Teeth Extraction Questions and Answers Archive

Feb
2000

Q&A: Should I let my now present wisdom teeth come in if I had 4 extractions before having braces which are now removed?

Question:

My two lower wisdom teeth are coming in and I have been feeling discomfort and pain for about five months, the pain has been on and off. The first time was in August and then again in December and now just recently. The first time the pain was very minimal. I felt some discomfort in my gums and they were swollen, this lasted about a week or so and then I was fine again. The second time the pain got stronger and now for the third time the pain has gotten unbearable. My right cheek is completely swollen, my gums and jaw are sore from the pain, my gums irritated, and I have also experienced some throbbing. I have been taking asprin and have been using an oral anesthetic for the pain. I have also experienced difficulty concentrating and falling asleep because of the pain. My concern is that I recently had my braces removed and I'm worried that my wisdom teeth might affect my newly straightened teeth! Before I got my braces I had 4 extractions: 2 lower and 2 upper. I originally planned on letting my wisdom teeth come in because I didn't want to go through any more extractions and also because I figured that I had enough space for them to come in anyway, but after experiencing such pain I am not sure what to do any more. Should I just wait out the pain again like I did in the past or just get the extractions done? What would be less painful and how long would the recovery be? How long does it take for your wisdom teeth to fully come in? What is the cost to get this procedure done? Would it be best to go to a regular dentist or an oral surgeon?

- Myra

Answer:

Myra, You had braces, and wanted to let your third molars to erupt? ot a good idea. If you had to have extractions for the braces, I'd guess you have a small mouth. If there is no room for the molars to erupt then you could be threatening the long term stability of your orthodontics.( I hope you're weariing your retainer!) Sounds like you have pericoronitis. I'd call your orthodontist, and have him refer youto an Oral surgeon. Don't let your general dentist do the extractons.

-- Charles R. McNamara, DMD
Winter Park, Florida



Apr
1999

Q&A: Should I seek a second opinion if my 7 year old son's dentist now wants to extract a molar that was filled and had an infection twice?

Question:

My 7 year old son developed an infection in a baby molar that had been previously filled. The dentist removed the filling and did a root canal on his tooth. He told us he wanted to save the tooth because it wouldn't come out until he was about 12 years old and he wanted to maintain the space the tooth occupied. The tooth became infected again about 2 months later and he reworked the root canal. He packed it with medication and put a tempory filling in the tooth. He scheduled him to come back in 6 weeks for him to check it. Now he tells us the tooth is probably gonna have to be pulled anyway. The tooth is not hurting my son and the gums around the tooth look fine. Do I need to get a second opinion about the condition of his tooth? I am beginning to worry that the dentist is money hungry and I don't want my child to go through anymore unnecessary pain. A Concerned Parent

- Tammy

Answer:

Dear Tammy, The dentist was trying to save the tooth. However, if he now feels it should be extracted, he should do so but also he should fabricate a space maintainer for that area. A space maintainer is a small metal piece that will keep the teeth on each side of the extraction area the proper distance apart until his neww tooth grows in.

--Arvin Oberai, DDS
Winter Park, Florida



Apr
1999

Q&A: Are there any laser techniques to extract bad teeth?

Question:

My upper 3rd molar on my left side has been slowly cracking and decaying over a period of time (there is very little tooth left) and I have yet to have it removed. I am interested to find out whether any of the new laser devices and techniques can be used for an extraction? Thanks for your prompt answer!!

- Mike

Answer:

No, There are no lasers available that can remove teeth. If you are concerned about the procedure maybe you should consider having the procedure under sedation. Good Luck

--Priveer Sharma, D.M.D.
Winter Park, Florida



Mar
1999

Q&A: Will I have damage from shifting teeth and should I consider a Maryland bridge for two extracted teeth?

Question:

About 1 1/2 years ago, I had a couple teeth extracted. A tooth on top of one of those teeth has started to come down to compensate. First, will this do any damage to my teeth? Secondly, would you recommend maryland bridges for the teeth that were extracted? Thank you for your time.

- Anthony

Answer:

To answer your question properly and fully, I would need to know your age and what teeth were extracted. Please write back with this information.

--Arvin Oberai, DDS
Winter Park, Florida



Mar
1999

Q&A: Should I get a second opinion regarding my teeth extraction and the continue nerve pain and possible damage?

Question:

Dear Dr.,I had 2 teethextractions 9 wks ago.Having persistant painradiating down to chinWhat can I do? Dr. said it is in my head!Been onKeflex 500mg qid 2x already. When Iget off after 3 days symptoms return. notetransient edema, warmth, and pain return. Allergic to pcn,sulfa. Pain is pronouced from r.earradiating down bone tochin. I am a nurse. Dr. states I am looking or attention.Not true. To the visible eye, site looks good. But the molar extracted is still deep. I had r. bottom wisdom tooth removed and the molarin front of it.Went to regular dentist and he tok 4 x-rays. Said hesaw complications-infection. But the maxio. guysaid he saw nothing.I have known him sence high school. I am 43. Have little faith in him. Chooses to ignore my symptoms. I have chronic TMJ bilaterally and do not want to have more chronic problems. I am concerned about bone infection.He never put me on an antibotic until 1 week after the surgery. The pain has also started radiating underneath chin. I amnot crazy, but he is blaming symptoms on anxiety. He has chooseto ignore me,stating,not knowing what to dobut play the waiting game.I need advice since no one listens to what I am saying. Never had these symptoms before the extractions.Adviseplease.Seek a 2nd opinion? Any idea whatit could be? Would nerve damage act like that?

- jean

Answer:

Dear Jean, There is never anything wrong with a second opinion. Regaurdless of the outcome the offer you the piece of mind of having a second expert evaluate you. I would recommend that when you go for a second opinion that you take any radiographs that you may have from before and after the surgery. By doing so it may allow the surgeon a greater understanding of your situation and specifically address your concerns regaurding nerve injury. Good luck

--Priveer Sharma, D.M.D.
Winter Park, Florida