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Tooth Extraction Cost in South Africa
Tooth extraction is the removal of a tooth that is too damaged, decayed or loose to save. A simple extraction lifts out a visible, accessible tooth under local anaesthetic, while a surgical extraction is needed for broken-down, impacted or root-bound teeth and involves cutting the gum. Prices below are indicative SA ranges per tooth and vary by clinic and difficulty.
| Component | Typical range |
|---|---|
| Simple extraction (accessible tooth) | R500–R1,500 per tooth |
| Surgical extraction (broken/impacted/root-bound) | R1,500–R4,000+ per tooth |
| X-ray (if needed) | from ~R350 |
What affects the price
- Simple versus surgical (cutting required)
- Tooth position and size — molars and wisdom teeth are harder to remove
- Whether the tooth is broken at the gum line or has curved/fused roots
- Sedation or general anaesthetic adds cost
- General dentist versus oral surgeon
- Clinic location
Does medical aid cover it?
Extractions are generally recognised by SA medical schemes as necessary dental treatment and are usually paid from your dental benefit or medical savings account. Surgical extractions may attract better cover and possibly hospital/sedation benefits with pre-authorisation. Limits and waiting periods vary by plan.
Compare dental cover options →
Frequently asked questions
What is the difference between a simple and surgical extraction?
A simple extraction removes a tooth that is fully visible and accessible, loosened and lifted out under local anaesthetic. A surgical extraction is needed when a tooth is impacted, broken at the gum line or has awkward roots, requiring an incision and sometimes bone removal — which costs more.
Why do some clinics quote so much less?
Fees vary widely by region and clinic. Smaller-town or public-sector practices often charge less than city specialists, and a quote also depends on whether the tooth needs simple or surgical removal.
Will I need a replacement after extraction?
If the tooth is visible or important for chewing, your dentist may recommend a replacement such as an implant, bridge or denture later. That is a separate cost to budget for.
Are these prices fixed?
No. SA dental fees are unregulated and there is no official price list. These are indicative ranges — get a written quote after an examination and X-ray.
Figures are indicative ranges compiled from published South African dental price guides and comparison sources, last reviewed June 2026. They are not a quote — ask your dentist for a written treatment plan.
