Tooth extraction
Discussion
Any dentists in? I had a wisdom tooth out yesterday and as an engineer I'm interested in the process.
I had assumed it would involve a lot of pulling, but as it was sideways she said she had to split it. I think she then either drilled a hole or cut a slot in it, and used some kind of expansion device to crack it and remove the crown, but then to remove the root she was pushing really hard in to it with a kind of blunt bradawl. Is the idea to push in to the tooth from the inside to crack it? It appears teeth are way harder to remove than I had expected
I had assumed it would involve a lot of pulling, but as it was sideways she said she had to split it. I think she then either drilled a hole or cut a slot in it, and used some kind of expansion device to crack it and remove the crown, but then to remove the root she was pushing really hard in to it with a kind of blunt bradawl. Is the idea to push in to the tooth from the inside to crack it? It appears teeth are way harder to remove than I had expected
My last wisdom tooth had to come out under GA. They had to dissect my gum down to the jawbone to get it out, impacted and on the x-ray the roots were absolute corkscrews.
It felt like my jaw had been broken, stitches out quite quickly but it took a long time to heal properly. I still have a bit of a hole.in my gum where it used to be.
The other three came out in the dentists chair without too much bother. But the last one was absolutely dug in.
It felt like my jaw had been broken, stitches out quite quickly but it took a long time to heal properly. I still have a bit of a hole.in my gum where it used to be.
The other three came out in the dentists chair without too much bother. But the last one was absolutely dug in.
I've recently had mine out too and was watching youtube videos before extraction expecting them to use the sectioning technique but no, it was good old fashioned looming over me sort of pushing with a metal implement, felt like he was going to push my jaw off at some point. Then the enamel cap broke off leaving a peg which he had a massive panic about and a 5 minute break while he had a think.
Sheets Tabuer said:
I've recently had mine out too and was watching youtube videos before extraction
I'm interested after the event, but that's a level of dedication beyond me Although I'm going back for another one next week so I guess I'll have a better idea what she's doing then. I got the impression this one was a lot more difficult than they expected.
I hope they at least stuck a needle in you first! That local anesthetic is good stuff, she was pushing so hard my neck muscles are still aching from holding my head still, but couldn't feel a thing around the tooth.I was knocked out to remove my upper and lowers, the lowers had grown forward too and were impacting the molars and caused an abscess. The op was fairly trauma free but they left a shard of tooth in one of the cavities, so while 3 holes healed in a week or so one was painful and constantly weeping for quite a while after. Having been pre warned of dry socket and not being one to seek help unless I'm at deaths door I persisted and then one day felt the tip of the shard working itself out. So I extracted the rest of it and the hole healed in a few days. That aside no complaints.
I had three out (in a sequence over months) at my dentist.
The last one however sliced my cheek pretty badly for some reason and man did I bleed like a stuffed pig for a good day or so - then I got dry socket. I do remember him having to lean on my chest to get it out. I think it depends on the depth of the roots.
The last one however sliced my cheek pretty badly for some reason and man did I bleed like a stuffed pig for a good day or so - then I got dry socket. I do remember him having to lean on my chest to get it out. I think it depends on the depth of the roots.
DocJock said:
OP, the root removal will have been using an elevator/luxator. It is essentially a lever which goes into the space between the root and surrounding bone. When positioned correctly, surprisingly little force is required.
Thanks, and elevator looks to what she was using. It definitely felt like she was pushing it in rather than levering, but I guess it takes a bit of effort to force a gap in the first place. She also got in there with the drill a few times so presumably drilling out a bit of tooth to make a gap to insert the elevator in to?RizzoTheRat said:
Any dentists in? I had a wisdom tooth out yesterday and as an engineer I'm interested in the process.
I had assumed it would involve a lot of pulling, but as it was sideways she said she had to split it. I think she then either drilled a hole or cut a slot in it, and used some kind of expansion device to crack it and remove the crown, but then to remove the root she was pushing really hard in to it with a kind of blunt bradawl. Is the idea to push in to the tooth from the inside to crack it? It appears teeth are way harder to remove than I had expected
Sounds a bit like one of mine coming out. It had rotted below the gum line, so the crown snapped straight off - the dentist then used what looked exactly like a stainless steel bradawl to break the root up and took it out in bits.I had assumed it would involve a lot of pulling, but as it was sideways she said she had to split it. I think she then either drilled a hole or cut a slot in it, and used some kind of expansion device to crack it and remove the crown, but then to remove the root she was pushing really hard in to it with a kind of blunt bradawl. Is the idea to push in to the tooth from the inside to crack it? It appears teeth are way harder to remove than I had expected
RizzoTheRat said:
DocJock said:
OP, the root removal will have been using an elevator/luxator. It is essentially a lever which goes into the space between the root and surrounding bone. When positioned correctly, surprisingly little force is required.
