Wisdom Tooth Extraction in the City of London
Expert wisdom tooth removal at our EC4 dental practice. From straightforward extractions to complex impacted cases — our GDC-registered dentists provide careful, considered treatment. Same-day emergency appointments available for acute pain.
Simple
£125
member
Surgical
£225
member
Complex
£335
member
🔴 In Pain? Same-day appointments available
Common signs your wisdom teeth may need extracting:
- Throbbing pain at the back of your jaw
- Swollen, red, or tender gums around the tooth
- Difficulty opening your mouth fully (trismus)
- Persistent bad breath or unpleasant taste
- Pain radiating to ear, head, or neck
- Crowding or shifting of your other teeth
- Food constantly getting trapped
- Recurring infections (pericoronitis)
⚠️ Severe pain, swelling, or fever? Call now for same-day emergency care.
Assessment: £30 (new patients) | £47.50 (members) + X-rays £20 if needed
Wisdom Tooth Extraction Prices
The cost depends on how your wisdom tooth is positioned. We'll assess with X-rays and provide an exact quote before any treatment.
Wisdom Tooth Extraction
Professional wisdom tooth removal with comprehensive care
- Complete assessment with X-rays
- Local anaesthetic for comfort
- Expert surgical technique
- Full aftercare included
Assessment required: £95 (£47.50 members) or £30 for new patients. X-rays £20 if needed.
Wisdom tooth extraction: what you need to know
When do wisdom teeth need removing?
Wisdom teeth — also called third molars — typically emerge between the ages of 17 and 25. Not all wisdom teeth require removal. If yours have fully erupted, are properly aligned, healthy, and accessible for cleaning, they can usually be left in place. Extraction is recommended when teeth are impacted (trapped beneath the gum or bone), partially erupted, causing recurring infection (pericoronitis), damaging adjacent teeth, or contributing to crowding.
At St Paul's Medical & Dental in The City of London, we assess each case individually with X-rays to determine whether extraction is clinically appropriate. We do not recommend extraction without a clear clinical indication.
Types of wisdom tooth extraction
The type of extraction depends on how the tooth is positioned in your jaw. A simple extraction applies to fully erupted teeth that can be removed with forceps — priced at £250 (£125 for members). A surgical extraction is required when the tooth is partially erupted and the dentist must make a small gum incision — £450 (£225 for members). A complex extraction involves fully impacted teeth trapped within the jawbone, often requiring bone removal — £670 (£335 for members).
Your dentist determines the extraction type after X-ray assessment. You receive a written quote with the exact fee before any treatment proceeds.
What to expect during the procedure
Wisdom tooth extraction is performed under local anaesthetic to numb the treatment area. You may feel pressure and movement during extraction, but you should not feel sharp pain. Individual experiences vary depending on the complexity of the case and personal sensitivity. The procedure typically takes between 15 and 60 minutes per tooth.
For straightforward cases, the dentist loosens the tooth with an elevator instrument and removes it with forceps. For surgical or complex cases, a small incision is made in the gum, and in some cases a small amount of bone may need to be removed. Dissolvable or removable sutures may be placed to close the site.
Risks and complications
As with any surgical procedure, wisdom tooth extraction carries risks. These may include:
- Dry socket (alveolar osteitis) — where the blood clot is lost from the extraction site, causing increased pain. More common with lower wisdom teeth.
- Infection — post-operative infection can occur and may require antibiotics.
- Nerve injury — temporary or (rarely) prolonged numbness of the lip, tongue, or chin due to proximity of the inferior alveolar or lingual nerves.
- Bleeding — some bleeding is normal; prolonged bleeding is uncommon but possible.
- Swelling and bruising — expected after surgical extraction and usually resolves within 7–10 days.
Your dentist discusses material risks during assessment and obtains informed consent before treatment. Serious complications are uncommon but the risk profile increases with extraction complexity. Contact us immediately if you have concerns during recovery.
