Extractions
A tooth comes out only when there is nothing left to save, or when it is in the way of the others. When that is the case, it is worth doing properly and knowing what follows.
A tooth fractured down to the root, decay that has taken everything, periodontitis that has removed the bone around it, an infection returning despite root canal treatment. In those cases, keeping the tooth costs more than it gives back.
Otherwise we always look to save it first. Root canal, rebuild, crown: extraction comes last, because a missing tooth lets the bone resorb and the neighbours drift.
They arrive between seventeen and twenty-five, often with no room. A wisdom tooth half through traps bacteria under the gum and brings on repeated episodes of swelling and pain; one lying against the molar beside it eventually decays that molar too.
Not all of them need removing, though. A wisdom tooth well placed, biting properly and reachable by a brush, is kept. The panoramic X-ray decides, not the principle.
The X-ray first, to see the shape of the roots and how close they run to the nerve and the sinus. Then the local anaesthetic, and the procedure itself: a few minutes for a simple tooth, longer for an impacted wisdom tooth that has to be freed.
You feel no pain, only pressure. We explain beforehand what you are going to hear and feel: that is what changes the appointment most, especially for patients who dread it.
Swelling and discomfort for two to three days, at their worst around the second: that is the normal course of things, and cold with the painkillers prescribed is enough for it. The instructions are simple: no mouthwash on the first day, no tobacco, no physical effort, and warm soft meals.
What should alert us: pain increasing after the third day, bleeding that will not stop, a taste that lingers. Write to us. It is rarely serious, but it is treated quickly.
Wisdom teeth are not replaced. For every other tooth, the gap is better filled: bone that no longer works resorbs, and the neighbouring teeth tip towards the free space.
An implant is the solution that reproduces the original tooth most faithfully, and it can sometimes be placed in the same appointment as the extraction. We discuss it before the tooth comes out, not after, because it changes the way it comes out.
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I'm someone who gets scared at the dentist, but with Dr Berrada you feel at ease straight away. He explains the options clearly and doesn't push treatment you don't need.
He explains every step clearly. The practice is clean and well organised, and appointments always start on time.
No, not on principle. They are removed when the X-ray shows there is no room, when they lie against the molar beside them, or when they have already caused episodes of infection. A wisdom tooth well placed and reachable by a brush is kept.
Discomfort peaks on the second day and then eases. Beyond three or four days, pain that is increasing is not in the normal course of things: let us know. It is often a socket healing badly, and that is treated in one appointment.
Yes, when they are on the same side: you then have only one sore side and you eat on the other. It is also what we arrange for patients coming from far away who cannot make repeated trips.
Change nothing on your own. Tell us what you take, in particular blood thinners and bone treatments, along with your medical history: that is what decides the precautions needed, and sometimes a word with your own doctor.
Message us on WhatsApp or ask for a call back. The clinic team will reply to you directly.
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