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Medical Forum / General / Dentistry / September 2007Heart and impacted wisdom teeth
My granddaughter has been having fainting spells and very fast heartbeat. She just had an episode where the paramedics were called and they said that her heart rate was off the charts. The paramedic asked if she had any trouble with her teeth and was told that she had four impacted wisdom teeth and he said that he thought that was her problem. She went to a doctor and he gave her zanax for high stress she is going through along with an antibiotic for the teeth; apparently one is broken through on three sides and there is an open flap of gum that could be allowing infection. My question is, could the impacted teeth cause this heart symptom, and also, what can she do if she has no insurance. She is in her late 20's going through a divorce; her husband is in prison for beating her nearly to death several times. But my SIL wants her to just take the drugs and go to work like this. Is there any danger of her working in this condition? I'm afraid she could pass out driving or have a heart attack. I'm wondering if there is some kind of aid or assistance available for situations like this. If she doesn't take care of this soon I'm afraid of what could happen to her. She's a beautiful girl inside and out and has suffered so much in her short life.I would like to pay for her expenses, but if it's going to run into thousands of dollars for surgery and such, I don't know if I could on my SS and pension. Any help would be appreciated, Sandr > My granddaughter has been having fainting spells and very fast > heartbeat. She just had an episode where the paramedics were called [quoted text clipped - 20 lines] > Any help would be appreciated, > Sandr If someone with your daughter's history had an episode, I doubt impacted wisdom teeth would be the first thing I would think of. She needs a full physical and possibly cardiologic workup to make sure her heart is alright. Just from your story I think it is unlikely the wisdom teeth are a major part of this story, but you never know. Personally, I can't imagine going through what she has without panic and/or anxiety, so it is entirely likely her heart is fine. Patients who are going through high stress situations often have flareups of wisdom teeth if they are partially impacted, so they may well need removal. But first things first--make sure she has no serious medical problems. Good luck, Steve Yes I agree that she should get a more thorough workup as you said and am going to try to do that asap.There was no mention of infection or fever which makes it seem like it isn't anything systemic originating with the teeth. Thank you so much, sandr > If someone with your daughter's history had an episode, I doubt > impacted wisdom teeth would be the first thing I would think of. She [quoted text clipped - 10 lines] > Good luck, > Steve . My question is, could > the impacted teeth cause this heart symptom, and also, what can she do > if she has no insurance. Get her treated as an outpatient at a major medical center. They have the resources for treating any heart complications that may arise while tending to the extractions. Large medical centers generally employ oral surgery residents to do the needed extractions, at fees drastically lower than those at private practice. Could you please tell me how to get into this setting? Do you need to see a doctor or dentist first that refers you to the medical center for the procedure?. Or do you just go into the ER? Thanks. sandr > Get her treated as an outpatient at a major medical center. They have > the resources for treating any heart complications that may arise > while tending to the extractions. Large medical centers generally > employ oral surgery residents to do the needed extractions, at fees > drastically lower than those at private practice. Call the closest Dental School and ask to get her into the patient population. You will save 30-60% off your bill, but will make up for it by spending hours and hours at the school. The school will tell you if there is a local teaching hospital with OMFS on staff. You cannot go into an ER an get this kind of treatment. The ER will find a way to help if it is life threatening, but impacted wisdom teeth, only **RARELY** can be that extreme. What does your personal dentist say????  Signature/ Amatus / > Could you please tell me how to get into this setting? Do you need to > see a doctor or dentist first that refers you to the medical center [quoted text clipped - 8 lines] >> employ oral surgery residents to do the needed extractions, at fees >> drastically lower than those at private practice. > Call the closest Dental School and ask to get her into the patient > population. You will save 30-60% off your bill, but will make up for it by [quoted text clipped - 4 lines] > way to help if it is life threatening, but impacted wisdom teeth, only > **RARELY** can be that extreme. If you live in a large city, I wholeheartedly do not recommend dental schools. Can you imagine how many appointments and waiting time it'll take before they even come up with a treatment plan? I know that most metropolitan hospitals have ER depts with oral surgeons or gp residents ( that are trained in treating bony impactions ) on staff from time to time, or at least know how to efficiently refer patients out to OS. > My granddaughter has been having fainting spells and very fast > heartbeat. She just had an episode where the paramedics were called > and they said that her heart rate was off the charts. The paramedic > asked if she had any trouble with her teeth and was told that she had > four impacted wisdom teeth and he said that he thought that was her > problem. This paramedic was way out of line suggesting this, if, in fact, this is what he/she actually said. I hope he/she isn't telling this to other people with tachycardia and fainting...... John Yes, he really did say this, and I think that was why the doctor gave her the antibiotic.I know I have read many instances of heart problems being caused by infections in the teeth and gums. Don't they even require dental examinations before heart surgery? But I think she may also have something else going on that needs to be checked out. The doctor does not seem like he was concerned enough to me. Sandr > This paramedic was way out of line suggesting this, if, in fact, this is > what he/she actually said. I hope he/she isn't telling this to other people > with tachycardia and fainting...... > > John The Paramedic was either "nuts", or you misunderstood. USA ???? Signature/ Amatus / > Yes, he really did say this, and I think that was why the doctor gave > her the antibiotic.I know I have read many instances of heart problems [quoted text clipped - 11 lines] >> >> John > She just had an episode where the paramedics were called >and they said that her heart rate was off the charts. The paramedic >asked if she had any trouble with her teeth and was told that she had >four impacted wisdom teeth and he said that he thought that was her >problem. That paramedic's advice is worthless IMO. Get the heart problem checked. The teeth are not connected to the heart. |
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