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Phone 020 7407 2174 Email info@bridgedental.com London Bridge 91 Borough High St, London Bridge SE1 1NL

How we work

Tooth Extractions

Careful tooth removal when needed, with clear aftercare and options for replacement discussed first.

Dentist reviewing dental X-rays for tooth extraction planning

Honest suitability

Is a tooth extraction the right next step?

Tooth removal should never feel automatic. We assess whether the tooth can be saved, how removal will affect neighbouring teeth and bone over time, and whether replacement planning is needed before recommending extraction.

Suitable if

  • Assessment and x-rays - We check roots, bone and nerve position before treatment.
  • Local anaesthetic - The area is numbed so treatment is comfortable.
  • Sedation option - IV sedation can be arranged for anxious patients when appropriate.
  • Aftercare pack - Written instructions to support healing and reduce dry socket risk.

May not be suitable if

  • Teeth with insufficient structure for a filling alone
  • Severe pain needing emergency assessment first
  • Active gum disease without prior stabilisation
  • When a crown is the more predictable long-term option

Patient benefits

Why have extractions at Bridge Dental

When extraction is the right decision, how it is performed and what comes next matters as much as the procedure itself.

  • Oral surgery experience

    Complex extractions, impacted wisdom teeth and surgical cases are handled by our oral-surgery-trained clinician with specific experience in difficult anatomy.

  • Comfort as a clinical priority

    Time is taken with anaesthesia. Treatment does not begin until the area is properly numb, however long that requires.

  • Replacement discussed before removal

    We talk through implants, bridges and dentures, and whether no replacement is needed, before the tooth comes out, not after.

  • Aftercare that supports healing

    You leave with practical instructions to reduce risk and support a smoother recovery.

Patient feeling reassured after tooth extraction planning
  1. 01

    Consultation

    Assessment and consent. We review x-rays, discuss risks and benefits, and agree whether extraction is the right option.

  2. 02

    Treatment Removal under anaesthetic

    The tooth is removed carefully; stitches may be placed for surgical sites.

  3. 03

    Recovery Healing and review

    You receive aftercare advice; we review healing and discuss tooth replacement when ready.

Clinical assessment

What we assess before recommending extraction

Removal is recommended only when no predictable alternative exists. These are the factors we evaluate before confirming that extraction is the right step.

  • 01

    Whether the tooth can still be saved

    Root canal treatment, a crown or other options are considered before removal is recommended.

  • 02

    Root anatomy and bone on x-ray

    We review position, curvature and proximity to nerves or sinuses before planning extraction.

  • 03

    Infection, pain and urgency

    Active infection may need managing before or during removal, with antibiotics where appropriate.

  • 04

    Replacement planning before removal

    Implants, bridges or dentures are discussed so you know the next step before the tooth comes out.

Ask our principal dentist

Not sure if your tooth can be saved?

Dr Nikhil Joshi, Implant & oral surgery dentist

Message Dr Nikhil Joshi

Ask whether extraction, sedation or implant replacement is right for you.

Guide fees

Treatment fees

View full fee guide
Treatment Fee
Simple extraction £400
Surgical extraction £600–£800
Complex cases, sedation and tooth replacement are quoted separately after assessment.

Balanced options

Alternatives to consider

Responsible dentistry means explaining every sensible option - not only the treatment you searched for.

Common questions

Frequently asked questions

Will extraction hurt?

You should not feel pain during the procedure with local anaesthetic. Some soreness afterwards is normal.

How long is recovery?

Most people feel much better within a few days; surgical sites can take one to two weeks to settle.

What is dry socket?

A painful healing complication; following our aftercare instructions greatly reduces the risk.

Can I have sedation for an extraction?

Yes, IV sedation is available for suitable patients - ask when you book.

How do I book a tooth extraction consultation at Bridge Dental?

Use our online booking link or call reception. We will confirm appointment length, what to bring, and whether any preparatory steps are needed.

Are guide fees fixed before treatment?

We provide written estimates from our published fee guide. If your clinical needs change after assessment, we discuss any difference before proceeding.

Do you see nervous patients?

Yes. Tell us when you book so we can allow extra time, explain each step, and discuss IV sedation where appropriate.

Where is Bridge Dental located?

We are at London Bridge, a short walk from the station, serving City, Southwark and surrounding areas.

What is the difference between a simple and surgical extraction?

A simple extraction removes a tooth that is visible and straightforward to access, usually under local anaesthetic in the surgery. A surgical extraction is needed when the tooth is broken, impacted or not fully through the gum; it may involve raising the gum slightly and stitches afterwards. We assess this on x-rays before the day, explain which applies to you, and quote the fee in writing before treatment.