> What are the chemical cocktails usually used by Oral Surgeons to
> knock people out for teeth extractions. I will be having 9
[quoted text clipped - 8 lines]
> Thanks for the information. I really appreciate it!
> Jd.
Your bleeding will be controlled before you leave the office. It is
normal to have a little oozing for up to 12 hours--I'm talking about a
little blood tinge to your saliva, not big red jelly clots. Hopefully
John will answer--I think most OMFS are still using some ultrashort
barbiturate for putting you under. A local anesthetic will doubtless be
used as well, and you should be given appropriate postoperative
instructions and pain meds. Generally you can't have anything by mouth
for at least 8 hours before the procedure, so you'll have little or
nothing to throw up.
Steve
Dave King - 30 May 2007 14:16 GMT
>> What are the chemical cocktails usually used by Oral Surgeons to
>> knock people out for teeth extractions. I will be having 9
[quoted text clipped - 20 lines]
>
>Steve
Most surgeons now use Diprivan (propofol) and versed/valium with local
and O2/NO2. Some add an opiate like fentanyl/ morphine or demerol. For
the best answer, talk to your surgeon.
~~~~~~~~~~~~~~~~~~~~~
David A. King, D.M.D.
Diplomate, American Board of OMS
Fellow, American Association of OMS
HTTP://WWW.DEOMFS.COM
Mark & Steven Bornfeld - 30 May 2007 15:50 GMT
>>> What are the chemical cocktails usually used by Oral Surgeons to
>>> knock people out for teeth extractions. I will be having 9
[quoted text clipped - 24 lines]
> and O2/NO2. Some add an opiate like fentanyl/ morphine or demerol. For
> the best answer, talk to your surgeon.
Thanks for the correction, Dave and John! I think that's pretty close
to the combo used when I had my colonoscopy 2 years ago.
Steve
> ~~~~~~~~~~~~~~~~~~~~~
> David A. King, D.M.D.
> Diplomate, American Board of OMS
> Fellow, American Association of OMS
> HTTP://WWW.DEOMFS.COM

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
> What are the chemical cocktails usually used by Oral Surgeons to
> knock people out for teeth extractions. I will be having 9
[quoted text clipped - 8 lines]
> Thanks for the information. I really appreciate it!
> Jd.
The most common method to induce a state of deep sedation/general
anaesthesia in an office (not hospital operating room) is intravenously with
a benzodiazepine (ie. sleeping medication, like diazepam or midazolam), plus
an opioid (ie. pain killer, like fentanyl, demerol, remifentanyl). On top
of this, many practitioners add a medication to induce unconsciousness, the
most common by far being propofol. Barbiturates are not really used much
anymore since propofol has been introduced, unless you are an old-timer.
You may also receive nitrous oxide (laughing gas) during all of this as
well. This technique will allow you to leave the office (with a responsible
adult), within a short time after the surgery. In most cases, patients
remember little, if anything, after the medications are given intravenously.
Can't say for sure if this technique will be used for you. Some
practitioners employ a separate anaesthetist with endotracheal intubation
and maintenance with volative gas anaesthetics, such a sevoflurane or
isoflurane. However, this technique is far less common out of hospitals.
Morphine is generally not used in out-of-hospital situations....its duration
of action is too long. Remember, you will also be receiving local
anaesthesia for the injections. You will probably still be numb by the time
you take your first oral pain-reliever that your surgeon should recommend.
Dr. Steve answered the bleeding part of your question.
John
jd023456 - 30 May 2007 16:51 GMT
> > What are the chemical cocktails usually used by Oral Surgeons to
> > knock people out for teeth extractions. I will be having 9
[quoted text clipped - 34 lines]
>
> John
Hi. Right now I have been on Percocet, 7.5/500 4-5 a day for six
months due to arthritis/ back hip pain. Also on .5 mg Xanax 3 times a
day, cytomel T3 50mcg, Prozac 40 mg and small amounts of
Hydrocortisone 20-30 mg a day. Is there anything different he needs to
do as a result of my meds? I think once I have the 9 bad teeth out,
most of them were filled and not very good teeth anyway, I will be
able to go off all pain meds as the pain and infection from my mouth
can inflence back/hip pain. I think one of the reasons I took them
from the arthrists doc is because I knew another toothache was coming.
