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Medical Forum / General / Dentistry / November 2004No-needle dental work
I heard on the news this evening that there is a new painless way of getting dental work done *without a needle*. Any idea on what this is, seriously? Because my wife is SOL. She had seizures at the dentist office awhile back and two neurologists said this month that the mepivicaine (or any "*caine") can likely cause seizures for her, believe it or not. Her dentist thinks this is donkey doo, so he is giving one neurologist a phone call next week. She has some other underlying problem but these "caines" push her seizure threshold over the edge. The neurologists also advised her not to start seizure medication "just for the dental work" as she has not had seizures since the dentist visit on Sept 30th, but she is in serious need of some dental work now. She still has more tests going on (MRIs, another EEG, etc.) but her tooth hurts really bad and she doesn't want to loose it. She's not up to nitrous oxide so the only other choice would be ga and that doesn't sound too fun either. Can they just use ice or something that numbs it up without any "caines"?? How did they do it in the old days? >I heard on the news this evening that there is a new painless way of getting >dental work done *without a needle*. Any idea on what this is, seriously? Yes laser dentistry. Biolase is one manufacturer of hard tissue lasers. >Because my wife is SOL. She had seizures at the dentist office awhile back >and two neurologists said this month that the mepivicaine (or any "*caine") [quoted text clipped - 9 lines] >sound too fun either. Can they just use ice or something that numbs it up >without any "caines"?? How did they do it in the old days? See above. Joel Got one (Biolase), but it isn't going to help with abcessed teeth without anesthesia. True allergies to local anesthetics are *extremely* rare. Instead of trusting a neurologist when it comes to allergies, check with an allergist. A test for true allergies would be indicated (if there is an allergy, it may be stabilizing agents instead of the actual anesthetic) and it is likely that an option might be found. I'm also confused about, "not up to nitrous oxide"? If this is a problem from being too nervous in the dental chair (a very real possibility!), nitrous would be a perfect adjunct. JMO, Fawks >>I heard on the news this evening that there is a new painless way of getting >>dental work done *without a needle*. Any idea on what this is, seriously? > > Yes laser dentistry. > > Biolase is one manufacturer of hard tissue lasers. > Got one (Biolase), but it isn't going to help with abcessed teeth > without anesthesia. [quoted text clipped - 5 lines] > may be stabilizing agents instead of the actual anesthetic) and it is > likely that an option might be found. She's not actually allergic to it.. the neurologist says that some of the stuff somehow makes its way into the blood system then the brain and causes her neurons to fire erratically. Hard to believe... but then again I'm not a neurologist. > I'm also confused about, "not up to nitrous oxide"? If this is a > problem from being too nervous in the dental chair (a very real > possibility!), nitrous would be a perfect adjunct. True. But I wonder, when you give nitrous oxide is a local anesthetic also still required? Rich > JMO, > Fawks [quoted text clipped - 5 lines] > > > > Biolase is one manufacturer of hard tissue lasers. >> I'm also confused about, "not up to nitrous oxide"? If this is a >> problem from being too nervous in the dental chair (a very real [quoted text clipped - 4 lines] > >Rich Yep. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >Got one (Biolase), but it isn't going to help with abcessed teeth >without anesthesia. TRUE! Or deep anesthsia in other teeth too! >True allergies to local anesthetics are *extremely* rare. Instead of >trusting a neurologist when it comes to allergies, check with an allergist. [quoted text clipped - 16 lines] >> >> Biolase is one manufacturer of hard tissue lasers. > >Got one (Biolase), but it isn't going to help with abcessed teeth > >without anesthesia. > > TRUE! > > Or deep anesthsia in other teeth too! .... Um .... I have used the Biolase to 'analgesize' Am-containing teeth and then removed it without the patient reporting pain. Back when the Millennium was working, it took two minutes of continuous irradiation using the Enamel Preset, just out of focal range, and then a quick switch to the turbine with a NEW 330 bur in it... IIRC, I got about 65 percent completion with it that way. So it is *possible* to get _deep_ anesthesia with the Laser, but it is not a sure thing. You have to go slow and be willing to STOP as soon as the hand goes up or a sound is uttered. YMMV SP  SignatureNot a real Addy, yet > >I heard on the news this evening that there is a new painless way of getting > >dental work done *without a needle*. Any idea on what this is, seriously? > > Yes laser dentistry. > > Biolase is one manufacturer of hard tissue lasers. Thanks! > >Because my wife is SOL. She had seizures at the dentist office awhile back > >and two neurologists said this month that the mepivicaine (or any "*caine") [quoted text clipped - 13 lines] > > Joel >I heard on the news this evening that there is a new painless way of getting >dental work done *without a needle*. Any idea on what this is, seriously? [quoted text clipped - 11 lines] >sound too fun either. Can they just use ice or something that numbs it up >without any "caines"?? How did they do it in the old days? What about ether? It's got a risk of cancer associated with it, but it also has the claim of being the 'original' anesthetic. -- Adenosine Semi-informed Dental Consumer ? >>I heard on the news this evening that there is a new painless way of getting >>dental work done *without a needle*. Any idea on what this is, seriously? [quoted text clipped - 18 lines] > Adenosine > Semi-informed Dental Consumer ? Actually, the first general anesthetic was nitrous oxide (Wells). Ether was used soon after, esp. by Morton. http://www.dent.ucla.edu/pic/visitors/anesthesia.html Ether as used is actually pretty safe biologically. But it boils under 100 degrees F, and a mixture with air is explosive. It is also quite unpleasant--causes a lot of nausea, and induction and recovery are very slow. I spent a month rotating through anesthesia in the operating room on general surgical and oral surgical patients. I saw ether used a couple of times (this was 1976-77), and the apparatus was very archaic-looking--with a bright copper boiling kettle for the ether. When the patient returned to the ward from the recovery room, you could smell him blowing off the ether 24 hours later. Of course, nitrous isn't safe used as a general anesthetic without ventilator support--inb the dental operatory it is used in sub-general anesthetic concentrations. There was almost always nitrous piped in as an adjunctive agent though, whatever the primary anesthetic was. Most often back then it was Halothane or Ethrane, which have their own problems of toxicity. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >>>I heard on the news this evening that there is a new painless way of getting >>>dental work done *without a needle*. Any idea on what this is, seriously? [quoted text clipped - 23 lines] > >http://www.dent.ucla.edu/pic/visitors/anesthesia.html I thought the original demonstration of Nitrous failed because the patient cried out during the procedure. from http://www.historyhouse.com/in_history/nitrous_two/: > Delighted, Wells ran all the way to Massachusetts General Hospital in >Boston to demonstrate his new idea. Unfortunately, he did not give >the patient enough gas. During the surgical procedure, the patient >cried out in pain, and the students at the clinic "booed and jeered." >[7] Wells returned to Hartford a broken man, and shortly thereafter >a pupil of his, one William Morton, stole the technique and popularized it. And then later on ether was used sucessfully to remove some sort of tumor in what is now known as the 'ether dome'. > Ether as used is actually pretty safe biologically. But it boils under >100 degrees F, and a mixture with air is explosive. It is also quite [quoted text clipped - 14 lines] > >Steve Very interesting! -- Adenosine Semi-informed Dental Consumer ? >>>>I heard on the news this evening that there is a new painless way of getting >>>>dental work done *without a needle*. Any idea on what this is, seriously? [quoted text clipped - 38 lines] > And then later on ether was used sucessfully to remove some sort of > tumor in what is now known as the 'ether dome'. This is one of those stories that is shrouded in semi-legend. The version I've heard is similar to that on the UCLA website. Wells used nitrous first. However, the first pubic demonstration was indeed a failure. Maybe 25 years ago Nova ran a program called "Strange Sleep" about the discovery of anesthesia. Unlike most of Nova's programs, it was presented as a dramatization, the hook being that all the actors were physicians and dentists. Of course in the 1840s, dentistry as a profession (as opposed to a trade) was in its infancy. On the Nova program, much was made of the difference in social strata between the relatively aristocratic physicians and the lower-class Wells. When the demo was a failure, the physicians in the hall whistled and booed. I thought the physicians enjoyed this scene just a little too much. http://www.pbs.org/wgbh/nova/listseason/01.html#0106 Steve >> Ether as used is actually pretty safe biologically. But it boils under >>100 degrees F, and a mixture with air is explosive. It is also quite [quoted text clipped - 20 lines] > Adenosine > Semi-informed Dental Consumer ? SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Actually, the first general anesthetic was nitrous oxide (Wells). >Ether was used soon after, esp. by Morton. Morton was a dentist ........ > >I heard on the news this evening that there is a new painless way of getting > >dental work done *without a needle*. Any idea on what this is, seriously? [quoted text clipped - 14 lines] > What about ether? It's got a risk of cancer associated with it, but it > also has the claim of being the 'original' anesthetic. You mean the stuff I use to start my tractor with? Rich > -- > Adenosine > Semi-informed Dental Consumer ? >> >I heard on the news this evening that there is a new painless way of >getting [quoted text clipped - 28 lines] >> Adenosine >> Semi-informed Dental Consumer ? I believe that starter fluid is usually a combination of hexane and ether. -- Adenosine Semi-informed Dental Consumer ? >What about ether? It's got a risk of cancer associated with it, but it >also has the claim of being the 'original' anesthetic. Nope! Unsafe. Joel |
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