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Old 02-16-2011, 09:28 PM
 
2,855 posts, read 10,385,188 times
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I am having my 2 top Wisdom teeth removed in a week. I had my bottoms out 7 years ago under IV sedation as they were impacted.

My two top ones I am getting out are completely broken through the gum so my oral surgeon said it should be easy.

I have never had Nitrous so I'm not sure how it will effect me?? But I get extremely nervous and anxious with ANY dental work... I was thinking about doing IV sedation again, but hearing all the horror stories of people forgetting to breathe is making me rethink this.

Whats your opinion?? I have a low pain tolerance.
Also an Oral sedative was mentioned, does this have the same risks as IV sedation?
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Old 02-16-2011, 09:47 PM
 
Location: In a house
13,250 posts, read 42,625,789 times
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You could ask your doctor if he offers oral sedation. Not all of them offer it. I had it when I had a dental implant with bone grafting. It was an off-label use of the *very* potent, and rarely-prescribed sleep medicine Halcyon. It's a hypnotic and a sedative combined into one pill, and it puts you into la-la-land. You're basically just totally out to lunch, mostly oblivious, and it's also an amnesiac so you don't remember anything that happened for the whole period it's affecting you, after it wears off.

My husband reports that I was very entertaining during the surgery, and that I sang the spanish folk song "Eres Tu" to the doctor, and gave a wide-nosed hygienist a "breathe-right strip" as a thank you present. I also demanded that only my husband be allowed to escort me to the bathroom right before they sliced open my gum to start the work, so they had to delay the whole thing until he got back from Dunkin Donuts with his coffee. Fun stuff, heh.

As for nitrous, the initial "shot" of it when you first get the mask put on your nose, is trippy, and kind of fun. You feel a bit light-headed, cheerful, and it has a sweet smell to it so it's rather pleasant. After the initial sensation wears off and you're breathing a measured mixture, you don't even notice any particular sensation. However, you also no longer care about the drill, or the doctor, or the sounds or smells or anything else. You're totally and completely aware and alert and can react and respond and signal if needed, but you're emotionally detached from the whole procedure.
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Old 02-16-2011, 09:53 PM
 
13,975 posts, read 25,818,052 times
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As a kid I loved "laughing gas" (nitrous)at the dentist, but when I became an adult it made me nauseous. I'm not sure if it was the sweet smell or what, but I tried it twice, and vomited both times. I understand your concerns about the IV (my choice), but if you haven't had the nitrous lately you might want to have a test run with it.
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Old 02-16-2011, 10:51 PM
 
4,948 posts, read 18,629,946 times
Reputation: 2907
Quote:
Originally Posted by KH02 View Post
I am having my 2 top Wisdom teeth removed in a week. I had my bottoms out 7 years ago under IV sedation as they were impacted.

My two top ones I am getting out are completely broken through the gum so my oral surgeon said it should be easy.

I have never had Nitrous so I'm not sure how it will effect me?? But I get extremely nervous and anxious with ANY dental work... I was thinking about doing IV sedation again, but hearing all the horror stories of people forgetting to breathe is making me rethink this.

Whats your opinion?? I have a low pain tolerance.
Also an Oral sedative was mentioned, does this have the same risks as IV sedation?
I had wisdom impacted and out! The impacted was hard. the not was easy for me.pick the dentist who you like.
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Old 02-17-2011, 03:25 AM
 
Location: Colorado
553 posts, read 1,539,555 times
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I have an extreme and abnormal fear of the dentist. Plus, I've had a good amount of dental work done recently. So, the nitrous doesn't affect me all that well. I'm still a nervous wreck on that stuff, but it doesn't make me sick either. When I had all of my wisdom teeth removed I had the IV and that worked very well. I would choose that again in a heartbeat if I had to.

The next best thing were the 2 Valiums my dentist prescribed me for anxiety when I had my latest and greatest dental work done. Since an IV or nitrous wasn't involved, we had no time limit. I sat in that chair for a couple of hours comfortably in la la land. You can't do that with nitrous. And it wasn't oral surgery that required the IV. Ask your dentist about the Valium, it might work for you. Good luck!
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Old 02-17-2011, 11:01 AM
 
Location: state of procrastination
3,485 posts, read 7,264,061 times
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I don't see why you need either. I had 4 impacted wisdom teeth removed with local anesthesia. It was fine. They just want your $$$.
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Old 02-17-2011, 02:01 PM
 
Location: In a house
13,250 posts, read 42,625,789 times
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Because some people are a lot more sensitive to pain than others. Some people (like myself) can't even handle the novocaine shot. Some people (like myself) have a phobia of the drill, that causes a rise in blood pressure, shaking, jaw-clenching, all of which are a really BAD idea if a surgeon is trying to put a gum-slitting blade in your mouth.

So for some people (like myself), some method of sedation is a good thing, if for no other reason than to calm us down so we don't tremble and move, and the scalpel doesn't cut our tongue off by mistake. Or the dentist's pliers don't bang into the tooth next to the one he's pulling, and damage the good one.

And some impactions are deep enough that they require deeper digging and yanking and pulling and cracking and tugging and sometimes even drilling and cutting and a lot more blood and suction. Which can be very traumatic for the patient, which is a bad thing to be, when there's a dentist holding a scalpel, a pliers, and a bone-cracker in your mouth.
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Old 02-17-2011, 07:16 PM
 
32,516 posts, read 36,988,532 times
Reputation: 32571
I have a very high tolerance of pain. To the point it's been detrimental at times. But I had them knock me out for my wisdom teeth. Best extra $ I've ever spent. You fall asleep. You wake up. It's all over.

BTW: Never had a single problem. No recovery horror stories. Everyone had me worked into a frazzle but I was on the phone yapping with friends the afternoon I had the wisdom teeth out. Wasn't nearly as bad as I'd been led to believe.
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Old 02-17-2011, 07:37 PM
 
Location: Colorado
22,634 posts, read 6,385,986 times
Reputation: 7323
I just had dental surgery. I was going in for a root canal but 2 teeth were affected
and I had an infection. They had to cut the gum, clean out the area above the teeth, put in some stuff,
then suture the gum.
I just got the "shots". There must have been 8 or 10 of them, but the first ones deadened
the area so I didn't feel the rest. I was totally alert and it was fine. I was more afraid
I would have to cough or need to go to the bathroom than I was about the surgery itself.
I do not want any type of anesthesia given to me where I would act goofy.
I don't mind being totally awake or totally asleep or even sedated but not to where I'm
so far gone that I'm silly......
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Old 02-17-2011, 07:44 PM
 
Location: In a house
13,250 posts, read 42,625,789 times
Reputation: 20198
Quote:
Originally Posted by pekemom View Post
I just had dental surgery. I was going in for a root canal but 2 teeth were affected
and I had an infection. They had to cut the gum, clean out the area above the teeth, put in some stuff,
then suture the gum.
I just got the "shots". There must have been 8 or 10 of them, but the first ones deadened
the area so I didn't feel the rest. I was totally alert and it was fine. I was more afraid
I would have to cough or need to go to the bathroom than I was about the surgery itself.
I do not want any type of anesthesia given to me where I would act goofy.
I don't mind being totally awake or totally asleep or even sedated but not to where I'm
so far gone that I'm silly......
My only regret in being that "far gone" is that I wasn't able to remember it. It sounds like I had a great time!
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