Medically reviewed by Dr. James Ko

How Much Does Wisdom Tooth Removal Cost in Ontario?

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Imagine two people living in Ontario — one in downtown Toronto, the other in Northern Ontario. They both need a wisdom tooth removed. Will they pay the same price? Unlikely. In 2025, the average cost of wisdom tooth removal in Ontario will be influenced by multiple factors beyond geography.

Key Takeaways

  • Wisdom tooth removal costs vary widely across Ontario, depending on extraction complexity and location.
  • Simple extractions are less expensive than surgical or impacted tooth removals.
  • Dental insurance coverage can ease costs, but plan type and provider matter significantly.
  • Understanding your benefits and asking the right questions can save you money.

Cost Differences by Extraction Type and Location

There’s no fixed price across the province, but we can outline the main variables that influence how much you’ll pay:

  • Type of extraction (simple vs. surgical)
  • Location
  • Clinic type (general dentist vs. oral surgeon)
  • Use of sedation or anesthesia
  • Number of teeth removed

How does the type of extraction affect the total cost?

The kind of extraction plays a pivotal role in how much you’ll end up paying. Here’s a breakdown of the main categories and how they compare in terms of complexity — and cost.

Extraction Types and Cost Influences

Type of Extraction Description Complexity Level Cost Influence
Simple Extraction Tooth is fully erupted and easy to remove Low Least expensive
Surgical Extraction Involves cutting the gum or bone Moderate to High Moderately to highly expensive
Impacted Extraction Tooth is trapped in the gum or jawbone High Most expensive
Molar Extraction Usually larger and more rooted Moderate Varies depending on tooth position

Simple vs Surgical vs Impacted

  • Simple extractions are the least invasive and typically involve minimal recovery.
  • Surgical extractions often require stitches and more aftercare.
  • Impacted teeth (often wisdom teeth) require specialized tools and techniques, adding to the cost.

Multiple Extractions

If you're removing more than one wisdom tooth, clinics may offer bundle pricing. However, the savings usually depend on whether the teeth are similarly positioned. Removing two impacted molars is not the same as removing two erupted teeth.

Additional Cost Factors

  • X-rays and diagnostics are often billed separately.
  • Sedation (beyond local freezing) can significantly increase the price.
  • Follow-up care, including prescription medications, may not be included in the quote.

Understanding what’s involved in your specific extraction can help you anticipate costs and avoid unpleasant surprises.

Does dental insurance cover the cost of wisdom teeth removal in Ontario?

Coverage for wisdom teeth removal varies widely across insurance plans in Ontario. Whether you're covered — and how much — is determined by who provides your plan and how the procedure is classified.

Private and Employer-Based Plans

Most private and employer dental plans cover basic dental surgery, including wisdom teeth removal. However, the specifics matter:

  • Simple extractions are usually fully or partially covered.
  • Surgical or impacted removals may fall under primary dental services, requiring co-pays or deductibles.
  • Annual maximums can limit how much your insurer will reimburse in a calendar year.

Student Plans

University and college students in Ontario often have access to school-provided dental insurance. These typically include basic coverage for extractions, though surgical removals may require a pre-authorization.

OHIP (Ontario Health Insurance Plan)

OHIP does not cover routine wisdom tooth removal, even if it's surgical. The only exceptions occur in hospital settings where the procedure is medically necessary (e.g., for impacted teeth with severe complications).

Additional Cost Factors

What additional fees should patients expect during tooth extraction?

The fee for removing a tooth is often just one line item on a larger bill. Patients are frequently surprised to discover that the total cost of tooth extraction includes several additional charges, some of which are not always disclosed upfront.

Breakdown of Common Additional Fees

  • Consultation fee: Many clinics charge for the initial visit and treatment planning.
  • Diagnostic imaging (X-rays): Panoramic or cone beam CT scans are often needed to assess tooth position.
  • Sedation: Beyond local anesthetics, options like IV sedation or general anesthesia add significantly to costs.
  • Prescription medications: Pain relief and antibiotics may be required after surgery and are usually not included in the base fee.
  • Follow-up appointments: Post-operative checks may incur extra charges depending on the clinic.

How much does it cost to remove a molar vs a wisdom tooth?

At first glance, a molar and a wisdom tooth might seem similar. Both are large teeth in the back of the mouth. But when it comes to extraction, the costs can differ considerably.

