Support when a tooth needs removing

Tooth extraction

Being told a tooth may need removing can feel daunting. We will explain why extraction is being considered, whether the tooth can be saved and how we can support you through treatment.

Arrange an assessment

Understanding your care

Understand your options before deciding.

An extraction may be recommended when a tooth cannot be predictably repaired or has lost too much support. Before you decide, we assess the tooth, review your medical history and discuss reasonable alternatives. Some extractions can be carried out at the practice; more complex cases may need referral. We will explain the plan, likely recovery and any risks relevant to you.

This may help with

A tooth that cannot be repaired predictably

Infection where retaining the tooth is not suitable

A tooth with severely reduced gum and bone support

Planning care for a tooth already advised for removal

What to expect

From assessment to aftercare.

01

Assess and explain

We examine the tooth and may take X-rays. Tell us about all medicines and medical conditions. We discuss alternatives, risks, costs and whether referral is appropriate.

02

Keep you comfortable

Local anaesthetic numbs the area. You may feel pressure or movement; tell us if you feel pain so we can pause and address it. Some procedures need stitches.

03

Support healing

You receive aftercare instructions and advice on when to seek help. Where appropriate, we also discuss whether and how to replace the missing tooth.

Common questions

Useful things to know.

Could the tooth be saved instead?

Sometimes a repair, root canal treatment or gum treatment is possible. The options depend on the diagnosis and outlook for the tooth. We will discuss these before recommending removal.

What if I am anxious?

Tell reception when you arrange the assessment. We can discuss your concerns, explain the stages and agree a signal to pause. If you need support beyond what we can provide, we will discuss an appropriate referral.

Should I stop taking blood-thinning medicines?

Do not stop prescribed medicines yourself. Tell us what you take before the appointment so your dentist can plan treatment and advise you safely.

What is recovery like?

Soreness and some swelling can occur, with recovery varying according to the extraction. Follow the aftercare instructions you are given, including advice about eating, cleaning, smoking and activity. Ask us if anything is unclear.

What complications can happen?

Possible problems include bleeding, infection and a painful socket that needs further care. Other risks depend on the tooth’s position and nearby structures. Your dentist will explain the risks that apply to your extraction.

When should I contact you afterwards?

Call if pain or swelling is worsening, you feel unwell or bleeding continues despite following your aftercare instructions. If you cannot access urgent dental care, contact NHS 111. For heavy bleeding that will not stop or swelling affecting breathing or swallowing, call 999 or attend A&E.

Will I need to replace the tooth?

Not every space needs replacing. Depending on your mouth, options may include a denture, bridge or implant. We can discuss the benefits, limitations, timing and separate costs.

Next step

Let’s assess the tooth first.

Contact reception to discuss the problem and arrange an assessment. For pain, swelling or bleeding, please telephone rather than send a routine enquiry.