Our Services

Wisdom Teeth Removal

Safe, expert removal of impacted or problematic wisdom teeth — from straightforward extractions to complex surgical cases — under local anaesthesia, sedation, or general anaesthetic in a private London hospital.

Understanding the Condition

Why Do Wisdom Teeth Cause Problems?

Wisdom teeth — the third molars — are the last teeth to develop, typically erupting between the ages of 17 and 25. In many people, there is simply not enough space in the jaw to accommodate them. As a result, they become impacted: partially or fully trapped beneath the gum or against neighbouring teeth.

Impacted wisdom teeth can cause a range of problems, from localised infection and pain to damage of adjacent teeth, cyst formation, and persistent crowding. Even wisdom teeth that appear to have erupted can harbour pockets of infection or be impossible to clean effectively.

The decision to remove wisdom teeth depends on your individual anatomy, symptoms, and risk profile. Mr Bhatti has removed over 10,000 wisdom teeth and provides clear, evidence-based guidance on when intervention is — and is not — warranted.

Signs You May Need Wisdom Teeth Removed

Pain or swelling at the back of the mouth, particularly during or after eating
Repeated episodes of infection or pericoronitis (inflammation of the gum over the tooth)
Decay in a wisdom tooth or damage to an adjacent molar
A cyst developing around an unerupted tooth
Crowding or shifting of teeth related to wisdom tooth pressure
Difficulty opening the mouth or jaw pain associated with wisdom tooth position

The Procedure

What Removal Involves

Wisdom tooth removal is one of the most commonly performed oral surgical procedures, but the complexity varies enormously depending on the tooth's position, depth, root anatomy, and proximity to important structures — including the inferior alveolar nerve and the maxillary sinus.

Local Anaesthetic

For straightforward cases, removal under local anaesthetic with or without oral sedation is performed in a clinic setting. Most patients are surprised by how comfortable the procedure is.

IV Sedation

Intravenous sedation is an excellent option for patients who feel anxious, or where multiple teeth are being removed at the same appointment. You will be relaxed and largely unaware of the procedure, but able to respond to instructions. Recovery is rapid.

General Anaesthetic

Where cases are particularly complex, multiple teeth require removal, or patient preference dictates, the procedure is performed under general anaesthetic in a CQC-registered private hospital. Mr Bhatti operates at London Bridge Hospital, Harley Street Clinic, and LIPS at Battersea Power Station.

Complex Cases

Some impacted wisdom teeth sit in close proximity to the inferior alveolar nerve, which runs through the lower jaw and supplies sensation to the lip and chin. In these cases, Mr Bhatti uses advanced imaging (CBCT) and may employ specialised techniques — including coronectomy, where the crown of the tooth is removed while the root tips are left in place — to minimise the risk of nerve injury.

Recovery

What to Expect Afterwards

Most patients experience some swelling and discomfort for three to five days following surgery. This is a normal part of healing and is well-managed with prescribed pain relief and simple post-operative care.

Swelling typically peaks at 48–72 hours and then resolves over the following week
A soft diet is recommended for the first few days
You should avoid smoking, vigorous rinsing, and strenuous exercise in the first 48 hours
Most people take three to five days off work, though recovery varies
Stitches, if used, are typically dissolvable and do not require removal

Mr Bhatti provides detailed written post-operative instructions and direct access to his team should any concerns arise during recovery.

“Wisdom tooth removal has a reputation for being difficult. The reality is that with proper assessment, the right anaesthetic choice, and an experienced surgeon, the vast majority of patients have a smooth, uneventful recovery.”
— Mr Nabeel Bhatti

Frequently Asked Questions

At what age should wisdom teeth be removed?

There is no universal age, but removal is generally easier in younger adults (late teens to mid-twenties) when the roots are less fully formed and bone is more elastic. However, wisdom teeth can be safely removed at any age if they are causing problems. Mr Bhatti will assess your X-rays and advise on whether and when removal is appropriate.

What is a coronectomy and when is it used?

A coronectomy involves removing the crown of the wisdom tooth while deliberately leaving the roots in place. It is used when the roots are in very close contact with the inferior alveolar nerve — the nerve that supplies sensation to the lower lip and chin. Removing only the crown significantly reduces the risk of nerve injury, while still resolving the problems caused by the visible part of the tooth.

How painful is wisdom tooth removal?

The procedure itself is performed under anaesthesia and should be entirely comfortable. Postoperative discomfort varies — some patients have very little, others experience more significant swelling and soreness for several days. Mr Bhatti prescribes appropriate pain relief and provides detailed aftercare instructions to make recovery as smooth as possible.

Can all four wisdom teeth be removed at once?

Yes, in most cases. Removing all four at a single appointment under sedation or general anaesthetic is often the most convenient option, particularly for patients who work or have other commitments. Mr Bhatti will advise on what is appropriate based on the complexity of each tooth.

To book a consultation, please contact us directly. No GP referral required for a private appointment.

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