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Tooth removal

Expert review by:
  • Dr Gurmandeep Sond, former Clinical Development Manager at Bupa Dental Care
  • Dr Emma Ajimoko, Head of Clinical Policy and Standards at Bupa Dental Care

A tooth removal is a procedure to take your tooth out completely. It’s only done when absolutely necessary, like if your tooth is severely infected or damaged and can’t be saved with other treatments. If you do need a tooth removal, your dentist will explain your options to replace it.

About tooth removal

A tooth removal is also called a tooth extraction, and sometimes referred to as “pulling” your tooth.

Your dentist will always try to save your natural tooth wherever possible. But if your tooth is too badly damaged, decayed or infected to be repaired, removing it might be the safest option. This aims to stop more serious dental problems, pain or infections from developing.

How much a tooth extraction costs, will depend on which of your teeth need to be removed, how many of them, and they type of anaesthetic you’ll need.

Reasons for tooth extraction

There are lots of reasons you might need to have a tooth pulled, like if you have:

How to prepare for tooth extraction

Before booking your procedure, you’ll have an initial consultation with your dentist. They’ll go through everything with you so you know what to expect, and answer any questions you may have. Your dentist will ask you about your medical history to make sure a tooth extraction is suitable for you. They’ll also take x-rays of your mouth to get a better look at your teeth and gums prior to extraction.

Extraction of the tooth

Most extractions can be simple and quick, but some may take longer depending on the condition of the tooth that’s being removed. Most are carried out by a general dentist at your local practice. Your dentist will start by injecting a local anaesthetic into your gums. This numbs the area so you don’t feel any pain, but you’ll still be awake and feel some pressure. They’ll use dental instruments to gently loosen and remove your tooth from its socket. Sometimes, they might need to make a small cut in your gum to access your tooth and apply stitches to help it heal.

Once your tooth is out, they’ll clean the area and ask you to bite down on a piece of gauze to help stop any bleeding. This encourages a blood clot to form, which is part of the healing process.

If your case is more complex – like removing multiple teeth or an impacted tooth  – you might be referred to a specialist oral surgeon to have a surgical tooth extraction. Sometimes, you might be given a sedative or general anaesthetic to help, which will either make you drowsy or fall asleep during the procedure.

Before you go home, your dentist or surgeon will give you advice about looking after your teeth and gums. They might prescribe you painkillers and may sometimes prescribe antibiotics to reduce your chances of developing an infection.

Feel anxious about tooth removal?

Our friendly team of expert clinicians help nervous and anxious patients feel at ease every day, and it’s important to us that you feel safe and in control when visiting our bright, welcoming and modern dental practices. We’ll always listen to your concerns, and many of our practices offer sedation to make your extraction a more comfortable, stress-free experience.

Search your location to find your nearest dentist offering sedation.  

Recovering from tooth extraction

After a tooth extraction, you’ll usually be able to go home the same day and get back to your normal routine when you feel up to it. If you’ve had a local anaesthetic, it can take a few hours for the feeling to come back in your mouth. It’s best not to eat or drink anything hot until it does, so you don’t accidentally burn or bite your mouth.

If you’ve had a more complex procedure under sedation or a general anaesthetic, it could take a few days to recover and you might need to take some time off. Ask someone to take you home and stay with you until the effects of the anaesthetic have worn off.

It’s normal to have a bit of pain and bleeding for a day or two after having a tooth pulled. You might also have some swelling, bruising and a stiff jaw for a week or two. If you’ve had stitches, these will dissolve by themselves within 1-4 weeks, depending on the type you’ve had.

If the pain or swelling gets worse, you have a high temperature, or the bleeding doesn’t stop by applying pressure, contact your dentist for advice.

What to do after tooth extraction

To help your recovery after a tooth removal, try the following.

