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Tooth removal prior to orthodontic work?

(16 Posts)
AhAgain Wed 08-Jun-16 21:48:11


I am going to have orthodontic work (braces) in September. Prior to that (7/14 days), I need to have 4 teeth removed (the second pre-molars). That is going to be a good month! I am purposefully waiting until after the school holidays... If I had the straightening done without the extractions, then the results would be very satisfactory. Apparently.

I have never had a tooth removed before, let alone four: Any advice? Is it acceptable/reasonable to request some for of sedation? I think that I might get rather panicked during the process of having four removed...


AhAgain Wed 08-Jun-16 21:49:31

Sorry,to correct: if I didn't have the extractions, the results WOULDN'T be very satisfactory.

Boozena Wed 08-Jun-16 22:03:20

I had to have two out for my braces to make room.I was only 15 but don't remember it being that traumatic. Different sides so i had to have two appointments a fortnight apart and I made it to the second so can't have been that bad.
If you're prone to anxiety maybe you could ask your GP to prescribe something like they sometimes do for smears? Cant remember the name! Diazepam?! Or bachs rescue remedy? Good luck, it is so worth it in the end grin

KP86 Wed 08-Jun-16 22:06:29

I've had eight teeth pulled, four of the front molars when I was 11/12 and my wisdom teeth under GA when I was 15.

Aside from swelling and some mild pain when it happened, recovery was easy and fine. You'll have more issues when your braces are tightened, I'm afraid!

Best of luck.

AhAgain Wed 08-Jun-16 23:42:35

Thanks very much - really appreciated.

Generally I don't have issues with anxiety (have had a C Section, a laparoscopy and two sets of IVF without issues), but maybe it is fear of the Unknown. All four teeth are likely to be in one sitting. Will speak to the dentist about it.

Yes, am sure that the brace tightening will be fun (torture?)... What am I getting myself into? Hope it is worth it (am not particularly vain, but at 42 my teeth are pretty crowded and I know it will only get worse with age)

Will try to be brave smile

SuburbanRhonda Wed 08-Jun-16 23:45:54

DS had two teeth removed age 14 prior to having a brace fitted. The dentist was brilliant - injected him slowly as it's less painful. DS couldn't believe it when the dentist said it was all done.

TrionicLettuce Thu 09-Jun-16 00:00:52

DH had three taken out a year or so ago prior to having his braces put on. He didn't bother with sedation or anything beyond the normal local anaesthetic and he says it wasn't too bad at all, painless and not at all traumatic. He's now at the stage where he's just wearing a retainer at night and it's been so worth it, the results are absolutely amazing!!

AhAgain Thu 09-Jun-16 08:09:04

Thank you so much - really helps smile

Maybenot321 Thu 09-Jun-16 13:45:58

Very unlikely all 4 would be extracted in 1 appointment.(Am a dentist). Standard procedure for this would be 2appointments, 1 side at a time, 1-2 weeks apart.Yes, you can ask your general dentist to refer you for IV sedation..Depending on where you are in the UK, IV sedation may involve private fees though, but assuming you are ok with that if you are about to embark on adult ortho.
My advice would be to book a check up with your general dentist(assuming that they will be doing the extractions) , and talk it all through.
Good luck

AhAgain Fri 10-Jun-16 08:40:35

Thank you very much. You are right, I need to phone my regular dentist, have a chat and make the appointments. Interesting that it will probably be two separate appointments. My dentist is private too, so I will pay for the extractions as well.

Do you have any thoughts re sedation? Good? Bad?


KP86 Fri 10-Jun-16 09:33:40

My first lot of teeth (done two at a time, two weeks apart as the dentist on here said) was local anaesthetic only, which was fine. It was all over quite quickly.

My wisdom teeth were GA because they hadn't properly come through yet and had to be cut up and surgically removed. It was a three hour procedure.

Maybenot321 Fri 10-Jun-16 09:52:11

2 types of conscious sedation commonly used in dentistry-inhalation and IV.
Adults usually (but not always) have IV sedation for dentistry; inhalation sedation is much lighter, & used more often for children & teens.
Conscious sedation is very safe, and is the way forward for those with significant dental anxiety or having a more complex procedure eg a surgical extraction. Premolar orthodontic extractions are usually straightforward forceps extractions; BUT there are always exceptions to this!!
You wouldn't be able to drive/ operate machinery for 24 hrs after IV sed, you will need an escort etc; so will need to do some planning.

AhAgain Fri 10-Jun-16 18:03:59

Thank you KP86 and Maybenot321 - really helpful and something to think about. Really appreciated smile

MiniMum97 Sat 11-Jun-16 14:30:04

I am having an extraction under sedation on Mon so will endeavour to report back.

AhAgain Sun 12-Jun-16 23:22:51

Thanks minimum, would appreciate it.

Very best wishes.

AhAgain Sat 25-Jun-16 08:46:05

Any news minimum97? Hope it went well.

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