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Dental Extraction Appt. Coming Up

S

Slagdor

Junior member
Joined
Dec 2, 2019
Messages
4
Location
Oregon, USA
My gold crown fell out over the weekend. I went in to see a new Dentist today, and they explained I don't have enough tooth left to recover to put a new (or existing) crown on. They explained I should really just have it removed. That's fine with me. They are also recommending I have three wisdom teeth removed. One was already removed years ago due to infection.

My question is about sedation.

The Dentist offers "Nitrous Oxide" and "Sedation Monitoring". Both are conscious sedation, I think?

They also partner with a different dentist who is willing to do IV Sedation.

The IV Sedation costs $800 USD. That's more than I'd like to spend, and I hate needles anyway. Plus, I am scared about being sedated. I also think I have sleep apnea, which I mentioned to the Dentist today.

The Nitrous Oxide and Sedation Monitoring are much cheaper -- only $100 USD per (one or the other, not both).

The only memory I have of sedatives is when I had the infected wisdom tooth removed 10 years ago. I do not remember being given an IV. A mask was put over me for a half hour, and then someone came in, they put me to sleep, and I woke up later without a tooth. Does anyone know what kind of sedation I might have been given?

Also, do others recommend Sedation Monitoring (pill?) or Nitrous Oxide?

Am I at risk likely having sleep apnea and being overweight? I'm 5'11", 230lbs.

Thanks for any help you can give me! I just want to make an educated decision.
 
BoxerMom

BoxerMom

Well-known member
Joined
Jun 23, 2019
Messages
108
Location
Us
Hi there! I had nitrous years and years ago, so I can’t help you with that, and if Sedation Monitoring is a pill, well you’d have to ask what they give you. But, I can give you some info on the IV sedation. I had all my teeth extracted in September under IV sedation. I am overweight as well, but I had no problems. They told me before the procedure that I would be consciously sedated, so it’s not like being put under for an operation, which requires a breathing tube to be inserted. They also mentioned that when you’re sedated like that, sometimes you forget to breath, and I distinctly remember them telling me to take a breath. So there was an assistant there with me who’s only job was to watch me breath and made sure to remind me when I didn’t. My dental phobia was so bad that sedation was the only way for me, and I know how expensive it is. I cannot say whether you’d be at risk if you have sleep apnea, but that is something that you definitely need to let them know. They will be able to help you make the right choice for you.
 
Enarete

Enarete

Well-known member
Forum Buddy
Joined
Sep 18, 2017
Messages
2,154
Hi Slagdor,

we have an extensive article about nitrous oxide here. It should be able to answer quite everything you have been wondering about it.

I have no idea what sedation monitoring is supposed to be, the only thing that comes to my mind would be monitoring of your vitals to see how you are doing (in case of nitrous that would mean a device on your finger that constantly monitors pulse):dunno:
 
S

Slagdor

Junior member
Joined
Dec 2, 2019
Messages
4
Location
Oregon, USA
I asked my Dentist today about Sedation Monitoring. They said it was the alternative to Nitrous Oxide -- they prescribe Halcion the night before. I've never taken Halcion, so I don't know anything about it. I told them I take Lexapro for anxiety, but I want to be sure there are no drug interactions. I told them about my Sleep Apnea. I feel like I just have to trust them to know the risks.
 
Enarete

Enarete

Well-known member
Forum Buddy
Joined
Sep 18, 2017
Messages
2,154
That’s interesting. So the Sedation Monitoring means them prescribing Halcion? If there was any issue with the sleep apnea they would surely have let you know.
 
Aurora10

Aurora10

Well-known member
Joined
Feb 9, 2017
Messages
304
Location
Canada
I asked my Dentist today about Sedation Monitoring. They said it was the alternative to Nitrous Oxide -- they prescribe Halcion the night before. I've never taken Halcion, so I don't know anything about it. I told them I take Lexapro for anxiety, but I want to be sure there are no drug interactions. I told them about my Sleep Apnea. I feel like I just have to trust them to know the risks.
Oh, that's referred to generally as oral sedation and works well for many people😊. I was considering sedation in some form and my dentist told me that they could use halcyion as it's generally very reliable. It isn't as reliable as IV sedation but that can be costly so a lot of people go with oral sedation. Have you been diagnosed with sleep apnea or do you just think that you may have it? What did the dentist say when you told him? Hopefully you will feel you can trust the dentist and his team enough to move forward with this, let us know how it goes😊
 
Aurora10

Aurora10

Well-known member
Joined
Feb 9, 2017
Messages
304
Location
Canada
My gold crown fell out over the weekend. I went in to see a new Dentist today, and they explained I don't have enough tooth left to recover to put a new (or existing) crown on. They explained I should really just have it removed. That's fine with me. They are also recommending I have three wisdom teeth removed. One was already removed years ago due to infection.

My question is about sedation.

The Dentist offers "Nitrous Oxide" and "Sedation Monitoring". Both are conscious sedation, I think?

