Wisdom Tooth Removal & Tooth Extractions In Cape Town

At OptiSmile, we are dedicated to providing exceptional dental care with a focus on comfort, precision, and advanced technology. Our expertise in wisdom tooth removal and tooth extractions ensures you receive the highest standard of care, whether dealing with impacted wisdom teeth or a damaged tooth requiring extraction. With our state-of-the-art equipment and compassionate approach, we aim to make your dental experience as seamless and stress-free as possible. Trust OptiSmile in Cape Town to manage your dental extractions with the utmost professionalism and care, helping you maintain optimal oral health and a confident smile.

What Clients Are Saying About OptiSmile

Alex L.

This is probably the best dental clinic in the world. My partner has already had a new smile, which she is completely satisfied with. She inspired me to also have my teeth beautified by Doctor Cara. The result is absolutely brilliant. The whole team, from reception to the assistants, are extremely friendly and you feel that you are in very good hands here. The clinic has the most modern infrastructure.

Cherie H.

Can’t recommend Optismile enough. Friendly kind and world class service.

Marisa T.

The most advanced, efficient and considerate dentistry I have experienced. It is expensive, however I can understand why. Thank you Ruan and OptiSmile

dena de R.

The very best dental practice I've been to. The whole team is super friendly, professional and proficient. Absolutely recommend!

Herman du T.

Just love the team at Optismile! Dr Yudelman - works magic and is the nicest guy too. Can highly recommend 👍🏻

Nicolas Alejandro Cuesta B.

I am usually anxious about going to the dentist, but I still decided to get a dental cleaning, a check-up, and a bleaching treatment. At first, I didn’t fully understand why everything was necessary for the bleaching, even though the receptionist explained it to me.

Now that I’ve had the treatment, I have to say—it was the best experience I’ve ever had. Not only is the clinic stunning, but the professionalism and the way they treat you are outstanding. The dentist was with me for the entire three-hour session; he never left me alone. First, he explained everything he was going to do, step by step. He used equipment and techniques I had never seen before, not even in Switzerland or Germany.

The check-up was not just a quick look at my teeth—it was incredibly thorough. They took pictures, X-rays, and close-up scans. They explained everything in detail, going through each tooth one by one, showing me what was good and what needed attention. Their level of professionalism is truly remarkable.

The staff is super friendly and prepared for everything. The whole experience was incredible—highly professional, beautifully executed, and absolutely worth every penny. I would do it again without hesitation. Five stars aren’t enough to describe how amazing this place is. I would recommend it to everyone—just outstanding!

Jonathan Z.

Five-star service represents exceptional, consistently flawless customer service that anticipates needs, exceeds expectations, and leaves a lasting positive impression. It's about going above and beyond to ensure customers feel valued and satisfied.

Nothing is truer from the moment you walk through the doors and are greeted by the amazing front desk staff and made to feel so welcome. The team at OptiSmile is nothing but professional, patient and a team of incredible and warming people.

Dr Cara is so professional and guided me throughout the whole process and procedure. Dr Cara uncovered other areas where attention was needed and plans were put together that made me leave with a big smile.

Thank you OptiSmile for the experience and for being an exceptional team.

Wendy Y.

Best dental practice I have ever been to. Most thorough dental analysis ever. Will n ver go anywhere else after the thorough check up and analysis. Highly recommend

Nicholas B.

The most amazing dentist experience from start to finish! Everyone is so friendly and helpful and the equipment technology is super high tech. Thanks!!

Dominique L.

10 star service at OptiSmile! Can highly recommend 😊 Dr Harris is the best and the after care service is just incredible. They really take extra care of their patients and go above and beyond to make sure all is in order, receptionists and dentists included!

Marguerite J.

Wonderful practice with incredibly knowledgeable staff. First time ever feeling safe at the dentist's office.

Janelle _

The best experience I’ve had a dentist so far! Dr Cara was very kind and did the most exceptional job on my crown; and Dr Ruan did an amazing job on my root canal. His gentle, warm nature really put me at
ease. The experience was pain free, very
professional and it’s clear both doctors are very knowledgeable and skilled. The cost was worth the level of expertise and exceptional service. The hours these doctors work are very long and yet they have always given 100% at every appointment.
Appreciate them both immensely!

David O.

I've been going to Optismile for many years, and at this point would trust nobody else with my teeth! I've never been anything but extremely happy with work done, and beyond that the team obviously really cares about their customers happiness.

On the admin side booking or changes are always smooth and friendly.

Alan van der V.

I have had a lot of significant dental work done by a variety of dentists in the United States, Mexico and at OptiSmile. OptiSmile is clearly superior in every respect. With costs as they are in the United States, it is only slightly more expensive to fly to Cape Town and it is well worth it.

