor and is easily controlled by applying pressure to the area with a pack given at the time of the extraction.

Dry socket – localised infection and pain after tooth extraction in the tooth socket beginning a few days after the extraction. It is more common from the extraction of lower teeth especially wisdom teeth. It is also more common in smokers, patients with poor oral hygiene and diabetic patients. This may cause some pain and discomfort but is usually easily managed by the oral surgeon/dentist.
Bruising to the area of the injection and or overlying skin in the area of tooth extraction.
With lower wisdom teeth removal, numbness or altered sensation in the teeth, lip, tongue and chin due to the proximity of the roots of the tooth to the inferior alveolar nerve which can be bruised or injured. Altered sensation after an extraction is usually reversible but in very few instances can be permanent (around 1%).
Biting of the numb lip may cause trauma to the lip after the teeth have been extracted.
Possible damage to the teeth adjacent to the one being extracted especially ones growing closely nearby or with large fillings or crowns
Trismus – limited jaw opening due to inflammation or swelling. This is most common after wisdom tooth extraction in London. Sometimes it can result in jaw discomfort, especially where there is pre-existing TMJ disease.
Bleeding – It is not common to get significant bleeding after tooth extraction, but persistent oozing of the extraction site can occur
Sharp ridges or bone splinters may form at the edge of the socket sometime after the extraction of the tooth. These may need to be removed to minimise the risk of damage and pain after tooth extraction.
Incomplete extraction of tooth fragments. Sometimes small root tips can be left in place in order to avoid injury to vital structures such as nerves or sinuses.
Sinus involvement – The roots of the upper back teeth are often close to the maxillary sinus and sometimes a piece of root can be displaced into the sinus, or an opening may occur in the mouth which may require additional treatment.
The tooth root tip may break off into small pieces when the tooth is extracted. The oral surgeon/ dentist may or may not remove these pieces depending on the clinical picture. If there is a chance that the nerves or other structures may be damaged during tooth extraction, they may be left alone.
If the upper teeth are close to the sinuses, tooth extraction in London may cause a hole (oral-antral communication) between the mouth and the sinus. This may require further surgery to correct.
Rarely, the root (normally of an upper molar tooth) may dislodge and go into the maxillary sinus. This may need further surgery to remove it and resolve.

Most extractions are routine and serious complications are not expected. Those which do occur are most often minor and can be easily treated. To ensure efficient healing and to avoid complications it is recommended that you adhere strictly to the tooth extraction in London aftercare instructions given by your dentist.

If you would like to know more about socket preservation, dental implants, dentures or bridges, or painless dentistry, please contact us to book a consultation.

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Some of Our Happy Tooth Extraction Patients

Tooth Extraction London FAQs

The pricing for tooth extraction in London can be found on our fees page.

Typically, your Dentist or oral surgeon will ask that you at least take about 24-48 hours to relax afterwards so the treatment area is allowed to clot. After that, a patient should be able to return to normal physical activity. The soft tissue will usually fully heal in about 2-3 weeks.

Many patients find it to be painless and for the discomfort to only last a split second. From that point on, you should not feel any pain at all. Although, you may feel pressure from the movement of the tooth, which the anaesthetic does not prevent.

Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket. After 24 hours, rinse your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water.

Find Our Clinics

St Johns Wood Practice

Address:
102 Boundary Rd, London NW8 0RH

Nearest Station:
Swiss Cottage, Finchley Road, St Johns Wood, Kilburn High road.

Nearest Bus Stop:
Boundary Road / Abbey Road (Buses 139, 189)

Finchley Practice

Address:
138 Ballards Ln, Church End, London N3 2PA

Nearest Station:
Finchley Central & West Finchley (Northern Line)

Nearest Bus Stop:
Ballard’s Lane / Christchurch Avenue (Buses 13, 125, 460)