Impacted tooth surgery cost guide
How Much Does Impacted Tooth Extraction Cost?
Impacted tooth extraction commonly costs $350-$1,100 per tooth before advanced imaging, sedation, or grafting. Soft-tissue impactions generally require less surgery than partial- or full-bony impactions. Position near a nerve or sinus and the need for an oral surgeon can increase the fee.
Typical planning range
$350-$1,100 per toothTypical midpoint
$725Itemized cost range
| Component | Expected range | Planning note |
|---|---|---|
| Exam and panoramic X-ray | $100-$350 | Initial planning |
| CBCT | $200-$600 | Nerve or sinus relationship |
| Soft-tissue impaction | $350-$650 | Covered mainly by gum |
| Partial-bony impaction | $500-$900 | Some bone removal |
| Full-bony impaction | $650-$1,100+ | Greater surgical access |
| IV sedation | $500-$1,500 | Time and monitoring |
What is usually included?
- Local anesthetic
- Surgical access and tooth sectioning
- Routine sutures
- Postoperative instructions and basic follow-up
What may be charged separately?
- Panoramic X-ray or CBCT
- IV sedation
- Pathology
- Bone graft
- Hospital or facility fee
- Treatment of complications
What changes the price?
- Soft-tissue, partial-bony, or full-bony position
- Depth and angle
- Proximity to nerve or sinus
- One tooth versus multiple teeth
- Sedation and facility
Example treatment plans
Single soft-tissue impaction
Exam, X-ray, local anesthesia and removal
$500-$1,000Complex bony impaction
CBCT, oral surgeon, surgical removal and IV sedation
$1,200-$3,000+Insurance considerations
Plans may differentiate erupted, soft-tissue, partial-bony, and full-bony procedure codes.
Sedation and CBCT often have separate medical-necessity and frequency rules.
Dentist insight
How to read this quote
Compare impacted-tooth quotes using the actual impaction category, imaging, number of teeth, anesthesia method, and provider. A single soft-tissue impaction under local anesthesia is not comparable to four full-bony wisdom teeth under IV sedation.
Questions to ask before accepting the quote
- What is the impaction classification?
- Is CBCT needed to assess a nerve or sinus?
- Who provides and monitors sedation?
- Is the quoted fee per tooth?
- What follow-up and complication care are included?
Relevant alternatives
- Observation with periodic review in selected asymptomatic cases
- Coronectomy in selected nerve-risk wisdom teeth
- Orthodontic exposure for selected impacted teeth
- Referral to an oral surgeon
Reading a quote for tooth extraction line by line
The label on a quote tells you less than the lines beneath it. Check the same tooth, the same level of difficulty, and the same type of anesthesia, and make sure that anything not included is stated rather than assumed.
If a line is vague, ask the office to define it. Reputable practices are used to explaining their quotes, and a written breakdown protects both sides.
- Look for items listed as 'additional' or 'if needed'
- Ask what could change the total and by how much
- Confirm the warranty in writing
- Keep a copy of every estimate you receive
Simple and surgical extractions
A simple extraction removes a tooth that is visible and can be loosened and lifted out. A surgical extraction is needed when the tooth is broken below the gum line, has curved roots or is impacted, and it involves cutting the gum and sometimes bone. Surgical cases take longer and cost more.
Wisdom teeth vary widely: some are straightforward, while others are deeply impacted close to nerves or sinuses. Imaging helps the clinician estimate the difficulty before quoting.
Anesthesia and sedation options
Most extractions use local anesthetic. Nitrous oxide, oral sedation or IV sedation can be added for anxious patients or complex surgery, and each adds to the cost. Offices differ in which sedation they offer and who administers it.
Ask whether sedation is included in the quoted fee, and what the fasting and transport requirements are.
What an extraction quote should list
Extraction quotes range from a single line item to a package. Ask for the details.
- Whether the extraction is simple, surgical or impacted
- Imaging such as a panoramic X-ray or CBCT
- Sedation or general anesthesia
- Bone grafting or socket preservation if an implant is planned
- Follow-up visits and any prescriptions
Recovery and complications
Most people recover over several days, with swelling and soreness that improve steadily. Following aftercare instructions, such as avoiding straws and vigorous rinsing, lowers the risk of dry socket, a painful complication where the blood clot is lost.
Contact the office if pain worsens after the first few days, if there is fever or if bleeding does not settle. Early review is simpler and cheaper than treating a complication late.
Planning for the gap
Replacing an extracted tooth is a separate decision with separate costs. Options include an implant, a bridge, a partial denture or leaving the space. Back teeth that are not replaced can lead to shifting and bite changes over time.
If you plan an implant, ask whether the extraction can be combined with socket preservation, which can reduce the need for a larger graft later.
Next, tooth extraction cost guide, extraction cost calculator, wisdom teeth removal costs, and simple and surgical extractions compared are good places to continue. Each page uses the same planning approach, so figures and questions carry over.
Sources and methodology
These are broad educational planning ranges, not provider quotes. We separate procedure components so unlike treatment packages are not presented as equivalent. Actual fees depend on diagnosis, technique, materials, provider, benefits, and location.