Extractions & Oral Surgery in Marbella

When is extraction necessary?

We always try to save natural teeth when possible, but extraction becomes necessary in certain situations: teeth that are too severely decayed or damaged to restore, advanced periodontal (gum) disease with significant bone loss, impacted or problematic wisdom teeth, teeth causing crowding (often before orthodontic treatment), fractured teeth below the gum line, and teeth with failed root canal treatment that cannot be retreated.

Pre-surgical planning

Before any extraction or surgical procedure, we take detailed X-rays and, for complex cases such as impacted wisdom teeth, a 3D CBCT scan. This imaging reveals the exact position of the tooth roots, their proximity to important structures (nerves, sinuses), and any complicating factors. We discuss the procedure, anaesthesia options, expected recovery, and replacement options (implant, bridge, or nothing) if applicable.

• Digital X-rays and 3D CBCT scanning for complex cases 
• Assessment of root anatomy and proximity to vital structures
• Discussion of anaesthesia and sedation options
• Post-operative care planning
• Tooth replacement options discussed in advance

Pain-free surgical care

All extractions and oral surgery procedures are performed under effective local anaesthesia — you will not feel pain during the procedure. We use topical numbing gel before injections and employ a slow, gentle technique to minimise injection discomfort. For nervous patients or more complex surgical procedures, we offer conscious sedation options to help you feel calm and relaxed throughout.

Surgical environment

Our surgical suite meets the highest standards of sterility and infection control. We follow rigorous sterilisation protocols and use single-use instruments where possible. The environment is calm, controlled, and designed for both patient comfort and surgical precision.

Simple extractions

For teeth that are fully erupted and accessible, a simple extraction involves loosening the tooth with specialised instruments (elevators) and then removing it with forceps. The technique focuses on controlled, gentle movements that minimise trauma to the surrounding bone and gum tissue. A simple extraction typically takes 10–30 minutes.

Surgical extractions & wisdom teeth

Impacted wisdom teeth, broken teeth, and teeth with complex root anatomy may require a surgical approach. This involves creating a small gum flap, sometimes removing a small amount of bone, and often sectioning the tooth into pieces for easier, less traumatic removal. While this sounds daunting, the procedure is carefully planned using 3D imaging and performed with precision to minimise discomfort and promote optimal healing.

Socket preservation

When a tooth is removed and an implant is planned for that site, we may perform a socket preservation procedure — placing bone graft material into the extraction socket to maintain the bone volume needed for future implant placement. This proactive step prevents the bone loss that naturally occurs after extraction and gives you the best foundation for a successful implant.

Recovery expectations

Most patients experience some swelling and mild discomfort for 2–3 days after extraction. We provide clear, written aftercare instructions and prescribe appropriate pain relief and, when necessary, antibiotics. Cold compresses, soft foods, and rest are the keys to a smooth recovery. Surgical extractions (including wisdom teeth) may involve 5–7 days of recovery.

Follow-up care

For surgical extractions, we schedule a follow-up appointment at 7–10 days to check healing and remove any stitches. We're always available by phone or WhatsApp if you have any concerns during your recovery. Our team will also discuss the timeline for replacing the tooth if needed — whether with an implant (typically 3–6 months after extraction) or a bridge.