Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Dentistry / April 2005

Tip: Looking for answers? Try searching our database.

Question about numbing

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
thedogzoo - 20 Apr 2005 16:57 GMT
Hello. Like most people, I understand and appreciate the numbing
injections for dental work!However, I am wondering why it is neccessary
to be numb for sooooo long afterwards? For example, a simple extraction
can take about 10 minutes - why am I numb for 5 hours after? I
understand that it also prevents pain for awhile after the procedure,
but, typically a person would be on prescription pain medication
anyway.I am asking because I hate the numbing part. I have very few
problems with actually getting the shots, or the work involved for
whatever procedure, but, being numb for so long actually causes me a
lot of anxiety - enough that it prevents me from getting work done that
I know I should get done.Is there a way to reverse the numbing effect?A
shorter acting medication? I'd be willing to bet that a lot more people
would be more consistent with their dental health if you didn't have to
deal with the after-effects of the injections!Don't mean to sound like
I'm bashing on anyone...it's mostly an "I just don't get it"
situation.Thanks!
Mark & Steven Bornfeld - 20 Apr 2005 17:09 GMT
> Hello. Like most people, I understand and appreciate the numbing
> injections for dental work!However, I am wondering why it is neccessary
[quoted text clipped - 12 lines]
> I'm bashing on anyone...it's mostly an "I just don't get it"
> situation.Thanks!

    You should speak to your dentist about this.  All of us should have
shorter-acting anesthetics.  While many of our patients don't mind being
numb for a while esp. after a particularly tough extraction, many brief
procedures would benefit from shorter anesthesia.  You have but to ask.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

CWatters - 20 Apr 2005 17:37 GMT
> Hello. Like most people, I understand and appreciate the numbing
> injections for dental work!However, I am wondering why it is neccessary
> to be numb for sooooo long afterwards? For example, a simple extraction
> can take about 10 minutes - why am I numb for 5 hours after?

You used to be numb for hours but these days (at least with my dentist) it's
down to around 45mins - 1 hour.
Bill - 20 Apr 2005 17:51 GMT
> > Hello. Like most people, I understand and appreciate the numbing
> > injections for dental work!However, I am wondering why it is neccessary
[quoted text clipped - 3 lines]
> You used to be numb for hours but these days (at least with my dentist) it's
> down to around 45mins - 1 hour.

With the advances in dentistry over the years, today there are choices.
It's a tradeoff. You can have the standard lidocaine (which far
outsells the other anesthetics) and it will often last for hours. Or
you can have a shorter-acting anesthetic.

Each has its advantages (and disadvantages). The longer-acting
anesthetics won't require re-injection due to wearing off, if the
procedure takes longer than anticipated. The shorter-duration
anesthetics won't leave you numb for half the day.

So it's a matter of choice in many cases. There are other factors which
your dentist will consider, such as any need for hemostasis, and the
toxologic profile of the individual anesthetic agents, and the amount
and type of dental treatment to be rendered at each visit.

Any matters of concern can certainly be discussed with your dentist
before the dental appointmet is set.

Best regards,
- dentaldoc
Bill - 20 Apr 2005 18:03 GMT
> > Hello. Like most people, I understand and appreciate the numbing
> > injections for dental work!However, I am wondering why it is
neccessary
> > to be numb for sooooo long afterwards? For example, a simple
extraction
> > can take about 10 minutes - why am I numb for 5 hours after?

Most extractions, whether "simple" or otherwise, create more
post-treatment pain than fillings do. Extractions usually involve
trauma to the gums, the periodontal attachment apparatus, and even the
bone of the jaw. This can be painful long after the dental visit.

For this reason, most of the oral surgeons I know use a very
long-acting local anesthetic. They know that pain medications taken
orally can take a long time to take effect, so the long-lasting local
anesthetic allows more time without pain.

Fillings are a different matter than extractions. Many fillings can be
done with a relatively short-acting anesthetic.

> > but, being numb for so long actually causes me a
lot of anxiety - enough that it prevents me from getting work done that

I know I should get done.

In the case of fillings, a short-duration anesthetic can often be used.
Then the numbness doesn't last as long.