Joseph N.

I've been a patient at OptiSmile for four years, and I couldn't be happier with my experience! The staff is always friendly and welcoming, and I truly appreciate that the dentist is always on time – no long waits here! The advanced technology they use makes procedures quick and pain-free, which is a game-changer. Dr. Ruan Scheepers is top-notch – professional, thorough, and genuinely cares about his patients' comfort and well-being. I highly recommend OptiSmile to anyone looking for exceptional dental care!

Bronwyn K.

My kids and I had a wonderful experience during a check-up and clean with Dr Kiera, Busi and Melany. Their professionalism, knowledge, warmth and friendliness put us completely at ease. I highly recommend this superb team.

Paula B.

Absolutely excellent ! Would highly recommend

John K.

Excellent dentist!

Kemi M.

I don’t usually leave reviews, but I had an amazing experience with my 4-year-old son. From reception to the consultation room, the staff was absolutely wonderful.

Definitely won my 5 star rating. Dr Keira was lovely,Professional and pleasant experience.

Shanna C.

Dr Keira is amazing! She made me feel so comfortable. The practice is also amazing, newest technologies and beautifully clean.

Carol H.

I highly recommend OptiSmile. Dr. Yudelman is absolutely the BEST! Very detailed, caring, friendly and go extra mile to help, make the client happy, absolutely a pleasant experience.

The service received, from reception, communication to dentistry and everything in between, is fantastic. Very happy with my new smile 😁

Regards
Carolina

Maruschka P.

I had an outstanding experience with OptiSmile! The personal service I received from Verona and Dr. Clifford was truly exceptional. From start to finish, my Invisalign journey was far better than I could have ever expected. Their knowledge and expertise ensured that I had complete confidence in the process—there was never a moment of uncertainty.

The team at OptiSmile is incredibly professional, well-informed, and genuinely cares about their patients. I’ve already recommended them to friends and family and will continue to do so. Thank you, Dr. Clifford, Verona, and the entire OptiSmile team, for making this such a smooth and positive experience!

Danielle S.

Dr. Clifford is amazing! I came from the states to do injection molded bonding. I also had my teeth cleaned and whitened. The whole team is friendly, the office is beautiful, and the result is better than I could have imagined. Thank you so much to Dr. Clifford and team 🙌🏼 Highly highly recommend

Bettie C.

Pure magic. That is my experience Dr Clifford Yudelman and Siwe his assistant saving a most important tooth today. Without one moment of fearing the usual anxiety a visit to a dentist meant in my young days. None of the "what-ifs" that could happen during a 2 hour long reparation of a cracked tooth with ancient silver filling from long ago. None of the fear of what could happen should I not be able to swallow and saliva could smother me in the upside down position in a dentists chair! Not once did I experience that anxiety with Siwe sucking all my fear away. And then watching the artist/computer geek, Dr Clifford creating a new ceramic tooth, as if creating a 3D sculpture in photoshop! Then sending his design via internet to a machine that carves my new ceramic tooth as I watch it happening!
Thank you Team Clifford/Siwe for what is not the regular "dentist-fear but an experience of wonder at modern technology performed by Magicians.

anika K.

The team at optismile has changed the way I look at dentistry. I use to fear going to the dentist, they make you feel so comfortable and welcomed.
They are not just your regular “reactive” dentist, a full assessment prior to your consult ensures a proactive approach to your dental health.
All the expertise you need in one place.
I now smile with confidence thanks to them!!
Friendly professional service.
I cannot recommend them enough.
The only thing I regret is not getting to them earlier.

Stephanie F.

I could not recommend Optismile enough! The reception staff are always so friendly & helpful, the practice environment is so clean & beautiful with amazing views, and the dental experts are, in my opinion, absolutely world class! I switched to Optismile when I wasn't happy with what was supposed to be the end result of my Invisalign treatment with another provider... Dr Smeyatsky was phenomenal, and he immediately understood why I wasn't yet satisfied & made a plan for me. The final result was exactly what I had always envisioned! Upon his advice, I also had some composite bonding done on two of my teeth after my treatment, which elevated my smile even further, while still looking natural & not giving that "overly done" look. Optismile has given me so much confidence in my smile. I'm so happy I chose this practice & every year without fail when I visit home from the UK, I go back for oral hygiene & a dental check-up to maintain the smile I now have. Every visit continues to be a delight!

Melanie S.

