Oral Surgery & teeth removal

Extractions & Oral Surgery in Marbella

Gentle, precise surgical care including wisdom teeth removal and socket preservation

Gentle extractions by experienced surgeons
Wisdom teeth and surgical cases handled in-house
Socket preservation when appropriate
Clear recovery guidance after treatment

When a tooth genuinely cannot be saved, extraction should be done carefully and with a plan. We focus on making the procedure as gentle as possible, protecting the surrounding tissues, and thinking ahead if an implant or other replacement may be needed later. 

Benefits of an Tooth Extraction in Marbella

A carefully planned extraction resolves the immediate problem while protecting the long-term future of your mouth. 

 

1
Removes pain and infection safely
2
Resolves problematic wisdom teeth
3
Prevents ongoing damage to neighbouring teeth
4
Preserves bone where appropriate
5
Creates a cleaner foundation for future treatment

Types of Dental Extractions in Marbella

Not all extractions are the same. A simple extraction removes a tooth that is visible above the gum line and can be loosened and removed with standard instruments. A surgical extraction is needed when a tooth is broken below the gum line, impacted (trapped in the bone), or has curved or fused roots. At R&H Dental Marbella, our experienced oral surgeons handle both types with precision and care, ensuring your comfort throughout.

We always prioritise saving teeth when possible. Extraction is recommended only when a tooth is beyond repair, poses a risk to neighbouring teeth, or needs to be removed for orthodontic reasons. When extraction is necessary, we discuss all replacement options (implants, bridges, or dentures) before proceeding.

Wisdom Teeth Extraction in Marbella

Wisdom teeth (third molars) are the most commonly extracted teeth. They often become impacted — meaning they're trapped beneath the gum or growing at an angle — which can cause pain, infection, and damage to adjacent teeth. At R&H Dental, we use 3D imaging to assess the exact position of your wisdom teeth and plan the safest, most efficient removal.

 



  • 3D CBCT scanning for precise surgical planning


  • Local anaesthesia with optional sedation for nervous patients


  • All four wisdom teeth can usually be removed in one session


  • Socket preservation available if an implant is planned for the site

Socket Preservation After Tooth Extraction in Marbella

When a tooth is extracted, the bone that supported it begins to shrink immediately. If you're planning to replace the tooth with an implant, socket preservation (bone grafting at the time of extraction) can maintain the bone volume and shape, making future implant placement easier and more predictable. At R&H Dental, we routinely offer socket preservation when implant placement is anticipated.

Our Safety-first Process

A carefully planned approach from assessment to recovery.

1

Consultation & Assessment

tooth-filling-restoration-marbella

A thorough clinical and radiographic assessment to determine the best surgical approach and plan your procedure

2

Anaesthesia & Comfort

root-canal-marbella

The surgical area is completely numbed; sedation options are available for anxious patients or complex procedures

3

The Procedure

The tooth is carefully removed using techniques that preserve the surrounding bone and tissue for optimal healing

4

Post-Operative Care & Recovery

Detailed aftercare instructions and, if needed, follow-up appointments to ensure smooth, comfortable healing

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Transparent Pricing

No hidden fees, no surprises. Financing available up to 60 months.

Simple Extraction from 100€
Surgical Extraction from 200€
Wisdom Tooth Removal (per tooth) from 250€
Complex / Impacted Wisdom Tooth from 400€
Socket Preservation (bone graft) from 250€
Sedation (if required) from 200€

Prices depend on the complexity of the extraction and whether additional procedures (bone grafting, sedation) are required. A detailed quotation is provided after your consultation and X-ray assessment.

Tooth extraction in Marbella: your questions answered

Deciding whether to remove a tooth

When is tooth extraction necessary?

Extraction may be appropriate when a tooth cannot be restored predictably, has severe loss of support or causes another significant problem. R&H assesses options for preservation first and explains why removal is recommended for the individual tooth.

Will R&H consider saving my tooth before recommending extraction in Marbella?

Yes. A filling, protective restoration, root canal or periodontal care may be considered when appropriate. The aim is a realistic long-term option, not keeping every tooth regardless of prognosis. Ask what makes conservation reasonable or unreliable in your case.

Does a painful tooth automatically need extraction?

No. Toothache needs a diagnosis, and many painful teeth can be treated without removal. Tell the clinic about your symptoms so the assessment addresses the cause rather than booking extraction solely because the tooth currently hurts.

Can a badly broken tooth still be saved?

Sometimes, depending on the fracture, remaining structure, pulp and supporting tissues. Damage extending into difficult areas may reduce restoration prospects. The dentist explains whether a repair is feasible before comparing removal and any replacement options.

