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Dentistry/Dental Braces and Teeth Extraction


1) Sir I have crooked teeth and need to install braces. The dentist said that he need to extract 4 teeths before installing braces. Sir, the extraction of teeth is done under local anesthesia na rather than general anesthesia?

2) Sir if a person is allergic to local anesthesia, then what can be done to find out that whether he is allergic to local anesthesia or not? (before teeth extraction surgery)

3) Sir I have breathing issues/asthama/allergies, I could not breath properly. My nasal bone is also deviated, in such situation which test do you think are necessary before having dental surgery? Also as I have never undergone any surgery or anesthesia ever in my life yet

4) Sir can a person die because of local anesthesia?

Dear Human,

1. Extractions can be done with either local or general anesthesia.  If you are frightened of the experience, you can ask for general.  In our office we use a combination of mild sedation and local anesthesia for our patients who express concerns.

2. It is very rare that a person is allergic to local anesthesia.  In the event of an allergy to one, we keep 4 different types on hand.  If you are allergic to one, it is not likely you are allergic to another.  Again, if you are concerned, you can be put to sleep.

3. If you have never undergone surgery or anesthesia in your life, how can you know that you are allergic to local anesthetic?  If you want testing prior to your procedure, you need to see your medical doctor.  He or she will make the proper recommendations.

4. Yes.  But it is FAR MORE likely that you will die in a traffic accident.  Dying from local anesthetic is extremely rare.

You may want to talk to your orthodontist to find out if there is a way you can have your teeth straightened without you having to lose teeth.


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Howard Finnk, D.D.S., P.A., CEO


I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.


Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center ( On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (, I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

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Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

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