Simple extraction
The tooth is fully through the gum with straight, separate roots and can be lifted without cutting. Usually twenty to thirty minutes.
£250
Oral surgery · Wimpole Street, Marylebone
Wisdom tooth extraction in Marylebone: removing third molars only when they are causing harm
Wisdom teeth arrive last, usually between seventeen and twenty-five, into a jaw that often has no room left. Some come through cleanly and are never a problem. Others jam against the tooth in front, break partly through the gum and trap food beneath a flap, or decay where no toothbrush can reach. UK guidance is clear that healthy, symptom-free wisdom teeth should be left alone, and that is our position at Wimpole Street: a tooth is removed because it is infected, decayed, damaging its neighbour or repeatedly painful. Straightforward extractions will be £250, more difficult ones £450 and surgical removal of an impacted tooth £650, all under local anaesthetic with X-rays and a written quote first.
- Simple £250
- Surgical £650
- 30–60 minutes per tooth
Suitability
Is it right for you?
A good fit when
- Repeated episodes of pericoronitis, the swollen, sore gum flap over a partly erupted tooth.
- Decay in the wisdom tooth itself that cannot be cleaned or filled properly because of its position.
- A tooth pressing into the second molar and causing decay or root damage on that tooth.
- A cyst or bone change around an unerupted tooth seen on a radiograph.
- Wisdom teeth in the way of planned orthodontic or restorative treatment.
- A tooth that has fractured or is causing a cheek ulcer from biting.
Think twice, or choose another route, when
- A fully erupted, cleanable, symptom-free wisdom tooth. Guidance is to monitor, not remove.
- Deeply buried teeth lying against the main nerve of the lower jaw with no symptoms, where the risk of removal outweighs the benefit.
- An acute infection with facial swelling or difficulty swallowing; this is settled first, often with antibiotics, before extraction.
- Patients on certain bone medications or blood thinners without prior liaison with their doctor.
- Cases that need a general anaesthetic or a hospital setting, which we refer on rather than attempt in the chair.
The process
How it works at Wimpole Street
- 01
Examination and radiograph
A small X-ray, or a panoramic view for lower teeth, shows the angle of the tooth, how much root has formed, and how close it sits to the nerve canal and the sinus. From this the dentist grades the extraction as simple, complicated or surgical and gives you a fixed fee.
- 02
Consent
The specific risks for your tooth are explained, including the likelihood of nerve disturbance for lower teeth and sinus involvement for upper ones, and any alternatives such as leaving the tooth under review.
- 03
Anaesthetic
Local anaesthetic numbs the tooth, the gum and the surrounding jaw. For lower wisdom teeth this takes a little longer to work and we wait until the lip and tongue are fully numb.
- 04
Removal
A simple extraction loosens the tooth with gentle pressure and lifts it out. A surgical extraction lifts a small flap of gum, removes a little bone around the tooth or divides it into sections so each piece comes out with less force.
- 05
Closing and haemostasis
The socket is cleaned and, where a flap was raised, closed with dissolving stitches. You bite on gauze for ten to fifteen minutes until a clot forms.
- 06
Aftercare and review
Written instructions, pain relief advice and a direct number to call. Stitches dissolve on their own within a week to ten days; a review is arranged if the extraction was surgical.
Choices
Options & materials
Complicated extraction
Partly erupted, curved or fused roots, or a tooth that fractures during removal and needs sectioning. Around thirty to forty-five minutes.
£450
Surgical extraction
Impacted or buried teeth that need a gum flap, bone removal and division. Up to an hour, with stitches afterwards.
£650
Deeply impacted or high-risk teeth
Teeth wrapped around the nerve canal or requiring hospital facilities are quoted individually or referred to an oral surgery unit.
Quoted after imaging
Fees
What it costs
| Item | Fee |
|---|---|
Assessment New-patient rate (usual fee £95). Radiographs £20 each. | £30 |
Simple wisdom tooth extraction Erupted tooth, straightforward roots. | £250 |
Complicated extraction Partly erupted, awkward roots or sectioning required. | £450 |
Surgical extraction Impacted tooth needing a flap and bone removal; stitches included. | £650 |
Post-operative review Where clinically indicated after a surgical extraction. | Included |
Indicative Wimpole Street fees, the same as at South Kensington and St Paul's. A written plan with the exact figure is agreed before anything is started.
