Although it would be great to think that your adult teeth would last a lifetime, this is not always going to be the case. Sometimes there will be ones that have to come out and you need to have a dental extraction. Most of the time this is something that can be arranged in advance, but there will be times when it must be done quickly, and you need to arrange an emergency tooth extraction.There are a few reasons why you might have to have a tooth out including: –
Overcrowding- sometimes there are just too many teeth. Either that or they are too big.
Non-eruption – if a tooth cannot find room to come out, it may be removed.
Infection – antibiotics will not be able to cure everything, and once the interior of the tooth is infected, it will be hard to cure. This will at least stop the infection spreading to other teeth.
Risk of infection – this only tends to be an issue if there are other health issues or chemotherapy is being received
Gum disease – this is when the tooth is fine, but the gums and tissues are weak leading to teeth being affected. Normally they will become lose and either fall out or need help.
A quick appointment with dental office will give you an example of what will be done and whether it will be expensive or low cost dental care.
What to Expect
This treatment will have to be carried out in a dental surgery and by a fully qualified dentist. It is not something that can be done without anesthetic although it will normally just be a local one. You will be given an injection in the area around the tooth to be removed. Once the area has become numb, the extraction can begin. It may be necessary to cut away some bone and gum where there is an impacted tooth. Once the tooth is visible, there will be a gentle rocking motion as the tooth is worked loose. If it will not come out easily, it often needs to be broken up and then removed in pieces.After the tooth has been removed, there will be blood gathering in the socket and so the gap will need to be packed with gauze. If there has been a particularly difficult extraction, it is likely that a couple of self-dissolving stitches may be put in. There is the risk of dry socket, where the blood clot does not form properly and if this happens, the dentist will provide a special dressing. I would find that having a dentist around me for a while after extraction will be a great comfort.
It is not just a case of having the tooth out, as certain conditions may require the procedure to be dealt with in a very different manner. Some people will need to take antibiotics before the extraction as well as after. This is something that the dental specialist will need to know about so as they can prepare things ahead of the appointment. The dentist should be informed of your complete medical history, so as they can determine if anything needs to be done differently. Infection will be the biggest issue. There is also a more delicate issue to discuss. If you have any blood related illnesses such as HIV or hepatitis, the dentist should be informed. Dental care must go both ways, and the dentist has to be protected. From a patient safety point of view, the conditions that will need to be detailed include:
Problems with heart valves – this could be ones that are damaged or have been replaced.
Congenital heart defects – anesthetic could be a big problem there.
Cirrhosis or any other liver issues.
Joint replacements or immune system impairment.
After the Extraction
This is only a short-term procedure and unless something happens that the dentist is concerned about, you will be sent home. Within a few hours, the bleeding should stop, and the gum should start to close, although it will be a few days before that is done completely. You should avoid hot drinks and food for a couple of reasons.
The gum will be tender and can be painful if it encounters something too hot.
If the anesthetic has not worn off, you may not be aware of just how hot something is and end up with burns to your throat and stomach.
Even with cheap dental care, you should be told what to do over the next few days. Painkillers can be taken, and if you feel it necessary, an icepack applied. It may be difficult, but try not to use a toothbrush until the next day. You don’t want to dislodge the blood clot that is forming. If you smoke, you can delay healing so avoid it, and try to eat soft foods at least until the next day.Non-HealingIf there is no improvement in a day or so, you should call the dental clinic. The main symptoms to look for include: –
Flu like symptoms including a cough or pains in the chest
After a few weeks, you will be aware that the bone and gum has grown in the hole, and you may feel that this is the end of the issue. You may struggle to bit depending upon the location of the tooth, and others may begin to move.
The dentist may suggest that you have a replacement tooth fitted to prevent other teeth moving around. You may decide that this is something you want for cosmetic reasons. There will be a solution, but you may have to wait for a few months until full healing has taken place. The emergency dentist near me or you may make this a longer process than you would like, but it is better to be safe than sorry. There is no point rushing the job and risking infections or the like.