Extractions & Oral Surgery

extractions-and-oral-surgerWhile both Ian & Miles both carry out extractions, Ian Brignall carries out extractions and “minor” surgical procedures such as apicectomies and wisdom tooth extractions, as well as implants, for a number of other dentists on referral.

It is likely that, unless your own dentist has provided one, an initial Xray will be taken to assess the tooth concerned. If necessary, treatment can be carried out under sedation.

After treatment, it is important that you look after the area well to minimise infection and help the healing process. You will be provided with written instructions which are detailed below.
These apply mainly to the more complex procedures, and will more than cater for any problems you may encounter.

Post op instructions

1. When the effect of the anaesthetic injection wears off an amount of soreness will inevitably be present and analgesics (pain killers) are advised.

An excellent choice, which can be obtained from the Chemist is Ibuprofen (Nurofen) whilst Aspirin and Codeine or Aspirin, Codeine and Paracetamol are reasonable alternatives. Some patients find soluble versions more effective. Alternatively, Aspirin or Paracetamol may be used alone, but are generally less effective.
For patients unable to take Aspirin or Ibuprofen, Paracetamol and Codeine may be used. Please consult your doctor before taking Aspirin or Ibuprofen if you suffer from asthma, stomach problems or think you have adverse reactions to them.

2. There may be some minor bleeding from the area concerned – this may be stopped by applying firm pressure to this area with a gauze pad (which will have been provided for you) or alternatively, you could use a rolled up handkerchief or a ball of cotton wool for 15-20 minutes. If this does not work, call the Dentist.

3. For the rest of the day after surgery, avoid hot foods and drinks, alcohol or strenuous exertion as this may start the bleeding. Smoking is well known to impair healing and we would advise not smoking for at least the rest of the day following extraction/surgery.

4. From the day after surgery start rinsing your mouth with hot salt water (1 teaspoon of salt to a cup of hot water), 4 times daily for the next week. This will help the healing and reduce any swelling present.

5. Brush your teeth as usual, but avoid areas with stitches.

6. Swelling after most oral surgery is inevitable. Do not worry, it will disappear with time. It is normally worse at 2 days and resolves by 7-10 days. Mouth opening may be restricted for this period.

7. If an area of numbness is present in your mouth, lip or tongue, be careful not to bite or burn it.

8. Antibiotics may have been prescribed and it is strongly advised you complete the whole course as instructed. If you suffer side-effects such as an itchy rash, stop the drug and let us know. Diarrhoea from antibiotics is not an allergy and may possibly be helped by eating a live yoghurt once or twice daily.

9. Antibiotics may decrease the level of the “Contraceptive Pill” so extra precautions are advised until the start of the next cycle.

10. If prescribed Metronidazole (Flagyl) it is important to avoid alcohol.

11. If you get pain which appears to worsen after a few days , it may be that the blood clot has broken down in the socket leaving an area of bare bone, known as a “dry socket”. Please contact the surgery and we can provide a dressing to relieve the discomfort and encourage healing.

In the event of a problem occurring out of hours please telephone the number provided on the “ Emergencies “ page.