Wednesday, May 13, 2009

Adult tooth getting pulled!?

In a week i am getting an adult tooth pulled out...they're going to put me on laughing gas on novicain...how much will it hurt? What are the side effects? and how will i feel afterwards?

Adult tooth getting pulled!?
they are not gonna put you out, your gonna be awake! they are gonna first give you nitrous oxide (laughing gas) this will calm u and m ake u relaxed as though your really sleepy.. then they will put on the topical anesthetic to numb the gums before the injection... once your numb you'll just feel pressure... as far as afterwards your head may be a little bit cloudy, have someone drive you.. some people feel nausia after the nitrous, some throw up, just worse case scenario, before you leave the give u straight oxygen to clear your head a little bit... after the numbness wears off you will be sore and im sure the doctor will give you something for pain... check this link for more information





http://www.webmd.com/oral-health/Tooth-e...
Reply:I little novacain and you wont feel much except a little tugging.





The sound is occassionally worrying , but the gas should deal with that.





You have a little bleeding , usually packed off with gauze for awile. It takes a few days for the gum to fill in the missing tooth so you need to brush carefully and rinse well.





Depending what tooth is pulled you may want a partial denture or tooth implant.
Reply:When the novocain wears off, it will hurt, but how much depends on your tolerance for pain. You can't drink out of a straw or spit for several days after, you could get an abcess. Trust me, after 2 at once (my wisdom teeth), you don't want that. I will forever hate the taste of cloves. If they give you pain meds, take them and that should help you through the worst of it. Also, be prepared to eat soft foods, or only chew on one side. I enjoyed macaroni and cheese, pbj sandwiches, and those diet shakes (they have a lot of nutrition in them).





Hope that helps you get through the worst of it. ;)
Reply:Usually the patient is calm and doesn't feel anything.








Good luck!
Reply:we don't use nitrous oxide because, while it is not a neuro-toxin itself, it deprives the brain of oxygen and that kills brain cells. we consider it non-biologic. we do use iv conscious sedation, though. we don't use novacaine or anything with epinephrine in it or a vasc-constrictor, because it hampers healing.


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EXTRACTIONS





Extractions have to be done well. Normally they pull a tooth out, stick a piece of gauze in there and say bite on it. After the tooth is removed, the socket has to be completely cleaned so that complete healing can occur. If tissue such as torn pieces of ligaments or periosteum is left in the socket and covers the bone, the bone will tend to heal over the top, leaving a hole in the bone, and new bone cannot form. This hole can persist for the rest of the patient's life. It is a chronic infection that is called an alveolar cavitational osteopathosis or cavitation. This means that there is an infected cavity in the bone. These bone infections are only now being seriously researched. If they are fairly easy to prevent by proper socket cleaning, why is this not being done? But many if not most dentists have never heard of cavitations.








CAVITATIONS





A cavitation is an unhealed hole in the jawbone caused by an extracted tooth [or a root canal or an injury to a tooth]. Since wisdom teeth are the most commonly extracted teeth, most cavitations are found in the wisdom tooth sites. Please see the graphic and photo below to get a glimpse of what may be in your mouth and the effects it is having. The photo and diagram demonstrate the destructive and pathologic consequence of a routine tooth extraction. Dentists are taught in dental school that once they pull a tooth, the patient's body heals the resulting hole in the jawbone. However, approximately 95% of all tooth extractions result in a pathologic defect called a cavitation. The tooth is attached to the jawbone by a periodontal ligament which is comprised of "jillions" of microscopic fibers. One end of each fiber is attached to the jawbone and the other end of the fiber is attached to the tooth root. When a tooth is extracted, the fibers break midway between the root and the bone. This leaves the socket (the area where the root was anchored in the bone) coated with periodontal ligament fibers.





There are specialized cells in the bone called osteoblasts. Osteoblasts make new bone. The word "osteoblast" means bone former. They are active during growth and maintenance. However, the periodontal ligament prevents the osteoblasts from filling in the tooth socket with bone since the periodontal ligament fibers lining the socket act as a barrier beyond which the osteoblasts cannot form bone. In other words, an osteoblast "sees" a tooth when it "sees" periodontal ligament fibers. Since there are billions of bacteria in the mouth, they easily get into the open tooth socket. Since the bone is unable to fill in the defect of the socket, the newly formed "cavitation" is now infected. Since there is no blood supply to the "cavitation" it is called "ischemic" or "avascular" (without a blood supply). This results in necrosis (tissue death). Hence we call a cavitation an unhealed, chronically infected, avascular, necrotic hole in the bone. The defect acts to an acupuncture meridian the same way a dead tooth (or root canal tooth) acts. It causes an interference field on the meridian which can impair the function and health of other tissues, organs and structures on the meridian. Significantly, the bacteria in the cavitation also produce the same deadly toxins that are produced by the bacteria in root canals (see Root Canals). These toxins are thio-ethers (most toxic organic substance known to man), thio-ethanols, and mercaptans. They have been found in the tumors in women with breast cancer.



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