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Children's health

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Original poster

Removal of teeth to start orthodontics for braces - local anesthetic

24 replies

Sensechex · 15/11/2021 13:19

So apparently they no longer offer any removal in hospital under ga I think due to covid it is now considered elective procedure. My son is 12 and would need 4 adult teeth removed under local anesthetic. Has anyone any experience of this?

OP posts:

Are your children’s vaccines up to date?

Set a reminder

Takingabreakagain · 15/11/2021 13:29

Both my DDs had adult teeth removed for braces about 18 months before covid. I think removal under GA hasn't been an option for a long time.
Neither of mine had any problems, it was a fairly quick procedure with our normal dentist. They just had soft foods for a couple of days while the gums settled down.
Getting an appointment at the dentist might be your biggest issue now

Pumpkinsonparade · 15/11/2021 13:32

Dd15 needed 4 out. They did 2 at a time. She was totally fine.

Angel2702 · 15/11/2021 13:32

I had loads of teeth out for braces, baby teeth etc. my daughter had an extra tooth removed under local age 6 with no problems at all. Much easier than a filling and very quick.

cloudtree · 15/11/2021 13:34

Ds1 had this done a few months ago. Completely fine, felt nothing

CointreauVersial · 15/11/2021 13:35

It's horrid, to be sure, but much safer/easier done under local.

DD2 had one baby tooth out, and a couple of adult teeth, for the same reason, and it was fine; the premolars came out fairly easily. Although last year (at 17) she had to have one of the back ones out (long story) and that really was a bit of a tug-of-war, poor lass.

GiveMeDreamies · 15/11/2021 13:36

DD 14 had 4 teeth out last week (baby teeth though) and a filling in one session. She coped well but was a bit freaked out about her numb face afterwards and wasn't up to going back to school afterwards.

CarrotSticks19 · 15/11/2021 13:38

All orthodontic extractions have been under LA for many years unless they are buried or heavily impacted teeth. Its not a covid thing. The risks of a GA are consideted unacceptable for a completely elective, minor procedure. If your DS is too young to cope with the LA he can wait till hes a bit older and able to have the procedure done.

Plus it costs the NHS a hell of a lot of money to provide a GA for dental extractions, the waiting list is long and full of patients in pain, with learning difficulties etc. Essentially people who will take priority over your DS. The NHS does not have the money or the capacity to offer GAs for procedures that dont need it

onemouseplace · 15/11/2021 13:41

DD needed the same and was booked in at our dentist but couldn't go through with it as she was so nervous - the dentist didn't want to put her off dental treatment for life, so she's been referred to the local hospital to be sedated while it's done.

Only as they are her last baby teeth, there's a good chance they'll have come out anyway by the time she's seen (the orthodontist has recommended she gets braces fitted asap which is why we went in for the removal in the first place rather than just waiting).

Original poster

Sensechex · 15/11/2021 16:06

Yeah we were warned a couple of years ago that he may need teeth out, but at the time the dentist said the hospital would do it if he was too nervous. But then that seemed to change when we went for appointment yesterday, so I assumed it was a covid thing. Dentist actually said they have tightened everything up since covid.

I was a little concerned how he would manage the needle. First time I had needle for a filling in late teens I found it very painful and they had to stop and do it in stages as I couldn’t cope with the pain! Maybe it was a particularly sensitive spot, or maybe I am a wimp!

Great to hear everyone has had good experiences with this. Don’t suppose there is any specific tips at all for on the day?

OP posts:

Cornishmumofone · 15/11/2021 16:10

I had 4 teeth removed under local anaesthetic as a teenager and fainted on the way back to the car park, which apparently isn't uncommon... so I'd say park as close as possible or leave DS in the waiting room (assuming receptionists can see him) whilst you get your car.

DoIevenBother · 15/11/2021 16:12

My ds had GA for both his ops but he had a full extra set of teeth to be removed

DeathMetalMum · 15/11/2021 16:16

I had four teeth removed for my braces. All local, had laughing gas first then the injection and lastly teeth out.

Original poster

Sensechex · 15/11/2021 16:18

So deathmetalmum you had laughing gas first. Did others just have straight to local needle ,
then take them out? I have seen some dentists have special clinics for nervous patients and I wondered what this entails. Or if they just stake things slow and a patient with them

OP posts:

hotelharibo · 15/11/2021 16:28

I have had several baby and adult teeth out all under local. Worst bit is mouth aching from being open so long!

Who is more nervous you or DS? In the nicest possible way try not to pass on your nerves to him!

Original poster

Sensechex · 15/11/2021 16:32

I am very aware of not passing on nerves. I have told him it will be fine and plenty of children manage. He is still panicking though !

OP posts:

Original poster

Sensechex · 15/11/2021 16:34

I am mainly trying to work out if there is anything extra that we can do or if I should go to a more specialist dentist who deals with children. My dentist is good but he is very matter of fact and I am not sure if a good or bad thing

OP posts:

mintich · 15/11/2021 16:40

I had 6 out when I was 10 for braces. I had the injection but nothing else. The worst bit was just keeping my mouth open for ages! No pain though.

StarCourt · 15/11/2021 18:40

DD has just finished having 4 out before they can fit her braces. It took from March to sept to sort as the dentist would only take 1 out at a time and it was difficult to get appointments.
LA was by injection which they had to top up more than once each time. It took 4/5 days each time for DD's gums to recover

Sparklfairy · 15/11/2021 18:44

I had four out under LA when I was about 12. It wasn't a huge deal, no it wasn't pleasant but I've had much worse dental work!

They let me keep the fangs teeth and throughout my teens when DM would piss me off I would put them in her bed

HPandTheNeverEndingBedtime · 15/11/2021 18:44

DD had two molars out at 11 as they were baby teeth and the adult teeth hadn't pushed them out. I just warned her before hand that the needle was long, not because it was all going in her gum but because it needed to reach the area. She was fine afterward but wouldn't have been able to go to school afterwards, as it was it was lockdown so didn't matter.

Saisong · 15/11/2021 18:51

DD had 2 out before her braces, was meant to be 1, but the ortho then decided a second needed to come out
The first was the worst as she found the injection painful, but was fine once it took effect. It didn't put her off to the extent she was OK going for the second. However she now takes very good care of her teeth because she wants to avoid any more LA!

BadgeronaMoped · 15/11/2021 18:59

I'm another who had 4 out prior to braces. It was fine! Slightly odd (the pulling bit) and I always regretted not saving the extracted teeth I had the day off school both times (2 at a time) and soluble paracetamol.

Original poster

Sensechex · 15/11/2021 19:20

Oh that’s a good tip about warning them about the length of the needle

OP posts:

hellcatspangle · 15/11/2021 19:27

Yes my Dd had to have the four out before braces. Not gonna lie, it looked pretty brutal (you'd think they'd have made some advances but it's still yanking them out with a pair of pliers) however, dd was fine. They didn't do all four at once, they did two one week and two a couple of weeks later I think.

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