Tooth extraction in London’s E20

Taking a gentle approach to tooth extraction at My E20 Dentist, to restore a healthy smile and renew your confidence.

A comfortable, safe environment
Skilled at caring for nervous patients
Experienced oral surgeon
Restore your smile with implants, dentures or bridges

A clinician talking a seated patient through treatment in a My E20 Dentist treatment room

The basics

About tooth extractions

Tooth extractions, while they might sound daunting, are routine dental procedures aimed at restoring oral health and relieving discomfort. Our specialist oral surgeon here at My E20 Dentist, Dr. Ionel Nistor, has many years of experience and extensive training, ensuring you’re in very good hands.

Although always a last resort, removing a tooth may be necessary for some of the following reasons:

A My E20 dentist talking a patient through their options

Decay

Fracture

Gum disease

Presence of extra tooth

Preparation for braces

Impacted wisdom tooth

The short version

Tooth extraction, in four lines - for anyone in a hurry.

01
Extraction is always a last resort, and the area is fully numbed with local anaesthetic so you stay comfortable throughout.
02
Most extractions are completed in 20 to 40 minutes. Surgical cases can take 45 minutes to an hour.
03
It is carried out by Dr Ionel Nistor, our oral surgeon, including impacted wisdom teeth other practices refer to hospital.
04
Initial healing takes about 1 to 2 weeks, and we will talk through implants, bridges or dentures if you need the tooth replaced.

Your oral surgeon

Dr. Ionel Nistor

GDC Number: 239889

Dr Ionel is a dentist with special interest in oral surgery and implantology working as a visiting dental and implant surgeon in multiple practices.

He qualified in Romania (2011), completed a Master’s in Clinical Dentistry in Oral Surgery (London, 2020), a PG Certificate in Implantology (London, 2019) and various other specialised courses with Buser & Sculean Academy in Switzerland and VSS Academy in UK. He is an active ITI member and a regular ITI study club attendee.

He is confident to do any advanced oral surgery procedure (difficult impacted wisdom teeth or any surgical extractions, cyst removal+/- apicectomies, simple and complex implant surgery with GBR +/- PRF, sinus floor elevation (transcrestal / lateral approach), hard and soft tissue grafting.

He is meticulous and passionate about dentistry and especially implantology with excellent communication skills. He always had outstanding relations with his patients and earned their trust through honest recommendations and thoroughly explained treatment plans.

Besides dentistry he loves swimming, cycling and snowboarding.

Meet Dr. Nistor

What to expect

What to expect during a tooth extraction

Your dentist will ensure you’re comfortable throughout the process, often using local anaesthesia to numb the area. Using specialised tools, they’ll gently remove the problematic tooth, prioritising your comfort and safety.

Once your tooth has been removed, our team will provide you with advice on post-extraction care, which includes simple things like gentle rinsing and avoiding certain foods for a while.

Remember, modern dentistry has made extractions smoother and more efficient than ever, so there’s no need to worry. Our team in London’s E20 will guide you through every step, ensuring your smile stays healthy and bright.

Talking it through

Your appointment starts with Dr Nistor talking through the procedure and answering any questions.

Numbing the area

The area is fully numbed with local anaesthetic, so you stay comfortable throughout.

Removing the tooth

Using specialist tools, the tooth is gently loosened and removed. A simple extraction usually takes between 20 and 40 minutes.

Aftercare

Dr Nistor cleans the area, places gauze to control any bleeding, and talks you through the aftercare plan before you leave.

Simple or surgical?

	Simple extraction	Surgical extraction
Used for	Teeth that are fully erupted and visible	Teeth broken below the gum line, impacted, or with curved roots
What's involved	Removed straightforwardly with local anaesthetic	A small incision in the gum, and a little longer in the chair
Appointment length	20 to 40 minutes	45 minutes to an hour
Recovery	Initial healing about 1 to 2 weeks	Similar to a simple extraction

Dr Nistor is highly experienced in both, including complex surgical cases that are often referred elsewhere.

Looking after yourself

Your first 48 hours

Mild swelling and discomfort are normal and can be managed with over-the-counter pain relief. A few simple habits protect the healing site.

What to avoid

For the first 24 to 48 hours, avoid hot drinks, alcohol, smoking, hard or crunchy foods, and anything that involves sucking (straws, sweets).

Eating and rinsing

Stick to cool, soft foods, and rinse very gently with warm salt water from the day after. Avoid brushing the extraction site directly for a few days.

Protecting the clot

Avoid smoking, drinking through straws, rinsing vigorously and strenuous exercise for the first 48 hours, to reduce the risk of dry socket.

Dr Nistor and the team will give you detailed aftercare instructions to follow, and if dry socket does happen, it can be treated quickly.

Afterwards

Replacing missing teeth

Replacing missing teeth after an extraction is like giving your smile a second chance! At My E20 Dentist we offer various options to restore your smile and regain full functionality. Whether it’s dental implants for a natural look and feel, a dental bridge to bridge the gap seamlessly, or dentures for a comfortable fit, we will help you decide on the most sustainable solution for you.

Our team will guide you through the process with care and expertise, ensuring you feel confident throughout and can look forward to a renewed smile and enhanced confidence.

Dental implants

For a natural look and feel.

Learn more

Dental bridge

To bridge the gap seamlessly.

Learn more

Dentures

For a comfortable fit.

