In 2018, my dentist did a root canal on a tooth that had the filling come out. The dentist put a temporary cap on the tooth, and I never got a permanent one because I dreaded another dental appointment. Now the cap is broken, and the tooth hurts. I made an emergency appointment with a nearby dentist who took x-rays. He said the tooth broke and is infected. He recommended extraction and gave me a referral to an oral surgeon. I asked the dentist if he could complete the extraction, but he says he refers cases like mine to a surgeon who would sedate me and remove the tooth. Then I can return to the surgeon later for an implant, and the dentist will do the implant crown. Is this dentist’s approach a standard that I should expect? Do I really need to see an oral surgeon, or am I opening myself for trouble if I try to find another dentist who will extract the tooth? – Thank you. Mavis from Oregon
Dr. Finley or Dr. Henderson would need to examine your tooth and x-ray, but your extraction may not be within the dentist’s comfort level. Or the dentist might anticipate a traumatic experience for you that an oral surgeon can handle better.
Can a Dentist Extract a Broken Tooth?
A dentist can extract a broken tooth. Dentists with advanced oral surgery training are more comfortable and experienced with certain procedures. Twisted or curvy tooth roots can be challenging for many dentists to remove. If the dentist you saw usually refers cases like yours to an oral surgeon, he is uncomfortable, and it is best not to try to convince him to complete the procedure.
Do You Need Sedation for Tooth Removal?
If you have a history of dental anxiety or avoiding dental appointments, you can benefit from sedation during tooth removal. Please don’t dismiss a dentist’s offer for a sedation option that can relax you. Although nitrous oxide might be enough, a dentist may offer oral conscious sedation depending on the complexity of your tooth removal. The medication will relax you. Some patients fall asleep in the dental chair.
So, based on the response of the nearby dentist that saw you in an emergency, either schedule an appointment with an oral surgeon or a dentist with oral surgery experience. If you prefer a dentist, look for one with advanced training in surgical procedures and dental implants and schedule a consultation. Take a copy of your x-ray with you or send it to the office before your consultation.
David Finley, DDS, a Monroe, Louisiana dentist, sponsors this post. Dr. Finely is a Fellow of the Academy of General Dentistry. Read what Dr. Finley and Dr. Henderson do to offer some of the best dental care in Monroe.