You are here:

Dentistry/unfinished tooth extraction

Advertisement


Rodney wrote at 2014-03-14 15:21:44
I am a Dentist and I want to give my opinion and answer your question.

Removal of impacted third molar on an average really takes an half to one hour depending on the difficulty of the case. Now due to frequency of movement of surgical instruments in and out of the oral cavity, irritation on the corner of the lip is sometimes an expected result, but that’s when simple yet necessary management to the situation (“IRRITATION”) was not done. The dentist should have put some sort of lubricant on the corner of the lip including the surrounding soft tissues.

Now since there was an irritation already and the patient is in pain, on my opinion and personal discretion to the situation, I’ll do the same. I’ll stop the procedure and dismiss my patient but with necessary medication such as anti inflammatory drugs and antibiotic, plus informing my patient that if we will the stop the procedure, he has to expect swelling. Definitely, there will be swelling since the tissues around the tooth and the tooth itself we’re also irritated during the procedure and that’s a normal reaction of the body if there are irritations. Worst possible complication of an unfinished tooth extraction is infection so antibiotic drug has to be taken. No worries regarding swelling. There can be swelling without infection. So the medication has to be strictly done like the antibiotic drug. The role of the anti inflammatory drug would relieve the pain but most especially the swelling, but it takes time. So you have to wait for like 3-5 days before they can continue the procedure, and at least in that time, the irritation of the corner of the lip is already done.

I hope I was able to enlighten you with the situation of your friend.



Rodney Asuncion, D.M.D




Dentistry

All Answers


Answers by Expert:


Ask Experts

Volunteer


Dr Craig W Peck ( B.Med.Sc., B.Ch.D., Clin. Botox, Cosmet. Derm.)

Expertise

I am a General Dental Practitioner, with special interests in Cosmetic Dentistry & facial aesthetics and Periodontology, placing a strong emphasis on the establishment and maintenance of a healthy periodontium (the support structure of the tooth) before cosmetic options are considered. I uphold all principles of prevention above interventional treatment and try as far as possible, to remain conservative in my approach. I believe in detailed, open and honest patient discussion, establishing what the patients expectations are and what the reality is of achieving this and involving the patient at every level of the treatment. I have strong principles on ethical treatment and appropriate patient management. I have chosen to treat and rehabilitate many nervous and phobic patients, who, for whatever reason, find it impossible to take part in the very important task of even a routine check-up. I will accept questions relating to general and cosmetic dentistry (in conjunction with the use of facial cosmetic procedures) and dental fears/phobias. I will be more than willing to answer any academic questions in dentistry, biology, physiology, psychology and health sciences in general. As most dentists will tell you, there is often not only one way of dealing with a dental issue - so very often, there is no precise right and wrong way of approaching the problem. All clinicians vary when it comes to treatments and what works best in their hands is often the treatment that is advised. Be understanding of this and bear in mind that nothing lasts forever! Patients are happy to accept only a one-years warrantee when buying a new car, but seem to expect that dental work is going to last them their lifetime.

Experience

I have worked for many years in the UK and RSA as a general dental practitioner - within the NHS, private practice and the government dental health services. I am certificated for the administration of Botox and Dermal Fillers for facial lines and wrinkles as I have attended further courses in minimally invasive facial cosmetic procedures. I started seeing an increasing number of patients who presented with severe to moderate dental fears, even with full-blown phobias, so I started with the slow and patient task of tackling this problem and have successfully rehabilitated many patients. The key is good, effective, concise and understandable communication, shifting control from the dentist to the patient in order to slowly, but confidently, regain their trust back in dentistry, thereby giving them the feeling of achievement and this self-empowerment which drives them to the next level of treatment.

Organizations
Academy of General Dentistry. American Dental Education Association. IAPAM (International Association for Physicians in Aesthetic Medicine). Professional Speakers, Writers and Managements Consultants in Dentistry. The British Dental Association. UK Aesthetics Group. ARC - Aesthetic Professionals. Botox. Aesthetics & Beauty. American Association for Dental Research. FDI - World Dental Federation. SOURCE1uk. World Dental Hygiene Forum. ProDentalCPD. Public Health Dentistry. Dentist Network. LinkedIn. Who's Who of South Africa.

Education/Credentials
B.Med.Sc. Degree (Medical Physiology and Medical Virology; Physiology Cum Laude; Stell 1994). B.Ch.D. Degree (Bachelor of Dental Surgery; Clinical Dentistry Cum Laude; Stell 1997). CPR and CPR-Advanced Courses (2000/2001; UK). Clinical Botox (UK, 2001). Cosmetic Dermatology (Botox and Dermal Fillers; RSA 2011).

Awards and Honors
Placed on the Dean's List at University for academic achievement (1994). Highest achievement in the subject Dental Materials. Medal from 3M and the Radiology Association of South Africa for highest achievement in the subject Dental Radiology and Imaging. Medal from The Periodontal Association of South Africa for highest achievement in the subject Periodontology. Highest achievement for Oral Medicine. Highest achievement in Oral Pathology. Received the DASA (Dental Ass. of South Africa) Gold Medal for highest achieving dental student across the 5 1/2 years of the Degree. Passed the subject, Clinical Dentistry with distinction in final year.

©2016 About.com. All rights reserved.