O
overcame_1t
Member
- Joined
- Feb 26, 2009
- Messages
- 49
Would love some feedback from a dentist if possible.
I hope you dont mind me starting a new thread, but please say it it is inappropriate.
I didnt initially want to start a new thread, but I thought it best to.
I hae written some letters for my dentist, and surgeon, to give them in advance of my appointments, and would love a dentist to check them to see if they are ok, and not stepping on professional toes.
Sorry that the post is a long one.
1) Letter to surgeon
Dear Mr -------
I would greatly appreciate if you could read this letter prior to our consultation on the 11th September, at **** community dental hospital, as it may save your valuable time.
There have been some changes in my prescribed medication, since making this appointment, which may affect treatment.
I thought you needed to be aware in advance.
I have some concerns regarding my forthcoming extractions.
I do not intend, by this letter, to step on professional toes.
As you probably know, I have two broken molars and a wisdom tooth requiring extraction, and I had an X ray, which I do not yet know the result of, and presume this will be discussed in my consultation with you.
My dentists know that I am on diazapam, but there have been some changes. Since my last visit to the community dentist I have gone on a benzodizapine reduction program and am slowly tapering off it with the help of my GP, my mental health care co-ordinator, and a tranquiliser support organisation. As expected, since the reduction program commenced, I have been experiencing some withdrawal symptoms including panic attacks, greatly reduced appetite, etc.
I am also now on trazodone
With regards to the extractions, I have three issues, regarding the treatment, the options i have as to how the teeth get extracted.
1) Benzodiazapine sedation
2) General anaesthetic
3) Local anaesthetic
1) Benzodiazapine sedation
Since commencing my reduction program, I am unable to take any additional benzodizapines outside of my reduction program, due to them adversely affecting my reduction programme, and adversely affecting my recovery.
2) General anaesthetic
Firstly, due to being isolated with no friends or family, I have unsuccessfully found anybody to escort me to the hospital, should I opt for this procedure.
Secondly, for reasons stated above, I would not be able to have any form of benzodiazapine premedication prior to the procedure.
Thirdly, As I am suffering benzodiazapine withdrawal symptoms, I have been finding that I need to eat every two hours, otherwise my withdrawal symptoms greatly worsen, particularly the bad panic attacks, due to low blood sugar levels.
I understand, that, as part of the procedure, I would need to be nil-by-mouth for a long time, before the procedure, and that I probably would not be able to eat for some time afterwards. As you can understand, this has given rise to great worry, and for this reason, I would prefer not to take the option of general anaesthetic, as the worry of this is already affecting my day to day life.
3) Local anaesthetic
I feel that this would be the option that I would prefer to take, regarding the extractions, but again, am very sorry to say, that due to my benzodiazapine withdrawal symptoms, I understand that, to have an adrenaline based local anaesthetic would overstimulate my nervous system, and cause panic attacks, during and after the procedure.
I therefore, respectfully request that I be given a non-adrenaline/Epinephrine based local anaesthetic. I understand that the non adrenaline based local anaesthetics are not as powerful and that I may need more than one injection. I do not have a problem with this, provided it is fine with you. I am not afraid of needles.
I hope you do not feel as if I am undermining you professionally, but I feel that this is the only option for my extractions.
I would greatly appreciate some advice on this.
I am writing this letter for self help reasons to alleviate some of my terror, and hope that you dont mind.
I greatly appreciate your time and attention in reading this letter, and look forward to some reassurance and advice.
Letter to Dentist
I would be extremely grateful if you could read this letter prior to our appointments on the 22nd, and 29th September, when I am due to have some fillings.
There have been some changes in my prescribed medication, which you may need to know about, and I feel this will affect my treatment.
I felt the need to notify you in advance of the treatment, to save your valuable time.
As you know I have been on diazapam prescribed by my doctor. I am also now on trazodone.
Since our last visit, I have been put on a diazapam reduction program, as they are starting to have adverse affects.
Since going on the program, I have, as expected, been experiencing withdrawal symptoms, one of which is panic and overstimulation of the nervous system.
On my last visit, if I am correct, I was given articaine, which was not a problem at the time, as I was not, at that stage, in withdrawal, as I had not yet started my reduction programme.
Now that I am withdrawing from diazapam, I am respectfully requesting, that in my next treatment, I be given a non adrenaline/Epinephrine based local anaesthetic, as I have found out that an adrenaline/Epinephrine based local anaesthetic would greatly adversely affect my withdrawal symptoms, during and after the procedures, and I fear it will set me back in my recovery.
I understand that the non adrenaline/Epinephrine based local anaesthetics are not as powerful, and that I may need a top up during the procedure. This is not a problem for me, as I am not afraid of injections.
I am so afraid of having an adrenaline/Epinephrine based local anaesthetic, that I would rather have the fillings with no anaesthetic, than risk worsening my symptoms, if the non adrenaline/Epinephrine were not to be available.
I have written this letter in preparation, as I am extrememly worried and desperate for some advice, reassurance.
I greatly appreciate your time and attention in reading this letter.
Please could someone advise if these letters are worded ok, as I intend to send them on monday, but would rather a dentist/surgeon checked them over to make sure that I am not causing any offence/undermining any authority.
Feel free to add any suggestions, or if you feel that I have put unneccesary things in them, feel free to let me know, I would rather they sounded right before being sent.
