I have 1 tooth on top and 3 on bottom on the right side that I would like to have pulled all at once. I've been fighting toothaches off and on in all 4 of them and I've just had it. I hate the dentist and I'm scared to death, so if I'm going to do it, I want it all over in one visit. Is this possible?
How many teeth can you have pulled at the same time with the typical shot for dental procedures?
Without seeing your mouth or x-rays I would say that is how it will be done.
Reply:Not sure if there is a limit, but I had 4 pulled at once myself
Reply:yes five the sametime. I just had don 4 days ago.
Reply:Hi! Yes you can have them all pulled at the same time, this is painful and will be sore for about a week. Putting ice on the swelling and taking pain meds will certainly help to make it more tolerable and less painful. Often this would require multiple shots and if you are frightened, you will need more because of your high anxiety. You will hear the noise and feel the pressure and I think you will be very upset. Ask your dentist for the name of a good Oral surgeon and make an appointment to have them removed. The Oral Surgeon can put you into a "twilight" sleep stage and you will remember very little after wards. He will also guide you with a post-recovery plan and help you with the proper steps to make this as painless as possible. If you have any other questions, please ask. Good luck! Marie
Thursday, November 12, 2009
Anyone know how a medical doctor can get basic training for simple dental procedures?
This is an interesting question and my answer would say, "It depends." Your license to practice does not cover most dental procedures, but mine does not cover most medical procedures either. We both recognize that there is some room for overlap. Please either "Add Details" or post another question mentioning a few of the procedures that you have in mind and maybe we can help you.
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I like HM's idea about hooking up with a local dentist who might join your team. Between you and me and the trees, there are many extractions that probably can be accomplished with a piece of gauze and a little know-how. If they get beyond that, the last thing you want to do is find yourself involved with trying to remove a tooth that doesn't want to come out. Suppose you broke off the top part. What then? You are begging for a lawsuit from someone in that situation, as this is clearly not within the scope of your education of practice. Even with dentists, I have always said, "If you can't picture yourself recovering the last millimeter of the longest, most curved root tip on the tooth you are about to extract, don't even start." In your remote site, you will not likely have access to an x-ray and you will not know what you are up against. The worst case scenario is that you do a "gauze extraction" on a tooth that is sitting on top of a huge hematoma. This is like pulling the cork on a gusher of blood. The hematoma (or other tumor) could be the reason the tooth is so loose, but you'll never know without an x-ray. I'm only saying this because it's in the literature often enough.
IF - IF - IF you are hell bent on learning this, talk to your own dentist. You are not likely to find any sort of CE in this area. You are not interested in doing any form of dental residency. As an MD, you might qualify for admission to an oral surgery residency, but then you are giving up three years of your life and I gather that this is not what you are looking for.
I've taught an ENT/Facial plastic surgeon how to give a mandibular block and I don't feel bad about that. He was never taught in his training, but under certain circumstances, it would be useful in the scope of his practice. I could imagine you learning how to do some simple removals of what we call "third degree mobility or worse" teeth, but there is always that slight risk of encountering problems that you are not equipped to deal with in your clinic.
Again, talk to your own dentist and tell him what you have in mind and see how he reacts. I understand what your intentions are and I think your heart is in the right place, so I won't say simply not to bother, but be sure that you go into this with your eyes wide open.
Feel free to use the "Contact Member" feature and we can exchange e-maill addresses and discuss this further.
Anyone know how a medical doctor can get basic training for simple dental procedures?
Do you think that any of the local dentists would be willing to be "on call" or would be willing to take in emergencies that you refer to them as a professional courtesy? Its just an idea, but might be worth looking into.
~~~~~~~~~~
I like HM's idea about hooking up with a local dentist who might join your team. Between you and me and the trees, there are many extractions that probably can be accomplished with a piece of gauze and a little know-how. If they get beyond that, the last thing you want to do is find yourself involved with trying to remove a tooth that doesn't want to come out. Suppose you broke off the top part. What then? You are begging for a lawsuit from someone in that situation, as this is clearly not within the scope of your education of practice. Even with dentists, I have always said, "If you can't picture yourself recovering the last millimeter of the longest, most curved root tip on the tooth you are about to extract, don't even start." In your remote site, you will not likely have access to an x-ray and you will not know what you are up against. The worst case scenario is that you do a "gauze extraction" on a tooth that is sitting on top of a huge hematoma. This is like pulling the cork on a gusher of blood. The hematoma (or other tumor) could be the reason the tooth is so loose, but you'll never know without an x-ray. I'm only saying this because it's in the literature often enough.
IF - IF - IF you are hell bent on learning this, talk to your own dentist. You are not likely to find any sort of CE in this area. You are not interested in doing any form of dental residency. As an MD, you might qualify for admission to an oral surgery residency, but then you are giving up three years of your life and I gather that this is not what you are looking for.
