Extractions - Kenton Dentist - Harrow Dentist - Stanmore Dentist: Kenton Dental in HA3, Pearl Dental Care

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Wisdom Teeth

Sometimes there may not be room in your mouth for your wisdom teeth and, as they start to come through, they push against the teeth already there or may start to come through at an angle. When this happens, you might feel some pain or discomfort, so the best thing to do is to visit your dentist.

The dentist will probably take an x-ray of your mouth to see how – or if – your wisdom teeth are coming through. From this, they will be able to make a judgment on whether or not to take them out, and how easy or difficult it might be. Extractions can also be done for nervous patients.

Extractions

After having a tooth taken out, you must look after the area to speed up the healing process and to reduce the risk of infection. Here are some pointers:

  1. For the first 24 hours, try to avoid eating hot food, don’t smoke, don’t drink any alcohol and try not to disturb any blood clot which might have formed.
  2. Don’t rinse your mouth for six hours after extraction. After that, rinse gently with warm salty water – half a teaspoon of salt in a glass of water is enough.
  3. Brush your teeth as normal to keep your mouth as clean as possible.
  4. You may feel some small pieces of bone work their way out of the socket – don’t worry, this is perfectly normal.
    There may be some swelling and a bit of discomfort in the first two to three days.
  5. If you need to, take some ordinary painkillers – aspirin, ibuprofen or paracetomol will be fine.
  6. If you feel pain immediately after the tooth has been removed, it might be where the blood clot has broken down leaving an empty hole in the gum. This is called a ‘dry socket’ and will need to be looked at by your dentist. Simply go back and the dentist will pack the wound to ease your discomfort.

Your dentist may have given you some gauze to place onto the area where the tooth has been removed – if not, a clean cloth handkerchief will do just as well (but not a paper tissue).

  1. Roll it into a small firm pad large enough to fit over the gap (probably around 1cm by 3cm).
    Sit up and gently clear away any blood clots around the gap using the gauze or hanky.

  2. Put a clean pad over the gap (from tongue side to cheek side) and bite down on it firmly for 10 to 15 minutes.

  3. Take the pad off and check whether the bleeding has stopped.

  4. If not, apply a fresh pad and contact your dentist.

Root canal treatment

Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury.

Why is root canal treatment needed?

If the pulp becomes infected, the infection may spread through the root canal system of the tooth.

This may eventually lead to an abscess. If root canal treatment (RCT) is not carried out, the infection will spread and the tooth may need to be taken out.

Does it hurt?

No, A local anaesthetic is used and it should feel no different to having an ordinary filling done.

What does it involve?

The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection. Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits to your dentist.

At the first appointment, the infected pulp is removed. Any abscesses, which may be present, can also be drained at this time. The root canal is then cleaned and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle.

The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled.

What will my tooth look like after treatment?

In the past, a root filled tooth would often darken after treatment. However, with modern techniques this does not usually happen. If there is any discolouration, there are several treatments available to restore the natural appearance.

What if it happens again?

Root canal treatment is usually very successful. However, if the infection comes back the treatment can be repeated.

What if I don’t have the treatment?

The alternative is to have the tooth out. Once the pulp is destroyed, it can’t heal and it is not recommended to leave an infected tooth in the mouth. Although some people would prefer an extraction, it is usually best to keep as many natural teeth as possible.

Will the tooth be safe after treatment?

Yes. However, it is better to restore the tooth with a crown to provide extra support and strength to the tooth.

Where can this treatment be carried out?

Root canal treatment is a routine dental procedure, which your dentist will be happy to do for you.

What about aftercare?

Root-treated teeth should be treated just the same as any other tooth. Remember to clean your teeth at least once a day, preferably with a fluoride toothpaste. Cut down on sugary snacks, and keep them only to mealtimes if possible. See your dentist for regular check-ups.

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Dear Patient

Following the government announcement on 4th January 2021 regarding a national lockdown, we would like to reassure our patients that our practice will remain open for on going and emergency dental treatment.

We hope you and your loved ones are keeping well at this time.

Pearl Dental Care Centre opened on Monday 15th June 2020 following government guidelines where we initially prioritised seeing patients for urgent dental care.

We are pleased to inform you that we have resumed dental and hygienist services as normal.

Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our surgery.

Our practice follows infection control guidelines produced by multiple governing bodies. In light of the current situation we have ensured that our infection control procedures are stringent and adhere to recommendations.

At Pearl Dental Care, we pride ourselves on our levels of high-quality care and unparalleled expertise. Building on this existing foundation, we have incorporated protective screens in reception, wider use of disposable PPE during treatments, and higher frequency practice cleaning post treatment and throughout the practice as a response to COVID19.

Please be rest assured that we will not be compromising on the safety of our staff or patients, therefore in addition to the strict protocols issued to us by the health care authorities, our practice has also:

  • Installed an air purification unit in the reception waiting area. The unit has been proven and tested to remove 99.9999% of all respiratory viruses and bacteria and uses Radic8 Virus Killer Technology TM
  • We have introduced the concept of “fogging” in all dental surgeries and hygienist room. This process involves using a fine mist of a powerful antiviral/antibacterial disinfectant which is sprayed into the air and covers surfaces.
  • We have installed high power air extraction units in all dental surgeries and hygienist room. These units remove aerosols and particles from the room which is then replaced with “new” fresh air, thereby ensuring the safety of the next patient that enters the room.

To ensure a safe environment we are screening all patients that attend and updating medical history information prior to the appointment so that we can provide the best possible care.

Please note: we have implemented a new process whereby we will be sending out each patient a text message appointment reminder which includes a link to a confidential and secure portal to update your medical history and fill out a COVID questionnaire, which can be done in the comfort of your own home.

We have implemented this new feature to minimise time spent at the surgery, ensure a contactless process and adhere to NHS England guidelines.

You may see some changes when it is time for your next appointment. We have implemented these changes to help protect our patients and staff. For example:

  • We will be providing phased treatments. Any patients with urgent dental problems will be dealt with as a priority.
  • Our practice will communicate with you beforehand to ask some screening questions relating to COVID-19 and your medical history. You will be asked those same questions again at your appointment.
  • All appointments must be pre-booked
  • Appointments will be managed to allow social distancing between patients. This may mean that you are offered fewer options in scheduling your appointment.
  • We have hand sanitiser at multiple locations within the practice and we will ask you to use this when you enter and leave the practice.
  • We no longer offer magazines or leaflets since those items are difficult to clean and disinfect.

We will allow greater time between patients to reduce waiting times for you, as well as reducing the number of patients in the reception area at any one time. How you can help:

  • All patients to attend their appointments alone, where possible.
  • Children to attend with one parent or guardian only.
  • A safe distance must be observed if another patient is present in the dental practice reception area (floor markings will be present).
  • Payment should made card where possible
  • Please do not arrive early to the practice.
  • Please do not arrive without a pre-arranged appointment.
  • Patients should come wearing a mask if possible or be prepared to wear one.
  • Please kindly bring your own protective eyewear (sunglasses or normal spectacles) if you have them.

We would like to thank you all and are humbled by your support and patience during this difficult time and look forward to welcoming you back to our practice.

Should you have any queries please call the practice on 020 8907 3440.

Kind Regards,

Dr A Soneji & Dr J L Soneji and the Pearl Dental Care Team
Pearl Dental Care Centre
269 Kenton Road
Kenton
Harrow
HA3 0HQ
Contact No: 020 8907 3440
www.pearlsmile.co.uk
pearlsmile@hotmail.co.uk