Why do I need an extraction?

Reasons for extracting teeth include:

  • Extensive decay or advanced gum disease
  • Impacted wisdom teeth
  • A baby tooth has failed to fall out and is preventing the emergence of a permanent tooth
  • More room is needed for successful orthodontic treatment
  • To ensure new dentures fit properly

What does an extraction involve?

1

Simple extractions

Removing teeth can be a very straightforward procedure. For simple extractions, we loosen the tooth with dental forceps under local anaesthetic. The tooth comes out easily without touching the surrounding gums.

2

Surgical extractions

In some cases, we may need to give the tooth a helping hand to remove it successfully. A surgical extraction involves making a small incision in the gum to remove a tooth that may have broken off or is concealed under the gum. For large teeth, we may need to remove it in parts.

Frequently Asked Questions

What happens after my tooth extraction?

Immediately after your tooth has been taken out, try to keep the site clean by rinsing with warm, salty water. Encourage healing of the affected area by eating softer foods and chewing on the opposite side of your mouth. Also, try to avoid smoking or using a straw, as these can dislodge the clot that forms in the hole after extraction.

Do tooth extractions hurt?

Your tooth extraction shouldn’t hurt, but you will feel pressure in your mouth and hear loud noises during the treatment. We use local anaesthetic to numb the affected area before we begin, so you won’t feel any pain.

Will I feel pain after I have a tooth taken out?

It is common to feel some discomfort after you have had a tooth taken out, especially if it was more complex. Use painkillers as advised by your dentist to manage the pain. If you experience intense pain a few days after an extraction, you may have a condition known as dry socket, which occurs when a blood clot fails to form or is dislodged prematurely, exposing the bone. In this case, you will need to see the dentist who will help to rectify the problem and alleviate any pain.

Can I replace my extracted tooth?

Yes, if you would like to fill the gap left by your missing tooth, we have many treatment options. We are happy to discuss the benefits of dental bridges, partial dentures and dental implants with you, helping you to decide which would be most suitable for you.

Dr. Pedram Negahban

Dr. Pedram Negahban

Practice Owner, Dental & Implant Surgeon

DDS (Germany), MFGDP (UK), DipImpDent RCS (Eng)

GDC: 82959

Pedram is a highly experienced dental surgeon, with practice dedicated to implant dentistry. He is a member of the British Dental Association (BDA), the International Team for Implantology (ITI), the Royal College of Surgeons of England (RCS/UK) and the Faculty of General Dental Practice (FGDP/UK). He completed a diploma degree in implant dentistry with the RCS, considered a gold standard in dental implantology.

Pedram is actively involved in implant education. He has undertaken extensive training to become proficient in advanced surgical procedures for all implant-related oral surgery techniques, including sinus lifts, guided bone regeneration, and full mouth rehabilitation with fixed prosthesis. He is skilled and qualified to achieve predictable outcomes and aesthetic results in even the most complex cases.

Pedram is pleased to welcome referrals for his dental services at Implant & Perio Clinic. Please get in touch with the friendly team for more information.

Dr. Federico Tinti

Dr. Federico Tinti

Specialist Periodontist

DDS (Italy), PGCert Periodontics (New York), MSc Periodontology (London)

GDC: 78429

Federico is a highly qualified and trained specialist periodontist. He achieved his DDS degree at the University of Bologna, Italy, in 1998, and went on to complete a Certificate in Periodontics at New York University in 2000. Federico furthered his interest in periodontics by achieving his MSc in Periodontology at King’s College, London, in 2003.

Federico joined the practice in summer 2024, bringing his wealth of knowledge and experience in periodontics to the team. He loves being able to restore his patients’ periodontal health and improve their overall wellbeing. Federico enjoys performing small surgical procedures, including cosmetic ones.

Outside of work, Federico enjoys fly fishing, tennis, skiing and hiking. He also loves reading in his spare time.

Dr. Sanaz Tehrani

Dr. Sanaz Tehrani

Cosmetic dentistry, and Invisalign provider

DDS (Germany)

GDC: 84955

Sanaz qualified in dentistry at RWTH Aachen, Germany, in 2004. She then relocated to the UK, starting work in July 2005. Sanaz worked as principal dentist at a very busy practice for many years, alongside her husband Dr. Pedram Negahban. Before this, they operated a surgery in Brighton, and have been working together for nearly two decades. The Implant & Perio Clinic in Portland Place is their newest venture, and they are fully dedicated to maintaining the high standards set by the previous dentist, Dr. Alan Sidi, who is retiring.

With a strong background in general dentistry and mixed surgery, Sanaz has extensive experience in providing private aesthetic treatments, including Invisalign. She also offers a range of emergency treatments, such as extractions, initial stages of root canal, and repairing broken fillings, crowns and veneers. She is committed to patient care and precision in dental aesthetics to ensure high quality outcomes.

Sanaz loves seeing the incredible impact her work as a dentist has on improving her patients’ smiles and enhancing their quality of life. She finds witnessing the transformation in the way people feel about themselves, especially after treatments, truly fulfilling.

Sanaz’s passion for dentistry began at the age of 13, after undergoing extensive orthodontic treatment herself. The experience made her realise the profound difference she could make in someone’s life by improving their oral health and self-confidence. As such, Sanaz is dedicated to helping her patients achieve their best smiles, knowing that it positively affects their overall well-being.

Outside of dentistry, Sanaz enjoys a variety of activities that enrich her personal life. She loves attending social events where she can connect with friends and colleagues, and is passionate about participating in charitable activities. Sport also plays a significant role in her life, both as a way to stay active and as a form of entertainment. Sanaz also loves travelling, as it allows her to explore new cultures and broaden her horizons.

