Tooth Extraction in Islington | Emergency Dentist Islington
Tooth Extraction in Islington — Safe, Careful Removal When It Is Needed
At Emergency Dentist Islington, tooth extraction is only recommended when it is the most appropriate clinical option. Our team will always assess whether a tooth can be retained through restorative or endodontic treatment before extraction is considered. Where removal is necessary, we carry out the procedure with care, using local anaesthetic to keep you comfortable throughout.
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When Is a Tooth Extraction Necessary?
- Severe tooth decay that has destroyed too much structure for a filling or crown
- Advanced gum disease causing significant bone loss and loose teeth
- Irreparable tooth fracture — particularly vertical root fractures
- Dental abscess where infection is too advanced for root canal treatment
- Impacted wisdom teeth causing pain, infection, or damage to adjacent teeth
- Orthodontic treatment — creating space for teeth to be straightened
- Failed root canal treatment where re-treatment is not viable
Impacted Wisdom Teeth
Wisdom teeth typically emerge between ages 17 and 25. When there is insufficient space, they become impacted. Signs a wisdom tooth may need removal include:
- Persistent pain or pressure at the back of the mouth
- Swelling, redness, or tenderness of the gum around the wisdom tooth
- Repeated episodes of infection (pericoronitis)
- Difficulty opening the mouth fully
- Pain or damage to the adjacent second molar
- A bad taste or smell arising from the area
What Does Tooth Extraction Treatment Involve?
- Assessment and X-Rays — Thorough examination and digital X-rays to assess position, root anatomy, and surrounding bone.
- Local Anaesthetic — The area is numbed before treatment. Patients feel pressure and movement rather than sharp pain.
- Simple Extraction — For fully erupted, accessible teeth using specialist instruments.
- Surgical Extraction — For impacted teeth, curved roots, or teeth fractured at the gumline. May involve a small incision.
- Aftercare Advice — Clear written and verbal instructions to support healing and minimise complications.
Tooth Replacement After Extraction
Over time, surrounding teeth can drift into the gap and underlying bone can resorb. Replacement options include:
- Dental Implants — A long-term fixed replacement that integrates with the jawbone
- Dental Bridge — A fixed restoration supported by adjacent teeth
- Partial Denture — A removable replacement option
Why Choose Emergency Dentist Islington for Tooth Extraction?
- Same-day emergency extractions where clinically appropriate
- GDC-registered dentists experienced in simple and surgical extractions
- Digital X-rays on-site for accurate pre-extraction assessment
- Local anaesthetic used throughout for comfort
- Clear aftercare instructions provided following every extraction
- Tooth replacement options discussed at the same appointment
- Transparent pricing — all costs discussed before treatment
Frequently Asked Questions
Is tooth extraction painful?
Tooth extraction is carried out under local anaesthetic. Most patients report feeling pressure or movement rather than sharp pain. Some tenderness and mild swelling in the days following is normal.
How long does it take to recover from a tooth extraction?
Most patients find initial discomfort settles within two to four days. Soft tissue typically heals within one to two weeks, though full bone healing takes longer.
What is dry socket and how do I avoid it?
Dry socket occurs when the blood clot is dislodged before healing. Avoid smoking, rinsing vigorously, or drinking through a straw in the 24 hours following extraction.
Do all impacted wisdom teeth need to be removed?
Not necessarily. A symptom-free, fully impacted wisdom tooth may be monitored. However, one causing recurrent infection or damage is generally better removed.
How soon can I eat after a tooth extraction?
Soft foods are recommended for the first 24 to 48 hours. Avoid hot foods, alcohol, hard or crunchy foods, and vigorous chewing near the extraction site.
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