Hallo zusammen ,
Ich war im Dezember in Kapstadt im Urlaub als ich dummerweise über Nacht heftige Zahnschmerzen bekam. Die Praxis in Seapoint wurde mir von Freunden empfohlen und ich habe sofort einen Termin bekommen. Das ganze Team hat sich super um mich gekümmert und Dr. Ruan ist ein super einfühlsamer Arzt der sich viel Zeit nimmt und alles genau mit mir besprochen hat.
Auch nach der Behandlung wurde sich noch des Öfteren per WhatsApp nach meinem Wohlbefinden informiert.
Ich kann die Praxis nur empfehlen !!!
Liebes OptiSmile Team : nochmal vielen vielen Dank für eure schnelle Hilfe. Macht weiter so . Ihr seid einfach super !!
Liebe Grüße aus Deutschland. Melanie

Max W.

Best dentist's in the world, bar none. Trust me.

Marysia A.

Cozy and friendly environment with superb service. Melany, the hygienist was extremely personable and very gentle. Probably the best cleaning I have ever had.

Andreas L.

I have been at many tooth doctors around the globe but the services especially Invisalign is unique in terms of quality, price and the human factor. Thank you 🙏

Laure P.

I met Dr Clifford with the dream of having a beautiful smile that I wouldn't be ashamed anymore, as well as fixing few issues. Very quickly, within the first appointment, he had my trust. Despite being scared of not looking like me anymore, he and his team made sure that I was looked after during the few weeks leading to the big day. Now, after working on more than 8 teeth, doing the bonding, I have so happy and can't stop smiling!!! He gave me back my confidence and I also feel more confident that the issues I had, are now dealt with. All without damaging or removing any of my teeth. I am very grateful and can't recommend them all enough!!!!!

Jasmine H.

The team at Optismile is always so warm and welcoming. The receptionists are rock stars and are always on the ball when it comes to scheduling appointments. The dentists and their assistants are also so friendly and make me feel right at home when I arrive. I highly reccomend them, their services are 10/10!

ophir S.

Fantastic experience. The staff are excellent and very professional. I love my results!🙌

Terri S.

I have never been more impressed with a dental practice in my life. Melanie, the hygienist was patient and kind, and even gave a massage to my jaw at the end!! (Major brownie points in my book as I have never experienced this at any other dental offices). Dr Clifford and his staff are excellent!! Thank you for the amazing experience!

Bonny B.

The best everything, from making your first appointment right through to aftercare for your procedure. Highly recommend.

Bonnie L.

OptiSmile is absolutely amazing! Professional, friendly, and incredibly skilled—they truly offer the full package. The team makes you feel welcome and comfortable from the moment you walk in. Their attention to detail and genuine care set them apart. Highly recommend for anyone looking for exceptional dental care!

Charity H.

I highly recommend OptiSmile .The service received from the reception , communication to dentistry and everything is amazing.We had a very pleasant experience with Dr Ruana and her staff.My 7 year old daughter was very anxious about the appointment but Dr Ruana was very patient with her.Thanks to Lauren for spending a lot of time with my daughter trying to calm her down and thank you for the special gift.Thank you OptiSmile.

Ray W.

One of the best dental practices I’ve ever visited! The staff are incredibly friendly and professional, and the practice is equipped with the latest technology. The stunning sea views is a bonus. Would highly recommend.

Matt S.

For the first time in my life I have a smile to be proud of!

Working with OptiSmile over the past 7 months has been nothing short of incredible. The entire team is warm, welcoming and they take the time to make sure the plan they create is suited to your goals. In just 7 months I have gone from having chipped, yellow and misaligned teeth to a clean white smile!

A special thank you to both Dr Harris and Dr Cara. Dr Harris was responsible for getting my teeth into the correct positions and Dr Cara is an artist for what she has done to create my smile! I will be eternally grateful to both, and the entire team for what they have achieved.

If you are looking for a highly skilled and passionate team to help you get the smile you've always wanted, OptiSmile is the way to go.

Keegan W.

Such a great place! Everyone that works there makes it such a pleasant experience! Dr Keira & Dr Clifford are geniuses and so professional in every aspect of what they do! Definitely the best place to go if you need any work done on your teeth! 🙂

CHANTELLE S.

Thank you from the bottom of our hearts
For giving Xander such a beutifull smile.

Today was his matricball and he was smiling like a celebrity.

Brent Allan B.

OptiSmile offers a professional and modern environment with exceptional service from Melany and the team. The results from the in-chair tooth whitening were fantastic, and the friendly service combined with great value for money made for a wonderful experience. Highly recommend!

Scott C.

Ruan and assistant Busi are a caring an competent team.
Thank you for everything you did to restore my smile.

Gilles C.

