Oral Surgery & teeth removal
Extractions & Oral Surgery in Marbella
Gentle, precise surgical care including wisdom teeth removal and socket preservation
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.
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.
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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.
Consultation & Assessment
A thorough clinical and radiographic assessment to determine the best surgical approach and plan your procedure
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
Anaesthesia & Comfort
The surgical area is completely numbed; sedation options are available for anxious patients or complex procedures
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.
The Procedure
The tooth is carefully removed using techniques that preserve the surrounding bone and tissue for optimal healing
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.
Post-Operative Care & Recovery
Detailed aftercare instructions and, if needed, follow-up appointments to ensure smooth, comfortable healing
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.
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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.
Extractions & Oral Surgery FAQ's
Common questions about tooth removal and surgical procedures in Marbella
Oral surgery covers more than just removing teeth. At our clinic it includes procedures such as simple and surgical extractions, impacted wisdom tooth removal, apicectomies, exposing buried teeth for orthodontics, sinus lifts before implants, bone grafting, and other surgical treatments affecting the teeth and jaws.
We only recommend extraction when a tooth cannot be predictably saved or when keeping it would create bigger problems. That may be because the tooth is too badly broken down, too loose, badly infected, cracked beyond repair, or blocking other important treatment.
A simple extraction is when a tooth can be removed straightforwardly because it is visible and accessible. A surgical extraction is needed when the tooth is impacted, partly trapped under the gums or bone, or otherwise difficult to remove in one piece, which is often the case with wisdom teeth.
Not all wisdom teeth need to come out. We usually recommend removal when there is not enough room for them to erupt properly, when they are repeatedly causing gum infections, when they are difficult to clean and becoming decayed, when they are causing pain or difficulty opening the mouth, or when they are damaging the tooth in front of them.
A 3D full-facial X-ray helps us see exactly where the jaw nerve is in relation to the roots of an impacted wisdom tooth. That is a major safety advantage in wisdom tooth extraction Marbella cases, because it greatly improves planning and reduces the risk of damaging important structures.
The procedure itself is carried out under local anaesthetic, so you should not feel pain during the extraction. Afterwards, some soreness, swelling, or bruising is normal depending on how complex the procedure was, but we guide you carefully on how to manage recovery.
Yes. We can offer oral sedation and inhalation sedation for patients with milder dental anxiety, and for bigger procedures we can also arrange sedation or general anaesthesia with a specialist anaesthesiologist who comes to the clinic. That can be very helpful for more involved oral surgery Marbella cases or for very anxious patients.
Recovery varies depending on the tooth and the complexity of the procedure. Many routine extractions settle fairly quickly, while surgical extractions such as impacted wisdom teeth can take longer and may involve more swelling and a few days of reduced comfort.
For the first few days, softer foods are usually best. As the area heals, you can gradually return to your normal diet, but the exact advice depends on the procedure performed and we always give you specific instructions before you leave.
Yes, when clinically necessary they can be carried out safely, especially if there is an infection or a real risk to oral health. The important thing is to tell us you are pregnant so we can plan the treatment and precautions appropriately.
An apicectomy is a minor surgical procedure where we remove the tip of a tooth root when a previous root canal has not settled properly. If retreatment of the root canal still does not fully solve the problem, this can be a useful way of dealing with the persistent infection while still trying to keep the tooth.
Yes. Extraction is not our first choice when a tooth can still be saved predictably with treatment such as a filling, crown, root canal, or gum treatment. But when saving the tooth is no longer a sensible long-term option, removing it can be the healthiest and most honest recommendation.
Our current pricing lists simple extractions from 119€ and complex extractions from 189€, with impacted wisdom teeth sometimes costing more depending on the difficulty. We always explain any extra complexity in advance so the quotation is clear before treatment goes ahead.
After a simple extraction, some patients do return to normal quite quickly, but after more complex surgery it is often sensible to rest. It depends on the difficulty of the procedure, the amount of swelling expected, and the type of work you do.
Yes, we always try to help promptly when a patient is in pain or dealing with infection. In urgent tooth extraction Marbella situations, the first step is to assess the tooth and the surrounding tissues carefully so we can decide whether the tooth should be removed straight away or whether another stage, such as controlling infection first, would be safer.
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