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Medical Forum / General / Dentistry / September 2005Freezing 29 and 30 WITHOUT numbing the tongue?
From the start, I have generalized panic disorder. I had a wisdom tooth removed and the absolute worst part of it was the surgeon did a nerve block and numbed the left half of my tongue , I LOST IT!! I just can NOT handle the numb tongue. I requested carbocaine and that should have only lasted about an hour but I was numb from 11:00 AM until 6:00 something PM, luckily I somehow slept through most of the day Now I have 6 cavities in teeth 32,30,29 18, 14 and 13, kewl huh?<smirk> These look to be smallish cavities, not deep in the tooth and at this time it doesn't look like I need a root canal done. While I /think/ I can handle having the uppers numbed I am positive I can not handle the lowers numbed if a nerve block is done. I had a root canal done on 19 and the dentist at the time did not do a nerve block, if I remember what he did was an injection right into the nerve through the hole in my tooth so that only that tooth was numb. I recently had 19 fixed again because the filling fell out, I had that work done anethetic free. Ok, the question is is there a method that does not involve a nerve block for teeth 29 and 30? I am particularly concerned about #30 because it is missing some tooth in between 29 and 30 ,this is also the side I chew on most. If there is no good way to NOT numb the tongue, is there a way for me to get used to having a numb tongue? What I have in mind is using orajel or the like at home until I am comfortable with a numb tongue. We can get into the root scaling later,err. I have goggled the hell out of anything involving a numb tongue and dental phobia but my particulars aren't mentioned. I have constant motor tension and my tongue stiffens when numbed, so it isn't just the swollen feeling that is involved. I yakked, I babbled, I probably contradicted my self. Ask here if you need more info, the email address doesn't work. Thor If these are small cavities that have to be filled, an infiltration with articaine should be able to establish sufficient anaesthesia for the work to be done. This would not affect the lingual nerve and so your tongue will retain normal sensation. Good luck! George Ahemmmmm. On the lower? Joe -- Joel34 Here's the ticket ...... September 2001, 27:9 > Dimensions of Stabident Intraosseous... Previous | Next > ARTICLE LINKS: Fulltext | PDF (264 K) Dimensions of Stabident Intraosseous Perforators and Needles. Journal of Endodontics. 27(9):581-583, September 2001. Mohd Ramlee, Roza Anon MSc; Whitworth, John PhD Abstract: Problems can be encountered inserting intraosseous injection needle through perforation sites. This in vitro study examined the variabilit and size compatibility of Stabident intraosseous injection components The diameters of 40 needles and perforators from a single Stabident ki were measured in triplicate with a toolmakers microscope. One-way ANOV revealed that mean needle diameter (0.411 mm) was significantl narrower than mean perforator diameter (0.427 mm) (p < 0.001). frequency distribution plot revealed that needle diameter followed normal distribution, indicating tight quality control durin manufacture. The diameter of perforators was haphazardly distributed with a clustering of 15% at the lower limit of the size range. Howeve on no occasion was the diameter of a perforator smaller than that of a injection needle. We conclude that components of the Stabiden intraosseous anaesthetic system are size-compatible, but there i greater and more haphazard variability in the diameter of perforator than injection needles. (C) 2001 Lippincott Williams & Wilkins, Inc. -------------------------------------------------------------------------------- Copyright © 2005, American Association of Endodontists. All right reserved. Published by Lippincott Williams & Wilkins. Copyright/Disclaimer Notice • Privacy Policy Subscribe to RSS fee -- Joel34 Are you suggesting Stabident is the way to accomplish this? JOEL: Yes , well ....... <<kidding around ,,,, I am answering my own questions!>> >Here's the ticket ...... > [quoted text clipped - 31 lines] >Copyright/Disclaimer Notice ⢠Privacy Policy >Subscribe to RSS feed >Are you suggesting Stabident is the way to accomplish this? > >JOEL: Yes , well ....... > ><<kidding around ,,,, I am answering my own questions!>> I like your kidding around Joel. I don't fully comprehend what this study is saying, there is trouble finding the hole drilled in the bone?... I understand it now, the deal that pokes the hole in the bone doesn't seem to be held to rigid standards as far as diameter BUT it is seen to always be larger than the injection needle.