Tooth Extraction Prices 2026
Calculate your TDB 2026 reference fee for a standard extraction, surgical extraction, or impacted (wisdom) tooth extraction.
Extraction difficulty varies with the condition of the tooth. The spectrum runs from a simple extraction of a loose or erupted tooth to surgical removal of an impacted tooth. The exact type is determined at clinical examination.
If multiple teeth are planned in the same session or across consecutive sessions, set the total number.
Approximate Clinician Fee
TDB 2026 reference · VAT excluded
Surprised?
This figure reflects the TDB 2026 minimum guideline tariff. For a personalised quote, please get in touch.
Reference fees are based on the TDB 2026 Guideline Tariff (5-1 Tooth Extraction, 5-4 Surgical Extraction, 5-3 Impacted Tooth Extraction). Prices shown are exclusive of VAT. Extraction difficulty is determined by clinical examination and radiograph.
Tooth extraction prices are one of the most frequently researched topics for patients presenting with advanced decay, trauma, orthodontic planning needs, or impacted wisdom tooth complaints. Tooth extraction is the procedure in which a tooth that cannot be saved is removed from the mouth through atraumatic techniques, without damaging the surrounding tissues. In modern dentistry, extraction is a last resort — wherever possible, keeping the natural tooth in the mouth is preferred.
Indications for extraction include teeth too damaged for root canal treatment to save, fractures extending to the root tip, mobile teeth that have lost bone support due to advanced gum disease, extractions to create space for orthodontic treatment, jaw cysts, and impacted wisdom teeth. Planning a suitable replacement option — a dental implant or a bridge — for the resulting gap is important so that neighbouring teeth and the opposing arch aren’t affected.
At our clinic Doredent in Avcılar, Istanbul, tooth extractions are performed by our clinical team using modern local anaesthesia techniques, piezosurgery devices, atraumatic extraction instruments (forceps, luxators, periotomes), and surgical approaches where needed. Root anatomy is examined in detail with digital radiography before treatment; for complex cases, 3D tomography (CBCT) may be preferred.
Tooth extraction cost varies with whether the extraction is simple, complicated, or surgical; the position of the tooth (anterior / posterior / impacted); root number and anatomy; the patient’s overall health (use of blood thinners, diabetes); the need for sedation or general anaesthesia; and whether grafting or implant planning is being considered afterwards.
What Is Tooth Extraction and When Is It Necessary?
Tooth extraction is the procedure in which a tooth is separated from its bony socket and removed without damaging the surrounding soft and hard tissues. The technique used varies with the condition and anatomy of the tooth. While forceps (special extraction pliers) are sufficient for simple extractions, impacted teeth may require bone removal and sectioning of the tooth into pieces.
Indications for tooth extraction include: teeth too damaged for root canal treatment to save, fractures reaching the root tip, mobile teeth that have lost bone support due to advanced gum disease, orthodontic need when baby teeth don’t shed, premolar extractions for space creation in orthodontic treatment, teeth with structural damage from jaw cysts or tumours, impacted or semi-impacted wisdom teeth (causing pain, infection, or damage to a neighbouring tooth), and teeth requiring focus clearance before radiotherapy. Every extraction decision is made after clinical examination and radiographic assessment; wherever possible, the tooth is preserved with root canal treatment, a crown, or periodontal treatment.
Types of Tooth Extraction
Different extraction techniques are used depending on the condition and position of the tooth:
Simple Extraction
Standard ProcedureThe extraction of a tooth that is visible in the mouth, has uncomplicated root anatomy, and isn’t impacted in the bone, using forceps under local anaesthesia. The procedure typically takes 10–20 minutes. Teeth with straight, single roots (incisors, canines) are completed faster. Bleeding is controlled with a gauze pack pressed onto the site afterwards.
Complicated Extraction
Moderate DifficultyThe extraction of teeth with complex root anatomy, fractured or root canal–treated teeth, teeth with curved root tips, or multi-rooted teeth. The tooth usually needs to be sectioned and the roots removed individually. Specialised instruments such as luxators and periotomes are used. The procedure takes 30–60 minutes.
Surgical Tooth Extraction
Advanced CasesUsed for partially or fully impacted teeth, fractured roots, teeth with apical cysts, or teeth that haven’t fully erupted in the mouth. The gum is reflected, a bone window is created (with bone removal if needed), and the tooth is removed. Sutures are then placed. These extractions require surgical experience and specialised equipment.
