tooth extractions Archives - Kentucky Dental Group

Over Ten Shots to Get me Numb!

Posted on June 8, 2020 by writeradmin.

It seriously took over twelve shots to get me numb for a single tooth extraction. It was a miserable experience. Now, I’ve got this sharp bone place where the tooth was. Did my dentist do something wrong? After my experience in the office, I have sort of lost confidence in his abilities.

Heather

Dear Heather,

Let’s start with the shots. While it is possible your dentist kept missing the injection site, doing it that many times would be unlikely. I’m pretty sure he’d have a reputation on YELP or Google Reviews by now if it took that many tries with all his patients. The more likely thing is an issue many dentists don’t realize are connected — dental anxiety and Novocain.

It is normal to feel a tad nervous at the dentist’s office, especially when you need more than a cleaning and checkup. For some, though, their anxiety level rises to the point that their metabolism kicks in to help with fight or flight. When that happens, the Novocain either becomes less effective or burns off too quickly.

Even though, your dentist may not have done anything wrong here it sounds like he may not be the right dentist for your situation. Instead, I would look for someone who offers dental sedation options. There are several levels of sedation, depending on your level of anxiety. This will allow you to have a stress-free and pain-free dental appointment. Many patients who have avoided the dentist for years find that it completely changes their life.

The Bony Ridge

Believe it or not, this is normal. when your tooth was first extracted the socket had a sharp edge to it. You didn’t notice the edge because your gums were covering it. Now that the extraction site is healing, it’s shrinking down and is visible. If it becomes an issue, your dentist can clip it.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Dentist or Oral Surgeon for Extractions?

Posted on September 13, 2019 by writeradmin.

I have a terrible fear of the dentist and pretty much only go when I need a tooth pulled. I’m 50 years old and missing a large number of teeth at this point and feel like I need to get dentures. Do I go to a dentist or an oral surgeon for that?

Ben

Dear Ben,

I’m sorry for the struggles you’ve encountered. Many times, when someone is dealing with dental anxiety it is a result of trauma in the past with a dentist, often in childhood. This causes many patients to only go in for treatment when they have a dental emergency, such as you’ve done.

I would go to the dentist who is going to do the dentures for the extractions. If you go to two practitioners, one for the extractions and one for the dentures, there will need to be perfect communication. Denture preparation is something most dentists know how to do.

Because of your dental anxiety, I’m going to suggest you use a dentist who has sleep dentistry available. This will allow you to get your dental work done without any anxiety. In fact, if you want, you can nap through the entire procedure.

A Danger with Dentures

Before you settle on dentures, I want you aware of what you’re getting into. Even the best fitting dentures will reduce chewing capacity by 50%. The dentures for your top arch are held in by suction and the bottom ones just sit on the ridge of your jawbone. This is where the biggest problem arises.

When your teeth are removed, your body recognizes you no longer have any teeth roots. In an effort to be efficient, it resorbs the minerals in your jawbone to use elsewhere in your body. This causes your jawbone to slowly shrink. Eventually, you won’t have enough jawbone left to support your denture. This is known as facial collapse. Because of your young age, this is especially important for you.

The Solution to Facial Collapse

The best way to prevent facial collapse is to have dental implants placed in your jaw. These will mimic the roots of your teeth and let your body know you still need the bone to retain teeth. With about four to six implants you can anchor dentures to them. These are known as implant overdentures and will completely eliminate the problems caused by dentures.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Oral Surgeon or Dentist for Extraction

Posted on June 29, 2019 by writeradmin.

I had a filling fall out. I ignored it because I’m not the best at keeping up with my needed dental care. I have some dental anxiety that tends to help me justify putting things off. Well, the tooth became painful again and I went to see a dentist who did a root canal treatment. I didn’t follow up with the crown and the dentist never contacted me. At the time I considered that good luck. Now I’m not so sure. The tooth was reinfected. I went to see another dentist who said the tooth is too far gone and needs to be extracted. He told me it’s a complicated extraction so I could go to an oral surgeon who’d use anesthesia or him with a local. Would it be unsafe to use a regular dentist? Anesthesia is pretty pricey but I don’t want to do anything unsafe.

Carl

Dear Carl,

Sedation dentistry is sometimes called sleep dentistry…for a reason.

It’s not unsafe to do an extraction with a general dentist unless the dentist is in over his head. That may be what your dentist is hinting at by even suggesting you go elsewhere. The first thing I’d do is ask him his comfort level with this procedure. If he’s comfortable then you should be fine. If he’s not you have two other choices.

Go to an Oral Surgeon

An oral surgeon will be experienced in any number of complicated extractions and you can do it under anesthesia. However, as you mentioned earlier, this is a more expensive proposition for you. I have a middle ground, which I think will also help with the dental anxiety you face as well.

Go to a Dentist who Offers Sedation Options

There are dental sedation options with a general dentist which cost less than what you’d have to pay with anesthesia. You will still be completely relaxed. In fact, it is sometimes dubbed sleep dentistry because most patients are so relaxed they sleep through the entire appointment.

You’ll find this allows you to get a lot more work done in each sitting as well. This means you can get caught up on all your neglected dental work as well.

Once your tooth is removed, it will be time for you to look at tooth replacement options. I’m going to suggest you get a dental implant as it is the best replacement option. However, if the adjacent teeth need extensive work, such as porcelain crowns, it will be more cost effective for you to get a dental bridge instead. This will crown the adjacent teeth while filling in the missing tooth.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.