I have a dentist phobia and always avoid it at all cost, fortunately for me Dr Keira T. was extremely helpful and gentle! I went for Teeth cleaning and whitening and the results were instant which was a very nice surprise. Very professional and I would totally recommend the place. My go to dentist from now on.

Luc R.

The best. All that needs to be said. Kindest, most professional, caring, most fun.

What is a wisdom tooth extraction (or removal)?

Wisdom tooth removal is a surgical procedure to extract one or more of the four permanent adult teeth at the back corners of your mouth, known as third molars. These teeth often lack sufficient space to grow properly, leading to impaction and potential dental issues such as pain, infection, overcrowding or damage to nearby teeth. Even if they aren’t causing immediate problems, dentists may recommend removing wisdom teeth to prevent future complications.

What is a tooth extraction?

Tooth extraction is a dental procedure that removes a tooth from its socket in the jawbone. Often called “pulling” a tooth, this process is necessary when a tooth is damaged beyond repair, poses a risk to other teeth, or contributes to oral health issues. Whether due to decay, trauma, or overcrowding, tooth extraction ensures the health and alignment of your remaining teeth.

When do you need a wisdom tooth extraction?

Wisdom teeth are the last set of permanent teeth to emerge, typically between the ages of 17 and 25. While some people experience no issues as their wisdom teeth come through, many others face complications due to insufficient space in the mouth, leading to impacted wisdom teeth.

Impacted wisdom teeth fail to erupt properly due to lack of room. They can grow at various angles: towards the next tooth (the second molar), towards the back of the mouth, at a right angle to other teeth (lying down within the jawbone), or they may grow straight but remain trapped within the jawbone. These irregular growth patterns can cause pain, infection, and damage to adjacent teeth, necessitating removal.

Why do you need a tooth extraction?

While healthcare providers aim to preserve natural teeth whenever possible, there are situations where extraction becomes necessary. Removal may be the best option if a tooth is too damaged for restorative treatments like dental inlays or onlays and crowns. Tooth extraction might be recommended if you have:

Severe tooth decay (cavities).
A fractured tooth.
An impacted tooth.
Crowded teeth.
Severe gum disease.
Tooth luxation or other dental injuries.

At OptiSmile, we evaluate each case thoroughly to determine if a tooth or wisdom tooth extraction is the most suitable solution, ensuring optimal oral health for our patients and always attempting to preserve the natural tooth, where possible.

The Tooth Extraction Process

Before the Procedure

Before a wisdom tooth or standard tooth extraction, you’ll meet with your Cape Town dentist to discuss the procedure. During this consultation, you should:

Mention any health problems and list any medications you take regularly.
Ask any questions about the surgery.
Discuss the type of anaesthesia to be used: local, IV sedation, or general anaesthesia.
Plan for time off work or school to allow recovery, and arrange transportation if needed.

For wisdom tooth extractions, the surgeon will ensure you understand the specifics of the procedure, including the potential need for cutting the gums or bone to remove the tooth.

During the Procedure

Wisdom Tooth Extraction:

The surgery typically takes 45 minutes or less, depending on how many wisdom teeth require extraction.
Anesthesia options include:
- Local anaesthesia: Numbs your mouth, and you may also receive nitrous oxide (laughing gas) to help you relax.
- IV sedation: Provides drugs through a vein to make you drowsy, possibly causing you to sleep through the procedure.
- General anaesthesia: Ensures you are asleep and unaware during the surgery.
If necessary, the surgeon will make incisions in your gums or bone to access and remove the teeth, followed by stitches to promote healing.

Standard Tooth Extraction:

Local anaesthesia is administered to numb the tooth and surrounding gum tissue.
The dentist uses specialised instruments to loosen and lift the tooth from its socket gently.
In some cases, incisions in the gums are needed to access the tooth, significantly if it is decayed or broken off at the gum line.
After removal, the socket is cleaned and disinfected. A dental bone graft may be placed to prevent bone loss.
Stitches may be applied to aid in healing.

After the Procedure

Recovery from the wisdom tooth and standard tooth extractions varies based on the type of anaesthesia and individual response.

Immediate Aftercare:

If you had local anaesthesia and felt alert, you could drive home. Otherwise, you’ll need someone to drive you.
Post-surgery discomfort is typically minimal, with swelling and mild discomfort for a few days.
Follow your doctor’s instructions for a smooth recovery.