They also partner with a different dentist who is willing to do IV Sedation.

The IV Sedation costs $800 USD. That's more than I'd like to spend, and I hate needles anyway. Plus, I am scared about being sedated. I also think I have sleep apnea, which I mentioned to the Dentist today.

The Nitrous Oxide and Sedation Monitoring are much cheaper -- only $100 USD per (one or the other, not both).

The only memory I have of sedatives is when I had the infected wisdom tooth removed 10 years ago. I do not remember being given an IV. A mask was put over me for a half hour, and then someone came in, they put me to sleep, and I woke up later without a tooth. Does anyone know what kind of sedation I might have been given?

Also, do others recommend Sedation Monitoring (pill?) or Nitrous Oxide?

Am I at risk likely having sleep apnea and being overweight? I'm 5'11", 230lbs.

Thanks for any help you can give me! I just want to make an educated decision.
The sedation you had years ago with the mask sounds like gas GA, but I'm not 100pc sure.
 
Gordon

Gordon

Administrator
Staff member
Verified dentist
Joined
Oct 25, 2005
Messages
5,785
I'd be a bit nervous of offering oral sedation to somebody with your BMI and your other issues. I'd be a whole lot happier going for the nitrous route.
 
S

Slagdor

Junior member
Joined
Dec 2, 2019
Messages
4
Location
Oregon, USA
I'd be a bit nervous of offering oral sedation to somebody with your BMI and your other issues. I'd be a whole lot happier going for the nitrous route.
That's interesting. I don't feel like I'm that overweight, but maybe I am.

You would be uncomfortable giving me Halcion?
 
M

MountainMama

Well-known member
Joined
Jul 1, 2018
Messages
1,653
I have had both nitrous and oral sedation in the past year for tooth extractions. The nitrous was much, much better in my opinion. The pill I took was not a different kind, but it just kind of made me chill, but did not help me ignore what was going on around me. The nitrous helped me relax to where I could kind of tune out but was still aware, if that makes sense. It was almost like that stage right before you fall asleep, where you know what it going on but are relaxed.
 
Gordon

Gordon

Administrator
Staff member
Verified dentist
Joined
Oct 25, 2005
Messages
5,785
That's interesting. I don't feel like I'm that overweight, but maybe I am.

You would be uncomfortable giving me Halcion?
I couldn't give you Halcion, it's not available here :)
I personally don't like using Oral sedation where the patient has some potential issues with their airway. Just not enough control for my peace of mind. OTOH, I had the luxury of being able to use any sedation modality that I think suits best, IV, IS or Oral.
 
S

Slagdor

Junior member
Joined
Dec 2, 2019
Messages
4
Location
Oregon, USA
Oh, that's referred to generally as oral sedation and works well for many people😊. I was considering sedation in some form and my dentist told me that they could use halcyion as it's generally very reliable. It isn't as reliable as IV sedation but that can be costly so a lot of people go with oral sedation. Have you been diagnosed with sleep apnea or do you just think that you may have it? What did the dentist say when you told him? Hopefully you will feel you can trust the dentist and his team enough to move forward with this, let us know how it goes😊
I have not been diagnosed. I'm going to see my doctor next month about it. I simply think I have it based on how much I'm snoring. I wake up with headaches sometimes and dry mouth. Typical symptoms. I did explain all of this to the dentist. He just went into talking about how he uses a CPAP machine, and I would benefit from having one. He didn't seem concerned or anything. I'm probably going to get Nitrous Oxide.

If I'm not in any pain, I'll probably be okay. I had a root canal that took three visits and was the most pain I've ever been in years ago. Ironically, that tooth with the root canal is the one that the crown fell off of and needs to be extracted. It's been nothing but trouble for me. That root canal is what CAUSED my dental phobia. I also have Generalized Anxiety Disorder, I've had PTSD, and I take anxiety medication. Living in fear is exhausting.
 
Aurora10

Aurora10

Well-known member
Joined
Feb 9, 2017
Messages
304
Location
Canada
I have not been diagnosed. I'm going to see my doctor next month about it. I simply think I have it based on how much I'm snoring. I wake up with headaches sometimes and dry mouth. Typical symptoms. I did explain all of this to the dentist. He just went into talking about how he uses a CPAP machine, and I would benefit from having one. He didn't seem concerned or anything. I'm probably going to get Nitrous Oxide.

If I'm not in any pain, I'll probably be okay. I had a root canal that took three visits and was the most pain I've ever been in years ago. Ironically, that tooth with the root canal is the one that the crown fell off of and needs to be extracted. It's been nothing but trouble for me. That root canal is what CAUSED my dental phobia. I also have Generalized Anxiety Disorder, I've had PTSD, and I take anxiety medication. Living in fear is exhausting.
That's so true, fear IS exhausting. I know how painful root canals can be, 2 of the 3 I've had were extremely painful and they failed, awful isn't it? I'm glad you're going to see your dr and if nitrous oxide works for you then go for it. Keep us updated!
 
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