Extractions & Wisdom Teeth

A last resort but with us you are in Safe Hands!

Removing Teeth

It has always been our practice philosophy that tooth extraction be an absolute last resort and this is still the way that we would advise anybody. However, there is sometimes no option but to remove an unrestorable tooth or to provide a more predictable long-term option.

We would like to ensure that our clients have all of the information necessary for them to make a decision about extraction before they make a commitment.

Because we provide a lot of surgical dentistry we are able to offer lots of options with regards to extractions. Broadly speaking there are 3 different types of extraction technique:

  • Conventional – this is the quickest technique used when access is easy and a tooth may already be loose
  • Surgical – this technique is used when either the tooth is below the gum level or broken down. In any case it will require the cutting of either the tooth and/or the gum to remove the tooth. This may also mean that stitches may be necessary to close the site.
  • Surgical extraction for implant placement – we use this technique either when we are planning to place an implant for the client or if that person may be considering an implant in the near future. This is a very intricate technique where we go out of our way to conserve the bone in the area for use in implant surgery afterwards.


Whichever technique is appropriate for your case, rest assured that we will ensure that we make the procedure easy and as pain-free as possible.

Removing teeth is often considered a good option in the short term when people present with severe pain. When they are in this situation it is often difficult to think rationally.

It is very important to note that if one tooth is removed you could lose the function of two or more teeth. That is because the teeth below that one being removed have nothing to bite against. If there are already other teeth missing this can lead to the remaining teeth becoming overloaded which will then start a downward spiral leading to multiple teeth being lost. It is also very common after tooth loss to see the adjacent and opposing teeth start to drift around.

Wisdom Teeth


Classically wisdom teeth have caused people a lot of problems. The main reason for this is that with evolution the size of human jaws has been reducing and yet the number of teeth that we are born with stays the same. As a result, it means that many people do not have enough space in their mouths for their third molars (wisdom teeth).

People may present with recurrent jaw pain, difficulty opening and closing or pain that radiates. Its is quite common for wisdom teeth related problems to be intermittent. In these cases the problem is usually a soft-tissue infection of the gum surrounding the unerupted wisdom tooth. This problem can affect other developing teeth as well and is know as pericoronitis.

At Skin & Smiles we remove a lot of wisdom teeth through the year. There is no waiting list as there is with the Health Service so if you feel that you are having problems and would like a quick solution please do give us a call.

We will take digital X-ray images to assess the position of the tooth or teeth giving you a problem and then give advice accordingly.

Last Updated on 03/06/24 by Webmaster


01923 226336



Last Updated on 03/06/24 by Webmaster
Stephanie K
Stephanie K
12 April 2022
Every visit to this clinic has been a pleasure, not something one would normally hear about the dentists, but I wanted to share my experience at Skin and Smiles, I almost look forward to the next visit. I took advantage of a first free consultation in which my options were outlined, and led onto several others for investigation, 3D scanning, Xrays, and discussions about what I wanted to achieve. Dr Murgai is honest in what can be achieved, is most detailed in his explanations of treatment and costs. His range of high-tech equipment is outstanding and it complements his professional skill and personable manner, along with his in-depth knowledge and consummate expertise has ensured each visit has been most beneficial. He explained each step of the process and allowed me several options with a full financial breakdown of costs and the honest expectation of the desired outcome. There was no pressure to chose the any particular options, the possibilities of what could be achieved and at what price was my choice and I’m so very pleased with the work. The team at this clinic are pleasant, professional and most importantly are friendly yet efficient; nothing is too much trouble. I always feel confident in their capacity to put me at my ease. The practice manager phones a couple of days after major works to enquire how I feel and I know that if there was a problem, their 24-hour support line is there if needed. I know they would accommodate me at very short notice, later the same day if needed. The team which surrounds Dr Murgai are wonderful, his practice manager, his dental nurses, his hygienist, and his laboratory technicians are superb and experts in their particular dental field. My teeth/gums have deteriorated over the years and whilst I’ve had treatment by other dentists over the years, it was time to seriously assess my long-term prospects. Dr Murgai took a holistic approach of my mouth, and we discussed the options available. This was reassuring and I didn’t feel as though I was just another customer. The different costs of alternative treatments were thoroughly explained in a treatment plan and I was given the choice of which of the packages I wanted. I’ve felt safe and reassured in every way since my first free consultation to my very soon to be completed transformation. I had contemplated going abroad for implants as the cost was less, I can emphatically state that having a local professional expert clinic was been the best option for me. I am so pleased I chose Skin and Smiles for my work; it’s been worth the investment. They are dedicated professionals and worthy of my utmost praise and recommendation.
Marian Moldovan
Marian Moldovan
8 February 2022
They have done a very good job, even though they have pulled my tooth out! A team that makes you feel comfortable and relaxed. Great job Skin & Smile 👏
Tony Dolente
Tony Dolente
15 December 2021
After searching for a while to find a decent dentist I found skin and smiles just by reading the reviews I knew I would be in safe hands ..and I was right , I had 4 very loose bottom teeth and I opted for implants , it was a very long journey for me as I started in February and only recently finished but it was well worth it, Dr Gulshan and all the staff were very professional and friendly from start to finish , and I will be continuing to use there service from now on , keep up the good work ... and thank you for all you done .. Wishing you all a very happy Xmas and a happy new year ... 🙂
Helen Hopping
Helen Hopping
2 August 2021
I went to skin and smiles as I had previously been unhappy with 2 other dentists and I was aware that I could be in danger of losing another tooth. I wanted one place to go to get everything sorted and not to have to look for a specialist for crowns, implants etc Very professional service and I was immediately made to feel at ease and I knew I had made the right choice I had to have a crown on a tooth that was cracked and this was all sorted within the same appointment, very impressive I also needed an implant and whilst this took several months from start to finish, I knew I was in good hands. I had a little discomfort which dissipated after a few days I am so pleased with how my teeth look and would definitely recommend them
Gembiczki Enikő
Gembiczki Enikő
5 July 2021
The best dental surgery in Watford and around I am more than happy to start my treatment with S&S. It was a long journey, but you made my treatment so relaxing. More than happy to go back any time. Friendly environment and kind people ready to help you.🤗 A big thank you to the team 🙏🏽
Kristina Taylor
Kristina Taylor
30 October 2020
I recently completed the process of a tooth implant which was rather lengthly as it also involved an extraction and bone graft. I cant recommend Dr Murgai and his team highly enough. Professional dentistry at its best. Thank you I am thrilled with the results Kind regards Kristina Taylor
Graham Smith
Graham Smith
21 October 2020
Just a few words to say thanks to Dr Murgai and all the team at Skin and Smiles post my treatment for a dental implant. Firstly I would like to echo the reviews from those who have reservations regarding dental treatment. As someone who is anxious with dental care I can say that my treatment was first class. I was completely put at ease by their care, communication and professionalism. In my case the treatment was complex, including an extraction, yet was carried out without causing me any discomfort or worry and I am extremely pleased with the quality of the work Dr Murgai has undertaken. Their surgery is modern and well equipped while the interior is well lit and comfortable. It really does put you at ease from the start. It is also within easy walking distance of Watford tube station. I thoroughly recommend this practice and would have no hesitation in returning in future should I require similar treatment.

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