Sedation with a heart condition?

[jemetpl]

Long-time phobic here, hoping someone’s been through this and can point me in the right direction.


I need a crown replaced on a lower molar (decay under the old one) plus a filling, probably about two hours’ work. I can’t face it without IV sedation. The snag is that I’ve got moderate aortic stenosis and some coronary artery disease, so I’m ASA III. My cardiologist has said in writing she’s happy for me to be sedated for dental work, but:

• three practice sedationists have said no and told me I need a hospital
• two hospital max-fax teams said no because they don’t do crowns
• a London teaching hospital’s private dental service said no, without giving a reason

I’m in East Sussex and happy to pay privately, within reason.


A few questions:

1. Has anyone with a heart condition actually had a crown or fillings done under sedation or GA? Where, and how did you get referred?
2. Is NHS special care dentistry the right route for this, and will they replace a crown, or just fill it?
3. Any dentists on here know of private set-ups in London or the South East where a dentist works with a consultant anaesthetist in a hospital?
4. Any tips for getting someone to actually engage, rather than just saying no?

Thanks so much. It’s been a frustrating couple of months!

 

[Gordon]

Is NHS special care dentistry the right route for this, and will they replace a crown, or just fill it?

Should be, I don't know whether the NHS dental service in England works anymore. They can replace a crown if needed but if a filling would solve the problem they will do that.