Harley Dentistry is a dental surgery, located in Tauranga, that provides patients with general treatments and a range of different procedures such as tooth extractions, including wisdom teeth extractions.
General - Exodontica
General extractions are required for various clinical reasons. We x-ray all extraction cases prior to treatment so that both dentist and the patient can be made aware of any potential difficulties prior to treatment. We are very competent and can undertake most extraction cases.
We give you our “after hours” contact details. There is nothing more distressing than late at night wishing to contact us and not being able to! If you feel you need help, please contact us as we would wish to help you when you need it and not hear about it the next day!
Nervous – like really nervous?
Everyone is nervous to a certain extent! As we are well aware of this, we will do our best to put you at your ease and minimise your discomfort. Depending on your circumstances, we can prescribe sedation which is an excellent way of dampening down your anxiety. We will discuss this with you and advise you accordingly.
Anti-coagulants – Anti-coagulants are a common medication especially in the elderly and cause many people some concern. We have excellent ways to manage such situations and usually, subject to confirmation, these can be managed without fuss and again, in comfort.
Treatment for osteoporosis can complicate dentistry especially with extractions. We are aware of these complications and have recommended ways of managing these situations.
Extractions and fitting dentures
When a patient wishes to have their teeth extracted and dentures fitted straight away i.e. immediate dentures, we have an excellent system to make this work easily. Our after care is without equal! (See the information on dentures)
Adults have up to 32 teeth, of which the last four are wisdom teeth and these are the last to come through the gum. They are the teeth right at the back of the mouth in each corner and usually appear between the ages of 17 and 25.
If there is enough room in the mouth, the wisdom teeth will come through (erupt) in a useful position and there will only be minor discomfort as they erupt. However, wisdom teeth can cause problems if there is not enough room in the mouth. If the wisdom tooth erupts at an angle and gets stuck against the tooth in front; the dentist will describe this as 'Impacted'.
This is one of the most common reasons we recommend wisdom tooth removal procedure for patients. An x- ray will show the position of the tooth root and we will be able to tell you how easy or difficult it will be to remove the tooth.
The reasons for wisdom tooth removal are:
- The teeth are not able to fully erupt through the gum and are causing an infection in the surrounding tissue; this is known as Pericoronitis. These are flaps of gum over the tooth and the gap underneath and harbour particularly damaging bacteria. This will infect the rest of your mouth.
- There is decay present - wisdom teeth will often decay as it is very difficult to clean them as thoroughly as your other teeth.
- Localised gum infections threatening the health of the useful tooth in front.
Following the wisdom teeth removal procedure, there is likely to be some discomfort. This will vary depending on how difficult it was to remove the tooth; it is not uncommon to experience some swelling for a few days. We will advise on how best to reduce this discomfort. A further dental appointment might be necessary for us to check the healing process and remove any stitches.
Have your teeth checked regularly by the dentist to see if wisdom tooth removal is needed.
Surgical extractions occur for impacted wisdom teeth but also for other fully grown and erupted teeth for various reasons. Gross and extensive decay and tooth fracture can dramatically reduce our ability to get access to grip the remaining tooth and root. On these occasions a surgical extraction is required to gain access so that the remaining parts of the tooth are removed completely. Leaving pieces behind is asking for trouble and hence a meticulous approach, not only gets the job done but minimises the discomfort. Any extraction is not nice and anything that we can do to minimise your discomfort, is important.
Post-Operative Instructions for all forms of surgery and extractions
After surgery or extractions, a blood clot will form in the socket or wound where the tooth used to be or around the incision line. A pressure pad over the wound stabilises the initial clotting and we recommend that it is left in place until you get home and have the opportunity to rest. Your blood pressure will then drop and the clot stabilises further.
Depending on the nature of the treatment there can be some residual bleeding which is quite normal. If it is only a small amount of bleeding, it is probably better just to swallow the blood! Constant spitting often traumatises the area and tends to create more bleeding which is not to your benefit. Rinsing your mouth is forbidden. It will wash the blood clot out of the hole and not only is it likely to start bleeding again but it can risk further infection. However, if you feel that the bleeding is excessive, use one of the supplied sterile packs as a pressure pad again and keep it in your mouth over the wound for 10 – 15 minutes. Treat the wound with respect and nature will look after you!
You can eat and drink but only drink straight down remembering not to disturb the wound. If at any stage in this process, you feel particularly concerned, please contact us so we can give you the best advice. We would rather hear from you early than have you struggle on for hours in misery.
Please remember that your mouth will still be numb for an hour or so after treatment. Your cheek and tongue can be bitten quite easily and it is also important to remember that you may burn part of your mouth if drinking hot liquids.
Avoid smoking and alcohol for 24 hours as these can have an effect on the healing process. You may be in discomfort after the anaesthetic has worn off. A household painkiller will help (headache tablet) following the manufacturer’s instructions.
Harley Dentistry also provides a range of other treatments, including dental implants, veneers and whitening.