Wisdom Teeth extraction with MS..anyone?

HUTTO · Post by **HUTTO** » Fri Feb 20, 2009 1:38 pm

iv of valume i presume..he said it wasn't enough to completley knock me out. just to where i wouldn't feel it.

Post by **jimmylegs** » Fri Feb 20, 2009 2:08 pm

gotcha. so they'll sedate with the diazepam and i imagine the rest will be the usual novocaine. if they gas you or do a general gotta watch out for b12 depletion. i don't see anything much about valium and nutrient depletion so that's good

By far the most commonly used drug for IV sedation is Midazolam (tradenames: Versed in the US, Hypnovel or Dormicum in the UK), but occasionally Diazepam (tradename: Valium) can be used.

Midazolam is the first choice because of its relatively short duration of action (meaning that it'll be out of your system faster). Valium is (marginally) cheaper but longer acting and a bit "harder" on the veins, so you may feel a burning sensation on your arm/hand when the drug first enters. Local anaesthetic solution can be mixed in with Diazepam to make things more comfortable. The latest IV Diazepam is an emulsion which is claimed to be easier on the veins.

The drug is put into the vein at the rate of 1mg per minute for Diazepam or 1 mg every 2 minutes (followed by an extra 2 minutes to evaluate the effect) for Midazolam (because Midazolam is stronger in terms of the dose needed to achieve sedation). Because there are differences between individuals in how much of the drug you need to be sedated, your response to the drug is monitored. Once the desired level of sedation is achieved, the drug is stopped.

The Venflon is left in place during the procedure so that the sedation can either be topped up or so that the reversal agent for benzos (Flumazenil) can be put in in the unlikely event of an emergency.

sou · Post by **sou** » Sat Feb 21, 2009 8:44 am

Hi.

I have had one of them removed 8 years ago. I have used local anesthetic, xylocaine I think.

I am seriously considering removing all of my teeth and screwing porcelain ones on my jaw. Has anybody gone that far?

I have undergone all kinds of operations on my damned teeth. I only have 8 of them untouched.

sou

robbie · Post by **robbie** » Sat Feb 21, 2009 11:30 am

hi cheer it would a hell of a lot easier for Jeff to go to the dentist now than later maybe so thats another way to think about it.

cheerleader · Post by **cheerleader** » Sat Feb 21, 2009 12:16 pm

Yeah, Robbie- Jeff's dentist is suggesting it will only be harder on him further down the line...but Jeff just doesn't want to take the time right now. His dentist said he'll keep an eye on the wisdom teeth. I have to work not to be such a nag

Who knows, maybe they'll never be a problem.

Sou...I have one porcelain implant and am getting 4 more in the next year. I've had problems with my teeth breaking, and had to have some removed. It's a nasty process...pretty painful and it takes about a year for the titanium bolt to set into the jaw before they can put the fake tooth on....but once it's in, no more problems. It's expensive, but it's been a real gift. Make sure you have a good oral surgeon. If you have anymore questions, PM me.
AC

HUTTO · Post by **HUTTO** » Sat Feb 21, 2009 3:56 pm

thanks leggs on the info..your exactly right about the procedure. robbie is also right cheer..i was supposed to have this done years ago. so instead of just getting the four out i have to have one of the ones next to it out because the wisdom tooth rested on it for so long. said that i just need to take it out...maybe if i wouldn't have waited it would of been different. so five teeth. once i schedule my appt and go through it i will let you how it went. from symptoms to just the procedure..

SunnyDay · Post by **SunnyDay** » Wed Apr 22, 2009 1:31 pm

You all will probably laugh, but I had my wisdom teeth taken out with laughing gas. I had no pain, it was quick. However, the next day was the first time I experienced MS symptoms. I'll always think of my wisdom tooth extraction as that moment that triggered my MS. LOL

Post by **jimmylegs** » Wed Apr 22, 2009 1:46 pm

not laughing, sunnyday! laughing gas - nitrous oxide - is the one that can cause b12 deficiency and subacute combined degeneration of the spinal cord in susceptible patients.
Subacute combined degeneration of the spinal cord after nitrous oxide anaesthesia: role of magnetic resonance imaging
http://jnnp.bmj.com/cgi/content/extract/64/4/563
"We report a case of subacute combined degeneration of the spinal cord occurring postoperatively after nitrous oxide anaesthesia in a patient previously undiagnosed to be vitamin B12 deficient."