Our clinical standards
All extractions at our clinic are performed by GDC-registered dentists experienced in surgical extraction. We use modern diagnostic imaging, sterile surgical techniques, and provide comprehensive written aftercare instructions. Pricing is transparent — see our wisdom tooth extraction cost page and full dental price list. SPMD members receive 50% off all treatment fees.
Why Choose Us for Wisdom Tooth Removal?
From assessment through to aftercare — here is what sets our approach apart.
Experienced Dentists
Our GDC-registered dentists regularly perform wisdom tooth extractions across all complexity levels, with extensive training in surgical procedures.
Same-Day Emergency Care
Acute wisdom tooth pain doesn't wait — neither do we. Emergency slots available daily for urgent extractions and pain relief.
Clear, Fixed Pricing
We assess with X-rays and provide an exact quote before treatment. No hidden costs. Members save 50% on all extractions.
Comprehensive Aftercare
Detailed recovery instructions, direct phone line for concerns, and follow-up appointments included. We're with you through healing.
All Complexity Levels
From surgical extractions to fully impacted wisdom teeth requiring complex surgical removal — we handle every case in-house.
Understanding Impacted Wisdom Teeth
When there isn't enough space for wisdom teeth to emerge properly, they become "impacted." Here are the common types:
Vertical Impaction
Tooth is straight but trapped below gum
ModerateHorizontal Impaction
Tooth lying completely sideways
ComplexMesial Impaction
Tooth angled toward front of mouth
Most commonDistal Impaction
Tooth angled toward back of mouth
ComplexWhat to Expect During Wisdom Tooth Extraction
Here's exactly what happens when you come to us for wisdom tooth removal.
Assessment & X-rays
We examine your mouth and take dental X-rays (or review existing ones) to assess tooth position and plan extraction approach
Treatment Plan & Quote
You receive a clear explanation of the procedure, exact pricing, and can ask any questions before deciding to proceed
Extraction Procedure
Local anaesthetic is used to numb the area. You may feel pressure during the procedure as we carefully remove the tooth. Individual experiences vary.
Recovery & Aftercare
We provide gauze, pain relief advice, and detailed aftercare instructions. Follow-up available if needed
Wisdom Tooth Extraction Recovery
Follow these guidelines to support healing and reduce the risk of complications.
Do This
- Rest for 24-48 hours after extraction
- Apply ice packs: 20 mins on, 20 mins off
- Eat soft, cool foods (yogurt, smoothies)
- Take prescribed/recommended painkillers
- Gentle salt water rinses from day 2
- Keep head elevated when sleeping
- Call us if concerned — we're here to help
Avoid This
- ✕No smoking for at least 72 hours
- ✕Don't use straws (suction disrupts healing)
- ✕Avoid hard, crunchy, or spicy foods
- ✕No alcohol for 48 hours minimum
- ✕Don't rinse vigorously for 24 hours
- ✕Avoid strenuous exercise for 3-4 days
- ✕Don't poke the extraction site
Recovery Timeline
Wisdom Tooth Extraction FAQs
Everything you need to know about wisdom tooth removal
At St Paul's Medical & Dental, wisdom tooth extraction costs depend on complexity. Simple extractions are £250 (£125 for members), surgical extractions are £450 (£225 for members), and complex impacted cases are £670 (£335 for members). An assessment with X-rays is required to confirm the exact fee — £30 for new patients. See our dedicated cost page for a full breakdown.
During extraction, we use local anaesthetic to numb the treatment area — you should feel pressure and movement but not sharp pain. Individual experiences vary. Afterward, expect some discomfort and swelling for 3–7 days, manageable with over-the-counter painkillers. Our team provides detailed aftercare instructions to help minimise post-operative discomfort.
Wisdom tooth extraction typically takes 30-60 minutes per tooth, depending on complexity. We can often remove multiple wisdom teeth in a single appointment if you prefer to get it done in one visit.