Outcomes
What the result looks like
Once the socket has healed the source of infection or pain is gone and the tooth in front is no longer under threat. Most people are back to normal within two or three days after a simple extraction and within a week after surgical removal; the gum closes over in one to two weeks.
The first two days are the most uncomfortable, particularly for lower surgical cases, where swelling and stiffness peak around day two before settling. A wisdom tooth is not replaced; the gap has no effect on chewing or appearance.
Afterwards
Looking after the result
- Rest for the remainder of the day and keep your head raised; avoid exercise for forty-eight hours.
- Do not rinse, spit or use a straw for twenty-four hours, so the clot stays in the socket.
- From the next day, rinse gently with warm salt water after meals for a week.
- Take ibuprofen and paracetamol as advised, ideally before the anaesthetic wears off, rather than waiting for pain.
- Cold, soft food for the first day or two, then warm soft food; chew on the other side.
- No smoking for at least seventy-two hours; it is the single biggest avoidable cause of a dry socket.
Informed consent
Risks and honest limitations
Every treatment has trade-offs. These are the ones we discuss at the consultation so that a decision is made with full information rather than after the fact.
- Dry socket. The clot is lost and bone is exposed, causing a deep ache from around day three. It affects a small percentage of extractions, more often in smokers and lower teeth, and is treated with a medicated dressing.
- Nerve disturbance. Lower wisdom teeth sit near nerves to the lip, chin and tongue. Temporary altered sensation occurs in a small minority of surgical cases; lasting change is rare but not impossible, and the radiograph helps us estimate your individual risk.
- Sinus involvement. Upper wisdom tooth roots can sit close to the sinus floor; a small communication may open and usually heals on its own, occasionally needing further treatment.
- Infection of the socket, bleeding that restarts, bruising and stiffness that lasts longer than expected.
- Damage to the filling or crown on the neighbouring tooth, which is more likely when that tooth is heavily restored.
- Root fragments. A tiny tip may be deliberately left if removing it would risk the nerve; you are told if this happens.
FAQ
Questions patients ask
No. National guidance advises against removing wisdom teeth that are healthy and causing no trouble. We recommend extraction only for infection, decay, damage to the next tooth, cysts or repeated pain.
Expect soreness for a few days, more after a surgical removal than a simple one, with swelling peaking on day two. Regular over-the-counter pain relief is usually enough. Pain that worsens sharply after day three suggests a dry socket and warrants a call.
It can be done under local anaesthetic if the teeth are straightforward, and it compresses the recovery into one period. Many patients prefer one side at a time so they can still chew comfortably. Either is acceptable.
Only after a surgical extraction where the gum has been lifted. They dissolve within seven to ten days and do not need removing.
It is real for lower wisdom teeth and depends on how close the roots sit to the nerve canal, which the radiograph shows. Temporary numbness of the lip or tongue occurs in a small minority of surgical cases; lasting change is rare. If the risk is high we discuss leaving the tooth or referral.
Yes. Assessment and extraction are available now at South Kensington and St Paul’s at the same fees, with any review in Marylebone from 1 October 2026.
Keep reading
Related treatments and guides
Marylebone, W1
Wisdom tooth extraction at Wimpole Street from 1 October 2026
Register your interest and we will contact you as soon as the Marylebone diary is live. If you would rather start sooner, the same clinicians already see patients in South Kensington and at St Paul’s.
Opening 1 October 2026
Wimpole Street is not yet seeing patients. Until then, please book or call our South Kensington clinic on 020 7183 2362 or our St Paul's clinic on 020 7183 3709. Questions about the new clinic: wimpolestreet@md.co.uk.
Until we open
Need an appointment before 1 October 2026?
The same clinical team already works from two other Medical & Dental clinics. Book at either one now and, if you prefer, move your ongoing care to Wimpole Street once the doors open.
South Kensington
- 20 Old Brompton Road, London SW7 3DL
- Open seven days a week
- 020 7183 2362
St Paul's, City of London
- 5 Ave Maria Lane, London EC4M 7AQ
- Open Monday to Friday
- 020 7183 3709
