I did local because everyone I've talked to said it wasn't that bad but I was really nervous about feeling him pulling it out and whatnot. The whole procedure was seriously about 5 minutes and I didn't feel a thing- it just felt like he was scraping my tooth with something. He said the stitches actually took longer than pulling it out. The only reason the whole thing took 45 min was because we had to wait for the local anesthesia to take effect.

Oral surgeons rock! :thumbup:

3rd molar i'm assuming? yeah, for me the worst pain came about 24-48 hours after leaving the office... plus the general discomfort of food getting in the gap and whatnot. glad you had an easy time so far though :)

I just extracted #1 in emergency the other day (only my 3rd extraction) and the thing popped right out as soon as I touched it with the forceps (after I was messing with the elevators). Came out so unexpectedly that the patient almost swallowed it but the gods were looking out for me. Patient was stoked and I thought I was all that but my instructor smacked me back down to reality and told me how sometimes, those maxillary 3rd molars tend to do that :p .

I just extracted #1 in emergency the other day (only my 3rd extraction) and the thing popped right out as soon as I touched it with the forceps (after I was messing with the elevators). Came out so unexpectedly that the patient almost swallowed it but the gods were looking out for me. Patient was stoked and I thought I was all that but my instructor smacked me back down to reality and told me how sometimes, those maxillary 3rd molars tend to do that :p .


didn't you have a throat pack in? :eek:

Not required in emergency O.S. here but I think I will start using them.

didn't you have a throat pack in? :eek:


A throat pack would not allow the patient to breath. I think you mean a piece of gauze unfolded.....right?

Not required in emergency O.S. here but I think I will start using them.

What do you mean "not required in emergency OS?" Like if the patient had a scheduled OS appt for an extraction, they'd get the gauze screen, but since they came on emergency and are having an extraction, it's a different protocol?

That just sounds stupid.

No. I just haven't been to elective OS yet so I don't know if they use them there or not. Chill out.

A throat pack would not allow the patient to breath. I think you mean a piece of gauze unfolded.....right?



Stand corrected----oral partition, gauze screen....... I prefer to fold the gauze however, kinda hard to get in a small mouth unfolded. :D

A throat pack? Who really does that? Like a rubber dam? Who uses that every time for anything but endodontics? If the person is under general anesthesia, a throat pack is employable. If the person is upright (i.e. maxillary third molar extraction) then it is by no means necessary and it will tend to create more discomfort.
Temple, I dont use it either across the street, but perhaps being in Philadelphia allows us some more practicality! If anyone of you who are promoting the use of a throat pack use it in ten years, assuming you are a GP, then let's talk!

Cheers
Brian M. Schwab D'06
University of Pennsylvania

I just extracted #1 in emergency the other day (only my 3rd extraction) and the thing popped right out as soon as I touched it with the forceps (after I was messing with the elevators). Came out so unexpectedly that the patient almost swallowed it but the gods were looking out for me. Patient was stoked and I thought I was all that but my instructor smacked me back down to reality and told me how sometimes, those maxillary 3rd molars tend to do that :p .


get ready for the swelling.... if your lucky hehe

When the big bad lawyer stands in front of you and the jury and says "Doc, why didn't you place a "gauze-curtain" or something there to keep your patient from aspirating the tooth, or tooth fragment?" What the hell are you gonna say? "Ladies and gentlement of the jury, this doc dropped the tooth fragment down the patient's throat and this is what happened.... "the patient aspirated it, and had to go to the Emergency room, have X-rays and CT's taken, and then undergo OPEN LUNG SURGERY to remove the tooth before it caused a life-threatening infection or reaction... $$$$$$$ later, here we are."

There won't be an Oral Surgeon (most likely the expert witness in the case) who will stand up to support you.

OPEN YOUR WALLETS and pay up!

Enough said... roll up two 4x4 like a cigar...place that across and to the side, tuck it in the vestibule or under the tongue... it works like a charm!