But in the case of the "simple" extraction, one reliable way to create
MORE anxiety is to allow the anesthetic to wear off too soon. Given a
choice between long-lasting numbness or long-lasting surgical pain,
most people would prefer to be pain-free.

The choice between a long-lasting numbness and a shorter numbness
depends partially on the type of dental treatment to be done. There are
other factors also. You should feel free to discuss the choice of
anesthetic with your dentist before making the appointment.

Best regards,
- dentaldoc
W_B - 20 Apr 2005 19:23 GMT
>But in the case of the "simple" extraction,

Though you answered the question fully, and
put "simple" in quotes...

Strongly object to the use of this terminology.
If it was so damn simple anyone could do it.

Prefer the term *routine* extraction.

<this rant brought to you by HMO/DMO/PPO plans>
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
The Real Paul - 21 Apr 2005 14:17 GMT
here here

> >But in the case of the "simple" extraction,
>
[quoted text clipped - 12 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Stormin Mormon - 21 Apr 2005 14:34 GMT
Where, where?

Here: Location
Hear: Auditory perception of sound

Signature

Christopher A. Young
Learn more about Jesus
    www.lds.org
    www.mormons.com

here here

> >But in the case of the "simple" extraction,
>
[quoted text clipped - 12 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Bill - 21 Apr 2005 19:50 GMT
> >But in the case of the "simple" extraction,
>
[quoted text clipped - 5 lines]
>
> Prefer the term *routine* extraction.

I agree. Patients often don't realize what is involved in dental
treatment. Many patients tell me after a procedure how easy it was,
while I've been working hard . . .  ;-)

(And on the other hand, I don't want patients to think that extractions
should be "routine," either . . . they are better motivated to practice
prevention when they know that most teeth have a decent possibility of
being preserved for a lifetime, and we don't "routinely" extract them.)

I infer from your post that if we make the patient's experience easy,
which is commendable, we still need to guard against the possibility
that lay persons may think that dental treatment is so easy that no
great skill is required.

Perhaps the way we make our patients' experience easy has affected our
government officials here in California, who seem to think that they
can make dental treatment cheaper for the government programs by
licensing "dental applicants" who would never be eligible for licensure
in the other 49 states due to lack of education. It appears that our
legislators are so impressed with the ease of their own dental
treatment by modern dentists, that they think anybody can do it, even
without education or experience.

But that's fodder for another thread.

- dentaldoc
Stormin Mormon - 21 Apr 2005 14:34 GMT
Different anaesthetics last different times. It is possible your DDS is
using a slow acting anaesthetic. Rather than post to a public group, you may
wish to ask your DDS. He (she?) may have a shorter acting drug available.

Signature

Christopher A. Young
Learn more about Jesus
    www.lds.org
    www.mormons.com

Hello. Like most people, I understand and appreciate the numbing
injections for dental work!However, I am wondering why it is neccessary
to be numb for sooooo long afterwards? For example, a simple extraction
can take about 10 minutes - why am I numb for 5 hours after? I
understand that it also prevents pain for awhile after the procedure,
but, typically a person would be on prescription pain medication
anyway.I am asking because I hate the numbing part. I have very few
problems with actually getting the shots, or the work involved for
whatever procedure, but, being numb for so long actually causes me a
lot of anxiety - enough that it prevents me from getting work done that
I know I should get done.Is there a way to reverse the numbing effect?A
shorter acting medication? I'd be willing to bet that a lot more people
would be more consistent with their dental health if you didn't have to
deal with the after-effects of the injections!Don't mean to sound like
I'm bashing on anyone...it's mostly an "I just don't get it"
situation.Thanks!
kureforcrohns@sbcglobal.net - 22 Apr 2005 00:14 GMT
Besides teeth, how is the uveitis.
Doing better, I hope.

Gail
oN - 27 Apr 2005 16:39 GMT
After meal of 10 min, you have to digest it 8 h.
The name is metabolitic process.
After love making ( xxx min or hh) you have to wait for 9 m to see what is
going off ;)
All the best,
Proka
> Hello. Like most people, I understand and appreciate the numbing
> injections for dental work!However, I am wondering why it is neccessary
[quoted text clipped - 12 lines]
> I'm bashing on anyone...it's mostly an "I just don't get it"
> situation.Thanks!
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.