Why can advanced gum disease lead to extraction?

Severe loss of the tissues supporting a tooth can make it too unstable to retain predictably. The decision requires periodontal assessment, not mobility alone. Ask about the condition of neighbouring teeth and any broader gum-care plan needed.

Does a failed root canal always mean extraction?

No. Retreatment or apical surgery may be options when the tooth remains restorable. Extraction is considered if further conservation is unlikely to succeed or is unsuitable. The cause of failure should be understood before choosing the next step.

Can teeth be removed as part of orthodontic treatment?

Sometimes extraction forms part of an agreed orthodontic plan. It should follow a specific assessment and instruction from the treating team, not an assumption that crowding always needs removal. Confirm which tooth and the intended timing before the procedure.

What is the difference between a simple and surgical extraction?

A simple extraction usually removes an accessible erupted tooth. Surgical removal may involve access through gum tissue, limited bone removal or dividing the tooth. Root shape and position determine the approach more than the visible size of the tooth.

Can I request a second opinion about tooth extraction in Marbella?

Yes. If the situation allows time, another assessment can clarify the prognosis and alternatives. Bring available images and the existing recommendation, and confirm consultation fees. Do not delay assessment of worsening infection while waiting for a routine second opinion.

Do I have to replace every extracted tooth?

Not always. The need depends on the tooth, bite, neighbouring teeth and your priorities. R&H discusses replacement options, including when no replacement may be appropriate, before extraction so you understand the likely consequences of leaving a space.

Wisdom tooth assessment

Do all wisdom teeth need removal?

No. A wisdom tooth that is healthy and not causing problems may be monitored. Examination considers disease, cleanability, position and effects on neighbouring teeth. The decision should weigh expected benefits and risks rather than remove teeth automatically.

What does an impacted wisdom tooth mean?

An impacted tooth has not erupted normally and may be blocked by gum, bone or another tooth. Its position can make assessment and removal more complex. Being impacted alone does not describe every risk or establish the need for surgery.

Why can a partly erupted wisdom tooth cause repeated gum infections?

Its position may leave an area difficult to clean where food and deposits collect. Recurrent inflammation or infection requires assessment of the tooth and surrounding tissues. The dentist considers whether continued monitoring or removal is appropriate.

Can a wisdom tooth damage the molar in front?

An unfavourable position or difficult cleaning can be associated with decay or damage affecting the adjacent tooth. Imaging and examination help assess both teeth. Planning should consider the neighbouring molar rather than looking only at the wisdom tooth.

Does lack of pain mean a wisdom tooth is healthy?

Not necessarily. Some decay or neighbouring-tooth problems may not be painful. Routine assessment can identify changes, but a painless retained tooth is not automatically a surgical case either. The decision comes from the complete findings.

Why might a panoramic X-ray be taken for wisdom teeth?

It can provide an overview of tooth position, roots and surrounding structures relevant to planning. The dentist selects imaging to answer specific questions; a panoramic image may be sufficient for some cases, while others require additional detail.

Does wisdom tooth removal always require a 3D scan?

No. CBCT is reserved for cases where additional anatomical detail could affect the decision or technique. The field should match the clinical question. A full-face scan is not a default requirement for every wisdom tooth.

Why is the relationship between roots and nerves important?

Some lower wisdom teeth lie near important nerves. Their relationship influences risk discussion and surgical planning, sometimes including referral or alternative approaches. Imaging helps clarify anatomy but cannot eliminate the possibility of nerve-related complications.

Can all four wisdom teeth be removed in one session?

The number treated together is an individual decision based on complexity, health, anaesthesia and recovery arrangements. It should not be assumed that one session is best for everyone. Ask whether staging the procedures would suit your circumstances.

Can every wisdom tooth removal be performed at R&H in Marbella?

Not necessarily. R&H assesses the complexity and appropriate setting; referral may be recommended when the required expertise or facilities differ. Confirm who will perform the procedure and where before assuming every impacted tooth can be treated in-house.

Preparing for your procedure

What happens at a tooth extraction assessment?

At an R&H tooth extraction assessment in Marbella, the dentist reviews your history, examines the tooth and uses indicated imaging to assess roots and surrounding anatomy. You discuss preservation options, the proposed procedure, relevant risks, anaesthesia and aftercare before deciding whether to proceed.

Why do you need my medication list before oral surgery?

Medicines can affect bleeding, healing, anaesthesia or prescription choices. Provide an accurate list and relevant medical history before the procedure. This allows appropriate planning instead of discovering an important precaution only once the extraction appointment has started.

