With our Future Health Partnership Practices’ dentist in Chester we are mindful of the concerns which many people have around dentistry and around extractions in particular. Let’s try to demystify the process, so you know what to expect each step on the way.
We will try to be as accurate as possible, but there are a lot of features which will have an impact on how each given extraction may be carried out, so we can only give a general guide here.
There are many reasons why an extraction may be warranted. Unless it is something very trivial like a baby tooth removal, the first clinical step would be a dental X-ray to get a better understanding of the root structure of the tooth and if the extraction will be a more simple or specialist task.
Discussing the extraction
This is where each step will be explained before the procedure, so there are no surprises and you are fully informed. We will ask about your medical history and any allergies or pre-existing conditions you may have. Then, a non-verbal method of communication will be agreed upon, usually raising a hand, so if there are any issues during the procedure you can signal to our dentist to stop and address the issue.
Anaesthetics and sedations for extractions
There are a few options at our dentist in Chester, but full or general anaesthetic is not one of them. To safely maintain unconsciousness, an anaesthesiologist is required and for most dental procedures, this is excessive. If a patient insists on being fully anaesthetised, we can refer you to a specialist with access to an operating theatre.
For most patients, local anaesthesia is acceptable. It allows the numbing of all discomfort, but still allows you to feel pressure and will not suppress your breathing. If the idea of being conscious during extraction is disturbing to you, a benzodiazepine can be used with the local anaesthetic to help you say calm and tranquil throughout the procedure.
Tooth extractions; how do you do it?
The art of tooth extraction is to remove the tooth in one piece while minimising the disruption to other teeth and the surrounding gum. The complexity comes with pathology; it’s very unlikely we would be pulling a healthy tooth, so the method of extraction must be tailored to the situation. For instance, a cavity damaged tooth may have become too fragile to grasp with forceps or the root is compacted and possibly intertwined with a neighbouring root system. The tooth will be progressively loosened until fully liberated from the gum. A stitch may be used to close the gap left in the gum to help with healing if the gum is heavily disrupted by the extraction.
After the extraction, a few minutes of bleeding should be expected; we would prefer it if you stayed in the surgery until the bleeding is stemmed. After local anaesthetics, you are free to drive and go about your day as usual. Over the next three to four days you should treat any discomfort with over-the-counter medications. The gum should settle and return to normal over the next week and a half. If you are in discomfort after 10 days please book a check-up at our dentist in Chester, so we can assess progress.