Impacted Wisdom Tooth Extraction
Specialist ProtocolUsed when wisdom teeth (third molars) remain impacted or semi-impacted and exert pressure on neighbouring teeth, causing pain, inflammation, and decay. Lower impacted wisdom teeth in particular require careful surgical management because of their proximity to the mandibular nerve. CBCT is used in advance to evaluate the root-nerve relationship.
The Tooth Extraction Process
Modern tooth extraction has become a painless and comfortable clinical experience. A standard extraction proceeds as follows:
Assessment and Radiograph
The clinician first carries out a clinical examination and assesses the tissues surrounding the tooth, the neighbouring teeth, and the gum condition. A digital periapical radiograph is then used to examine the root structure, bone quality, and surrounding anatomic structures (sinus, nerve canal). The relationship between root and the mandibular nerve is particularly important in lower wisdom teeth; in complex cases, CBCT (3D tomography) is preferred.
Medical History and Preparation
The patient’s medications (particularly blood thinners: aspirin, Xarelto, warfarin), systemic conditions (diabetes, heart disease, hypertension), allergies, and pregnancy status are reviewed. Consultation with relevant specialists is arranged where needed. For patients on blood thinners, dose adjustment or temporary pausing is decided in coordination with their physician.
Local Anaesthesia
The extraction site is fully numbed with modern local anaesthetic agents. Infiltration is used for upper teeth, and a mandibular block for lower posterior teeth. The patient starts to feel numbness within 3–5 minutes. No pain is felt during the procedure; only pressure and mechanical movement.
Luxation and Loosening of the Tooth
Fine, sharp hand instruments called luxators are first used to cut the periodontal ligament fibres between the tooth and the bony socket, gradually loosening the tooth. This step is the foundation of atraumatic extraction — the looser the tooth, the easier and more comfortable the extraction. Modern periotome instruments make this step far more delicate.
Extraction and Socket Cleaning
Once sufficiently loose, the tooth is removed from its bony socket using the appropriate forceps. In multi-rooted teeth, the tooth is sectioned first if needed. After extraction, infected tissue, granulation tissue, and debris are cleaned out of the socket with a curette. The socket is then irrigated with sterile saline.
Grafting or Implant (Optional)
To prevent bone loss in the extraction socket and preserve adequate bone volume for future implant treatment, grafting (socket preservation) can be performed. In suitable cases, an immediate implant can be placed in the same session. These adjunct procedures are planned in advance and discussed with the patient.
Sutures and Aftercare Advice
Sutures are placed in surgical extractions (impacted teeth, flap cases); simple extractions usually don’t require sutures. The patient bites on a sterile gauze pack for 15–30 minutes to control bleeding. A prescription is written (pain relief; antibiotics if needed). Detailed post-operative instructions (cold compresses, no rinsing, avoiding hard foods) are explained.
Factors Affecting Tooth Extraction Prices
The cost of tooth extraction cannot be quoted as a single flat figure — it varies noticeably with the condition of the tooth and the difficulty of the extraction. The main factors are:
Difficulty of the Extraction
There is a significant cost difference between a simple extraction and a surgical extraction. The TDB tariff lists four separate codes: simple tooth extraction, complicated tooth extraction, impacted tooth extraction, and bone-retained impacted tooth extraction. Each category requires different time, technique, and equipment — and that feeds directly into cost.
Position of the Tooth
Anterior teeth (incisors) are usually single-rooted and have straight anatomy, making them easier to extract. Posterior molars can have three to four roots, each of which must be removed individually. Lower wisdom teeth require a more careful surgical approach because of their proximity to the mandibular nerve. In upper posterior extractions, the relationship with the maxillary sinus must be considered.
Root Anatomy and Fractures
Teeth with straight, single roots are easier to extract. Curved roots (hooked), dilacerated roots, root canal–treated teeth (which have a high risk of fracture), or teeth where only a fractured root remains require specialised techniques. The root retrieval procedure is priced separately in such cases.
Systemic Conditions and Medication
In patients with diabetes, hypertension, or heart disease, the pre-treatment assessment is more extensive. Patients on anticoagulants (blood thinners) require special haemostasis techniques; platelet-rich fibrin (PRF) or specialised haemostatic materials may be used. In patients on bisphosphonates, additional precautions are taken due to the risk of MRONJ (medication-related osteonecrosis of the jaw).
Adjunct Procedures (Grafting, Immediate Implant)
Socket preservation, grafting, and membrane applications used to prevent bone loss after extraction add to the cost. If immediate implant placement at the same session is preferred, the implant cost is calculated separately. These adjunct procedures are determined according to the patient’s treatment plan.
Sedation or General Anaesthesia
For highly anxious patients, multiple impacted wisdom tooth extractions, or special situations, sedation (IV or oral) or general anaesthesia may be preferred. These approaches add the cost of an anaesthesia team and medications. General anaesthesia may sometimes be necessary in paediatric patients and in patients with disabilities.