I've taught an ENT/Facial plastic surgeon how to give a mandibular block and I don't feel bad about that. He was never taught in his training, but under certain circumstances, it would be useful in the scope of his practice. I could imagine you learning how to do some simple removals of what we call "third degree mobility or worse" teeth, but there is always that slight risk of encountering problems that you are not equipped to deal with in your clinic.
Again, talk to your own dentist and tell him what you have in mind and see how he reacts. I understand what your intentions are and I think your heart is in the right place, so I won't say simply not to bother, but be sure that you go into this with your eyes wide open.
Feel free to use the "Contact Member" feature and we can exchange e-maill addresses and discuss this further.
Anyone know how a medical doctor can get basic training for simple dental procedures?
Do you think that any of the local dentists would be willing to be "on call" or would be willing to take in emergencies that you refer to them as a professional courtesy? Its just an idea, but might be worth looking into.
If a person looses his tooth due to injury is it possible to replace it with dental procedures in india?
is it possible to replace an entire tooth with an artificial structure so that it is esthetically the same as a natural tooth?if so,how many days are required for the procedure and what is the cost?
If a person looses his tooth due to injury is it possible to replace it with dental procedures in india?
Dental implants are a good option for replacing a tooth that has be lost due to injury. I'm sure there would be someone in India who specialises in implants, just check you local dental specialists.
An implant gives a fantastic aesthetic finish (depending on the operator) and will last a lifetime.
Implants can be a long procedure, as there needs to be plenty of bone to screw it into, and healing time is needed. A number of appointments will be spaced over 3 months to a year depending on your specific case, and the cost is quite expensive. But as I said, it will last a lifetime and they look totally natural.
Talk to a local dentist who knows about implants and has lots of experience, or get a referral to someone who does. This is the best person to ask about cost (I'm in Australia so I can' really give you an estimate or I would, sorry).
Check this site I found for info for your area.
Reply:ya it sure is...i got it done in delhi last year after a bike accident..what they do is they fix a false tooth permanently in place of the toooth u've lost..
Reply:yah ..it is possible....consult a dentist
Reply:Yes of course. My aunt has done it for 2 teeth, when the teeth got injured in an accident.
The tooth has to be removed before sleeping. It doesn't hurt after the surgery.It is easy to remove as it snaps to a boltlike structure.
It costed her about Rs. 1800 for one tooth( in Pune).
Consult a good dentist.
Reply:Yes its possible but do you live in India? If you live in the states it isn't necessary to go to India. I have implants and if I had to travel, plus expenses of the flight, food, and lodging I would never have saved any money.
I have a Prosthodontist here in the United States. You need a Prosthodontist not a dentist. The sucess of your implant will depend on the skill of the professional. They must be a stickler for things being totally sterile. They must have skills and do this primarily for their practice. You must research the Prosthodontist you chose. Your health depends on it.
First they remove your tooth,
Place the implant into the bone
Depending on the professional you can get an immediate load tooth but this is often a temporary tooth. Most other dental professionals require you to wear a flipper or partial until the healing takes place.
You cannot put any pressure on the implant for 3 months for the lowers and 6 months for the uppers. That means no chewing.
Then go back for the permanent crown.
Plus not counting what could go wrong and your doctor so far away. Many Doctors do not want to take on other people's patients.
I am glad my doctor is not in India since I do not live in India.
Reply:it is possible but just realize that other countries have different standards of treatment, epecially when it comes to sterilization and materials. If you have problems you're probably not going to fly back to india in a hurry to get it fixed up ! Also be aware that not implants are successful nor last a life time.
If a person looses his tooth due to injury is it possible to replace it with dental procedures in india?
Dental implants are a good option for replacing a tooth that has be lost due to injury. I'm sure there would be someone in India who specialises in implants, just check you local dental specialists.
An implant gives a fantastic aesthetic finish (depending on the operator) and will last a lifetime.
Implants can be a long procedure, as there needs to be plenty of bone to screw it into, and healing time is needed. A number of appointments will be spaced over 3 months to a year depending on your specific case, and the cost is quite expensive. But as I said, it will last a lifetime and they look totally natural.
Talk to a local dentist who knows about implants and has lots of experience, or get a referral to someone who does. This is the best person to ask about cost (I'm in Australia so I can' really give you an estimate or I would, sorry).
Check this site I found for info for your area.
Reply:ya it sure is...i got it done in delhi last year after a bike accident..what they do is they fix a false tooth permanently in place of the toooth u've lost..
Reply:yah ..it is possible....consult a dentist
Reply:Yes of course. My aunt has done it for 2 teeth, when the teeth got injured in an accident.