Thank you for also taking the time to read them.
Appreciated
OI
I hope you dont mind me starting a new thread, but please say it it is inappropriate.
I didnt initially want to start a new thread, but I thought it best to.
I hae written some letters for my dentist, and surgeon, to give them in advance of my appointments, and would love a dentist to check them to see if they are ok, and not stepping on professional toes.
Sorry that the post is a long one.
1) Letter to surgeon
Dear Mr -------
I would greatly appreciate if you could read this letter prior to our consultation on the 11th September, at **** community dental hospital, as it may save your valuable time.
There have been some changes in my prescribed medication, since making this appointment, which may affect treatment.
I thought you needed to be aware in advance.
I have some concerns regarding my forthcoming extractions.
I do not intend, by this letter, to step on professional toes.
As you probably know, I have two broken molars and a wisdom tooth requiring extraction, and I had an X ray, which I do not yet know the result of, and presume this will be discussed in my consultation with you.
My dentists know that I am on diazapam, but there have been some changes. Since my last visit to the community dentist I have gone on a benzodizapine reduction program and am slowly tapering off it with the help of my GP, my mental health care co-ordinator, and a tranquiliser support organisation. As expected, since the reduction program commenced, I have been experiencing some withdrawal symptoms including panic attacks, greatly reduced appetite, etc.
I am also now on trazodone
With regards to the extractions, I have three issues, regarding the treatment, the options i have as to how the teeth get extracted.
1) Benzodiazapine sedation
2) General anaesthetic
3) Local anaesthetic
1) Benzodiazapine sedation
Since commencing my reduction program, I am unable to take any additional benzodizapines outside of my reduction program, due to them adversely affecting my reduction programme, and adversely affecting my recovery.
2) General anaesthetic
Firstly, due to being isolated with no friends or family, I have unsuccessfully found anybody to escort me to the hospital, should I opt for this procedure.
Secondly, for reasons stated above, I would not be able to have any form of benzodiazapine premedication prior to the procedure.
Thirdly, As I am suffering benzodiazapine withdrawal symptoms, I have been finding that I need to eat every two hours, otherwise my withdrawal symptoms greatly worsen, particularly the bad panic attacks, due to low blood sugar levels.
I understand, that, as part of the procedure, I would need to be nil-by-mouth for a long time, before the procedure, and that I probably would not be able to eat for some time afterwards. As you can understand, this has given rise to great worry, and for this reason, I would prefer not to take the option of general anaesthetic, as the worry of this is already affecting my day to day life.
3) Local anaesthetic
I feel that this would be the option that I would prefer to take, regarding the extractions, but again, am very sorry to say, that due to my benzodiazapine withdrawal symptoms, I understand that, to have an adrenaline based local anaesthetic would overstimulate my nervous system, and cause panic attacks, during and after the procedure.
I therefore, respectfully request that I be given a non-adrenaline/Epinephrine based local anaesthetic. I understand that the non adrenaline based local anaesthetics are not as powerful and that I may need more than one injection. I do not have a problem with this, provided it is fine with you. I am not afraid of needles.
I hope you do not feel as if I am undermining you professionally, but I feel that this is the only option for my extractions.
I would greatly appreciate some advice on this.
I am writing this letter for self help reasons to alleviate some of my terror, and hope that you dont mind.
I greatly appreciate your time and attention in reading this letter, and look forward to some reassurance and advice.
Letter to Dentist
I would be extremely grateful if you could read this letter prior to our appointments on the 22nd, and 29th September, when I am due to have some fillings.
There have been some changes in my prescribed medication, which you may need to know about, and I feel this will affect my treatment.
I felt the need to notify you in advance of the treatment, to save your valuable time.
As you know I have been on diazapam prescribed by my doctor. I am also now on trazodone.
Since our last visit, I have been put on a diazapam reduction program, as they are starting to have adverse affects.
Since going on the program, I have, as expected, been experiencing withdrawal symptoms, one of which is panic and overstimulation of the nervous system.
On my last visit, if I am correct, I was given articaine, which was not a problem at the time, as I was not, at that stage, in withdrawal, as I had not yet started my reduction programme.
Now that I am withdrawing from diazapam, I am respectfully requesting, that in my next treatment, I be given a non adrenaline/Epinephrine based local anaesthetic, as I have found out that an adrenaline/Epinephrine based local anaesthetic would greatly adversely affect my withdrawal symptoms, during and after the procedures, and I fear it will set me back in my recovery.
I understand that the non adrenaline/Epinephrine based local anaesthetics are not as powerful, and that I may need a top up during the procedure. This is not a problem for me, as I am not afraid of injections.
I am so afraid of having an adrenaline/Epinephrine based local anaesthetic, that I would rather have the fillings with no anaesthetic, than risk worsening my symptoms, if the non adrenaline/Epinephrine were not to be available.
I have written this letter in preparation, as I am extrememly worried and desperate for some advice, reassurance.
I greatly appreciate your time and attention in reading this letter.
Please could someone advise if these letters are worded ok, as I intend to send them on monday, but would rather a dentist/surgeon checked them over to make sure that I am not causing any offence/undermining any authority.
Feel free to add any suggestions, or if you feel that I have put unneccesary things in them, feel free to let me know, I would rather they sounded right before being sent.
Thank you for also taking the time to read them.
Appreciated
OI