Quick answer
An NHS tooth extraction in England costs £76.60 (Band 2) for a simple extraction, or £27.90 (Band 1) if it is an emergency-only extraction for pain relief. Private simple extractions cost £150–£300; surgical extractions (for impacted teeth, sectioned roots or difficult cases) cost £250–£600. Wisdom tooth surgical extraction costs £300–£700 privately. The procedure takes 5–30 minutes depending on complexity.
Key takeaways
A tooth extraction is one of the most common dental procedures in the UK. Whether you are facing a routine removal of a troublesome tooth or a complex surgical extraction of an impacted wisdom tooth, understanding the costs in advance helps you plan and avoid surprises.
On the NHS in England and Wales, tooth extractions are covered by Band 2 (£76.60). This covers:
Band 2 also covers any fillings, root canals or other Band 2 treatments needed in the same course of care. You pay one charge regardless of how many procedures are required.
| Nation | Cost | Notes |
|---|---|---|
| England | £76.60 (Band 2) | Per course of treatment, not per tooth |
| Wales | £76.60 (Band 2) | Same band system as England |
| Scotland | Free | Free for all registered NHS patients |
| Northern Ireland | ~£18–£42 | Item-of-service fees; exam + extraction |
| Type | UK average | London |
|---|---|---|
| Simple extraction (single root, accessible) | £150–£300 | £200–£400 |
| Surgical extraction (impacted, multi-root, broken) | £250–£600 | £400–£800 |
| Wisdom tooth (erupted, simple) | £200–£400 | £250–£500 |
| Wisdom tooth (impacted, surgical) | £300–£700 | £450–£900 |
| Root tip removal (root remains after fracture) | £200–£500 | £300–£700 |
| Under IV sedation (add-on) | +£300–£600 | +£400–£700 |
A simple extraction is used when the tooth is fully erupted (above the gum line), has a single straight root, and can be removed in one piece with forceps. Most straightforward tooth removals are simple extractions.
A surgical extraction is required when:
Most people experience some soreness and mild swelling for 2–5 days. Full healing of the socket takes 3–6 weeks for a simple extraction and 6–12 weeks for a surgical extraction. To aid recovery:
Before agreeing to an extraction, discuss whether any of these options are viable:
After extraction, the gap left will cause surrounding teeth to drift over time. Options to replace an extracted tooth include a dental implant, dental bridge, or partial denture.
An NHS tooth extraction in England and Wales is covered by Band 2 — £76.60. This one charge covers the consultation, X-rays (if needed), and as many extractions as required in a single course of treatment. If the extraction is an emergency-only procedure (pain relief) and no further treatment follows, it falls under Band 1 (£27.90). In Scotland, all NHS dental treatment is free.
Private simple tooth extraction typically costs £150–£300 in most UK cities, or £200–£400 in London. Surgical extraction (for impacted, broken or difficult teeth) costs £250–£600 outside London and £400–£800 in London. These prices usually include a local anaesthetic and post-operative instructions but may not include X-rays, which can add £20–£70.
A private wisdom tooth extraction costs £200–£400 for a simple erupted wisdom tooth and £300–£700 for a surgical removal of an impacted wisdom tooth. On the NHS, wisdom tooth extractions are covered by Band 2 (£76.60) at a dental practice. For complex impacted cases requiring a specialist oral surgeon, your NHS dentist can refer you to a hospital dental department where the procedure is free.
Yes. Band 2 (£76.60) covers all extractions needed within a single course of treatment, not just one tooth. If you need four teeth extracted over two appointments, you still pay only £76.60 total (plus any other Band 1 or 2 treatment in the same course). This makes the NHS exceptional value for multiple extractions.
A simple extraction (a tooth with a complete root that is accessible) takes 5–15 minutes after the anaesthetic takes effect. A surgical extraction (for impacted teeth, broken roots, or teeth with curved roots) takes 20–60 minutes. Most patients feel some soreness for 2–5 days afterwards; normal healing takes 1–3 weeks.
A surgical extraction is needed when a tooth cannot be removed in one piece or is not fully erupted. The dentist or oral surgeon makes an incision in the gum, may remove a small amount of bone, and often sections the tooth to remove it in pieces. Impacted wisdom teeth, teeth with multiple curved roots, and broken-off root tips typically require surgical extraction.
Yes. Most tooth extractions in the UK are done under local anaesthetic (a numb injection). If you need general anaesthetic — usually for complex cases, severe dental phobia, or multiple extractions at once — this is typically carried out as a day-case procedure at a hospital. Under the NHS (via referral) this is free. Private dental sedation costs £300–£600 and general anaesthetic costs £800–£2,000+ depending on the facility.