Do I need an oral surgeon rather than a dentist?

[nobodyspecial1981]

This is embarassing but it is what it is. I suffer from anxiety and have only been to the dentist 2x in my whole life. I had a very bad experience. It isnt the pain that concerns me. I just dont like having things in my mouth especially metal. Is my condition so bad that I am probably going to need an oral surgeon rather than a dentist? I know you can only tell so much from pictures but thought I would ask.

 

[Dr M]

Good day

It is difficult to say without an examination and some x-rays, since some of your top teeth for example, might be located close to important anatomical structures, such as your maxillary sinuses. If this is the case, the consultation of an oral surgeon might be required. Your bottom wisdom teeth also look impacted, and if close your inferior alveolar nerve, will also require an oral surgeon to continue management.
My advice would be to go and see a dentist, who will then take some x-rays and refer you to the relevant specialists if required.

 

[nobodyspecial1981]

Good day

It is difficult to say without an examination and some x-rays, since some of your top teeth for example, might be located close to important anatomical structures, such as your maxillary sinuses. If this is the case, the consultation of an oral surgeon might be required. Your bottom wisdom teeth also look impacted, and if close your inferior alveolar nerve, will also require an oral surgeon to continue management.
My advice would be to go and see a dentist, who will then take some x-rays and refer you to the relevant specialists if required.

Ok yhank you so much for the reply. I have been trying to find a dentist that offers general anesthesia but havent been able to locate one. I will contact my PCP and maybe he can refer me to someone.

 

[MattKW]

The upper scraps of teeth should be relatively easy to remove. The lower wisdoms will be more difficult, but are probably achievable by a good general dentist. Since you have anxiety issues, you primarily need to talk about this with your general dentist. Perhaps you will find benefit with some nitrous oxide (laughing gas), or even supplement it with a short-acting benzodiazepine, e.g. triazolam ("Halcion").
I'd suggest you try some of the easier extractions with these supplements, and you may build up your confidence. You shouldn't need to go to an oral surgeon every time you have a dental problem.