Eruption and angle
A tooth standing upright and fully through the gum is simple. One tilted forward into the second molar or lying horizontally is surgical, because bone must be removed to reach it.
Fees guide · Wimpole Street, Marylebone
Wisdom tooth extraction cost in London: three grades of difficulty, three fees
The price of removing a wisdom tooth is decided almost entirely by how the tooth is sitting. One that has erupted fully with straight roots lifts out in minutes; one lying sideways under bone has to be uncovered, divided and removed in pieces. At Wimpole Street those situations are priced at £250, £450 and £650 respectively, graded from the radiograph before you commit, so the figure you are quoted is the figure you pay. The assessment and X-rays are billed separately at the first visit. This guide sets out each fee, what pushes a tooth from one grade to the next, what is and is not included, how four teeth add up and how our prices sit against the wider London market.
Typical range
£250 – £650
Per tooth, graded from the radiograph. Assessment £30 for new patients (usual fee £95); radiographs £20 each.
Price list
Wimpole Street fees
| Treatment | Fee |
|---|---|
Assessment New-patient rate, usual fee £95. Examination, discussion and a written quote. | £30 |
Radiograph Small film or panoramic view to grade the tooth and check nerve and sinus proximity. | £20 each |
Simple extraction Erupted tooth with favourable roots. Local anaesthetic, removal, gauze and aftercare advice. | £250 |
Complicated extraction Partly erupted or awkward roots, or a tooth that needs sectioning. Local anaesthetic and aftercare. | £450 |
Surgical extraction Impacted tooth needing a gum flap and bone removal. Dissolving stitches and review included. | £650 |
Emergency assessment for acute pain New-patient rate; settling pericoronitis or infection before extraction is planned. | £30 |
Fees apply from 1 October 2026 and mirror our South Kensington and St Paul's price lists. Your own figure is confirmed in writing after an examination.
Variables
What changes the price
Root shape
Fused or straight roots come out as one piece. Curved, splayed or hooked roots often mean the tooth is divided first, which moves it into the complicated grade.
Upper or lower
Upper wisdom teeth sit in softer bone and are more often simple. Lower ones are surrounded by dense bone and lie near the nerve, so they are more frequently graded surgical.
Infection at the time
An acutely infected tooth may need a first visit to settle things down before it can be removed. That visit is an assessment fee, not an extraction fee.
Number of teeth
Each tooth is graded and priced on its own. Removing two at one visit does not attract a discount, but it does save a second appointment and a second recovery.
Referral
Teeth wrapped around the nerve canal, or patients who need a general anaesthetic, are referred to an oral surgery unit whose fees are separate and usually higher.
Small print
What's included, and what isn't
Included in the fee
- Local anaesthetic, however long it takes to work.
- The extraction itself, including sectioning of the tooth if needed.
- Dissolving stitches after a surgical extraction.
- Gauze, written aftercare instructions and a contact number for concerns.
- A review appointment after surgical removal where indicated.
- Treatment of a dry socket, should one develop.
Charged separately
- The assessment fee (£30 for new patients) and radiographs at £20 each.
- Antibiotics or prescription pain relief where clinically needed.
- A separate emergency visit to settle infection before the extraction can go ahead.
- Referral fees for hospital or specialist oral surgery.
- Sedation, which is not offered in the chair at Wimpole Street.
- Repair to a neighbouring filling or crown that is damaged during removal.
Paying
Spreading the cost
Single extractions are usually paid on the day. Where several teeth are planned, for example two surgical removals at £1,300, the total can be spread over up to twelve months interest-free on eligible plans, subject to status, which would be about £108 a month.
Finance is subject to status and terms apply. Medical and Dental Limited is a credit broker, not a lender. Monthly figures are illustrations; your own terms are confirmed in writing before you sign.
Context
How we compare
Private wisdom tooth removal in London generally costs between £150 and £400 for a simple extraction and £300 to £800 or more for surgical cases, with specialist oral surgeons and hospital settings at the upper end. Quotes below the bottom of those ranges often exclude the radiograph, the stitches or the review, so the eventual bill is higher than the headline figure.
Our £250 to £650 range is the same across all three Medical & Dental clinics, is graded before you agree to anything and includes the follow-up. Where a tooth is beyond what should be done in a general practice chair, we say so and refer rather than attempt it.
FAQ
Questions about cost
From the radiograph. The dentist grades the tooth at the assessment and writes the fee into your plan. If a tooth unexpectedly proves harder on the day, the quoted fee still stands.
No. Radiographs are £20 each and taken at the assessment visit. Lower wisdom teeth usually need a panoramic view to check the nerve, which is the same £20.
Four simple extractions would be £1,000; four surgical would be £2,600. Most people fall somewhere between, often with simple uppers and surgical lowers, and each tooth is itemised on the plan.
If it is healthy and not troubling you, yes, and that is what guidance recommends. Once a tooth is repeatedly infected or decaying, delay tends to add emergency visits and antibiotic courses rather than saving money.
For larger plans, yes: interest-free over up to twelve months on eligible plans, subject to status. Medical and Dental Limited is a credit broker, not a lender, and terms apply.
Yes. These prices apply now at South Kensington and St Paul’s and from 1 October 2026 in Marylebone.
Marylebone, W1
A written quote before anything begins
Wimpole Street opens 1 October 2026. Register now for the Marylebone diary, or book a consultation at South Kensington or St Paul's where the same fees already apply.
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