Comparison of Tooth Extraction Types
| Criterion | Simple Extraction | Complicated | Impacted Wisdom |
|---|---|---|---|
| Procedure Time | 10–20 min | 30–60 min | 45–90 min |
| Sutures | Usually none | Some cases | Yes |
| Gum Incision | None | Sometimes | Yes |
| Bone Removal | None | Rarely | Usually yes |
| Antibiotic Need | If indicated | Often | Always |
| Healing Time | 3–7 days | 7–14 days | 10–21 days |
| Pain Level | Mild | Moderate | Moderate–High |
| Complication Risk | Low | Moderate | Moderate–High |
Frequently Asked Questions
With modern local anaesthesia techniques, no pain is felt during the procedure — only pressure and mechanical movement. After the anaesthesia wears off (2–4 hours), moderate pain can occur at the extraction site and is controlled with prescribed pain relief. In surgical extractions (such as impacted wisdom teeth), pain can last a little longer and antibiotics may be needed. Pain peaks in the first 24 hours and then eases.
For the first 30 minutes, bite firmly on the gauze pack to support clot formation. For the first 24 hours, don’t rinse your mouth, don’t spit, and avoid sucking motions (including drinking through a straw). Smoking can dislodge the clot and lead to a dry socket — pause for at least 48–72 hours. Stick to soft, lukewarm foods and avoid very hot drinks and hard foods. Cold compresses (10 minutes on, 10 minutes off) on the first day help reduce swelling. Take your medications exactly as prescribed.
Dry socket (alveolar osteitis) occurs when the clot in the extraction socket is lost early for various reasons, exposing and infecting the bone. It presents as severe throbbing pain 2–4 days after extraction. Smoking, vigorous rinsing, sucking motions, and poor aftercare are the main causes. Treatment by your clinician with a special dressing and medication resolves it in 1–2 weeks. It’s more common after lower wisdom tooth extractions.
The gap left after extraction causes neighbouring teeth to drift towards the space over time and teeth in the opposing arch to over-erupt (supraeruption). Significant bone loss also begins. The space should be replaced as soon as possible. Options include: dental implant (gold standard), fixed bridge, or removable prosthesis. In orthodontic extractions, the space is closed in a planned way as part of treatment. The right solution for each case is planned by the clinician.
No. If a wisdom tooth has erupted in the correct position, fits the bite, and is functional, there is no need to extract it. However, impacted, tilted, or semi-impacted wisdom teeth press on the neighbouring second molars, increase the risk of decay and inflammation, and can cause problems during orthodontic treatment. Symptomatic wisdom teeth and impacted teeth that damage neighbouring teeth should be extracted. Asymptomatic wisdom teeth can be monitored with regular check-ups.
Yes, but careful planning is required. If you are on anticoagulants such as aspirin, Coumadin, Xarelto, or Eliquis, your cardiologist or internist is consulted before treatment to adjust dosage. Some medications can be paused entirely; others cannot (e.g. Plavix in patients with recent stents). Extraction can be performed safely with modern haemostasis techniques, PRF, and dedicated sutures. You must tell your clinician about all of your medications before treatment.
Except in emergencies (severe pain, abscess), elective tooth extraction is postponed during pregnancy. When required, the safest period is the second trimester (months 4–6). The anaesthetic agents used (particularly articaine and lidocaine) are safe in pregnancy. Safe antibiotics (amoxicillin) can be prescribed if needed. Panoramic radiographs can be taken with a lead apron for protection. Elective extraction is not recommended in the first trimester or the final weeks of the third trimester.
There are several protocols. Immediate implant: placed in the same session as the extraction (in suitable cases). Early implant: placed 4–8 weeks later. Delayed implant: 3–6 months of healing first. The choice is based on bone volume, presence of infection, and aesthetic expectations. If socket preservation (grafting) is performed after extraction, implant placement becomes more predictable.
Wherever possible, the natural tooth is preserved. A tooth that can be saved with root canal treatment should not be extracted. However, vertical fractures reaching the root tip, complete loss of crown structure, failed previous root canal treatments, and untreatable periodontal issues require extraction. Preserving the tooth with root canal treatment is usually both more economical and more natural than extraction + implant.
SGK covers extractions performed in contracted state hospitals and oral and dental health centres. Extractions in private clinics are outside SGK coverage; some private health insurance policies may partially cover surgical extractions and impacted wisdom tooth extractions. In urgent and complex cases, patients may prefer experienced private clinics.