  • Don’t rinse your mouth or drink through a straw for the first 24 hours. This could dislodge the blood clot, which is needed to prevent bleeding and infection.
  • After 24 hours, gently rinse your mouth with warm salty water, 3-4 times a day, to keep it clean.
  • Place an ice pack wrapped in a towel over your cheek for up to 25 minutes, every two hours to reduce any swelling.
  • If you experience any bleeding, bite down on a piece of clean material for five minutes.
  • Eat soft foods like yoghurt, soup and eggs for the first few days.
  • To relieve pain after tooth extraction, take any antibiotics or painkillers your dentist has recommended or prescribed.
  • Keep cleaning your other teeth carefully, but avoid brushing your stitches for the first 3-4 days.
  • Don’t smoke or drink alcohol for at least 24 hours, longer if possible.
  • Prop your head up with pillows when you sleep or lie down.
  • Avoid strenuous exercise for 24 hours, as this can increase your heart rate and chance of bleeding.

Tooth extraction complications

As with any surgical procedure, there can sometimes be small complications after a tooth extraction, like:

  • Dry socket. If the blood doesn’t clot in your tooth socket, or the clot moves, it won’t heal properly. This is known as dry socket and causes pain and delayed healing.
  • An infection. Bacteria can enter the place where your tooth was removed, leading to an infection. Signs may include swelling, pus, fever, or a bad taste in your mouth.
  • Damage to nearby teeth. This might happen when your dentist removes your tooth, particularly to the teeth next to the one being removed.
  • A nerve injury. In rare cases, a tooth extraction can bruise the nearby nerves, causing numbness, tingling, or pain in the lips, tongue, or chin. But it won’t usually last long.
  • Bone fragments. Sometimes tiny pieces of bone may come to the surface of the gum after an extraction. These can be uncomfortable but usually come out on their own or can be removed by the dentist.

If you think you have any complications from a tooth extraction, contact your dentist immediately for advice.

Tooth replacement options

After a tooth extraction, your dentist might recommend you fill the gap where your tooth used to be. This helps you to chew normally in that area again, reduce the pressure on nearby teeth, and avoid changes in your bite. Common options include:

  • Dental implants. This is when a metal screw is placed into your jawbone. It acts like a new tooth root and supports a false tooth on top.
  • Dental bridges. This is a false tooth that’s placed in the gap and supported by the teeth on either side.
  • Dentures. These are removable false teeth, made of plastic or metal, used to replace several missing teeth or even a full set.

If you think you have any complications from a tooth extraction, contact your dentist immediately for advice.

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The health information on this page is intended for informational purposes only. We do not endorse any commercial products, or include Bupa's fees for treatments and/or services. For more information about the different payment options available for treatment: visit our ways to pay page.

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The information contained on this page and in any third party websites referred to on this page is not intended nor implied to be a substitute for professional medical advice nor is it intended to be for medical diagnosis or treatment. Third party websites are not owned or controlled by Bupa and any individual may be able to access and post messages on them. Bupa is not responsible for the content or availability of these third party websites. We do not accept advertising on this page.

  • Gadhia A and Pepper T. Oral surgery, extraction of teeth. StatPearls Publishing. www.ncbi.nlm.nih.gov, last updated June 2023
  • Missing teeth. American Dental Association. mouthheealthy.org, accessed October 2024
  • Extractions: Having a tooth removed. American Dental Association. mouthheealthy.org, accessed October 2024
  • Patient Information leaflet: Your guide to having teeth removed. NHS England. www.england.nhs.uk, accessed October 2024
  • Oral surgery. Oxford Handbook of Clinical Dentistry (7 ed, online). Oxford Medicine Online. academic.oup.com, published July 2020.
  • Tooth extraction: simple vs. surgical tooth removal. American Association of Oral and Maxillofacial Surgeons. myoms.org, last updated June 2019
  • What to expect after the operation. Royal College of Surgeons of England. rcseng.ac.uk, accessed October 2024
  • Returning to work. Royal College of Surgeons of England. rcseng.ac.uk, accessed October 2024
  • What to do following an extraction. Oral Health Foundation. dentalhealth.org, accessed October 2024
  • Complications after dental treatment. MSD Manuals. msdmanuals.com,last revised October 2022
  • Dental abscess. BMJ Best Practice. bestpractice.bmj.com, last reviewed June 2024
  • Bridges and partial dentures. Oral Health Foundation. dentalhealth.org, accessed October 2024
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Bupa Dental Care is a trading name of Oasis Dental Care Limited. Registered in England and Wales No: 00478127. Registered office: Bupa Dental Care, Vantage Office Park, Old Gloucester Road, Hambrook, Bristol, United Kingdom BS16 1GW.