The tooth has to be removed before sleeping. It doesn't hurt after the surgery.It is easy to remove as it snaps to a boltlike structure.
It costed her about Rs. 1800 for one tooth( in Pune).
Consult a good dentist.
Reply:Yes its possible but do you live in India? If you live in the states it isn't necessary to go to India. I have implants and if I had to travel, plus expenses of the flight, food, and lodging I would never have saved any money.
I have a Prosthodontist here in the United States. You need a Prosthodontist not a dentist. The sucess of your implant will depend on the skill of the professional. They must be a stickler for things being totally sterile. They must have skills and do this primarily for their practice. You must research the Prosthodontist you chose. Your health depends on it.
First they remove your tooth,
Place the implant into the bone
Depending on the professional you can get an immediate load tooth but this is often a temporary tooth. Most other dental professionals require you to wear a flipper or partial until the healing takes place.
You cannot put any pressure on the implant for 3 months for the lowers and 6 months for the uppers. That means no chewing.
Then go back for the permanent crown.
Plus not counting what could go wrong and your doctor so far away. Many Doctors do not want to take on other people's patients.
I am glad my doctor is not in India since I do not live in India.
Reply:it is possible but just realize that other countries have different standards of treatment, epecially when it comes to sterilization and materials. If you have problems you're probably not going to fly back to india in a hurry to get it fixed up ! Also be aware that not implants are successful nor last a life time.
What the proper prophylactic antibiotic dose for cardiac patients undergoing surgical dental procedures?
The patient should take 4 (four) 500mg of Amoxicillin 1 (one) hour prior to dental treatment. If the patient is allergic to Penicillin, Clindamycin may be used instead.
What the proper prophylactic antibiotic dose for cardiac patients undergoing surgical dental procedures?
Cherriest is absolutely correct. That is what they had me do with a total knee replacement.
football shoes
What the proper prophylactic antibiotic dose for cardiac patients undergoing surgical dental procedures?
Cherriest is absolutely correct. That is what they had me do with a total knee replacement.
football shoes
Monday, April 27, 2009
Is there something besides novicaine used to numb mouths for dental procedures?
Someone recently mentioned a gel dentists use instead of a shot. Has anyone ever done this? I do not like my throat getting numb from the shots.
Is there something besides novicaine used to numb mouths for dental procedures?
The gel is not nearly as potent as the shot.
Reply:You can use other things, but they're not as strong and the effect isn't as deep. If you're getting just minor drilling, it's a workable option. The numbness goes away rather quickly, too.
You can also have gas or heavy sedation, which can put you out. But I'd rather have the shot, all things being equal.
Reply:I am a dentist.
The gel to which you refer is nothing more than benzocaine, a topical anesthetic found in most over the counter medications like Anbesol and Orajel. Of course, we get it in higher concentration. It is used to numb the soft tissues to attenuate the pain of the needle penetrating.
Keep in mind, though, that the majority of the pain from the shots is not due to the needle penetrating the soft tissues. In fact, dental needles generally come as 27-gauge and 30-gauge, and are thus far narrower than anything a physician would use to give you an injection, and even further narrower than needles used for starting IV's or taking blood. Thin needles make for less painful injections. The bulk of the pain from the shots we give comes from two things: 1. the volume of the anesthetic being deposited into the tissues, and 2. the temperature of the anesthetic. Each carpule of anesthetic contains 1.8cc's of fluid. When we give you the injection, the tissues have to make room for those 1.8ccs. How is space made? Tearing. Sometimes it is the periosteum tearing from the bone, which is particularly painful, or it is simply tissue tearing apart. The best way to alleviate this pain is by giving a slow injection that allows the tissues to stretch rather than tear. The temperature of the anesthetic, which is a good 20+ degrees lower than the tissues into which we inject it also causes pain. Some dentists keep their anesthetics slightly warmed.
Novocaine is typically no longer used by dental professionals for anesthesia, as better drugs with more desirable properties have been introduced to us. As far as I can remember, lidocaine 2% with 1:100,000 epinephrine has been the drug of choice. There are others, however--articaine 4% with 1:100,000 epinephrine being a good alternate.
Would you believe that cocaine is also a local anesthetic, closely related to the "caines" I mentioned above? In fact, it has very desirable properties as a local anesthetic. Unlike Lidocaine, cocaine is not a vasodilator, and thus does not promote dispersion of the drug from the area to be anesthetized. Of course, we can't very well have cocaine available for ready abuse, which is why we're stuck using drugs like Lidocaine combined with epi for vasoconstriction purposes.
Is there something besides novicaine used to numb mouths for dental procedures?
The gel is not nearly as potent as the shot.
