Question for Oral Surgeon on getting knocked out for extractions.I appreciate you and your responses

Discussion in 'Dental Archive' started by jd023456, May 30, 2007.

  1. jd023456

    jd023456 Guest

    What are the chemical cocktails usually used by Oral Surgeons to
    knock people out for teeth extractions. I will be having 9
    extractions , alll but one in the back with stiches. My concern is how
    much will I be bleeding and how long? Will the blood cause me to throw
    up? Does the Anesthesia include a pain killer like morphine? When I
    had my appendix out they gave me Morphine and Anesthesia and it worked
    really well; do not remember a thing. I know I will have 3 cotton
    things in my mouth. How long will I need to keep them in? How long
    before I can eat anything because I will need to fast for 8 hours
    prior to the surgery?
    Thanks for the information. I really appreciate it!
    Jd.
     
    jd023456, May 30, 2007
    #1
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  2. "jd023456" <> wrote in message
    news:...
    The most common method to induce a state of deep sedation/general
    anaesthesia in an office (not hospital operating room) is intravenously with
    a benzodiazepine (ie. sleeping medication, like diazepam or midazolam), plus
    an opioid (ie. pain killer, like fentanyl, demerol, remifentanyl). On top
    of this, many practitioners add a medication to induce unconsciousness, the
    most common by far being propofol. Barbiturates are not really used much
    anymore since propofol has been introduced, unless you are an old-timer.
    You may also receive nitrous oxide (laughing gas) during all of this as
    well. This technique will allow you to leave the office (with a responsible
    adult), within a short time after the surgery. In most cases, patients
    remember little, if anything, after the medications are given intravenously.

    Can't say for sure if this technique will be used for you. Some
    practitioners employ a separate anaesthetist with endotracheal intubation
    and maintenance with volative gas anaesthetics, such a sevoflurane or
    isoflurane. However, this technique is far less common out of hospitals.

    Morphine is generally not used in out-of-hospital situations....its duration
    of action is too long. Remember, you will also be receiving local
    anaesthesia for the injections. You will probably still be numb by the time
    you take your first oral pain-reliever that your surgeon should recommend.

    Dr. Steve answered the bleeding part of your question.

    John
     
    John & Ninetta, May 30, 2007
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  3. jd023456

    Dave King Guest

    On Wed, 30 May 2007 12:44:06 GMT, Steven Bornfeld
    <> wrote:
    Most surgeons now use Diprivan (propofol) and versed/valium with local
    and O2/NO2. Some add an opiate like fentanyl/ morphine or demerol. For
    the best answer, talk to your surgeon.

    ~~~~~~~~~~~~~~~~~~~~~
    David A. King, D.M.D.
    Diplomate, American Board of OMS
    Fellow, American Association of OMS
    HTTP://WWW.DEOMFS.COM
     
    Dave King, May 30, 2007
    #3
  4. Re: Question for Oral Surgeon on getting knocked out for extractions.Iappreciate you and your responses in advance!!

    Dave King wrote:

    Thanks for the correction, Dave and John! I think that's pretty close
    to the combo used when I had my colonoscopy 2 years ago.

    Steve

    --
    Mark & Steven Bornfeld DDS
    http://www.dentaltwins.com
    Brooklyn, NY
    718-258-5001
     
    Mark & Steven Bornfeld, May 30, 2007
    #4
  5. jd023456

    jd023456 Guest

    On May 30, 6:04 am, "John & Ninetta" <> wrote:
    Hi. Right now I have been on Percocet, 7.5/500 4-5 a day for six
    months due to arthritis/ back hip pain. Also on .5 mg Xanax 3 times a
    day, cytomel T3 50mcg, Prozac 40 mg and small amounts of
    Hydrocortisone 20-30 mg a day. Is there anything different he needs to
    do as a result of my meds? I think once I have the 9 bad teeth out,
    most of them were filled and not very good teeth anyway, I will be
    able to go off all pain meds as the pain and infection from my mouth
    can inflence back/hip pain. I think one of the reasons I took them
    from the arthrists doc is because I knew another toothache was coming.
    Had one last July so bad I could not sleep and cried. Why do I put
    myself through this crap? I havent had any dental work done in 24
    years. I am seeing a therapist and shrink for depression/anxiety and
    they are helping me through the process and June is the month we have
    set for the extractions. I may even find I dont even need the prozac,
    after a while, when I have these bad teeth out. I still will have 8
    molars in front in good shape. So do I have to get a partial or some
    dentures?
    Thanks again for your input.
    Jd.
     
    jd023456, May 30, 2007
    #5
  6. jd023456

    Pete Guest

    Huh?? - what is this - first of all molars are not in the front unless you
    are comparing them to a wisdom tooth in a relative sense or something like
    that. And you said in your other post that you were getting most of your
    molars pulled. It is difficult at best to follow your posts.

    So do I have to get a partial or some
     
    Pete, May 30, 2007
    #6
  7. jd023456

    Pete Guest

    John & Ninetta wrote:
    How can you pull 9 teeth with a trach tube in place???

    and maintenance with volative gas anaesthetics, such a
     
    Pete, May 30, 2007
    #7
  8. jd023456

    jd023456 Guest

    On May 30, 11:06 am, "Pete" <> wrote:
    The teeth are going to be removed are #19 and the one back of it and
    the other two corresponding back molars on the other side. 2 wisdom
    teeth upper back one each side and 1 molar in front of the wisdom
    teeth on each side and the roots of an upper left back old root canal
    that broke off , upper left. Total of 9 teeth two of which are wisdom
    teeth. I will still have 8 small molars left 2 bottom and 2 top on
    one side and same with other side. With these left will I really need
    a partial denture or bridge? If you are still confused I can get the
    numbers of the teeth to be removed. Just wanted to know if (1) I will
    need a partial denture or bridge and (2) Any adjustments to the
    cocktail mix of drugs since I am already on a low dose benzodipiene
    Xanax .5 mg 3 times a day, and an opioid percocet 7.5/500 5 times a
    day.
    Thanks. I appreciate your input.
    Jd.


     
    jd023456, May 31, 2007
    #8
  9. jd023456

    Pete Guest

    jd023456 wrote:
    The small molars that you refer to are called pre-molars, or bicuspids.
    Good luck :) .

    With these left will I really need
     
    Pete, Jun 1, 2007
    #9
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