Key Differences

  • Molar teeth (especially first or second molars) are usually more accessible, making extractions easier and faster.
  • Wisdom teeth, especially if impacted, can require bone removal or gum surgery.
  • Anatomical complexity also differs. Wisdom teeth may have unusual roots or orientations.

Payment Plans and Financing

At Markham Smile Centre, we understand that dental treatment can be a significant investment. That’s why we offer flexible financing options to make care more accessible and stress-free. Through our partnership with Beautifi — a trusted Canadian healthcare financing provider — patients can enjoy:

  • Affordable Monthly Payments – Break up the total cost into manageable installments.
  • 0% Interest Promotions – Available on select plans to make treatment even more affordable.
  • Fast, Simple Approvals – Apply online in under 3 minutes with instant approval decisions.
  • All Credit Scores Welcome – Financing options available regardless of your credit history.
  • Broad Treatment Coverage – Use financing for implants, Invisalign, and cosmetic procedures.

You can choose between in-house financing and third-party payment plans based on your needs. Virtual consultations are also available to help you understand your eligibility and plan the financial aspect of your dental care with confidence.

What factors influence the price of tooth extractions the most?

When patients are quoted for a tooth extraction, they often focus on the number. But the price isn’t arbitrary—several factors converge to determine the final cost. Understanding these variables can help patients anticipate what they might pay and potentially make more informed decisions.

Ranked Factors That Most Significantly Influence Extraction Costs

  1. Complexity of the Extraction
    The single biggest cost driver is how complicated the procedure is. A straightforward extraction of a tooth that has erupted normally is much less expensive than removing an impacted wisdom tooth embedded in the jawbone. Complex extractions require:
    • More surgical tools
    • Additional time
    • Specialized training
  2. Type of Anesthesia or Sedation Used
    Local anesthesia is typically included in the base price. However, sedation, such as IV sedation or general anesthesia, comes at a premium. Clinics must have trained staff and certified environments to administer these options safely.
  3. Dentist or Oral Surgeon’s Experience
    Specialists with years of experience or those certified in advanced techniques may charge higher fees. This reflects their expertise and the precision and safety they offer during high-risk removals.
  4. Clinic Location (Differences Across Urban Centres)
    Ontario saw a slight increase in dental fees, partly due to inflation and updates to the Ontario Dental Association (ODA) fee guide. Larger cities like Toronto, Ottawa, and Mississauga report higher baseline rates, particularly where clinics invest more in technology, extended hours, or specialist services.
  5. Emergency or After-Hours Service
    If the extraction is performed as an urgent or after-hours service, it typically comes with a higher base cost.

the price of tooth extractions

Are impacted wisdom teeth more expensive to remove?

In short — yes. Impacted wisdom teeth consistently rank among the most expensive dental extractions. But why?

The Clinical Complexity of Impacted Teeth

Impacted wisdom teeth do not fully emerge through the gum or are trapped within the jawbone. This makes removal more invasive and time-consuming. It may involve:

  • Incisions into the gum
  • Drilling or cutting bone
  • Sectioning the tooth into pieces for removal
  • Multiple follow-up visits

This means more equipment, surgical skill, and longer chair time — all of which add up.

Professional Insight

“Impacted wisdom teeth often sit close to nerves or sinuses, making surgical precision crucial. That’s why these procedures require more planning, longer chair time, and careful recovery monitoring,” explains Dr. Amir Guorgui.

What’s the result? Expect impacted extractions to cost significantly more, even if you have dental insurance.

Safe, Expert Wisdom Tooth Removal with Flexible Payment Options

Regarding wisdom tooth extraction in Ontario, no two cases — or prices — are the same. From the complexity of the procedure to the level of sedation, many factors influence the total cost. But one thing should always remain consistent: your safety and comfort.

At Markham Smile Centre, we prioritize both. Our experienced team is committed to providing safe, precise wisdom tooth removals in a calm, professional environment. Whether dealing with a simple extraction or a complex impacted tooth, you can trust us to use the latest techniques and put your well-being first.

Worried about the cost? We’ve partnered with Beautifi to offer flexible financing plans, including affordable monthly payments and 0% interest options. That means you don’t have to delay treatment due to budget concerns.

Book your consultation today and discover why so many patients across Ontario choose Markham Smile Centre for expert care and financial peace of mind.

Andrea Galick

Andrea Galick is an accomplished Dental Hygienist (RDH) with a passion for helping patients achieve optimal oral health. Andrea has built a reputation as a caring and skilled practitioner who puts her patients at ease and provides individualized care that meets their unique needs.

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