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

Danielle S.
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.
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.
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.
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.
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.
Max W.
Best dentist's in the world, bar none. Trust me.
Marysia A.
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.
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.
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.
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.
ophir S.
Fantastic experience. The staff are excellent and very professional. I love my results!🙌
Terri S.
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.
Bonny B.
The best everything, from making your first appointment right through to aftercare for your procedure. Highly recommend.
Bonnie L.
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!
Dominique L.
Dominique L.
10 star service at OptiSmile! Can highly recommend 😊 Dr Harris is the best!
Charity H.
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.
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.
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.
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.
CHANTELLE S.
Thank you from the bottom of our heartsFor giving Xander such a beutifull smile.Today was his matricball and he was smiling like a celebrity.
Brent B.
Brent 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.
Scott C.
Ruan and assistant Busi are a caring an competent team.Thank you for everything you did to restore my smile.
Gilles C.
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.
Luc R.
The best. All that needs to be said. Kindest, most professional, caring, most fun.
Nataliia K.
Nataliia K.
Great service and very professional doctors. Highly recommend!
Andreya J.
Andreya J.
Dr. Clifford and his extended team are true masters. They lead an exceptional state of the art practice with passion and utmost dedication to their clients. I have had some extensive work done by Dr. Clifford, where he did a collaboration with my dentist from the United States, he went above and beyond to repair a very tricky situation and I could not be happier. There is no other dental practice that I would recommend with such confidence. Thank you to Dr. Clifford and everyone at Optismile for your impeccable care.
Mark N.
Mark N.
Would definitely recommend. Extremely helpful and professional.
Samantha M.
Samantha M.
I have walked a long journey with Dr Cara and she has been a rockstar: kind, patient, understanding and accommodating of someone who has dental anxiety and just so thoughtful in her interactions with me and working through identifying the need for a root canal and finalising it all with an inlay/crown.I appreciate your patience Dr Cara, and the super high tech equipment you used to get me my night guard ASAP and diagnosing my TMD and sending me to a specialist physio (instead of pulling out my tooth like I was insisting on 😂) and getting me to smile at the end of a dental appointment - not my usual vibe believe me. Thanks to everyone at @optismile I’ll see you guys in 6 months for a check up ❤️ love, @sammikoalareads
Fiona M.
Fiona M.
My invisalign experience with Optismile was amazing! Fantastic results! Best 50th birthday present to myself! 😁5 star experience from 1st appointment until my last. Professional caring staff made for a great overall experience.Dr Harris Smeyatsky is the best!
Tiphaine G.
Tiphaine G.
Dr Keira is one of the best dentist I have ever had. I came in July with my partner and we had the best treatment. She is passionate, professional and really takes the time to explain you what she does and how to improve your teeth and gum. The whole team is very friendly and professional, you can also hear nice music and have a view on the ocean while you are having your appointment!I had to come back a month later for a small emergency, Dr Keira made space right away, helped me sort it out and did not let me pay. I really recommand you to go there if you are looking for Dentistry. I come from France and I can tell you this is really really a next level experience!
Katie F.
Katie F.
Dr Keira Tularam was excellent, very patient with me as a nervous patient, gentle and kind, I’d highly recommend her.
Sharon M.
Sharon M.
Dr Clifford Yudelman makes going to the dentist almost fun😄 Great conversation & music throughout the session. My treatments have been pain free and Optismile offers an impressive level of in house technology. Everyone from reception to dental assistants to dentists is professional and friendly.
Sharron B.
Sharron B.
Red carpet VIP treatment and Excellent Consultation from Beginning to End, Thank You👌
Shiraan F.
Shiraan F.
Dr Clifford is a legend. They do great work and if you are not happy Dr Clifford will assit until you are 100% happy and give them this 5 star rating.
Luke D.
Luke D.
Dr Harris and Dr Cara are both phenomenal. I was told by other dentists I had to have an operation to correct my underbite. With their experience and Invisalign it was quick, painless and overall a very pleasant experience. If you want the very best dental care, Optismile is the place. Thank you Dr Harris and Dr Cara! 🙂
Andre N.
Andre N.
Very friendly and thorough. Makes a dentist appointment very enjoyable
Neve I.
Neve I.
Very good!
Jade H.
Jade H.
