Here at the Future Health Partnership Practices, our dentist in Chester has a forward-facing ethos on dentistry, but that does not mean we don’t value the perfection of one of the oldest dental treatments; tooth extraction.
All work must start with a conversation. You’ll have some questions posed to you by our dental team; we’ll need to know about your medical history, past allergic reactions and address any concerns you may have. It’s important to inform us of any medication you are taking at this point.
Pain relief options
It is normal for an anaesthetic to be used, this is a local numbing agent which is administered by injection into the jaw and gum. This will stop all painful sensations, but you will still feel pressure on your mouth. This can be disconcerting if you are unprepared or this is your first extraction. You will be conscious or awake for the whole of the treatment and capable of communicating.
In modern dentistry, full sedation is avoided whenever possible. You can take sedative anti-anxiety medication which can keep you relaxed while still conscious.
The option for full sedation is reserved for adults with severe learning disabilities and young children who may not be compliant. Full sedation is carried out in the hospital with the assistance of an anaesthesiologist in these cases, so we would have to refer you.
How a tooth is extracted
After the application of a numbing agent, you’ll be encouraged to talk by answering a few questions. As the numbing takes effect, your speech will slur which is the sign that our team is waiting for, to start with the procedure.
Our dentist in Chester will widen the tooth socket by pushing and pulling the tooth, gently loosening it before pulling it away from the gum and extracting it fully. Depending on the condition of the tooth, different tools will be used during and after the extraction. Depending on the presence of an infection or gum disease, the extraction hole may need cleaning and stitching.
If you feel any pain at all during the procedure, you must immediately tell our team; this is usually done by raising your hand or ‘tapping out’ on their arm. We will stop and reapply the local anaesthetic.
Bleeding should be expected; a piece of soft gauze and cotton wool will be provided to allow you to bite down and stop the bleeding. We strongly recommend patients don’t leave our surgery until all bleeding has stopped.
Your post-extraction care will vary significantly, depending on the nature of the extraction and the reasons why it was performed. It is no longer standard procedure to provide antibiotics prophylactically, but if an infection is present antibiotics will be prescribed.
Mouthwash is not always required but if gum disease was a feature in the extraction, a medicated mouthwash is recommended. There may be some post-extraction discomfort; this should be expected as the anaesthetic wears off. Usually, over-the-counter painkillers are appropriate, but if the discomfort becomes excruciating or the bleeding doesn’t stop, you will need to call our dentist in Chester.