Should I stop blood-thinning medication before extraction?

Do not change it yourself. Tell the dentist exactly what you take so bleeding risk and the procedure can be planned together. Any medication instructions must be individualised; many dental procedures can be managed without simply stopping prescribed treatment.

Should I mention previous problems with bleeding or healing?

Yes. Explain any unusual bleeding, difficult healing or prior surgical complications during assessment. These details can affect precautions and follow-up. A previous problem does not automatically prevent extraction, but it should inform your individual plan.

Can necessary extraction be considered during pregnancy?

Pregnancy does not mean a necessary dental problem should remain unassessed. Inform the team so the indication, imaging and anaesthetic plan reflect your circumstances, with medical coordination where needed. Do not assume every procedure must wait until after delivery.

Will the tooth be numbed before it is removed?

Local anaesthesia is usually used and its effect checked before proceeding. Pressure or movement may still be noticeable. Tell the clinician if you feel pain so they can pause and adjust the anaesthetic or other comfort measures.

Can I discuss sedation for oral surgery if I am very anxious?

Yes. Sedation options require individual assessment and confirmation of the technique, clinician, setting and availability. R&H should clarify whether referral is needed. Do not assume every sedation method or general anaesthesia is available for every extraction.

Will I need someone to accompany me?

Ask when the anaesthetic plan is agreed. Sedation can require an escort and restrictions on driving or independent travel afterwards. Confirm the actual instructions beforehand so transport and support are arranged for the procedure you will receive.

Should I fast before my appointment?

Follow the instructions for your planned anaesthetic or sedation technique. Do not apply a generic fasting rule from another patient's experience. Ask the clinic in advance what to do about food, drink and usual medication before attending.

What should I understand before consenting to extraction?

Know which tooth will be removed, why, the alternatives, relevant risks, expected recovery and the quote. Also clarify any grafting or sedation proposed. You should be able to ask questions before accepting additional procedures as part of the plan.

The procedure and related surgery

How is a straightforward extraction performed?

An accessible tooth is loosened with appropriate instruments and removed with controlled movements. The clinician aims to protect surrounding tissues, but the actual technique depends on the tooth and roots. A simple label does not mean no recovery precautions are needed.

Why might the gum need to be opened?

A tooth that is retained, fractured or difficult to access may need a small surgical flap. This provides access for controlled removal. The dentist explains why this approach is needed and how it affects sutures, aftercare and recovery.

Why might a tooth be divided before removal?

Dividing a tooth can help remove it in sections when its position or root anatomy makes one-piece removal less suitable. This is a planned technique in some surgical extractions, not automatically evidence that the procedure has gone wrong.

Can an extraction affect neighbouring structures?

Relevant risks can include effects on adjacent teeth, nerves or the sinus, depending on the location. These should be discussed for your specific anatomy. Careful planning aims to reduce risk, but cannot promise that complications are impossible.

What is socket preservation?

Socket preservation places suitable graft material in selected extraction sites to help limit ridge changes. R&H may discuss it when replacement planning makes it useful. It is an additional procedure with its own indication, risks and cost.

Does every extraction need a bone graft?

No. Whether grafting is worthwhile depends on the site, tissue condition, infection and future replacement plan. Ask what benefit is expected for you and what happens without it; socket preservation is not an automatic part of every tooth removal.

Does socket preservation prevent all bone loss?

No. It aims to limit some changes after extraction, but cannot stop every change or guarantee that a later implant needs no further grafting. The expected benefit should be discussed in relation to your site and restoration plan.

What other procedures fall under oral surgery?

R&H's published scope includes procedures such as surgical extractions, apicectomies and exposure of retained teeth, with other surgery assessed as appropriate. A broad service description does not establish suitability or availability for your case; ask about the exact procedure.

How is an apicectomy different from extraction?

Apicectomy treats an area around the root tip while aiming to retain the tooth. Extraction removes the tooth. For persistent disease after root treatment, the dentist assesses whether retreatment, surgery or removal offers the most reasonable option.

Will I need stitches after a surgical extraction?

Stitches may be needed depending on the access, wound and any grafting. Ask what type is used and whether a removal appointment is required. Do not assume that all stitches dissolve or that every extraction must be sutured.

Recovery and when to contact us

How long does recovery take after extraction?

Recovery varies with the tooth, surgical complexity and your health. Some routine extractions settle relatively quickly, while impacted wisdom teeth can need longer. Follow your own recovery plan rather than treating an estimated number of days as a guarantee.

Are swelling and bruising expected?

