Tooth Extraction London

Same-day extractions

When a tooth is badly damaged or decayed, which is not able to be saved with a filling or a crown, our dentists will usually recommend tooth extraction as a last resort. At Cap City Dental in the city of London, tooth removal costs £185. But it's important to book a consultation or a check-up with us first, so our dentist can assess the tooth, and talk you through your options and best next steps. Check-ups at our practice cost £155, and involve an essential six-point check of your teeth, bite and oral health.

check-up costs

Tooth removal – a painless procedure

In the unfortunate case that a tooth needs removal, it can be teased or extracted painlessly with adequate local anaesthesia and sedation.

The tooth extraction procedure should never be painful. Following the procedure, patients should expect minor discomfort, which can be managed with over-the-counter medication or ice packs to reduce swelling.

But this should subside within a few days. Please note that most patients can return to normal routines within the same day. Register as a new patient.

“I found Cap City Dental while working in London back in 2001 and have been going ever since, as they are the only 2nd dentist that I have complete trust and confidence during my lifetime”

Can a tooth be saved?

Our dentists are extremely skilled general dentists with notable experience in endodontics, prosthodontics and restorative dentistry.

So please know we will do everything possible to save your tooth before we recommend an extraction.

In some cases, we can save the tooth by using treatments like root canals, which clean out infections from the pulp.

In other situations where the tooth has cracked or crumbled too much for a typical composite restoration (white filling), we’ll likely recommend a dental crown to sit on top of it and protect it from further damage.

Restorative costs

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Signs you need a tooth extraction

  • Persistent, sharp tooth pain
  • Overcrowded teeth
  • Impacted wisdom teeth
  • Severe tooth decay (black teeth)
  • Cracked teeth that cannot be repaired
  • Wobbly teeth caused by gum disease

Replacing an extracted tooth

Our dentists will always recommend you fill the gap where your tooth used to be – this is because gaps left by missing teeth put additional strain on neighbouring teeth, affecting the way you bite and possibly causing the teeth to shift into the gap. Other consequences of missing teeth include bone loss and gum disease, which puts you at risk of losing more teeth.

There are several options to replace missing teeth or failing teeth, which include:

  • Dental implants: A long-term, subtle solution which embeds a titanium screw into your jawbone, which acts like a natural tooth root. It’s the most durable, life-like tooth replacement option available. See costs.
  • Dental bridges: Bridges replace the missing tooth by using a false tooth bonded to natural teeth on either side of the gap. As a result, the two healthy teeth must be filed down and replaced with crowns for bridges to be secure.
  • Dentures: Typically, a removable plastic prosthetic or metal framework holding a single tooth. Dentures can be secured with dental adhesives or metal clasps.

If you’re interested in replacing your lost tooth, you’ll have to begin with a consultation with a dentist to discuss which treatment will be the most viable for you.


Common causes

  • Tooth decay extending to the root
  • Gum disease that has destroyed too much-supporting bone
  • A vertical fracture that has split the root
  • An abscess where a tooth cannot be saved with root canal treatment
  • Impacted wisdom teeth
  • Some cases of crowded teeth


  • Evaluate tooth position, root shape, formation and access level*
  • Discuss your tolerance and attitude
  • Offer support and relaxing gas for anxious patients
  • Gentle tooth or root removal
  • Place sutures (stitches) over tooth socket wound
  • Prescribe painkillers; antibiotics only when necessary
  • Provide post-operative instructions and information

*we can refer you to a specialist Oral and Maxillofacial surgeon in complex cases.

Nervous patient info

Tooth removal usually occurs chairside under local anaesthetic, which means you’ll be awake during the procedure. The anaesthetic will completely block the pain from your gums, leaving you to feel only slight pressure. However, if you’re a nervous patient or anxious about removing your tooth, we can prescribe sedatives in the form of gas and air, oral sedation or even an IV, which can help you relax but keep you conscious.


Tooth extraction


Impacted wisdom tooth removal

On evaluation

*The cost varies according to the complexity of treatment and time required

If you have any questions about our tooth extraction treatment call, or book a dental examination appointment today.

Call 020 7621 0600
Advice to make sure the extracted site heals properly

Recovering from tooth removal

Aftercare for tooth removal tips
  • Don’t rinse your mouth out for at least 24 hours after a tooth removal.
  • Don’t drink alcohol for at least 24 hours.
  • Don’t smoke for as long as possible.
  • After 24 hours, rinse gently with a hot (not boiling) saltwater mouthwash four times daily.
  • Eat soft food such as soup.
  • In case of bleeding, bite on a pad of clean material for at least 15 minutes.
  • Keep the area clean with gentle tooth-brushing over the socket.

clear aligners photo