Wisdom tooth extraction while fully awake

Discussion in 'Dental Archive' started by MSE, Nov 14, 2005.

  1. MSE

    MSE Guest

    On the advice of our dentist, my daughter is going to an oral surgeon this
    week to see if she needs her wisdom teeth extracted. She had oral surgery a
    few years ago to connect a chain to an impacted tooth and insisted on
    staying awake. She handled the surgery without a complaint. So, now she
    wants to stay awake if she needs the 4 teeth removed. She has incredible
    staying power but the surgeon's office told me that one of the doctors in
    the practice refuses to do them awake, and another only does them once in a
    blue moon on fully awake patients and that it is very rare.My daughter is
    like me, she is more afraid of the anesthesia. I can withstand quite
    intensive procedures without incident while awake and I think she will be
    able to do the same. I would like to know the opinions of other surgeons
    with respect to wisdom teeth removal. Thanks.
    MSE, Nov 14, 2005
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  2. On Mon, 14 Nov 2005 02:11:28 GMT, "MSE" <> wrote:
    Wait for the next blue moon .... I am with your daughter on this.


    Joel M. Eichen, Nov 14, 2005
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  3. On Mon, 14 Nov 2005 02:11:28 GMT, "MSE" <> wrote:
    My theory is that if the patient needs to be asleep, the tooth
    problably does not need removing!

    (Has to do with how deeply submerged in the jaw it is.)

    Joel M. Eichen, Nov 14, 2005
  4. MSE

    JimSocal Guest

    On Mon, 14 Nov 2005 03:24:11 GMT, Steven Bornfeld
    <> wrote:
    I just had mine extracted, while awake, and while it was painful it
    was bearable. It was one of those things where just about the time it
    got to be really painful, it was over. I admittedly am a chicken, when
    it comes to dental pain.

    I would think having 2 done at once would be fine for someone who can
    easily withstand dental pain. 4 at once - from the standpoint of this
    patient - seems excessive. The after-surgery pain is no picnic,
    either, and a friend of mine had complications after having his one
    tooth extracted, and had to go back to the dentist like every day for
    a week or something to have it tended to. Me, I am having bone slivers
    come through my gum after the extraction (a month ago) and while that
    is not super painful it is certainly no fun. So I would think having 4
    done at once would just increase the chance of these kinds of
    complications, and having these complications on more than one tooth
    at a time would be pretty unpleasant.

    Just my uneducated opinion based on my own experience and anecdotal
    JimSocal, Nov 14, 2005
  5. Any chance we are dealing with a insurance preferred provider surgeon who
    needs to do the sedation in order to make enough money to break even.



    "Steven Bornfeld" <> wrote in message
    Amatus Cremona, Nov 14, 2005
  6. MSE

    W_B Guest

    On Mon, 14 Nov 2005 03:24:11 GMT, Steven Bornfeld <> wrote:

    Agreed, but I would like to look at the pan before deciding.
    If it's four 'hop and pops' doing with a local should be fine
    Perhaps a little nitrous or diazepam for tougher ones.

    Take out the G'RBAGE
    W_B, Nov 14, 2005
  7. W_B wrote:
    Cute. Is there an ADA code for "hop and pop"?


    Mark & Steven Bornfeld DDS
    Brooklyn, NY
    Mark & Steven Bornfeld, Nov 14, 2005
  8. MSE

    Dave King Guest

    On Mon, 14 Nov 2005 02:11:28 GMT, "MSE" <> wrote:
    A couple of comments....

    Obviously fear, anxiety and an inability to get fully numb are
    eliminated with general anesthesia.

    Anesthesia administered by an OMFS has a safety record second to none.

    Regardless of local or general anesthesia, the post-op course will be
    the same. Although, something to be said about getting in & out alot
    quicker while the patient is asleep.

    The only time I am adamant about the patient being unconscious for
    wisdom tooth removal is when I know I am in for a difficult procedure.

    David A. King, D.M.D.
    Diplomate, American Board of OMS
    Fellow, American Association of OMS
    Dave King, Nov 14, 2005
  9. MSE

    jwn dds Guest

    I have taken out some very difficult wisdom teeth and the patients are
    always awake.