Thanks, and elevator looks to what she was using. It definitely felt like she was pushing it in rather than levering, but I guess it takes a bit of effort to force a gap in the first place. She also got in there with the drill a few times so presumably drilling out a bit of tooth to make a gap to insert the elevator in to?The drilling can either be removal of some bone which is preventing the elevation of the root{s},or sectioning the remaining roots for removal in several pieces rather than one.
So around 18 I went trough some crap and ended up with anxiety / depression. Basically was hardly looking after my self including dental hygiene. I’m 33 now and my two molars? On the bottom each side were very decayed. I have been having trouble with tooth ache on the right one for a while now and in the last 3 days had gotten to the point where my right jaw / neck was swelling and suspected it was getting infected. I woke up this morning in agony and only lasted an hour at work, I managed to get an emergency appointment to check it out. I was hoping to go in, confirm it was an infection and get some antibiotics to be sent on my way and to be asked to be seen again when the infection had gone and they could extract it. I wouldn’t have gone back like last time.
So today at 1.30 I’m sat in the dentist chair and he is checking it out. I’m genuinely nervous and I really don’t get nervous or scared about anything, expecting to be on my way with a prescription for antibiotics I felt reassured I would be waiting at the school to pick my girls up in the next 1 and a half hours.
Then the words “I think it’s best we just extract it now, it shouldn’t be more than 20 minutes” send me into a shaking wreck. I panic and try to make excuses but he was very reassuring. He covers my gum in the surrounding area with a red benzocaine gel, waits 2 minutes and pulls out the big needle, “for f
ks sake” I muttered apologising immediately, and he gave a pat on the shoulder, a smile and reassured me I would be fine. At this point I was in full panic mode. The injection actually wasn’t too bad and I felt a massive relief as I lost the feeling in the right side of my face. The worst of it was over. Oh how wrong I was.
He starts pushing / pulling my tooth trying to get it loose with some sort of contraption, it was horrible and I was so tensed up but I knew it was nearly over. Out come the pliers, I take a deep breath and he grips my tooth and he is going at it. The most audible snap / crunch rang out. I knew exactly what had happened, and the split second concern on his face instantly had Me thinking I was going to have a full on panic attack. “It’s not all out is it” I stuttered, no reply, then gives a list of things the assistant should get ready, one of which included a drill, a fking DRILL.
At this point and legs are jelly and I’m really not in a good place. The drill comes out and he goes at it, bits of tooth flying everywhere, and a horrible burning smell. It’s hell. More pushing and gouging another bit snapped off and got pulled out. More drilling and more pulling / pushing / gouging, another bit is extracted. You get the idea. The drill went back in I think 4 or 5 times until he finally managed to get all of my root out. The bleeding was bad and has only just stopped about half an hour ago. I was sent on my way after I said my thanks to the dentist and assistant up to the reception to pay £125 for this fine experience.
Today was a traumatic day. BUT it wasn’t that painful and although I’m in pain now, it’s better than it was this morning.
LOOK AFTER YOUR TEETH PEOPLE. Massively pissed off with my self for not looking after mine.
My grammar is not very good.
So today at 1.30 I’m sat in the dentist chair and he is checking it out. I’m genuinely nervous and I really don’t get nervous or scared about anything, expecting to be on my way with a prescription for antibiotics I felt reassured I would be waiting at the school to pick my girls up in the next 1 and a half hours.
Then the words “I think it’s best we just extract it now, it shouldn’t be more than 20 minutes” send me into a shaking wreck. I panic and try to make excuses but he was very reassuring. He covers my gum in the surrounding area with a red benzocaine gel, waits 2 minutes and pulls out the big needle, “for f
ks sake” I muttered apologising immediately, and he gave a pat on the shoulder, a smile and reassured me I would be fine. At this point I was in full panic mode. The injection actually wasn’t too bad and I felt a massive relief as I lost the feeling in the right side of my face. The worst of it was over. Oh how wrong I was.He starts pushing / pulling my tooth trying to get it loose with some sort of contraption, it was horrible and I was so tensed up but I knew it was nearly over. Out come the pliers, I take a deep breath and he grips my tooth and he is going at it. The most audible snap / crunch rang out. I knew exactly what had happened, and the split second concern on his face instantly had Me thinking I was going to have a full on panic attack. “It’s not all out is it” I stuttered, no reply, then gives a list of things the assistant should get ready, one of which included a drill, a f
king DRILL.At this point and legs are jelly and I’m really not in a good place. The drill comes out and he goes at it, bits of tooth flying everywhere, and a horrible burning smell. It’s hell. More pushing and gouging another bit snapped off and got pulled out. More drilling and more pulling / pushing / gouging, another bit is extracted. You get the idea. The drill went back in I think 4 or 5 times until he finally managed to get all of my root out. The bleeding was bad and has only just stopped about half an hour ago. I was sent on my way after I said my thanks to the dentist and assistant up to the reception to pay £125 for this fine experience.
Today was a traumatic day. BUT it wasn’t that painful and although I’m in pain now, it’s better than it was this morning.
LOOK AFTER YOUR TEETH PEOPLE. Massively pissed off with my self for not looking after mine.
My grammar is not very good.
