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Children's health

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Original poster

Any dentists could advise me what happened with this failed extraction?

55 replies

Tumty · 07/04/2023 14:12

Tried to extract my daughters tooth. Initially she said she was numb when dentist tested by scratching her etc. but when dentists tried to pull tooth she said absolutely no way, I can still feel that. they tried more anesthetic but still the same.

from what i can gather possible reasons are :

incorrect technique of dentist
anxiety of patient means local anesthetic less likely to work
infection means local anesthetic less likely to work
patient actually was numb but didn’t like the feeling of “pressure” - she was adamant this wasn’t the case, but perhaps could be

which of these do we think is most likely? We are now at a new dentist and I can’t decide if we should attempt the extraction again under sedation this time.

my dd does have some flexibility in joints which could indicate hypermobility and I believe this perhaps impacts local anesthetic also?

OP posts:

Are your children’s vaccines up to date?

Set a reminder

herlightmaterials · 07/04/2023 14:16

Ehlers Danlos can apparently make local anesthetic less effective so if hyper mobility is an issue perhaps the dentist needs to read up on this and follow whatever the protocol is.

I had an extraction and could feel something once. It wasn't pressure but it was like having a nail bent back - excruciating. I can only say it hasn't happened again.

Twilight sedation is wonderful.

Bexx87 · 07/04/2023 14:17

I had a tooth out before Christmas. My normal dentist couldn't get it out as it was wedged in ( bottom molar). She didn't want to risk breaking it and leaving the roots stuck. Got referred to the dental hospital and they had it out in under 5 mins. I'm not sure about they they couldn't get your child's out, but you could ask to be referred to a dental hospital, they can do more complicated techniques and offer stronger sedation if needed.

Original poster

Tumty · 07/04/2023 14:20

We have been offered nitrous oxide sedation but I am not sure if she will be very well sedated with this? I have no experience of it myself. Lots of forums online speak about how sedation is great and makes it so much easier. But I am not sure if this is the deeper iv sedation. Whereas nitrous oxide is more just taking the edge off anxiety.

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Original poster

Tumty · 07/04/2023 14:22

Yes we are now at community dentist who do sedation for children. They should certainly be more experienced in this sort of thing. It is four adult molars that need taken out though so it’s not an easy thing to do

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Bibbetybobbity · 07/04/2023 14:23

Definitely go to a dental hospital if you possibly can. They do this all day every day vs dentists who are less used to it. Had the same with my dd and it was frankly traumatic at the dentists, but all sorted within minutes at the dental hospital.

Original poster

Tumty · 07/04/2023 14:27

Bibbetybobbety did she have difficulty getting numb? What procedure did they use in the end? Local anesthetic with inhalation sedation?

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Original poster

Tumty · 07/04/2023 14:28

There is a possibilty of referring for a general anesthetic but that’s further waiting on the wait list. And not sure if she will fit the criteria for this .

OP posts:

Jojobalone · 07/04/2023 14:31

How old is your child?

Had she been petrified before the app?

RandomMess · 07/04/2023 14:32

I have had many teeth extracted using nitrous oxide, you are completely unaware and zero pain, including 4 adult molars.

Original poster

Tumty · 07/04/2023 14:33

13 years old. She was relatively calm and managed the injections fine. But I think the reality of when the pliers came out maybe did hit a panic button. She did say that she could taste the local anesthetic as it was being injected and questioned the dentist as to whether the stuff actually went in ok. He was adamant it had injected fine

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Original poster

Tumty · 07/04/2023 14:34

Thanks randomness that is reassuring for sure. Are you sure it was nitrous oxide? The one they say you are awake and can respond to instructions still?

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Jojobalone · 07/04/2023 14:35

I suspect she’s heard horror stories from friends!

possibly a sibling?

Original poster

Tumty · 07/04/2023 14:36

She is my eldest. But had a few friends recently who managed extractions ok. Although they may have embellished stories of it not being very nice, but they certainly managed the extractions

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Jojobalone · 07/04/2023 14:43

This age… I’d put money on her having heard lots of horror stories and she just panicked when the time came.

I mentioned siblings because on your other thread you said sibling had been fine with local extraction but perhaps I misinterpreted

RandomMess · 07/04/2023 14:44

@Tumty yep, it was the norm when I was a child and has it for the last time when I was 21!

Much more specialised/rare these days due to a number of incidents in the 80/90s

Original poster

Tumty · 07/04/2023 14:47

Yes she does have a sibling who managed extraction. But it was younger sibling and they actually had tooth out recently (after my dd had her appointment)

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Jojobalone · 07/04/2023 14:48

I wonder what stories they told their sibling about the experience?!

Original poster

Tumty · 07/04/2023 14:50

Well my dd with the bad experience came first . Then younger sibling still managed despite elder sister having had a problem only 6 months previously. So not really sure can read too much from that.

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Jojobalone · 07/04/2023 14:52

Oh I’m confused. I thought this was all recent with your daughter.

so her sibling went on to have an extraction after your DD couldn’t?

Original poster

Tumty · 07/04/2023 14:54

Yes that’s it. The failed extraction was a year ago. We were in wait list to get to this point now with the sedation offered. The younger sibling had tooth extraction using only local after her elder sister had a problem (approx 6 months after)

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Pixiedust1234 · 07/04/2023 14:57

I once had to have three injections for a deep filling and ended up having to go back a different day. The second time it only took one injection. Same tooth same dentist, same type of injection. The only difference i can think of is he didn't get the right nerve endings that needed to be numb. Please don't assume your child is over reacting.

I had gas as a 7yr old and the only things I remember is the stinky mask and feeling extremely nauseous on the drive home.

Jojobalone · 07/04/2023 14:57

so she’s a year older?

id give it another shot

Original poster

Tumty · 07/04/2023 15:02

No I am absolutely not assuming she was over reacting. I tend to believe her version to be honest . But I don’t think the dentist did. She said it was still sore afterwards when we left the dentist she said she could feel where he had been poking at it. Just trying to work out what happened and best way forward now.

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RandomMess · 07/04/2023 15:06

What are your concerns about the nitrous oxide method?

Original poster

Tumty · 07/04/2023 15:09

I am worried that the local anesthetic still won’t work and procedure will have to stop. I suppose that if that happens then we would just have to stop and rethink again. Hopefully the nitrous oxide would take the edge off any stress involved as don’t want her to have dentist fear. Also as it is four teeth it has to be done in two separate appointments so really need the first appointment to go smoothly so she is willing to go back for second

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