(this would be in patient talk versus dentist talk<G>) I went to http://www.stabident.com/ and had a look at the procedure. Some questions arise. Does the hole drilled in the bone heal? How long does that take? Is there a danger of anesthetic "leaking" to the surrounding tissue and then affect the lingual nerve? ( I think George sort of answered this already) Any other pros or cons? The pros look good to me so far, even with my limited dental intelligence. I am still reading... I wonder why my dentist didn't suggest intraosseous injection? I will have to ask her. Thanks greatly for the replies, I am actually rather elated, I am also a bit amused at my unknown dental phobia too. Thor >>Here's the ticket ...... >> [quoted text clipped - 31 lines] >>Copyright/Disclaimer Notice ??? Privacy Policy >>Subscribe to RSS feed >Ok, the question is is there a method that does not involve a nerve block for >teeth 29 and 30? I am particularly concerned about #30 because it is missing >some tooth in between 29 and 30 ,this is also the side I chew on most. X-tip -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com I learned to use Stabidents long before the X-tip came on the market. I tried a few, but the Stabidents work so well, I didn't see a big enough advantage to offset the added cost. If I were new to the game, I would definitely start with the X-tip. Until you get the feel, Stabidents can be a little tricky. Fawks >>Ok, the question is is there a method that does not involve a nerve block for >>teeth 29 and 30? I am particularly concerned about #30 because it is missing [quoted text clipped - 6 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com Started with the X-tip and don't really use them often enough to try Stabidents until I run out. >I learned to use Stabidents long before the X-tip came on the market. >I tried a few, but the Stabidents work so well, I didn't see a big [quoted text clipped - 15 lines] >> Take out the G'RBAGE >> wubbabubbazG@RBAGEyahoo.com -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > Started with the X-tip and don't really use them often enough > to try Stabidents until I run out. > >If I were new to the game, I would definitely start with the X-tip. > >Until you get the feel, Stabidents can be a little tricky. > > > >Fawks I've used both. Started with Stabident and when we ran out I ordered a trial pack of X-Tips. I can tell you that the big honkin' funnel shaped needle is a Bit*h to get in between the roots on the buccal side of a lower 1st and 2nd molar. It is just too bulky, IMO, and I even had to do one closed mouth to get the needle perpendicular to the osseous plate. I only did that because we were doing an exo, so if I perfed the root it would not be as damaging. I think you need a very high speed latch type to get any control over the tip in those types of situations, because it bounces around more than the Stabident does. For that reason, once I've used the last three X-tips I have, I'm going back to Stabident. The L. Stephen Bucchanan trick is to never take your eye off the area you're aiming at: bend the needle and pre-anesthetize; hand it to the assistant, who doesn't change the orientation; she hands you the latch type with the drill; bzzzzmmmpp...; she takes the latch type and replaces the syringe in the exact same position in your hand and you go right back in. This way, even if there is no bleeding as you come out of the bone, you still know the exact spot where you perforated. The disadvantage, of course, is that if you have to go in again, it can be impossible to find the hole again; I've used a perio probe and poked around and have occasionally gotten lucky. I have no experience with the newer Stabident with the funnel thing on it. Yup,,, I'm leavin' on that midnight train to Stabident... SP  SignatureTake out the TRASH to reply Since the mandibular nerve, which goes to the teeth, has a branch that goes to the tongue, it really is not possible to numb the teeth without numbing the tongue. There are other ways to numb only the tooth, using an injection into the bone. However, this technique sometimes does result in complications, and I would strongly suggest that you "bite the bullet" [no pun intended] and have a regular mandibular nerve injection and put up with a numb tongue for a bit. The likelihood of complications with the bone injection is not great, but it is definitely more than with a regular mandibular nerve injection. Just injecting around the tooth may work, but it may not. Another technique is injecting anesthetic into the periodontal ligament space, but this also can present complications. Have the regular mandibular block -- that's the best way to handle this situation. > From the start, I have generalized panic disorder. I had a wisdom tooth removed > and the absolute worst part of it was the surgeon did a nerve block and numbed [quoted text clipped - 30 lines] > > Thor >Since the mandibular nerve, which goes to the teeth, has a branch that goes >to the tongue, it really is not possible to numb the teeth without numbing >the tongue. REPLY I disagree. If you use Stabident intraosseous, the lingual nerve is unaffected. If you use an inferior alveolar nerve block (branch of the trigeminal) then of course you are correct. Oooooops! See below! You got it! Joel > There are other ways to numb only the tooth, using an injection >into the bone. However, this technique sometimes does result in [quoted text clipped - 59 lines] >> >> Thor |
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