Reply:You can use other things, but they're not as strong and the effect isn't as deep. If you're getting just minor drilling, it's a workable option. The numbness goes away rather quickly, too.
You can also have gas or heavy sedation, which can put you out. But I'd rather have the shot, all things being equal.
Reply:I am a dentist.
The gel to which you refer is nothing more than benzocaine, a topical anesthetic found in most over the counter medications like Anbesol and Orajel. Of course, we get it in higher concentration. It is used to numb the soft tissues to attenuate the pain of the needle penetrating.
Keep in mind, though, that the majority of the pain from the shots is not due to the needle penetrating the soft tissues. In fact, dental needles generally come as 27-gauge and 30-gauge, and are thus far narrower than anything a physician would use to give you an injection, and even further narrower than needles used for starting IV's or taking blood. Thin needles make for less painful injections. The bulk of the pain from the shots we give comes from two things: 1. the volume of the anesthetic being deposited into the tissues, and 2. the temperature of the anesthetic. Each carpule of anesthetic contains 1.8cc's of fluid. When we give you the injection, the tissues have to make room for those 1.8ccs. How is space made? Tearing. Sometimes it is the periosteum tearing from the bone, which is particularly painful, or it is simply tissue tearing apart. The best way to alleviate this pain is by giving a slow injection that allows the tissues to stretch rather than tear. The temperature of the anesthetic, which is a good 20+ degrees lower than the tissues into which we inject it also causes pain. Some dentists keep their anesthetics slightly warmed.
Novocaine is typically no longer used by dental professionals for anesthesia, as better drugs with more desirable properties have been introduced to us. As far as I can remember, lidocaine 2% with 1:100,000 epinephrine has been the drug of choice. There are others, however--articaine 4% with 1:100,000 epinephrine being a good alternate.
Would you believe that cocaine is also a local anesthetic, closely related to the "caines" I mentioned above? In fact, it has very desirable properties as a local anesthetic. Unlike Lidocaine, cocaine is not a vasodilator, and thus does not promote dispersion of the drug from the area to be anesthetized. Of course, we can't very well have cocaine available for ready abuse, which is why we're stuck using drugs like Lidocaine combined with epi for vasoconstriction purposes.
Im a muslim and i wanted to know if dental procedures can be done during ramadan if a person is fasting?
I am a Muslim too. Any dental procedure that would result in bleeding is to be avoided during the fasting time in the Month of Ramadan. Of course, if life threatening or other emergency would necessitate the dental procedure to be applied during the fasting period then the ‘Roja’ would be 'Makruh'. However, it is better to consult Muslim scholars as they are better placed to issue 'fatwa' as per the prevailing situation. Happy Fasting!
Im a muslim and i wanted to know if dental procedures can be done during ramadan if a person is fasting?
I think so. According to a TV show, you can get treated during ramadan. I'm not sure but I remembered they said it.
Reply:as long as you dont swallow any instruments
your allowed
Reply:Don't you have your all powerful clerics to answer questions like that, so you'll be sure to do the right thing?
Reply:Yes. Medical exceptions are made.
Reply:If it is absolutely urgent and can not be avoided and there is no chance of bleeding then no problem. But if there is chance of bleeding ( which is normal) then it is better to break the fast and fast later without any kaffara.
Events when it is allowed to break the fast and fast later the similar number of days
a) If fasting aggravates health-condition
b) Snake biting
c) Thirsts due to newly developed disease
d) Genuine danger for a pregnant mother, or for her fetus.
e) Genuine fear for the life of a suckling infant
f) Reason to fear death
g) Menstruation
h) If one is a traveler
Allah knows best.
Im a muslim and i wanted to know if dental procedures can be done during ramadan if a person is fasting?
I think so. According to a TV show, you can get treated during ramadan. I'm not sure but I remembered they said it.
Reply:as long as you dont swallow any instruments
your allowed
Reply:Don't you have your all powerful clerics to answer questions like that, so you'll be sure to do the right thing?
Reply:Yes. Medical exceptions are made.
Reply:If it is absolutely urgent and can not be avoided and there is no chance of bleeding then no problem. But if there is chance of bleeding ( which is normal) then it is better to break the fast and fast later without any kaffara.
Events when it is allowed to break the fast and fast later the similar number of days
a) If fasting aggravates health-condition
b) Snake biting
c) Thirsts due to newly developed disease
d) Genuine danger for a pregnant mother, or for her fetus.
e) Genuine fear for the life of a suckling infant
f) Reason to fear death
g) Menstruation
h) If one is a traveler
Allah knows best.
What is flexsite and why is it used for dental procedures?
There is a denture material called Flexlite. its like plastic and bendy so it won't break if you dropem. also you since it is bendable you can make them grab the teeth more.
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