Tooth Extraction in Muswell Hill
When a tooth genuinely can't be saved, we'll remove it as gently and comfortably as possible, and make sure you know exactly what comes next.
- Thorough numbing so you feel no pain during the procedure
- Same-day emergency extraction appointments available
- Clear aftercare guidance and replacement options discussed
Extraction or save the tooth?
We'll always try to save a tooth first. But when that's no longer possible, or when extraction is genuinely the better option, we'll explain why honestly and help you plan what comes next.
Tooth extraction
Removes the tooth completely. Sometimes this is the right call, particularly when the tooth is too damaged to restore or is causing repeated problems that other treatments can't resolve.
- Tooth is severely fractured below the gumline
- Advanced decay with too little structure left to restore
- Repeated infections that haven't responded to treatment
- Severe gum disease with significant bone loss around the tooth
- Impacted or problematic wisdom teeth
Save the tooth with root canal
If the tooth structure is still sound, root canal treatment can remove the infection inside while keeping the natural tooth in place, avoiding the need for a replacement altogether.
- Keeps your natural tooth and root in the jawbone
- Prevents bone loss that starts after extraction
- No gap, so neighbouring teeth stay in position
- Avoids the cost and time of an implant, bridge or denture
- High success rate, and the tooth can last a lifetime
We'll give you an honest assessment
If extraction is genuinely the best option, we'll tell you straight. If the tooth can be saved, we'll explain how. Either way, you'll have the full picture before you decide.
Why replacing a tooth sooner matters
An extraction solves the immediate problem, but the gap it leaves can cause a chain of changes you might not expect. Planning a replacement early helps you avoid them.
How we extract a tooth, step by step
Knowing exactly what will happen takes the uncertainty out of the experience. Here's how a straightforward extraction works from start to finish.
We examine the tooth and take an X-ray to see the root shape, position and surrounding bone. This tells us exactly what we're working with and helps us plan the safest, most comfortable approach for removing it.
We apply a topical gel first so you won't feel the injection, then administer local anaesthetic around the tooth. We always wait until you're completely numb before we begin, and we'll check with you before proceeding.
Using careful, controlled movements, we loosen the tooth within its socket and ease it out. You'll feel pressure but no pain. For more complex cases, we may need to section the tooth into smaller pieces to remove it as gently as possible.
We clean the socket, place gauze to control bleeding and wait until a stable clot has formed. You'll receive clear written aftercare instructions covering what to eat, how to keep the area clean and what to expect over the following days.
Before you leave, we'll talk through how to replace the missing tooth if needed, whether that's an implant, bridge or denture. Starting the conversation early means we can plan ahead while healing is already underway.
You don't have to put up with it
If a tooth is causing you pain, swelling or repeated problems, we can usually see you quickly. We'll assess the situation, explain your options clearly and, if extraction is the right call, get you out of discomfort as soon as possible.
Questions about tooth extraction
Straight answers to the things patients most often want to know before having a tooth removed.
No. We numb the area thoroughly with local anaesthetic before we begin, so you won't feel any pain during the procedure. You'll be aware of pressure and movement, but it shouldn't be painful. If you feel anything sharp at any point, let us know and we'll stop and add more anaesthetic straight away.
A straightforward extraction usually takes between 10 and 30 minutes once the area is numb. More complex cases, such as broken or impacted teeth, may take a little longer. We'll give you a realistic estimate after examining your X-ray so you know what to expect.
We'll give you clear written aftercare instructions before you leave. In general, avoid rinsing or spitting for the first 24 hours so the blood clot can form undisturbed. Stick to soft foods, avoid hot drinks and alcohol, and don't smoke. From the next day, gentle saltwater rinses help keep the area clean as it heals.
Most people feel much better within a few days. The socket itself takes around one to two weeks to close over with soft tissue, and the underlying bone remodels over several months. Any discomfort in the first couple of days can usually be managed with over-the-counter painkillers.
In most cases, yes, particularly for teeth that are visible or involved in chewing. Leaving a gap can cause neighbouring teeth to shift, your bite to change and bone loss in the jaw over time. We'll discuss options including dental implants, bridges and dentures, so you can choose what suits you best.
Wisdom teeth that are causing pain, infection or damage to adjacent teeth usually need removing. If they're impacted or positioned awkwardly, the extraction may be a little more involved, but we carry out these procedures regularly. In more complex cases, we may refer you to a specialist oral surgeon.
If we've only used local anaesthetic, you're fine to drive. You'll be numb for an hour or two but otherwise fully alert. If sedation has been used, you'll need someone to take you home and stay with you for the rest of the day. We'll let you know beforehand so you can plan accordingly.
The cost depends on the complexity of the extraction. A straightforward removal is less than a surgical extraction of an impacted tooth. We'll tell you the exact cost after your assessment and before any treatment begins, so you can make an informed decision with no surprises.