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Tooth extraction and immediate denture?

16 replies

NickD87 · 20/10/2018 23:14

Hello.
I had an accident where I slipped on some tiled flooring in the rain and fell face first. I smashed two of my front teeth and bashed a fair few others. One (the tooth immediately to the left of my left front tooth) is incredibly painful and wobbly and was also chipped slightly. I went for an emergency appointment in the evening. They patched them up in the meantime (was a Friday night!). However, an x ray showed the wobbly and most painful tooth had a very bad horizontal fracture in the root and will need extracting. The same dentist booked me in for Monday morning for a non-emergency appointment.
I was told after thre extraction, it was likely I would be offered an immediate denture whilst it heals and a bridge/implant can be sorted. (It was an out of hours service and the dentist I saw didn’t usually work there).
I am very nervous of the dentist in general!
It all seems very quick to have a tooth out then replaced immediately. Does anybody have experience of this?
I am assuming my two front teeth will also be properly capped at the appointment. The one of the left is also still very painful.
I guess the main point is - is there a chance they’re going to take the tooth out and not put at least something in there immediatley?
If it was at the back I wouldn’t mind so much, but it’s a very prominent position and in my job I need to be in lots of client meetings etc and don’t want to be without a tooth!

This all happened in Italy too as I was on my way to the airport for a flight home. I had to drive the hire car (Italian drivers are bonkers!) through mountains, in huge pain and wait until i got home to get to the dentist. Was very painful :( Then BA lost my checked baggage....and now I can’t eat anything but soup because of the pain and unsecure tooth. All in all a great few days for me! Haha.

I may also need stitches in my chin but just want the teeth sorted first. I’ve just kept it covered for now.

Send hugs. And any tips to help with the pain and my nerves lol.

OP posts:
NickD87 · 20/10/2018 23:17

I should also add, I’m only 31. I’d gone away for my birthday. So it is a bit nerve wracking to have the word ‘denture’ said to you. Never thought I’d need one in my early 30’s :(

OP posts:
NickD87 · 20/10/2018 23:19

Have attached a before and after the emergency work though. So gotta give the NHS some credit- even if I am still left in pain all weekend.

Tooth extraction and immediate denture?
Tooth extraction and immediate denture?
OP posts:
Unicyclethief · 20/10/2018 23:23

I have an implant after a car accident. I had a horizontal crack under the gum line too and I had the temporary tooth immediately after extraction. I absolutely hated the temporary tooth, but it was not there for long so I never really saw myself as wearing dentures, iyswim. My implant has never been any trouble, and although it feels slightly different it is not a horrible feeling. I was gutted as my teeth were always very healthy and straight and white, but they look every bit as fantastic again now.

NickD87 · 20/10/2018 23:26

Thank you! Would you suggest implants rather than bridges? Did they do an implant on the NHS? I hear they can do that if it’s the result of a trauma rather than just bad care...
It may just be a bit of vanity, but as long as there is SOMETHING there after they take it out I don’t mind a little discomfort!

OP posts:
ChiantiAndTruffles · 20/10/2018 23:27

Depending on your means it may be worth a consultation with a private dentist or preferably a restorative specialist. They would be able to discuss alternative immediate options and possible root canal etc on the other teeth.

ChiantiAndTruffles · 20/10/2018 23:28

You are unlikely to get an implant on the NHS.

NickD87 · 20/10/2018 23:31

Private may have to wait :(
Especially with Christmas around the corner! Sounds likely to run into the ££££ thousands...
Definitely an option for next year though!

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ChiantiAndTruffles · 20/10/2018 23:36

Depending on the case sometimes an implant can be immediately placed after an extraction so an opinion on that would be good. Can usually be done at any stage though but bone may need to be augmented.
Awful luck so hopefully you deserve some good luck now!

NickD87 · 20/10/2018 23:43

May look into that on Monday AM then! The dentist I’m going to also does private so will chat through all the options with him.
Thanks! And yes - hoping for a lottery win or something now! Haha Grin

OP posts:
thenightsky · 20/10/2018 23:43

Friend of mine was in similar situation. 2k per tooth was quoted for implants.

NickD87 · 20/10/2018 23:47

Ugh! How annoying.
The night before it happened I’d just booked an impulse trip to NY for early Dec for me and the other half (kid free!)...wishing I hadn’t now so I could use the money to sort this out!
Sad As long as the temp denture will be done same day though I’m sure I’ll be fine. I’m more concerned at the moment about being left with a big gap for a while.
Luckily I make really good soup...so not too bothered about not being able to eat properly for a while Wink

OP posts:
NickD87 · 21/10/2018 03:45

Unicycletheif - did they do your molds, extraction and making/inserting the temp denture all on the same day?

OP posts:
reenchantmentofeverydaylife · 21/10/2018 05:36

Hi Nick, I'm not in exactly the same boat as you but I've recently had a top tooth extracted and the denture was put in immediately afterwards. Then had to go home and take it out for the rest of the day and overnight, to give the extraction socket time to begin healing. But the following day I put it back in and have had no problems apart from some tenderness for the first week to ten days. But not so tender I needed painkillers or anything. All I will say though is that I had the mould applied the day before the extraction so that the impressions could be sent away overnight and the denture made.

I feel for you mate, not an ideal scenario at any age but when you're ready I imagine an implant will be a more reassuring long term solution. But in the meantime you'll notice how quickly you get used to the denture.

Take care and make sure someone takes a good look at your chin before too long.

NickD87 · 21/10/2018 11:51

Thanks so much reenchantment!
I think you’re right - best option will probably be denture then implant when I can get it sorted.
Been doing lots of Googling (which you should never really do, should you?!) and had worried myself but your message has put me at a bit more ease!
I think you’re probably right that an implant should be the solution - and just suck it up with a denture for a while (if you’ll pardon the unintentional pun! Haha).

OP posts:
NickD87 · 22/10/2018 14:56

Ugh. Dentist was HORRENDOUS today.
Apparently it’s very complex, which I understand. So he referred me to hospital but said it would take 8 weeks as wasn’t urgent. He clearly wasn’t listening to me. And hardly checked the teeth (except to press down HARD on them before checking my notes).
He hadn’t checked my notes at all either, so initially said to go home and come back in a week once they settled. Once he saw the notes and x rays he made the referral....
However, called the hospital myself and they said as a trauma I should be seen straight away and he was wrong. They offered me an appointment that day. However, they only do emergency work - so I am going to the walk in tomorrow at Kings College who have a trauma unit and will hopefully be able to give a temp replacement. Hopefully it’ll get sorted.
I’ve complained about the dentist. He was rude, didn’t listen, hadn’t read notes, refused x rays (until I said they had already been done), lied about what was available on the NHS...(as confirmed when I complained and from the hospital)...and tried to sell me expensive implants and private treatment as the only way it’ll get sorted within the next 2 months. All lies.
I am going to India with work in January, so my plan is to have a denture until then and then stay on in india after jobs done to get an implant there. I hear they are fantastic over there and it’s much much cheaper. I might even get The Full Rylan (haha).
Plus I won’t need to pay for flights. BONUS!
Thanks for everyone’s help. Nightmare so far but I am sure it’ll all be sorted soon.

OP posts:
ChiantiAndTruffles · 22/10/2018 19:11

I'd be very wary of getting an implant in India!
What happens if it goes wrong as can happen occasionally even to the best dentists in the UK let alone taking your chances in a foreign country.
It could end up costing you significantly more!

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