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Honored Contributor
Posts: 20,340
Registered: ‎03-09-2010

This Friday I will be having surgery to remove the remaining posts I have in my mouth and having 4 implants put in which will anchor a bridge.

I am freeking out about the whole thing, I have had dental surgery done before but only under Capricaine, Novivaine with out the eppie, I have high blood prssure.

1. I am told they have to use the eppie since it helos control bleeding

2. I am going to be given IV sedation which scared the life out of me, the only time I have ever had any thing of this sort was when I had my tonsils out when I was 12 and I was sick for days.

I am considering not doing the implants or only doing them if then will do them under local only with oral sedation.

I am making my self nuts here

Help please and thanks all

Stop being afraid of what could go wrong and start being positive what could go right.
Honored Contributor
Posts: 37,207
Registered: ‎03-09-2010

Do you mean Carbocaine, that is what I get, no epi. The epi send my entire body into a frenzy.

Respected Contributor
Posts: 4,758
Registered: ‎03-12-2010

Doctor's have come a long way since you were 12 in doing surgery. Just tell the doc of your symptoms the last time you had IV sedation, and he can adjust the cocktail he gives you to reduce those symptoms. You may find that those procedures can not be done without IV sedation as oral sedation might not be strong enough or run too much risk. I do know that pain does naturally increase your blood pressure, so you will want the meds. I had an issue with the first upper endoscopy I had. When I told the doc, he said I should have called and he would have told me to take Benadryl for the jumpiness. He reduced one of the meds he gave me, so I was good to go when I left the hospital and ate Zaxby's right afterwards. Just communicate your issues with your doc, they will have a solution for you!

Honored Contributor
Posts: 20,570
Registered: ‎06-13-2012

My husband had part one of two surgeries for his implants and will have the second surgery next week. He HATES the dentist and mouth procedures but had the option of either oral or IV sedation and he opted for the oral sedation instead of IV (the cost was $75 versus $500 so that was one reason, plus safety) and he did GREAT the first surgery. The second surgery he is also doing oral only. I would highly recommend doing oral sedation if that is an option. The risk are less and recovery tends to be better (i.e. quicker).

I think alot of times dentists want to do IV because then they can tweak your moth any which way without complaints from the patient, lol, but that only makes your mouth hurt worse once you wake up. When you are awake during the procedure, they have to be a little more gentle because although you can't feel it much, you ARE aware of what they are doing and so they are much more careful in manipulating your lips and mouth in general.

Honored Contributor
Posts: 20,340
Registered: ‎03-09-2010
On 2/15/2014 tigriss said:

Doctor's have come a long way since you were 12 in doing surgery. Just tell the doc of your symptoms the last time you had IV sedation, and he can adjust the cocktail he gives you to reduce those symptoms. You may find that those procedures can not be done without IV sedation as oral sedation might not be strong enough or run too much risk. I do know that pain does naturally increase your blood pressure, so you will want the meds. I had an issue with the first upper endoscopy I had. When I told the doc, he said I should have called and he would have told me to take Benadryl for the jumpiness. He reduced one of the meds he gave me, so I was good to go when I left the hospital and ate Zaxby's right afterwards. Just communicate your issues with your doc, they will have a solution for you!

I have never had IV sedation which is where the fear is coming from

Stop being afraid of what could go wrong and start being positive what could go right.
Super Contributor
Posts: 2,010
Registered: ‎03-09-2010

I had a dental implant under local anesthetic and had no problems at all. The implant failed, through no fault of anyone's, and it had to be done again. The dental surgeon said he'd like to use IV for the second attempt, as it was more complicated. I wasn't happy about it because it meant DH had to take the morning off to drive me home (I hate putting people out), but he convinced me to go with the dentist's advice.

It was all fine. No pain, and no post-operative swelling. Minimal bleeding. It was actually less traumatic than having an impacted wisdom tooth out.

Talk to the dentist and his assistants, they can give you tons of reassurance. They do these surgeries every day, they know how much people worry.

I'd still pick local anesthetic as first choice for dental surgery, if possible, but honestly, the IV was absolutely OK. My dentist said my previous bad experience, many years ago, was due to old-fashioned use of ketamine; they don't use that nowadays and there were no side effects this time.

Respected Contributor
Posts: 4,758
Registered: ‎03-12-2010
On 2/15/2014 Usedtobeoxox said:
On 2/15/2014 tigriss said:

Doctor's have come a long way since you were 12 in doing surgery. Just tell the doc of your symptoms the last time you had IV sedation, and he can adjust the cocktail he gives you to reduce those symptoms. You may find that those procedures can not be done without IV sedation as oral sedation might not be strong enough or run too much risk. I do know that pain does naturally increase your blood pressure, so you will want the meds. I had an issue with the first upper endoscopy I had. When I told the doc, he said I should have called and he would have told me to take Benadryl for the jumpiness. He reduced one of the meds he gave me, so I was good to go when I left the hospital and ate Zaxby's right afterwards. Just communicate your issues with your doc, they will have a solution for you!

I have never had IV sedation which is where the fear is coming from

What kind of sedation did you have when you were 12? Surely they twilighted you or just put you fully under....I've not had my tonsils out but have had two endoscopies, a laparoscopy to remove endometrial lesions, and a bladder hydrodistention, all with full anesthesia with the last one being very deep anesthesia due to the level of pain involved in the procedure. I never had oral anesthesia when getting cavities filled as a child, had plenty of those and still do. The last one I had done as an adult my new doc did novocain. I hated that. I felt like he was drilling in my ear buzzing away. As a child and teenager, I didn't have a problem even with the deep ones, but I have a high threshold for pain. Try calling your doctor and voicing your concerns and see your options. The price difference between the two methods would be a big thing for me as it has been for others. I also prefer not to rely on someone to take me and all of that. I would also prefer to be awake if not just for communication sake. Call the doc Tuesday and talk with the nurse. They can advise you best and help with your concerns. They may even change the method and meds they plain to use given your concerns.

Super Contributor
Posts: 459
Registered: ‎03-09-2010

You might ask if they can use nitrous oxcide (laughing gas) or put you on valium, or both. sounds like you need some help relaxing, but tell them that you are terrified of being put under.

Honored Contributor
Posts: 11,721
Registered: ‎03-09-2010

I have had several implants over the years. I probably have 6-8 by now (I've lost count). I've had all the work done (including bone graft surgery when necessary) under Novocaine. I hate to be put to sleep. Guess I like to see what's going on!

Honored Contributor
Posts: 20,340
Registered: ‎03-09-2010
On 2/15/2014 Krimpette said:

I have had several implants over the years. I probably have 6-8 by now (I've lost count). I've had all the work done (including bone graft surgery when necessary) under Novocaine. I hate to be put to sleep. Guess I like to see what's going on!

That is exactly how I feel about the whole thing

Stop being afraid of what could go wrong and start being positive what could go right.