The Optismile establishment as a whole is very impressive. So much care is taken to cater for the comfort of patients, from a beverage to a blanket, not forgetting the decent, genuine conversation that comes from the staff. Personally, Dr Yudelman ensured my dental emergency was handled swiftly, and to the utmost degree of efficiency, without even knowing me. I was reassured from the moment I sat in the chair.As I do not stay in The Western Cape full time, it was a concern that I might not find a professional who could understand my previous difficulties/history and thoughtfully make informed decisions for the steps to follow. He was kind and described the procedures, so I could understand what exactly would result from my appointment. No less, he helped me on very short notice, even staying after hours to ensure I received the help I needed.Thank you Dr Yudelman and Optismile for offering a service that is worth every minute and penny.
Kelly F.
Kelly F.
I went to OptiSmile initially to get a broken tooth fixed, and find out more about Invisalign. I was experiencing jaw pain and had been told I could expect more chipping and breaking of my molars unless I addressed the root cause of crooked bottom teeth in particular. I ended up spending seven months with Louis, Harris, Clifford and their assistants, who worked out a complete dental plan for me and then repaired and straightened my teeth but also so much more. And Verona, who checked in with me at every appointment. It's the most relaxed yet professional and adept dental practice I've been to, with the latest technology and dental advancements. I no longer worry about teeth breaking and my jaw pain is gone. Louis and Clifford were also happy to work without anaesthetic when I said I'd prefer not to have it. Everyone in the practice is down to earth and friendly, and it creates a welcoming environment where you feel you're in safe hands. I'm confident now that my teeth are strong and fit for purpose for years to come. Thanks to all of you for such a comfortable and seamless experience.
Lyndon B.
Lyndon B.
OptiSmile, Dr Louis, Clifford & the amazing dental assistants saved my smile.This is the best dentist in the world in my opinion after visiting veneer specialist dental clinics around the world and having a rough 2 year journey of trying to re-correct my original veneer work which I had done in the UK, Dr Louis, Clifford and OptiSmile saved me and have changed my life especially my mental health.I came to Optismile originally just for them to stick back on my veneer which had been falling off for the last two years, I really was hopeless and Clifford offered me a treatment plan which would re-correct the full veneer work with even more veneers included and also fix my bite which I had struggled with intense pain and regular headaches with.I ended up going for it, I trusted my instincts as not only you can see how professional they are but also friendly and the clinic is very modern with the latest technology.I had a full makeover and life changing smile all within 3 months, not to mention a very reasonable price for the highest quality.Dr Louis was in charge of my treatment and he allowed me to WhatsApp him with any concerns throughout, he’s become a good friend and I am so grateful.Thank you to everyone at Optismile, everyone on reception who are friendly, the dentists who are clear professionals, the assistants who are kind and gentle and everyone who made this journey so easy for me.Best,Lyndon.
Seán H.
Seán H.
Excellent experience as usual! I had an overlay replaced, it was placed and fitted with machine-like precision. And the whole procedure was very comfortable. Thank you Clifford definitely the best dentist in Cape Town.
Peter M.
Peter M.
I had the pleasure of being treated by the world class dentists at Optismile, and I couldn't be happier with the results. Dr. Cara did a fantastic job adding bridges, and Dr. Steyn was amazing with the implants. Their expertise and professionalism truly stand out. The entire experience was seamless, and they made sure I was comfortable every step of the way. Thanks to their excellent work, I now have a smile I'm proud of. Highly recommend these talented dentists to anyone in need of dental care!
Kate L.
kate L.
Dr Cara is so professional, she took me through the process step-by-step. The end result is so rewarding.
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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.

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.

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?

Wisdom Tooth Removal &Amp; Tooth Extraction 1

Leading Dental Practices

Wisdom Tooth Removal &Amp; Tooth Extraction 2

Durable Smile Enhancements

Wisdom Tooth Removal &Amp; Tooth Extraction 3

Focus on Comfort

Wisdom Tooth Removal &Amp; Tooth Extraction 4

Early Detection for Optimal Health

Wisdom Tooth Removal &Amp; Tooth Extraction 5

Personalised Dental Care

Wisdom Tooth Removal &Amp; Tooth Extraction 6

Clear Cost Guidelines

Wisdom Tooth & Tooth Extraction FAQs

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

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.

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

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

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.
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.
  • 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.

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.

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