ORAL SURGERY

Surgical removal of teeth

Your dentist, doctor or specialist may refer you to an Oral and Maxillofacial Surgeon for the removal of teeth when there is a difficult clinical situation or complex co-existing medical condition. Teeth may be infected, inaccessible or be close to vital structures such as blood vessels or nerves.

Surgical tooth removal — patient in dental chair

Quick answer about this procedure

QUICK ANSWER

Surgical extraction of broken, retained or unrestorable teeth that cannot be managed in a general dental setting. Usually performed under local anaesthesia with intravenous sedation (twilight anaesthesia), or under general anaesthesia where preferred.

Procedure
Surgical extraction of complex teeth
Anaesthesia
Local · Sedation · GA
Duration
30–60 min
Stay
Day-stay
Recovery
3–7 days

IS THIS FOR YOU?

Specialist surgical extraction is usually considered when:

  • The tooth is fractured at or below the gum line and cannot be removed in a general dental setting
  • Roots are infected, retained, or anatomically inaccessible
  • The tooth is close to vital structures such as the inferior alveolar nerve or maxillary sinus
  • A complex co-existing medical condition makes routine extraction unsafe
  • Intravenous sedation or general anaesthesia is preferred for patient comfort
WHO PERFORMS THIS

The surgeons who perform this procedure

Both surgeons listed below perform this procedure at OMS Specialists. Each carries dual qualifications in medicine and dentistry plus Fellowship from the Royal Australasian or English College.

Mr Richard Cobb, Specialist Oral and Maxillofacial Surgeon

Mr Richard Cobb

Specialist Oral & Maxillofacial Surgeon

BDS · MBBS · MFDS(Eng) · MRCS(Eng) · DHMSA · FRCS(OMFS)

  • Oral Surgery
  • Jaw Surgery
  • Facial Surgery
  • Skin Surgery
View full profile
Mr Ryan Smit, Specialist Oral and Maxillofacial Surgeon

Mr Ryan Smit

Specialist Oral & Maxillofacial Surgeon

BDS · MBChB · MRACDS(PDS) · FRACDS(OMS)

  • Oral Surgery
  • Jaw Surgery
  • Facial Surgery
  • Skin Surgery
View full profile

RECOVERY TIMELINE

Recovery timeline

  • 0–1 day

    First 24 hours

    Most patients return home the same day. Rest with the head elevated, ice for 20 minutes each hour while awake, soft diet, and prescribed pain medication as needed.

    Red flags · Heavy bleeding not slowed by pressure, fever over 38.5°C, or severe swelling worsening after day 2.

  • 1–7 days

    Day 2–7

    Swelling peaks around day 2–3 then settles. Most patients return to desk-based work within 3 to 5 days. Soft diet continues.

  • 8–28 days

    Week 2–4

    Dissolvable sutures fall away, diet transitions back to normal, and most patients have fully resumed daily activity.

RISKS & HONESTY

Risks we discuss before consent

  • Bleeding

    Some bleeding for the first 24 hours is normal; firm pressure with gauze controls it. Patients on blood-thinners are managed in consultation with their prescribing doctor.

  • Dry socket

    Loss of the blood clot from the extraction site, typically around day 3–5, causing sharp pain. Treated with a medicated dressing in clinic.

  • Post-operative infection

    Infection of the extraction site can occur in the days after surgery. Prescribed mouthwash and any antibiotics should be used as directed.

  • Damage to adjacent structures

    Where the tooth lies close to nerves, the maxillary sinus or adjacent teeth, careful technique minimises but does not eliminate risk to those structures. CBCT imaging is used pre-operatively when proximity is a concern.

FREQUENTLY ASKED

Common questions about surgical extraction

Why did my dentist refer me to a specialist instead of removing the tooth themselves?

General dentists routinely manage straightforward extractions and many simpler oral surgical cases in their own rooms. Specialist oral and maxillofacial surgeon involvement is usually recommended when teeth are impacted within the jawbone, fractured at the gum line, or closely related to important structures such as the inferior alveolar nerve (which supplies feeling to the lower lip and chin) or the maxillary sinus, or when intravenous sedation (twilight anaesthesia) or general anaesthesia is preferred.

What anaesthetic will I have?

Most complex surgical extractions are performed under local anaesthesia with intravenous sedation (twilight anaesthesia) in one of our purpose-designed clinic rooms. Local anaesthesia alone is appropriate for simpler cases. General anaesthesia is reserved for multiple complex extractions, longer cases, or for patients who are particularly anxious.

How much does surgical extraction cost?

Costs vary with the complexity of the procedure, the anaesthesia chosen, and whether private health insurance covers part of the treatment. At your consultation a full written estimate is provided covering the surgeon fee, anaesthetist fee (if applicable), theatre fee and follow-up appointments. Southern Cross and Nib commonly cover most procedures under their surgical plans.

How long is recovery?

Most patients return to desk-based work within 3 to 5 days. Soft diet, head elevation and prescribed pain medication are usually advised for the first few days, with swelling and bruising settling across the first week. Physical work and exercise can usually resume around 2 weeks.

START THE CONVERSATION

Three pathways to specialist care

DIRECT

Request an appointment

Online form. Our admin team will respond within one working day.

Request appointment

CLINICIANS

Refer a patient

For GPs, dentists and specialists. Secure referral portal with imaging upload.

Refer a patient

SPEAK DIRECTLY

Call (09) 477 0058

Mon to Fri, 8:00am to 5:00pm. Reception will route your call to the right person.

Call (09) 477 0058