Re: Question on Wisdom Tooth removal (local only)
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Re: Question on Wisdom Tooth removal (local only)
| Up2Late | 27 Sep 2006 15:08 |
> Specifically, the extractions have to be randomly assigned. If this is > a retrospective study, it is extremely unlikely that the selection is [quoted text clipped - 5 lines] > and it is quite likely that this may also select for more stoic patients > opting for local anesthesia. Very good points, thanks.
> BTW, you get tough guy points for having all 4 out in one day. LOL - Yeah, that's why the chicks dig me : )
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| Mark & Steven Bornfeld | 27 Sep 2006 14:05 |
> I just had my wisdom teeth removed yesterday (All 4 - Male 35), and > decided to do a local anesthetic only. [quoted text clipped - 15 lines] > ps - The best reasoning Dr. Edel could come up with, was that when a > patient is "out", the doctor may stretch the patients jaw more. I can think of no reason why general anesthesia would lead to increased postop pain, but I can think of a good reason why a poorly designed study would show this. Specifically, the extractions have to be randomly assigned. If this is a retrospective study, it is extremely unlikely that the selection is random. A patient having simple extractions of erupted molar teeth is far less likely to either ask for or have suggested by the surgeon that the extractions be done under general anesthesia than a patient having removal of deeply bony impacted third molars. Furthermore, I would bet that patients requesting general anesthesia as a group are more anxious, and it is quite likely that this may also select for more stoic patients opting for local anesthesia. BTW, you get tough guy points for having all 4 out in one day. This is more often done with general anesthesia, if for no other reason than it is prudent to minimize the number of GA inductions, but ordinarily for patients having 4 wisdom tooth extractions done with local I'd advise them the have the 2 left and 2 right done separately, so you are left with a side to chew on more or less comfortably. OTOH, there's something to be said for getting it over with.
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
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| Up2Late | 27 Sep 2006 12:25 |
I just had my wisdom teeth removed yesterday (All 4 - Male 35), and decided to do a local anesthetic only.
Two reasons, one, I just didn't want to go under, and two, I had heard "Dr. Dean Edel" quote a medical journal as saying people who did so, experienced less post-operative jaw pain.
I misspoke in the doctor's office, and said "reduced recovery time", but either way, he said that was bad information.
Is anyone aware of the study I am talking about? Where might I find it, if it exist? I tried a search, but to no avail.
Thanks for any help,
Troy
ps - The best reasoning Dr. Edel could come up with, was that when a patient is "out", the doctor may stretch the patients jaw more.
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