Had one last July so bad I could not sleep and cried. Why do I put
myself through this crap? I havent had any dental work done in 24
years. I am seeing a therapist and shrink for depression/anxiety and
they are helping me through the process and June is the month we have
set for the extractions. I may even find I dont even need the prozac,
after a while, when I have these bad teeth out. I still will have 8
molars in front in good shape. So do I have to get a partial or some
dentures?
Thanks again for your input.
Jd.
Pete - 30 May 2007 19:06 GMT
> Hi. Right now I have been on Percocet, 7.5/500 4-5 a day for six
> months due to arthritis/ back hip pain. Also on .5 mg Xanax 3 times a
[quoted text clipped - 12 lines]
> after a while, when I have these bad teeth out. I still will have 8
> molars in front in good shape.
Huh?? - what is this - first of all molars are not in the front unless you
are comparing them to a wisdom tooth in a relative sense or something like
that. And you said in your other post that you were getting most of your
molars pulled. It is difficult at best to follow your posts.
So do I have to get a partial or some
> dentures?
> Thanks again for your input.
> Jd.
jd023456 - 31 May 2007 05:43 GMT
> > Hi. Right now I have been on Percocet, 7.5/500 4-5 a day for six
> > months due to arthritis/ back hip pain. Also on .5 mg Xanax 3 times a
[quoted text clipped - 12 lines]
> > after a while, when I have these bad teeth out. I still will have 8
> > molars in front in good shape.
The teeth are going to be removed are #19 and the one back of it and
the other two corresponding back molars on the other side. 2 wisdom
teeth upper back one each side and 1 molar in front of the wisdom
teeth on each side and the roots of an upper left back old root canal
that broke off , upper left. Total of 9 teeth two of which are wisdom
teeth. I will still have 8 small molars left 2 bottom and 2 top on
one side and same with other side. With these left will I really need
a partial denture or bridge? If you are still confused I can get the
numbers of the teeth to be removed. Just wanted to know if (1) I will
need a partial denture or bridge and (2) Any adjustments to the
cocktail mix of drugs since I am already on a low dose benzodipiene
Xanax .5 mg 3 times a day, and an opioid percocet 7.5/500 5 times a
day.
Thanks. I appreciate your input.
Jd.
> Huh?? - what is this - first of all molars are not in the front unless you
> are comparing them to a wisdom tooth in a relative sense or something like
[quoted text clipped - 10 lines]
>
> - Show quoted text -
Pete - 01 Jun 2007 03:43 GMT
>>> Hi. Right now I have been on Percocet, 7.5/500 4-5 a day for six
>>> months due to arthritis/ back hip pain. Also on .5 mg Xanax 3 times
[quoted text clipped - 20 lines]
> teeth. I will still have 8 small molars left 2 bottom and 2 top on
> one side and same with other side.
The small molars that you refer to are called pre-molars, or bicuspids.
Good luck :-) .
With these left will I really need
> a partial denture or bridge? If you are still confused I can get the
> numbers of the teeth to be removed. Just wanted to know if (1) I will
[quoted text clipped - 20 lines]
>>
>> - Show quoted text -
Pete - 30 May 2007 19:08 GMT
>> What are the chemical cocktails usually used by Oral Surgeons to
>> knock people out for teeth extractions. I will be having 9
[quoted text clipped - 25 lines]
> practitioners employ a separate anaesthetist with endotracheal
> intubation
How can you pull 9 teeth with a trach tube in place???
and maintenance with volative gas anaesthetics, such a
> sevoflurane or isoflurane. However, this technique is far less
> common out of hospitals.
[quoted text clipped - 6 lines]
>
> John
John & Ninetta - 30 May 2007 20:25 GMT
> How can you pull 9 teeth with a trach tube in place???
Endotracheal intubation can occur through the mouth at which point you would
push it to the side when you are extracting teeth, or through the nose (much
preferred for oral surgery so it doesn't get in the way at all).
John
Pete - 30 May 2007 20:50 GMT
>> How can you pull 9 teeth with a trach tube in place???
>
[quoted text clipped - 3 lines]
> in the way at all).
> John
Thanks John...I vote for the nose so it doesn't get in the way :-):-)