Some swelling, discomfort or bruising can occur during the first days, especially after surgery. What matters is the pattern and progression. Contact the clinic if symptoms are severe, worsening or accompanied by fever rather than assuming all swelling is routine.

What can I eat after an extraction?

Soft foods may be more comfortable initially. Wait until numbness has resolved before chewing and follow instructions about temperature and protecting the wound. Return to your usual diet according to the procedure and how the area is healing.

How should I clean my mouth after surgery?

Follow the written instructions for the wound, rinsing and surrounding teeth. The timing and technique matter, particularly where stitches or grafting are present. Ask for clarification before leaving rather than applying a vigorous cleaning routine to a fresh surgical site.

What is a dry socket?

Dry socket is a painful complication in which the protective clot does not form properly or is lost before healing. New or increasing socket pain needs dental assessment; do not assume it can be diagnosed or resolved from a photograph alone.

Can I smoke during recovery?

Smoking can increase the risk of complications and should be avoided during recovery. Ask for instructions suited to your procedure and help with cessation if needed. A wound that seems comfortable is not proof that smoking is harmless while it heals.

Are antibiotics routinely needed after every extraction?

No. Routine dental surgery does not automatically require antibiotics. They are considered when the clinical situation warrants them. Follow the prescription if one is given, and ask the treating clinician about concerns rather than starting leftover medication yourself.

What if bleeding does not stop?

Follow the pressure instructions provided and seek prompt dental help if bleeding persists or restarts. Mention any anticoagulant or antiplatelet medication. Uncontrolled bleeding needs urgent assessment rather than waiting for a routine follow-up message to be answered.

Which symptoms need emergency help rather than routine follow-up?

Difficulty breathing or swallowing, especially with progressing swelling, requires emergency help through 112. Persistent bleeding, worsening pain, fever or increasing swelling also need prompt assessment. Know the contact arrangements before leaving, including what to do outside clinic hours.

When is the postoperative review?

R&H's published surgery guidance mentions review around 7–10 days, but your appointment depends on the procedure, healing and sutures. Confirm your actual date before leaving and contact earlier if symptoms are concerning; the planned review is not a waiting instruction.

Costs, timing and practical planning

What is the starting price for a simple tooth extraction at R&H in Marbella?

R&H's verified treatment guidance lists simple extraction from 119€. The actual quote depends on assessment and any additional procedures. Confirm the tooth, planned approach and included care rather than treating the starting fee as a price for every case.

What is the guide price for a complex extraction?

The clinic's FAQ guidance lists complex extraction from 189€, while impacted wisdom teeth may cost more. Assessment of access, roots and surgical needs establishes the appropriate category and price; request a written quote for the planned procedure.

Are wisdom tooth prices quoted per tooth?

The published page presents wisdom tooth removal prices per tooth, with different starting figures for more complex or impacted teeth. Confirm which category applies and whether imaging, grafting or other care is additional before comparing quotations.

Is socket preservation included in the extraction fee?

It should be identified separately in your plan if proposed. The page lists socket preservation as an additional procedure with its own starting price. Ask about its indication, alternatives and total cost before deciding to include it.

How long should I allow for a tooth extraction or oral surgery appointment?

The verified clinic guidance gives around 30–90 minutes for extraction or oral-surgery appointments. The removal itself may be shorter, but assessment, anaesthesia and aftercare need time. Confirm the planned duration for your specific procedure.

Can I go back to work the same day?

Some patients resume light activities after simple removal; more involved surgery may require rest. Discuss whether your work is physical and the anaesthetic plan. Sedation adds specific restrictions, so recovery arrangements should be settled before the appointment.

Can I drive myself home?

The answer depends on the procedure, medication and whether sedation is used. Sedation can make driving unsafe and requires specific restrictions and support. Obtain clear instructions in advance rather than assuming that every extraction allows independent driving afterwards.

When can an extracted tooth be replaced?

The timing depends on healing, infection, bone, soft tissues and the chosen replacement. It is not a fixed waiting period for everyone. Discuss the overall plan before removal, including whether a temporary replacement or additional procedures are appropriate.

Does the free first check-up include an extraction?

No. The first-check-up offer concerns examination; extraction and additional surgical work have separate fees. Same-day emergency assessment also has its own appointment category. Tell reception your symptoms and confirm the scope and expected costs before attending.

How do I request an extraction assessment in Marbella?

Contact R&H with the tooth involved, symptoms, relevant medical information and any existing recommendation. Reception confirms the appropriate appointment. Assessment establishes whether removal is needed and how to plan it; submitting a request does not confirm a surgical booking.

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