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Tooth Removal

At 'Dental on Seventh' we strive to help you retain every tooth that we possibly can.

However, on some occasions, we need to provide treatment and support for patients needing a tooth or teeth extracted.
Tooth removal [extraction] may be required for a number of reasons. Commonly, you may be suffering some degree of pain or discomfort and this is why you have attended with us.

  • Teeth with extensive decay or damage
  • Gum disease - resulting in a loose tooth due to lost bone from infection
  • Wisdom teeth - needing to be removed because of infection or potential infection at the point of impaction
  • Damaged tooth structure, e.g. a vertical crack within the tooth creating access for pulp infection
  • Pulp disease not effectively resolved through root canal therapy.

Those teeth to be removed in preparation for for effective orthodontic treatment [Overcrowding] or in preparation for dentures or implants.

Wisdom Tooth Removal

Wisdom tooth removal is one of the more common situations where more than one tooth needs to be removed. Often wisdom teeth are unable to erupt properly through the gum, in which case we call them impacted teeth. Impacted teeth often eventually cause pain and discomfort and even a dangerous infection can arise in some individuals.
Wisdom teeth that fail to emerge fully into their correct position are often referred to as 'impacted teeth'. These usually need to be removed in a more complex way; In very difficult or complex cases, you may be referred by us to a 'maxillofacial oral surgeon' specialist to undertake the procedure.

Reasons for Treatment

Left untreated, some of the common problems associated with impacted wisdom teeth include:

  • Infections under the overlying gum
  • Decay within the wisdom tooth or adjacent tooth
  • Damage to an adjacent tooth
  • Pain and discomfort arising from the above
  • Bad taste/ bad breath arising from the above
  • Limited mouth opening caused by a spreading infection
  • Cyst formation in the bone associated either with a buried tooth or with a long-standing untreated infection

Key Facts:

Treatment time :

  • 20 min -1 hour for single tooth removal.
  • 1 - 1.5 hours for up to 4 wisdom teeth where there is an impaction present
  • For multiple teeth requiring extraction, it may be best to have more than one visit. We may arrange to remove a single tooth on the initial diagnosis appointment, if you are in considerable pain. Otherwise an initial visit is arranged to assess the problem carefully and discuss management of the problem and the treatment with you, and then the tooth or teeth are removed on the following appointment.

Tooth Removal: Treatment Approach

If you are feeling a little anxious, [understandably], we also may offer you a pre-treatment oral sedation, [or even a more thorough intra-venous sedative agent can be administered by prior arrangement]. You may need to arrive before the session to take the sedation tablet and then remain under appropriate supervision prior to and then during treatment.
Local anaesthetic will be applied on the surface to numb the gum before most injections of local anaesthetic, so no pain is experienced. The dentist will carefully apply pressure to extract the tooth, and this is sufficient for most cases. If required, stitches will be placed to assist healing. [If stitches are used, you may need return for a follow-up visit about 1 week later] Printed post-treatment instructions will be provided for you.

If you would like to arrange your initial consultation or you wish to understand more about tooth removal and/or our general dentistry services please Contact Us.

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