Learn more

Nervous patient?

We’re here to help.

We understand that a visit to the dentist isn’t everyone’s favourite thing and oral surgery like a tooth extraction can feel particularly daunting. Our caring team is here to make you feel at ease throughout. We’ve created a relaxed atmosphere in our practice, and we use the latest technology to make your experience as comfortable as possible. From start to finish, we’re here to ensure you leave with a smile, feeling well taken care of.

Nervous patients

Have a dental emergency?

020 4572 0108

When dental pain or injury strikes, we’re here to help. Our dentists live locally, making it possible to see you quickly, with same-day and out of hours appointments available.

Call us

Good to know

Frequently asked questions

about tooth extractions My E20 Dentist

Do I need to replace a missing tooth?

Replacing a missing tooth is important for your smile’s confidence and chewing ability. Filling the gap can maintain jawbone health and prevent future dental issues. Your dentist here in London’s E20 will help you find the best solution, like implants or bridges, tailored to your needs.

How long will it take to recover from a tooth extraction?

Generally, the initial healing period lasts about 1-2 weeks, during which you may experience some discomfort, swelling, and minor bleeding. Most people are able to resume normal activities within a few days of having a tooth extraction. However, complete healing of the extraction site can take several weeks to months. It’s important to follow your dentist’s advice for optimal healing and to minimise the chance for complications.

What are the risks with a tooth extraction?

Tooth extractions typically don’t pose unusual risks and delaying the removal of a problematic tooth could potentially harm your health. Side effects like nerve damage and infection are rare but possible, so it’s important to follow our post-operative care instructions to ensure a smooth recovery.

Will tooth extraction hurt?

Pain during a tooth extraction is typically minimised with local anaesthesia, ensuring you feel little to no discomfort during the procedure. Afterward, some discomfort or mild pain may occur, but it can usually be managed with over-the-counter pain relief. Your dentist will ensure you’re as comfortable as possible throughout the process.

What happens step by step during a tooth extraction?

Your appointment will start with Dr Nistor talking through the procedure and answering any questions. The area is then fully numbed with local anaesthetic, so you stay comfortable throughout. Using specialist tools, the tooth is gently loosened and removed. The whole procedure usually takes between 20 and 40 minutes for a simple extraction. Once the tooth is out, Dr Nistor will clean the area, place gauze to control any bleeding, and talk you through the aftercare plan before you leave.

How long does a tooth extraction appointment take?

Most extractions are completed in 20 to 40 minutes. More complex cases, such as impacted wisdom teeth or surgical extractions, can take 45 minutes to an hour. Dr Nistor will give you a clear idea of how long your appointment will take at your consultation.

What’s the difference between a simple and a surgical extraction?

A simple extraction is for teeth that are fully erupted and visible, and can be removed straightforwardly with local anaesthetic. A surgical extraction is needed for teeth that are broken below the gum line, impacted, or have curved roots. These take a little longer and involve a small incision in the gum, but recovery is similar. Dr Nistor is highly experienced in both, including complex surgical cases that are often referred elsewhere.

How much does a tooth extraction cost?

The cost depends on whether your extraction is simple or surgical and on the position and complexity of the tooth. You’ll receive a clear, written quote at your consultation before any treatment goes ahead. Payment plans are available for more complex treatment.

What about wisdom tooth removal?

Wisdom teeth are often more complicated to remove because they sit at the back of the mouth and can be impacted (stuck under the gum or angled awkwardly). Dr Nistor has extensive experience with both simple and complex wisdom tooth removal, including the difficult impacted cases that other practices typically refer to a hospital. Most patients are seen in-house without needing an external referral.

What is dry socket and how can I avoid it?

Dry socket is a relatively rare complication where the blood clot at the extraction site is dislodged before the area has healed, leaving the underlying bone exposed. It can be painful and slow healing. To reduce the risk, avoid smoking, drinking through straws, rinsing your mouth vigorously, and strenuous exercise for the first 48 hours after your extraction. Dr Nistor and the team will give you detailed aftercare instructions to follow, and if dry socket does happen, it can be treated quickly.

Can I have sedation for my extraction?

For most extractions, local anaesthetic is enough to keep you completely comfortable. For more anxious patients or more complex surgical cases, sedation options can be discussed at your consultation. Dr Nistor will go through the right approach for you and the level of comfort you’ll feel during the procedure.

What should I avoid after a tooth extraction?

For the first 24 to 48 hours, avoid hot drinks, alcohol, smoking, hard or crunchy foods, and anything that involves sucking (straws, sweets). Stick to cool, soft foods, rinse very gently with warm salt water from the day after, and avoid brushing the extraction site directly for a few days. Mild swelling and discomfort are normal and can be managed with over-the-counter pain relief.

What if I’m worried about how the gap will look?

Where the extraction is towards the front of the mouth, Dr Nistor will plan the next steps with you, including options to replace the tooth quickly so the gap is closed. For wisdom teeth and other back molars, no replacement is usually needed. We’ll always talk through your options for replacement (implants, bridges, dentures) at the consultation, so you have a full picture before going ahead.

Book a tooth extraction consultation in London’s E20

Ready to start on your dental journey? Take the first step by scheduling an initial consultation at My E20 Dentist. We’ll explore your options for restoring your smile and help you take the next steps towards achieving your dental goals.

Request a consultation Call 020 4572 0108