Why do I need my wisdom teeth removed?

Why do I need my wisdom teeth removed?

Most people have four wisdom teeth, also known as third molars, which grow at the very back of your mouth. They usually appear during the late teens or early twenties, when all the other adult teeth are in place, and have the tendency to get stuck or grow incorrectly due to a lack of space.

If your wisdom tooth is causing you pain, it is important to get it looked at. We can assess the impact of your tooth on the rest of your mouth and remove it if necessary, especially if it is causing unnecessary decay, infection or gum disease. However, some wisdom teeth will not need to be taken out, and can be managed with other treatments.

What does the treatment involve?

What does the treatment involve?

If your wisdom tooth needs to be extracted, we discuss the procedure with you in detail and obtain your consent for the surgery before continuing.

We use local anaesthetic to minimise discomfort and make sure you are relaxed and ready before we begin. We carefully remove your tooth by loosening it little by little until it is easily able to come out. In some cases, and if your wisdom tooth is impacted, we need to make a small cut in your gum to remove it successfully. We may also need to remove large teeth in parts.

Once your tooth has been removed, we ensure you are feeling well and give you some tailored advice on what to expect in the first few days following the procedure.

Frequently Asked Questions

How long does it take to recover from wisdom tooth removal?

The recovery time varies with each individual patient, depending on the complexity of the case. In most cases, you will experience swelling and tenderness for the first few days, which can be managed with over the counter painkillers, as advised by your dentist. Many patients are able to return to their normal daily routines soon after treatment.

Are there any alternatives to wisdom tooth removal?

If your wisdom tooth is not causing any pain or discomfort, there is usually no need to remove it. Some infections can be treated with a course of antibiotics and the wisdom tooth is able to be left, even if impacted, and kept an eye on at your regular dental examinations. However, if the problem persists, or the impacted tooth is causing issues with cleaning your teeth, we may decide it needs to be removed.

Is the treatment painful?

We use local anaesthetic to minimise your discomfort during the extraction, and you should not feel any pain. You may experience some pressure as we loosen your tooth, but this will not be painful and should not take long.

How long does it take to remove a wisdom tooth?

The procedure can take anywhere from a few minutes to around half an hour, depending on the complexity of the case. Your dentist will be able to give you an idea of the timescale at your initial appointment.

Do I need to avoid certain foods after my treatment?

You should try and avoid eating hard, chewy or overly acidic foods immediately following your wisdom tooth removal. These can get lodged in the extraction site and cause infection or pain. It is best to stick to soft foods and drink lots of fluids at first. Your dentist will give you detailed advice on what to do following your treatment, including how long your recovery should take.

Dr. Pedram Negahban

Dr. Pedram Negahban

Practice Owner, Dental & Implant Surgeon

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

GDC: 82959

Dr. Pedram Negahban is a German-trained implant dentist with a practice mostly dedicated to implant dentistry and complex restorative rehabilitation. Based in Marylebone, London, near Harley Street, he is known for his calm, meticulous, and long-term approach to treatment planning, with a strong focus on biological stability, function, and natural-looking outcomes.

With over two decades of clinical experience, Dr. Negahban has undertaken extensive postgraduate training in advanced implant surgery and restorative dentistry. He completed the Diploma in Implant Dentistry with the Royal College of Surgeons of England, widely regarded as one of the leading qualifications in implant dentistry in the UK.

His clinical work includes immediate implant placement, full-arch rehabilitation, guided bone regeneration, sinus augmentation, and the management of more complex implant cases, including patients referred by other clinicians. Dr. Negahban believes implant dentistry should be carefully tailored to the individual, balancing aesthetics with long-term maintainability and oral health.

Alongside clinical practice, Dr. Negahban has remained actively involved in implant education and was formerly a tutor on the FGDP Diploma in Implant Dentistry programme at the Royal College of Surgeons of England.

He is a member of the British Dental Association (BDA), the International Team for Implantology (ITI), the Royal College of Surgeons of England (RCS England), and the Faculty of General Dental Practice UK (FGDP UK).

Dr. Negahban welcomes referrals for implant assessment and treatment at Implant & Perio Clinic.

Dr. Federico Tinti

Dr. Federico Tinti

Specialist Periodontist

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

GDC: 78429

Dr. Federico Tinti is a Specialist Periodontist with a particular interest in the long-term preservation of teeth, periodontal health, and the management of complex gum conditions. Based in Marylebone, London, near Harley Street, he is known for his thoughtful, meticulous, and prevention-focused approach to patient care.

Dr. Tinti believes healthy gums are the foundation of all successful dentistry — whether maintaining natural teeth, supporting cosmetic treatment, or ensuring the long-term stability of dental implants. His approach combines evidence-based periodontal care with a strong emphasis on education, maintenance, and minimally invasive treatment wherever possible.

He has extensive experience in the treatment of periodontal disease, gum recession, and complex restorative-periodontal cases, frequently working as part of a multidisciplinary team alongside referring dentists and implant clinicians. Patients particularly value his calm manner, honesty, and ability to explain even complex conditions in a clear and reassuring way.