For the first three days after surgery:

Do:
- Use an ice pack on your face to reduce swelling.
- Apply moist heat for a sore jaw.
- Gently open and close your mouth to exercise your jaw.
- Eat soft foods like pasta, rice, or soup.
- Drink plenty of fluids.
- Brush your teeth from the second day, avoiding any blood clots.
- Take prescribed medications to ease pain or swelling.
- Contact your doctor if you have a fever or pain and swelling persists.
Don’t:
- Avoid drinking through a straw to prevent dislodging blood clots.
- Don’t rinse your mouth harshly; use gentle saltwater rinses if advised.
- Refrain from eating hard, crunchy, or sticky foods that could irritate the extraction site.
- Do not smoke, as it can slow the healing process.

Adhering to these guidelines and the personalised care instructions from OptiSmile can ensure a quicker, more comfortable recovery from your tooth extraction.

Why Choose OptiSmile?

Leading Dental Practices

At OptiSmile, we leverage the best dental technology, such as the iTero® scanner, to ensure our dental treatments are highly effective and tailored for your convenience.

Durable Smile Enhancements

Our goal is to provide long-lasting solutions for your dental health. We use advanced techniques to keep your smile bright and healthy while reducing the need for repeat procedures.

Focus on Comfort

By employing innovative tools like the dental wand, we enhance the comfort of our procedures, alleviating the usual stress associated with dental visits.

Early Detection for Optimal Health

With the precision of the Leica Microscope, our team excels at early detection and treatment of potential dental issues, ensuring your oral health remains at its best.

Personalised Dental Care

OptiSmile develops customised dental care plans that promote positive oral health habits, addressing each patient’s unique needs.

Clear Cost Guidelines

We believe in transparency in our financial dealings. We discuss treatment costs and offer various payment options to fit your budget, ensuring there are no surprises.

Wisdom Tooth & Tooth Extraction FAQs

Take a look at our most common questions. If you have further queries, please contact us.

What can I eat after a tooth extraction?

For the first few days after a tooth extraction, avoid hard and crunchy foods. Opt for soft foods like rice, pasta, and eggs. Avoid drinking through straws, as this can dislodge blood clots and lead to dry sockets.

When can I go back to work or school after a tooth extraction?

Most people can return to work or school within a day or two after tooth extraction. You may need to take a few additional days off if your job involves heavy lifting or physical labour.

What is the recovery period from a tooth extraction?

Recovery usually takes a few days. To ensure a smooth recovery:

Apply an ice pack to your cheek immediately after the procedure to reduce swelling. Use the ice pack for 10 minutes at a time.
Take prescribed medications as directed, including over-the-counter painkillers.
Rest and avoid strenuous activities for the first 24 hours.
Do not use a straw or smoke for the first 24 hours.
Gently rinse your mouth with salt water after 24 hours.
Use pillows to prop your head up when lying down.

Contact your dentist if you experience prolonged pain, fever, or signs of infection, such as pus or drainage from the incision.

Does a tooth extraction hurt?

Yes, a tooth extraction can cause discomfort. However, your dentist will administer local anaesthesia to numb the area and minimise pain during the procedure.

When should I call my dentist or surgeon after a wisdom tooth extraction?

Contact your dentist or oral surgeon if you experience:

Difficulty swallowing or breathing.
Excessive bleeding.
Fever.
Severe pain not relieved by prescribed medication.
Swelling that worsens after two or three days.
A bad taste in your mouth that saltwater rinses do not remove.
Pus in the socket or fluid leaking from the socket.
Persistent numbness or loss of feeling.
Blood or pus in nasal discharge.

What is the healing time for wisdom tooth removal?

Recovery from wisdom tooth removal typically takes one to two weeks.

How do you manage pain after wisdom tooth removal?

Pain and swelling can be managed by:

Applying ice to the affected area.
Taking prescribed pain medication or over-the-counter pain relievers like ibuprofen or acetaminophen.
Use extra pillows to elevate your head at night.

What day is wisdom tooth pain the worst?

Pain is usually most intense on days two and three after the procedure. If pain, bleeding, or oozing increases significantly between days three and five, contact your dentist, as this may indicate a dry socket.

How do you sleep after a wisdom tooth extraction?

Take prescribed pain relievers as directed.
Use medication containing ibuprofen if your oral surgeon advises you to do so.
Create a comfortable sleeping environment with a dark, cool room.
Elevate your head with an extra pillow to reduce swelling.
Sleep on your side to keep your head propped up.
Apply ice packs to reduce swelling. Wrap an ice pack in a cloth and apply it to your jaw for 10 to 20 minutes.

What should you avoid when sleeping after wisdom tooth removal?

To prevent dislodging blood clots and avoid dry sockets:

Do not sleep flat on your back; use extra pillows to elevate your head.
Avoid brushing around the extraction site for at least 24 hours.
Get plenty of rest to allow your body to heal.
Avoid drinking alcohol or smoking for at least 24 hours, as both can interfere with healing.