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Emergency dental treatments available

When a tooth can not be saved, extraction may be the only course of treatment. Some reasons a tooth may need to be extracted:

A crowded mouth – you may need extractions to prepare the mouth for Orthodontics.

Infection – If tooth decay or damage extends to the pulp, bacteria from the mouth can enter the pulp and cause infection.

Risk of Infection – If your immune system is compromised even the risk of infection can be a reason to remove the tooth.

Periodontal (gum) disease – This can cause loosening of the teeth that may lead to an extraction.

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For emergency treatment, please call Acer Dental Practice.

01268 541 087

 

Extractions

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The Dentist will give you an injection of local anesthetic to numb the area where the tooth will be removed. The Dentist will use forceps to grasp the tooth and rock it back and forth to loosen it from the jaw bone. Once the tooth is removed you will be asked to bite on a gauze pad to help stop the bleeding.

After a tooth is extracted a blood clot forms, if this blood clot breaks loose, it exposes the socket, this condition is called a dry socket, if this happens the Dentist will place a dressing to protect it as a new clot forms.

How it's done

Complex Extractions

Some teeth are more difficult to take out than others because of the size, shape, position in the mouth or the shape of their roots, Some other reasons for a more complex extraction can be:

Heavily decayed teeth

Severley broken teeth

Wisdom teeth (third molars) are the last teeth to come through. They may not erupt, or emerge from the gums until your late teens or early twenties if they erupt at all. Most often, they are impacted or trapped in the jawbone and gums usually because there's not enough room for them in your mouth.  

How it's Done

The Dentist will give you an injection of local anesthetic to numb the area, due to the difficultly of the extraction, the Dentist may need to cut away gum and bone tissue, so he can grasp the tooth to rock it back and forth to loosen it from the jaw bone. Sometimes a few stitches may be placed to close the gum edges over the extraction site.

Soft Tissue Procedures

A soft tissue procedure is a minor surgery that does not involve teeth or bone. It might involve the complete removal of a lesion such as a small swelling or alternatively, a representative piece might be taken of a larger or more widespread lesion for the purposes of investigation.

The soft tissue that has been removed will be sent to an appropriate laboratory for examination under a microscope. A report will then be prepared regarding the nature of the lesion.

Franectomy

A frenum is a fold of tissue in the mouth, found under the tongue, between the two upper front teeth and on the sides of the gum. A Franectomy is when this fold of tissue is removed. Removing the frenum does not affect function. Some reasons a Franectomy may be necessary include:

A tight Frenum under the tongue - this condition is called tongue tie or ankyloglossia. This condition can affect infants feeding and later on can affect a child as they learn to talk.

Frenum attached between the upper front teeth - This may cause problems when a childs permanent teeth emerge from the gum around the age of 6/7 years. It may cause a gap between the teeth or the teeth may not be able to erupt.

Frenum inside the lower lip may pull gum away from lower front teeth - this is less common, it may lead to gum problems.

Frenum can interfere with the fit of a denture - This can occur anywhere in the mouth, but is usually seen on the sides of either the top or bottom jaw.

How it's Done

The Dentist will give you an injection of local anesthetic to numb the area and use a scalpel to remove the frenum. A few stiches are placed and a gauze pad is applied to help stop the bleeding. The surgery can be done in as little as 10-15 minutes. Generally a Franectomy heals with no problems and with little pain.

Risks

If the operation does not solve the problem, it may need to be redone.

Bleeding and infection are a risk of any procedure.

A Franectomy in the lower jaw to correct the fit of a denture can bruise the nerve that gives the feeling to the lower lip and chin, this is very rare.

Apicectomy

Each tooth is anchored into the jaw bone by roots. If the root canals become infected they may require a root canal treatment. Sometimes a root canal treatment can fail, which leads to an apicectomy. This can prevent a tooth from being extracted.  An apicectomy is when the root tip or apex is removed, the area is substituted with a filling to ensure the root ending is completely sealed.

How it's Done

Before the treatment you will attend a consultation appointment where the procedure is fully explained, a number of X-rays will be taken. The Dentist will give you an injection of local anesthetic to numb the area, the gum surrounding the tooth will be removed and the infected tissue is then extracted. The canals are cleaned and the tip of the root is cut away and a filling is placed before the tissue is stiched back into place.

Risks

If the apicecomy is unsuccessful then you will require an extraction.

Treatment on teeth at the back of the upper jaw may have an impact on your sinuses.

Treatment on the back teeth on the lower jaw carry a risk of nerve damage.

Swelling and pain in the treatment area.

Small pimples around the tooth can be a sign of infection, they are called fistulas and they can be drained to remove the infection.

Risks

After a tooth is extracted a blood clot forms, if this blood clot breaks loose, it exposes the socket, this condition is called a dry socket, if this happens the Dentist will place a dressing to protect it as a new clot forms.

Other complications include:

Pain, Bleeding or Swelling.

Infection.

Bone chips or fragments.

Nerve Injury which is very rare and usually temporary.

Contact us today to book a consultation or if you require any other information about any of these procedures.