Oasis Dental Care Limited has a number of trading names including Bupa Dental Care. Please see the list of our different trading names.

**Finance applicant must be aged 18 or over, a UK resident, have a UK bank account and be in permanent employment. All loans are subject to eligibility, status, affordability and a credit check. T&Cs apply. Finance is available on private dental treatments only.

The minimum spend for finance is £250 and the maximum is £50,000. 0% APR representative is available on repayment terms of up to 36 months subject to the amount of credit. Finance taken at repayment terms of 48 or 60 months is subject to 7.9% APR representative.

Bupa Dental Care is a trading name of Oasis Dental Care Limited, Vantage Office Park, Bristol, BS16 1GW, whose company registered number is 00478127. Oasis Dental Care Limited is authorised and regulated by the Financial Conduct Authority FCA registration number 710559. Oasis Dental Care Limited is a credit broker and not a lender.

Finance is provided by Novuna Personal Finance, a trading style of Mitsubishi HC Capital UK PLC, authorised and regulated by the Financial Conduct Authority. Financial Services Register no. 704348. Registered Office: Novuna House, Thorpe Road, Staines-upon-Thames, Surrey, TW18 3HP. Registered in Cardiff under company no. 1630491. The register can be accessed through www.fca.org.uk.

*A consultation will be required to determine an exact price before treatment. Prices quoted apply to simple extractions only; complex cases may incur additional costs. Sedation, specialist referrals, or additional treatments are not included in the standard price range. Aftercare advice is included as part of the quoted cost. Prices may vary by location and individual practice policies.

Bupa Insurance:

You need to let the dentist know that you have Bupa dental insurance and provide your membership number prior to your appointment to benefit from this offer. 10% or 20% discounts are available depending on the practice and the dentist you are seeing. To find the selected Bupa owned and approved network dental practices where this offer is available visit finder.bupa.co.uk and search the Bupa Dental Insurance Network. Discount excludes laboratory fees and specialist treatment and cannot be used against NHS and Bupa Dental Essentials services. Discount cannot be used in conjunction with any other discount.

Bupa Dental Insurance is provided by Bupa Insurance Limited. Registered in England and Wales with registration number 3956433. Bupa Insurance limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority.

Arranged and administered by Bupa Insurance Services Limited, which is authorised and regulated by the Financial Conduct Authority. Registered in England and Wales with registration number 3829851. Registered office: 1 Angel Court, London, EC2R 7HJ.

All UK Bupa Dental practices accept Visa, Master Card, and American Express cards.

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Bupa Dental Care is a trading name of Oasis Dental Care Limited, Vantage Office Park, Bristol, BS16 1GW, whose company registered number is 00478127. Oasis Dental Care Limited is authorised and regulated by the Financial Conduct Authority. FCA registration no: 710559.  Oasis Dental Care Limited is a credit broker and not a lender. 

All loans subject to eligibility, status, affordability and a credit check. Finance applicant must be aged 18 or over, a UK resident, have a UK bank account and be in permanent employment. Oasis Dental Care Limited is authorised and regulated by the Financial Conduct Authority. FCA registration no: 710559. Oasis Dental Care Limited is a credit broker and not a lender. Finance is provided by Novuna Personal Finance, a trading style of Mitsubishi HC Capital UK PLC, authorised and regulated by the Financial Conduct Authority. Financial Services Register no. 704348. Registered Office: Novuna House, Thorpe Road, Staines-upon-Thames, Surrey, TW18 3HP. Registered in Cardiff under company no. 1630491. The register can be accessed through www.fca.org.
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