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Sedation dentistry?


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I've recently heard some adds on the radio for sedation dentistry. they say its perfect for people with dental/needle or related fear/phobias. i think they said it was a pill.

i tried searching on the internet-but couldn't find what kinds of meds they use specifically.

they also talked about concious sedation.so does this mean there is a choice of drug depending on if you want to be knocked out? ( this is all in office relatively routine care)

Anyone have any info?

thanks

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anybody please feel free to correct me if something i've written is wrong.

looks like they mainly use the benzos. i'm having a hard time digging up specific information cept you can get them as a pill to take before the appointment or can get an IV. i guess it depends on how much sedation is needed.

i took 10mg of diazepam (pill form, prescribed for anxiety attacks) an hour before i went to have 3 teeth filled yesterday. i find that dose knocks out anxiety without making me sleepy so i'm still quite alert and remember the whole thing. normally i'd be horribly anxious but i was fine. my mouth was numbed so much i couldn't feel what they were doing which helped. i hadn't been to the dentist in 7 years because when i'd go during high school it would hurt and i'd be scared, of course nobody cared and they yelled at me.

so now i have rotted impacted molars that have to be surgically removed, i'm getting that done under general anaesthesia in a month or so at the hospital. they're removing 5 teeth. when i was about 9 years old i had 8 teeth removed under general anaesthesia too. they need medically trained people to do that i think to make sure there aren't problems with breathing, heartrate, blood pressure, that kind of thing.

yay for diazepam!

NZer

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Thanks NZer

Glad you were finally able to get your dental work done. I was wondering if there were newer or "special" drugs they were using other than regular benzos. I wonder why the commercials seem so secretive about it, and that its hard to find info.

maybe it is just using valium or ativan or wahtever. i was getting hopeful for some great NEW discovery. o well.

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NZer - When they are removing your teeth, is it the same sort of procedure as getting wisdom teeth removed? I've been wondering if they actually knock you out for that, or if they keep you awake...

Hey, I wouldn't mind getting some benzos before getting that huge needle jammed into my mouth... I can't have nitrous oxide because it makes me sick, so I've got to grin and bear it, adding THAT on top of my needle phobia... ;) Usually before it happens, I dissociate and don't remember a thing, though.

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I've been wondering if they actually knock you out for that, or if they keep you awake...

My son had his wisdom teeth out last year. They gave him a .5 mg Xanax to take an hour before the procedure. Then, while in the chair, there was valium and some other hypnotic. The extractions took about 40 minutes. He was semi-conscious and could hear a little and feel a little, but no pain. They called it twilight sleep. They gave us vicodin for pain afterwards. The nurses walked him to the car. He was pretty loopy, but fully conscious. He kind of giggled on the way home and said, "I am so fucked up." No problems with nausea from the sedation.

Hope this helps.

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When I had my wisdom teeth cut out, they gave me decongestants to take for a week before hand, then valium the night before the surgery and another one the morning of the surgery. I opted for the IV. I have no idea what was in it. It put me to sleep (but I'm sensitive to benzos and such, 1mg of xanax knocks me out) and I woke up during the surgery to complain. The doc and nurses suddenly grew concerned. They were afraid I was in major pain. My complaint - the song that had come on my cd player sucked. I remember them all laughing, then I zonked back out.

Croix

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I had a root canal yesterday for an abcessed molar, oh joy of joys.  I took a klonopin before I went in, and then I asked for nitrous.  All in all, it was OK.  The procedure itself was totally painless. 

But the pain before it and AFTER it was excruciating.  I had to drive myelf home, and it started hurting on the way.  By the time I was at the drug store, I was ready to scream.  I think these guys should have some super advil on hand in the office so that the pain doesn't kick in THAT fast before you have time to get to the drug store.. 

I'm now on steroids for the swelling, Tylenol 3, advil, and amoxicillin 875mg.  I can open my mouth wide enough to slurp some soup, but not to get the spoon in.  The pain is much better now.  It's sore, but not throbbing anymore. 

It also cost me an arm and a leg, but I was in so much pain, that I didn't care.

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the consultant dentist lady said they would put me to sleep so i guess i'm getting a general anaesthetic. the teeth they're removing are so rotted that most of them has broken off down to the gums. there's a waiting list for dental surgery at the hospital so i guess this will be a more complicated removal where they have to cut the teeth out since they can't just jiggle them out like with simple removals, and they need specialist people to do it. meanwhile they got infected which i've been taking penicillin for. no wonder they keep hurting so much.

damn good i'll be unconcious coz i could not deal with that kinda thing while councious no way.

i keep trying to explain better but i keep not making sense.

NZer

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Thanks everybody! i'll check out the suggestions.

Honestly- my interest in the concious but well sedated- was whether it might work for other phobias too- like flying, or riding in cars. ( although seems no matter how many benzos i take- i'm sedated and still scared!!!!

In search of hope and help...  tired of being so scared of everything.

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  • 2 weeks later...

the consultant dentist lady said they would put me to sleep so i guess i'm getting a general anaesthetic. the teeth they're removing are so rotted that most of them has broken off down to the gums. there's a waiting list for dental surgery at the hospital so i guess this will be a more complicated removal where they have to cut the teeth out since they can't just jiggle them out like with simple removals, and they need specialist people to do it. meanwhile they got infected which i've been taking penicillin for. no wonder they keep hurting so much.

damn good i'll be unconcious coz i could not deal with that kinda thing while councious no way.

i keep trying to explain better but i keep not making sense.

NZer

<{POST_SNAPBACK}>

I need to have something similar done. I too have teeth cracked off at the gumline. (Sounds lovely, doesn't it?) However, I'm hoping I can get implants or something permenant put in their place.

I have yet to see a dentist yet though.

Maybe if I wait long enough... they'll grow back.

InfoNut

(It could happen!)

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Hey Nzer- thanks. have you had the surgery yet?

pdoc says the same ativan and serequel i've been trying to use for ages- but it never is enough. tried emdr too- it was too traumatic. i didn't go to a party yesterday ( had rsvp'd no last week) because i was scared to go. this is pathetic and frustrating!

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I can't find a specific drugs, but likely uses the hypnotics like versed where you are sedated and conscious but will not remember what is done.

My son had his wisdom teeth out about a month ago and they gave him Versed and something else... think it starts with an S but can't remember the rest... and it was given to him in an IV.  It took over 2 hours to get his teeth out.  He was loopy for hours afterward.  If I think of the name or find where I wrote it down, I'll come back and post.

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i should be getting the rest of my fillings this week but the surgery for the tooth extractions is still another month or so away. i'll be so glad when those nasty teeth are gone!

mrs loony how much seroquel and ativan are you taking? that sounds soooo frustrating missing out on doing things because you're too scared.

NZer

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Nzer- usually 50 of serequel and 1or 2 mg ativan .  see pdoc doesn't want me to take more than 2mg ativan in a day- i usually tale .5 at a time. i'm so afraid of using up my doses!  it does suck- totally-thanks for your interest. let us know when the teeth come out!  i'm starting a crown on Thur. have no idea what that involves but i don't think its invasive. but the appt is for 1.5 hrs!!! yikes.

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