Edited by seabod91 on Tuesday 11th June 19:22
I've had 3 extractions including a wisdom tooth.
Two flew out in seconds including the wisdom tooth.
The other must've taken the best part of half an hour. The poor dentist had to stop 3 times to catch her breath and uncramp her arm.
Drugs are good so I peacefully lay there having my head wrenched back and forth.
The only one that hurt once the anaesthetic wore off was the wisdom tooth which lasted several days, mainly when moving the jaw. You'd barely know the other two were ever there.
A properly manky tooth is a truly gross thing to look at. One was filled with black sludge. I was glad to bid it farewell.
Two flew out in seconds including the wisdom tooth.
The other must've taken the best part of half an hour. The poor dentist had to stop 3 times to catch her breath and uncramp her arm.
Drugs are good so I peacefully lay there having my head wrenched back and forth.
The only one that hurt once the anaesthetic wore off was the wisdom tooth which lasted several days, mainly when moving the jaw. You'd barely know the other two were ever there.
A properly manky tooth is a truly gross thing to look at. One was filled with black sludge. I was glad to bid it farewell.
I had top left one out at same time as 2 next to it due to a bad fitting plate with metal the metal hooks.
The 3 teeth were well worn away but all came out ok with a few jags and the usuall pushing and pulling.
It was the bleeding and blood clots for next few days that was the worst.
My son at 12 had his tooth out the other week, an adult tooth in same place in mouth and it took 6 jags n a 6 foot dude to get it out. That was a fight but tooth came out whole with roots and he got to keep it for under his pillow.
The 3 teeth were well worn away but all came out ok with a few jags and the usuall pushing and pulling.
It was the bleeding and blood clots for next few days that was the worst.
My son at 12 had his tooth out the other week, an adult tooth in same place in mouth and it took 6 jags n a 6 foot dude to get it out. That was a fight but tooth came out whole with roots and he got to keep it for under his pillow.
Edited by vw_99 on Wednesday 12th June 02:55
BoRED S2upid said:
Just off to brush my teeth. All sounds very barbaric.
With impacted teeth, you are trying to remove a metaphorical size 5 tooth through a size 4 hole. The procedure is very simple and basic. You either make 'the hole' bigger or make the tooth smaller by sectioning it. If it gets to 'barbaric' someone has miscalculated.DocJock said:
Yep. The pushing is to get the instrument into the space between tooth and bone.
The drilling can either be removal of some bone which is preventing the elevation of the root{s},or sectioning the remaining roots for removal in several pieces rather than one.
That makes sense, cheers.The drilling can either be removal of some bone which is preventing the elevation of the root{s},or sectioning the remaining roots for removal in several pieces rather than one.
bloomen said:
Drugs are good so I peacefully lay there having my head wrenched back and forth.
The only one that hurt once the anaesthetic wore off was the wisdom tooth which lasted several days, mainly when moving the jaw. You'd barely know the other two were ever there.
Yeah, the only uncomfortable bit when she was doing it was when the assistant pinched my lip slightly with the tongue depressor The only one that hurt once the anaesthetic wore off was the wisdom tooth which lasted several days, mainly when moving the jaw. You'd barely know the other two were ever there.
2 days on and my whole jaw still aches a bit, presumably rom all the pushing and shoving, but only a bit of toothache feeling from the hole.
I had 6 teeth out, in 2 batches, as a kid as my milk teeth didn't fall out. They knocked me out with nitrous for those though, I remember being sick multiple times when I woke up but don't recall any pain from the teeth.
5 adult teeth taken out in my teens as there was not enough room.
All 4 wisdom teeth removed in hospital (general anesthetic) at the same time when I was in my late 20s. Followed like looking like a hamster with a bruised face, and a week off work.
One removed at the dentist about 10 years ago after it cracked down the middle.
About 8 years ago, admitted to A&E for a dental absess and extraction (general anesthetic). The breathing tube and fibre optic up my beak was not pleasant. Also, initially, they were going to have to cut into my neck to drain the absess, but in the end that did not happen.
And 2 post crowns as well.
It's been all go in my mouth!
All 4 wisdom teeth removed in hospital (general anesthetic) at the same time when I was in my late 20s. Followed like looking like a hamster with a bruised face, and a week off work.
One removed at the dentist about 10 years ago after it cracked down the middle.
About 8 years ago, admitted to A&E for a dental absess and extraction (general anesthetic). The breathing tube and fibre optic up my beak was not pleasant. Also, initially, they were going to have to cut into my neck to drain the absess, but in the end that did not happen.
And 2 post crowns as well.
It's been all go in my mouth!
RizzoTheRat said:
2 days on and my whole jaw still aches a bit, presumably rom all the pushing and shoving, but only a bit of toothache feeling from the hole.
I couldn't really figure out why my wisdom extraction was hurting in the way it did. There certainly wasn't any funny stuff when removing it. It may as well have been a hair being plucked, it took the same amount of time. Jaw movement, mainly chewing, was the painful bit and it was weirdly sharp. It was perfectly tolerable though.
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