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Medical Forum / General / Dentistry / July 2006

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Fear of extraction. Request  dentist recommendation, San Jose area.

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mr_ravi_patil@yahoo.com - 12 Jul 2006 20:41 GMT
I will need to have the bottom left middle molar tooth removed due to
fracture.

My general dentist referred me to the oral surgeon a month ago and he
was very rough during the examination and not sensitive to the pain I
was having, so I do not want to use him for the extraction.

I have never had an extraction and I am very nervous, so if anyone
could comment about their experiences and suggestions to make the
procedure less painful. Should I use general or local anaesthesia? I
don't know how expensive general anaesthesia is -- my Delta Dental
insurance plan covers up to $1500 for extraction procedure.

I had local anaesthesia when I had periodontal infection cleaned.
Everything was numb and I could not feel pain -- just little pushing. I
guess that is the same feeling I will have during the extraction...

But I am still very nervous and stressed out about losing a tooth.

The periodontist at first said he could perform the extraction but then
recommended that the oral surgeon do the extraction, mentioned
something about rather long roots (bottom left middle molar). I guess
this means that is always best to use oral surgeon for extraction of
molar?

If anyone has any recommendations for a gentle oral surgeon around the
San Jose area, please mail me.

Thanks
mr_ravi_patil@yahoo.com
Stormin Mormon - 12 Jul 2006 22:18 GMT
I'm very sad to hear you had a bad experience. The two oral surgeons
who have worked on me, one was technically gifted, but lacked social
graces. The other one was both technically gifted, and helped me to
feel like a contributor to the process. Please ask for a referral to a
different oral surgeon (ask your dentist; I see you asked here).
Another surgeon may better help.

Also please tell your regular dentist how unpleased you are.

What I learned. To take a codeine or hydrocodone pill half hour before
the visit. They were very good with the pain control, but I want to
have the pill in my system when the lidocaine wears off.

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Christopher A. Young
 You can't shout down a troll.
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.

I will need to have the bottom left middle molar tooth removed due to
fracture.

My general dentist referred me to the oral surgeon a month ago and he
was very rough during the examination and not sensitive to the pain I
was having, so I do not want to use him for the extraction.

I have never had an extraction and I am very nervous, so if anyone
could comment about their experiences and suggestions to make the
procedure less painful. Should I use general or local anaesthesia? I
don't know how expensive general anaesthesia is -- my Delta Dental
insurance plan covers up to $1500 for extraction procedure.

I had local anaesthesia when I had periodontal infection cleaned.
Everything was numb and I could not feel pain -- just little pushing.
I
guess that is the same feeling I will have during the extraction...

But I am still very nervous and stressed out about losing a tooth.

The periodontist at first said he could perform the extraction but
then
recommended that the oral surgeon do the extraction, mentioned
something about rather long roots (bottom left middle molar). I guess
this means that is always best to use oral surgeon for extraction of
molar?

If anyone has any recommendations for a gentle oral surgeon around the
San Jose area, please mail me.

Thanks
mr_ravi_patil@yahoo.com
Jacob - 13 Jul 2006 03:03 GMT
You should find another oral surgeon who you are comfortable with; ask your
dentist and also ask your friends for suggestions.  Rather than take a
codeine tablet beforehand, ask your oral surgeon for a valium prescription
and take one before your appointment.  Even though you are nervous, local
anesthesia is MUCH safer than general anesthesia.  I don't know your
age/health history/etc., but if you can do this with local, it would be
safer.  It's much easier said than done, but the procedure should be
COMPLETELY painless; you will still feel touch/pressure, but NOT any pain.
A professor I had once told me that the difference between major surgery and
minor surgery is who it's on: if it's on you, it's minor, but if it's on me,
it's major!  Good luck -- you probably will find this is far easier than you
expect it to be.

>I will need to have the bottom left middle molar tooth removed due to
> fracture.
[quoted text clipped - 26 lines]
> Thanks
> mr_ravi_patil@yahoo.com
mr_ravi_patil@yahoo.com - 22 Jul 2006 10:30 GMT
IV sedation is much better than local, and I think it is extremely
safe.

I found a very experienced highly-recommended oral surgeon for the
extraction and scheduled an appointment. (I didn't mention that I was
nervous).

He took x-rays and said it showed some infection. He then told me that
he could extract it with local but that it could be a difficult
experience for me. I am not sure why he said  that since I heard that
local makes everything numb.

So I had to come back the next day and get it done with IV sedation
(different than general). I went to sleep and don't remember anything.
He said the extraction went well.

I don't think I would have liked the local. I really don't want to
remember anything.

And there must be some possibility of pain with local otherwise the
surgeon would not have advised against local in my case.

> You should find another oral surgeon who you are comfortable with; ask your
> dentist and also ask your friends for suggestions.  Rather than take a
[quoted text clipped - 39 lines]
> > Thanks
> > mr_ravi_patil@yahoo.com
gummybear - 16 Jul 2006 01:53 GMT
yes, that is great coverage for one tooth extraction; i was too ver
scared and nervous since my tooth is so prestine and the gum are
& bone can't no longer hold the tooth so they recommende
extration; at first i balked and walked away and then 10 minute
later i bit the bullet and went for it--to my surprise it did no
even hurt nor did i feel any pain--it was needles to the gum not sur
if that is local or what it is called but the shame was that my toot
was so pretty, still had the gleem to it except i have advanced peri
so there was no bone supporting it or something like that so go for i
if you need it
 
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