At Implant & Perio Clinic, Dr. Tinti works closely with Dr. Pedram Negahban, Dr. Sanaz Tehrani, and the clinic’s experienced hygienist team to provide comprehensive periodontal, implant, and restorative care tailored to each individual patient. He strongly believes successful periodontal treatment is built on long-term collaboration, prevention, and supportive maintenance care, with hygiene therapy playing an essential role in maintaining healthy and stable outcomes for patients with periodontal conditions.

Alongside clinical practice, Dr. Tinti remains committed to continuing professional development and modern periodontal techniques, with a focus on achieving stable, maintainable, and natural long-term outcomes rather than short-term cosmetic solutions alone.

Outside dentistry, Dr. Tinti enjoys travelling, Italian culture and cuisine, and spending time with family and friends. Patients often appreciate his calm and approachable nature, which helps create a reassuring and comfortable experience even for those who may feel anxious about dental treatment.

Dr. Sanaz Tehrani

Dr. Sanaz Tehrani

Cosmetic Dentistry and Invisalign Provider

DDS (Germany)

GDC: 84955

Dr. Sanaz Tehrani is a German-trained dentist with a particular interest in Invisalign, minimally invasive aesthetic dentistry, and natural-looking smile enhancement. Based in Marylebone, London, near Harley Street, she is known for her warm, patient-centred approach and her belief that cosmetic dentistry should enhance a person’s appearance without compromising individuality or long-term oral health.

After qualifying in dentistry at RWTH Aachen University, Germany, in 2004, Dr. Tehrani relocated to the UK in 2005 and has since spent more than two decades caring for patients alongside her husband, Dr. Pedram Negahban. Together, they took over Implant & Perio Clinic on Portland Place, continuing a long-standing tradition of high-quality referral and patient-focused care.

Dr. Tehrani has extensive experience in private aesthetic dentistry, including Invisalign, whitening, composite bonding, and restorative smile rehabilitation. Her approach is conservative and detail-oriented, with an emphasis on harmony, facial balance, and results that age naturally over time. She believes dentistry should evolve with the patient, rather than follow temporary cosmetic trends.

Alongside aesthetic dentistry, Dr. Tehrani also has a strong background in general and emergency dental care, helping patients with everything from broken teeth and failing restorations to urgent discomfort and stabilisation treatment. Patients particularly value her calm manner, honesty, and ability to make even anxious individuals feel comfortable and understood.

While she enjoys the artistic and transformative side of cosmetic dentistry, Dr. Tehrani also finds great joy in treating children and young patients. Helping children feel relaxed, confident, and positive about visiting the dentist remains one of the most rewarding parts of her work and something that genuinely lights up her heart in daily practice.

Her passion for dentistry began following her own orthodontic treatment as a teenager, when she experienced first-hand the confidence and emotional impact that thoughtful dental care can have on a person’s life. This continues to shape the way she approaches patient care today.

Outside of dentistry, Dr. Tehrani enjoys travelling, social and charitable activities, and staying active through sport and fitness. She values human connection deeply and believes the most rewarding part of dentistry is the long-term relationships built with patients over time.

Hayley Azopardi

Hayley Azopardi

Dental Therapist and Dental Hygienist

GDC: 5922

Hayley is a dedicated dental hygienist and therapist with over 19 years of experience in the dental field. She holds a Diploma in Dental Hygiene and a Diploma in Dental Therapy from the Royal College of Surgeons of England.

Hayley is passionate about providing patients with a comfortable and supportive environment, helping them achieve optimal oral health without judgment.

In her free time, Hayley enjoys gardening, reading, exploring natural health practices, walking, following world affairs, and keeping up with Formula 1.

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.

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.

Diane Telot

Diane Telot

Dental Nurse

GDC: 133903

Diane is a dedicated Dental Nurse with many years of experience working in dental practices. She gained her SAAD Conscious Sedation qualification in 1996 at St Bartholomew’s Hospital.

Diane’s favourite part of her role is interacting with patients and continually learning new aspects of the job, ensuring every patient feels comfortable and well cared for. She brings a wealth of experience to the team, having spent over 11 years across her previous two practices before joining us.

Outside of work, Diane enjoys cooking, interior design, and walking, which help her relax and stay inspired.

Samaneh Sadri

Samaneh Sadri

Trainee Dental Nurse

Samaneh Sadri is an enthusiastic Trainee Dental Nurse. Originally studying IT in Iran and graduating in 1999, she is now dedicated to pursuing her new career path in dental care. As a trainee, she is working diligently to gain the experience necessary for her professional registration.

Samaneh’s favourite part of her role is learning new clinical skills and helping patients, ensuring everyone who visits the practice feels supported and well-cared for. She is passionate about expanding her clinical knowledge and providing high-quality assistance to the rest of the dental team.

Outside of work, Samaneh enjoys baking, reading, and meditation . She also enjoys regular exercise, which helps her stay balanced and active.

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.