Most patients return to work/normal activities within 2-3 days. Complete healing takes 1-2 weeks. The first 48 hours are most important: rest, avoid hard foods, don't smoke, and follow our aftercare instructions. Swelling peaks around day 2-3 then gradually subsides. We're available by phone if any concerns arise during recovery.
No — not all wisdom teeth require extraction. If your wisdom teeth have fully erupted, are properly aligned, healthy, and you can clean them effectively, they may be fine to keep. We recommend removal when teeth are impacted, causing pain, damaging adjacent teeth, partially erupted (infection risk), or likely to cause future problems based on X-ray assessment.
Yes, many patients choose to have all four removed in a single appointment to minimize total recovery time and time off work. Others prefer one side at a time, recovering between sessions. Both approaches are clinically appropriate — we'll discuss options and help you decide based on your preferences and schedule.
An impacted wisdom tooth is one that cannot fully emerge through the gum, usually because there isn't enough space in your jaw. Impacted teeth can be vertical, horizontal, or angled. They often cause pain, infection, or damage to neighboring teeth. Most impacted wisdom teeth require surgical extraction rather than simple removal.
Signs of wisdom tooth infection (pericoronitis) include: severe throbbing pain, swollen red gums around the tooth, difficulty opening your mouth, bad taste or smell, swelling in your cheek or jaw, fever, and difficulty swallowing. Infection requires prompt treatment — call us immediately or book an emergency appointment if you have these symptoms.
For the first 24-48 hours: cold soft foods like yogurt, smoothies (no straws!), ice cream, and cold soup. Days 2-5: soft warm foods like mashed potato, scrambled eggs, pasta, and well-cooked vegetables. Avoid: hard, crunchy, spicy, or acidic foods; anything with small seeds; hot drinks for 24 hours; and alcohol for at least 48 hours.
SPMD dental members receive 50% off all wisdom tooth extraction fees: simple £125 (normally £250), surgical £225 (normally £450), and complex £335 (normally £670). Members also receive 50% off assessments and routine appointments.
Regulatory standards
General Dental Council (GDC)
All dentists at this clinic are GDC-registered and practise in accordance with the Standards for the Dental Team. Registration numbers are published on our team page.
Care Quality Commission (CQC)
St Paul's Medical & Dental is in the process of CQC registration. We are committed to meeting the fundamental standards of safety and governance. Our complaints procedure is available to all patients.
Advertising Standards (ASA / CAP)
Pricing on this page is stated clearly with member and non-member rates identified. No guaranteed treatment outcomes are claimed. Treatment suitability is determined by clinical assessment with X-rays. All content is intended to comply with the CAP Code.
Wisdom Tooth Pain? Book an Assessment Today
Our GDC-registered dentists provide expert wisdom tooth extraction with same-day emergency appointments available. Clear pricing, comprehensive aftercare, and a dedicated team to support your recovery.
SPMD Members save 50% — Extractions from just £125
Not sure if you need extraction? Read our complete guide to wisdom tooth pain.
Looking for detailed pricing?
Visit our dedicated cost page for a full breakdown of wisdom tooth extraction fees, member vs standard pricing, NHS comparisons, and 12 frequently asked cost questions.
Wisdom Tooth Extraction Cost LondonExplore More Treatments
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Patient Reviews
We're preparing to welcome our first patients at St Paul's Medical & Dental. Patient reviews will be available once we open our doors in April 2026.
We look forward to providing exceptional dental and medical care to the City of London community.
Meet Our Dental Team
Our experienced dental team is fully qualified and registered with the GDC, delivering safe, high-quality care in line with the highest professional standards.
Because our patients deserve nothing less.
Registered. Regulated. Trusted.
At St Paul's Medical & Dental, we are in process of registering with the Care Quality Commission (CQC) and our clinicians are registered with the relevant UK regulatory bodies, including the GDC and GMC. Our dentists, dental nurses and medical professionals deliver care that meets the highest clinical, safety and ethical standards, because our patients deserve nothing less.
