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Emergency tooth extraction, serving Liverpool, Merseyside, Cheshire, Lancashire areas

Merseyside Tooth Removals: Surgical Extractions

Information for Dental Referrals

We would like to make you aware and invite referrals to our recently established dental service, Merseyside Tooth Removal & Oral Surgery.

We can help you out by offering your patients a service that specialises in difficult extractions and a range of soft tissue procedures.

At MTR, we are accepting:

  • Referrals from GDPs for Oral Surgery
  • Redirected patients who are unable to get an appointment/are unregistered but require an extraction.

We have all been in a situation where we suspect a tooth might break or we’ve needed to refer a patient because the tooth requires a surgical extraction. Perhaps the patient has had a history of difficult extractions.  The next time this situation arises, please let us see if we can help you and your patient out.  We offer simple, complex, or surgical extractions as a one-off service under LA.

We can also help your reception teams as they can re-direct anyone who is not registered with your practice or who you don’t have capacity to see, who is searching for somewhere to have a tooth out.

Your patients can avoid lengthy NHS waiting times and opt for a private service to remove their problem tooth or complete their soft tissue procedures. We have access to rapid turn-around for pathology lab reporting.

Severe pain or swelling
If you are suffering from severe swelling which is inhibiting your ability to breathe, this is a medical emergency and you must seek urgent help from your nearest A&E department.


This is a guide to our fees, exact prices may change depending on the complexity of the extraction after assessment on the day:

Merseyside Tooth Removal & Oral Surgery

Simple extractions . . . . . . . . . . . . . £145

Complex/surgical extractions . . £210 / £245                                        

(A complex extraction might involve a retained root or a broken tooth)

Wisdom teeth removal . . . . . . . . . £265
(it may be necessary to refer you to have an OPG radiograph done at £35 extra charge to enable us to better assess your tooth before removal)

Soft tissue procedures from . . . £250
(the soft tissue procedures include cost of path laboratory histology report)

If you require more than one tooth out the second tooth may be charged according to its difficulty.  We can provide you with a fully costed treatment plan.

Surgical Extractions

Usually the Dentist will be able to determine if a tooth will require surgical extraction from examining your tooth and X-Ray. However, occasionally there are times when it is not evident that a tooth will need surgical removal until part-way through the procedure – for example if the tooth breaks during the procedure.

Other reasons may include if the tooth is very broken down, if it is impacted or if it has particularly curved or long roots.

The Dentist will make every effort to avoid surgical removal of a tooth, however sometimes the procedure can be quicker and less painful if they take steps to surgically remove the tooth in the first place.

Surgical extractions can take longer and require more equipment and skill, hence the further charge.

Surgical procedures involve making a small cut (incision) in the gum to be able to access the tooth. A small piece of the bone covering the tooth may also need to be removed.

The tooth or roots may then need to be cut into smaller pieces to make it easier to remove them through the opening.

As with routine extractions, you will just feel pressure and pushing and should not feel any pain. The Dentist will ensure you are completely numb before carrying out the procedure.

Post Extraction Instructions

The anaesthetic will wear off in a few hours and sensation will begin to return. Take care to avoid biting your lips/cheek/tongue.


  • Hot drinks and chewing food until sensation has fully returned.

Oral Hygiene

  • Keep your teeth clean with gentle tooth brushing if possible.


  • Avoid hard, chewy foods.
  • Stick to a softer diet for a few days following your extraction.


  • Vigorous exercise, smoking and alcohol for 24 hours after the procedure.

The day after your extraction

  • Use a hot salt-water mouth rinse (1tsp of salt in warm water).
  • Take a mouthful and hold it still for a couple of minutes before spitting out.
  • Repeat 4 times daily for at least a week to help healing.

Corsodyl (chlorhexidine) mouthwash will help reduce plaque if tooth brushing is difficult.


  • Blood stained saliva is normal for the first 1-2 days following extraction.
  • Do not rinse your mouth for 24 hours following extraction as this may disturb the blood clot and cause bleeding.
  • If persistent bleeding occurs, roll up a piece of gauze and place it over the wound and bite firmly for at least 20 minutes without taking it out.
  • If bleeding continues after this – please contact the surgery on 0151 673 1230.

Pain Relief

  • The local anaesthestic used means that there should be no pain straight after having your tooth out.
  • Discomfort is normal following tooth removal and tends to be worse on the 2nd or 3rd day but gradually improves over a period of 7-10 days. ·
  • Simple painkillers such as Paracetamol & Ibuprofen (if you are able to take these) should control the pain. Avoid aspirin.


  • If you have had stitches placed during your procedure – these will dissolve on their own over 7-14 days. You do not need to return to have them removed.


  • It is not unusual to have swelling after having a tooth removed and should reach it’s maximum 2-3 days after the procedure. Any swelling should resolve by 10 days and bruising by 14 days after the procedure.

It is vitally important to follow the instructions above. Failure to do so can result in a very painful infection called ‘dry socket’ which will need to be treated in surgery.

Call us any time day or night on

0151 673 1230

Painful, sore, aching, broken, rotten tooth that needs pulling out?

Do you want a bad tooth removing?

Suffering severe toothache and want your tooth extracting?

Tooth pain so bad you just want it taken out now?

Have you been waiting so long and just want to get your tooth removed?

Struggling to find an NHS dentist and need a tooth removed?

Merseyside Tooth Removal & Oral Surgery: Terms & Conditions