Category Archives: Sedation Dentist

Can’t Get Numb At Dentist

I have always had a hard time getting numb at the dentist. My last appointment was no different. In fact, I would call it torture. I’m about to give up and just extract all my teeth and get dentures. Before I do that, though, I just wanted to check and see if you have ever encountered this with other patients. If so, did you find a solution for them?

Jason

Dear Jason,

Man in pain in need of an emergency dentist

Please don’t extract all of your teeth. Dentures cause more problems than they solve. I do have a solution for you. Many dentists are not aware of the connection between dental anxiety and numbing medication. The higher the anxiety, the less effective the medication. There is something that happens to your metabolism with fear that kicks in and tends to burn off the numbing medication before it has a chance to really work for you.

The key is to make certain the patient is completely relaxed before administering the Novocaine so that it has a chance to really kick in. What you need is a sedation dentist. These dentists are used to working with anxious patients and have medication that can help you relax.

In your case, I am going to suggest you use oral conscious sedation. This is administered by a pill. However, it will relax you so much that you could sleep through your entire procedure.

Patients who’ve used oral conscious sedation have their lives changed and their ability to get their dental care done in a pain-free manner restored. Additionally, because you can sleep, your dentist can get more work done at each sitting.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Twelve Shots to Get Numb?

I recently had a lower second molar extracted. The appointment was a nightmare. First, it took twelve shots for him to get me numb. How he could miss the area that many times is beyond me. Then, I had a bone spur in the area that took the dentist over thirty minutes to get. Now, I seem to have a sharp edge on the extraction site. I’ve sort of lost confidence in this dentist. Can you tell me if this is normal or if I need to have another procedure done to deal with this?

Cassidy

Dear Cassidy,

Woman holding her jaw in pain

I would find it hard to think any dentist would actually miss the spot that many times. The more likely scenario is that you had some dental anxiety going in and, as a result, your body was fighting the local anesthetic.

Unfortunately, not enough dentists currently understand the connection between dental anxiety and the inability to get numb. I am going to recommend for your next appointment where you need any work done you see a sedation dentist. Even just some nitrous oxide will help relax you, which in turn enables the anesthetic to do its work.

For those with a more severe level of anxiety, I recommend oral conscious sedation. While it is administered by a pill, it is so strong that you will need someone to drive you to and from your dental appointment as well as stay with you for a few hours afterward until you are lucid and steady on your feet again. Most people who use oral conscious sedation sleep through their appointment.

As for the bony ridge. sharp edges do show up during the healing process. You don’t notice them at first because your gums are swollen. As the swelling goes down the ridges appear. If it stays a problem, your dentist can clip it.

One thing I want to make sure your dentist addressed is the need to replace that second molar. If you leave the space open, your other teeth can drift or tip into the space, which will throw off your bite. That can lead to painful TMJ Disorder.

If you want the best tooth replacement, I’d look into a dental implant. However, you do have other options.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Wisdom Teeth and Dental Sedation

I have a daughter who is nineteen years old. She needs her wisdom teeth extracted but has terrible dental anxiety. My dentist has always had trouble working with her and is suggesting we take her somewhere that can do the procedure with general anesthesia. That scares me. Is there an alternative for her?

Penny

Dear Penny,

Unless there is some highly unusual complication with your daughter’s case, which I doubt, then there will be no need for your daughter to have to do this procedure under general anesthesia.

You mentioned your daughter has always had trouble at the dentist. Many dentists don’t realize the connection between dental anxiety and the inability to stay numb. It causes too many patients distressing dental appointments. The good news is there is a solution.

You need to have her wisdom teeth extracted by a sedation dentist. Specifically, you will want one who offers oral conscious sedation. This is administered by a pill, but is so strong that you will need to drive her to and from her dental appointment as well as stay with her for a few hours until she is lucid and steady on her feet again. With this, she will be so relaxed that she will likely completely sleep through her procedure.

Some more good news for you and her is that she is at the perfect age to have her wisdom teeth removed. The bone is still pliable. Plus, there has not been time for cementum to have accumulated on the roots of the teeth. It should be a fairly easy procedure.

This blog is brought to you by Lafayette, LA Dentist Drs. Foreman and Thimmesch.