Glenda May

Glenda May

Dental Hygienist

GDC: 2910

Glenda graduated in 1985 and was awarded the Hu Friedy Scaling Prize. She started her career as a dental nurse working for the British Army at the Queen Elizabeth Military Hospital.

Glenda trained as a dental hygienist at Guy’s Hospital. After graduation, she was employed as a hygienist to the American Navy for seven years, before being made redundant as the dental facilities moved out of London.

Glenda joined the practice in Portland Place in 1995. Since becoming a member of the team, she has had the opportunity to advance her skills, treating patients with advanced periodontal disease and dental implants. Glenda is keen to further her knowledge, and has attended many international conferences to keep up-to-date with the advances in dentistry. She is also a member of the British Society of Dental Hygiene and Therapy.

Glenda particularly enjoys empowering her patients, allowing them to take control of their periodontal health and educating them about the disease process. She loves working with her hands and takes great care to treat her patients gently, with empathy and kindness. She enjoys meeting new people, as well as seeing her maintenance patients, who have been attending the practice for so many years and have become her friends.

Outside of work, Glenda’s family is very dear to her, and she enjoys spending time with her partner, grandchildren, and wider family. In her spare time, she enjoys attending live music events of all genres, particularly jazz. She also loves to travel, especially visiting cities for the architecture, culture and food.

Jane Dyas

Jane Dyas

Dental Hygienist

GDC: 2403

Jane qualified as a dental nurse in 1980, and went on to qualify as a dental hygienist from the Royal Dental Hospital, London, in 1982. She started working at 57 Portland Place in January 2007.

Jane finds working in a perio practice very rewarding, as she is not just cleaning teeth, but treating patients with varying degrees of gum disease. She enjoys being able to teach them how to look after their mouths and save their teeth.

Jane’s patients mean so much to her, and she has treated many loyal patients for over 30 years! She strives to keep up-to-date with advances in dentistry and improves her knowledge by attending conferences in the UK and across Europe.

Outside of work, Jane loves to travel, and enjoys spending time in her home in Spain. She also loves interior design and property renovation, and has recently finished renovating a property in Spain. Her other interests include painting, gardening and keeping fit.

Judit Negyesi

Judit Negyesi

Dental Nurse

GDC: 263229

Following a degree in Business Management at the University of Szeged, Hungary, in 2005, Judit qualified as a dental nurse with NEBDN at London Waterloo Academy in 2016. She went on to achieve qualifications in Dental Radiography and Oral Health Education to further her skills.

Judit joined the practice team in 2021. She enjoys working alongside the periodontists and providing special care to every patient, helping to improve their oral health and general wellbeing.

During her free time, Judit really enjoys being with animals. She also has a great passion for plants, especially orchids. Judit loves travelling and exploring different countries around the world, as she is fascinated by history, different cultures, and food.

Kerrie Barker

Kerrie Barker

Dental Hygienist

GDC: 5133

Kerrie qualified as a dental nurse from King’s College, London, in 1995. She remained at King’s College to undergo a qualification in Dental Hygiene, graduating in 1996 with the top award for pre-clinical exam.

Kerrie joined the practice in 2003 and is an integral part of the team. She loves talking to and getting to know her patients, as well as helping them to maintain their oral health.

Outside of dentistry, Kerrie is interested in psychotherapy, and achieved her Master’s degree in Psychotherapy in 2014. She also enjoys keeping fit with pilates and bike riding, watching documentaries, socialising and eating out with friends, and talking with her family back in Canada.

Martin Goodson

Martin Goodson

Practice Manager

Martin holds a degree in Philosophy and has completed CIPD Training Skills and Counselling Skills with Westminster Pastoral Foundation. He has been part of the practice team since 2011.

Martin loves interacting with patients, offering support for those who are feeling anxious or needing a bit more help. He is a large part of the day-to-day running of the practice, and is always on hand to answer questions or help in any way he can.

Outside of dentistry, Martin teaches meditation and mindfulness as well as Buddhist philosophy at a temple in London. He also supplies articles and podcasts to The Zen Gateway, a website he co-founded on meditation, mindfulness and philosophy.

Martin enjoys reading, listening to podcasts, walking, going to the cinema, and weight training.

Louise Scott-Hoffmann

Louise Scott-Hoffmann

Finance Manager

Louise joined the practice as Finance Manager in 2013. She loves working with numbers and is an integral part of the day-to-day running of the practice. She also enjoys being part of a great team.

Outside of work, Louise enjoys reading and watching rugby. She also has fun raising her teenage daughters!

Pamela Wilson

Pamela Wilson

Receptionist

Pamela joined the practice team in May 2023 and is the cheerful face on reception, welcoming our patients to the clinic with a smile. She loves working as part of a friendly and professional team to ensure the smooth running of the practice, and enjoys seeing the other side of dentistry, having previously only experienced it as a patient.

Outside of work, Pamela loves anything to do with the arts, particularly theatre and opera. She is a long term practitioner of iyengar yoga and a keen walker, both in the town and countryside.

Precious Hufana

Precious Hufana

Patient Co-Ordinator

Diploma in Dental Nursing - London Waterloo Academy

GDC: 296971

Precious graduated in her Dental nursing diploma in 2020 and joined the practice at the end of August 2024. She particularly loves the variety of work she does at the Implant & Perio clinic. Every day presents her with different challenges, and it helps provide her with an understanding of the practice, as well as developing her problem-solving skills and refining her organisational skills.

Outside of work, Precious enjoys travelling. She also exercises 3-4 times per week. She loves cooking and spending quality time with her family & friends.