    The problem here with the oral surgeon is an economic one. If the patient
    is awake, greater care and time are required. If the patient is asleep,
    they can whip through more patients in one workday. Most oral surgeons use
    general anaesthesia with wisdom teeth for this reason. It has nothing to do
    with the health of the patients. It has to do with making the jaguar car
    jwn dds, Nov 14, 2005
  10. >
    My Jaguar is paid off. White 4-door with red leather interior. Leaping cat
    on the bonnet. Trunk big enough to carry a viola da gamba in. Track is
    wider in front than in the rear (makes 4 tire tracks in snow or mud). 3.4
    Salon. Great fun !

    BTW, after talking about this to my OMFS group (well at least the ones I
    like to use), I think they feel they can genuinely provide more pain free
    care this way. I think it helps them schedule consistently as well. I know
    they always assume everyone wants to be sedated, because most of the cases
    we send them are tougher and need to be sedated. However, the group I use
    will happily work without sedation if the patient prefers.



    "jwn dds" <> wrote in message
    Amatus Cremona, Nov 14, 2005
  11. MSE

    Dave King Guest

    On Mon, 14 Nov 2005 21:08:24 GMT, "Amatus Cremona"
    <> wrote:
    But see JWN likes putting his two cents in and you ruined it for him.
    Dave King, Nov 15, 2005
  12. MSE

    W_B Guest

    On Mon, 14 Nov 2005 19:55:44 GMT, Mark & Steven Bornfeld <> wrote:

    1, 2, 3, Go !

    Take out the G'RBAGE
    W_B, Nov 15, 2005
  13. >
    Maybe he could put the 2 cents in a different vending machine ?



    "Dave King" <> wrote in message
    Amatus Cremona, Nov 15, 2005
  14. MSE

    W_B Guest

    On Tue, 15 Nov 2005 15:30:27 GMT, Dave King <> wrote:

    Yeah, ain't it sad.

    BTW Jaguar is now made by Ford.

    Take out the G'RBAGE
    W_B, Nov 15, 2005
  15. MSE

    W_B Guest

    On Tue, 15 Nov 2005 15:58:10 GMT, "Amatus Cremona" <> wrote:

    The one that dispenses fortune cookies ?

    Take out the G'RBAGE
    W_B, Nov 15, 2005
  16. >
    Mine was made before the Ford dissolution of the company. Who would want to
    drive a new Jaguar with a Ford V-8 or V-6 in it ?



    "W_B" <> wrote in message
    Amatus Cremona, Nov 15, 2005
  17. >
    I can't help but wonder how long that will still happen. Jaguars have moved
    to this side of the pond. Saab plants are closing as GM wants to build
    those here, too.



    "The Webby" <> wrote in message
    Amatus Cremona, Nov 15, 2005
  18. MSE

    W_B Guest

    On Tue, 15 Nov 2005 17:20:09 GMT, "Amatus Cremona" <> wrote:

    Yeah, you're right.

    I would rather have a Chevy 350 in my Jag.

    Take out the G'RBAGE
    W_B, Nov 15, 2005
  19. >
    That was a popular conversion in the 1970's through the 1980's. The Chevy
    was more reliable in the absence of proper "British" maintenance. American
    drivers do not like to have to open the bonnet more than once a year. Of
    course, once you witched the power-plant the car became more reliable, but
    was worth half the money. I thought seriously about getting an XJ-S that
    had the V-12 ripped out and a Chevy stuffed in. I knew I was too much the
    purist and would be getting a V-12 built up to go back in 6 months later.
    It was a good thing I turned away from that one. Unfortunately, the 3.4
    Salon was staring at me when I turned my head.



    "W_B" <> wrote in message
    Amatus Cremona, Nov 15, 2005
  20. MSE

    jwn dds Guest

    I seem to have struck a nerve haha.

    I'm glad the OMFS community in the States is so much more caring than it is
    in Canada. In my candid "off-duty" conversations with my OMFS friends here,
    the use of GA was often a conversation of economics. I'm not talking about
    LeForts, Sagittal splits, etc. Wisdom teeth they agreed could 'almost'
    always be removed on a conscious patient. It can be done in under an hour
    on an anesthetized patient.

    I do agree with you that makes scheduling easier.
    jwn dds, Nov 15, 2005
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