Hello and a question about dentistry

[Drhum]

Hi, I am the mother of a 30 year old with autism. We've been through everything in the last 30 years and my son is thriving and working part time. My question is about dentistry. He has never been comfortable with the dentist so we've always done full sedation. We are now facing a tooth extraction which will not be under sedation. Does anyone have experience with anything that could calm him enough to sit for this? The doctor can do nitrous oxide, but I'm scared we may need a little more. What has anyone else used for this? Thanks so much for any help.

 

[Neonatal RRT]

You may want to consult with his physician and dentist to see if they can agree on something like an oral valium, or the like, to "take the edge off" the anxiety of the situation.

 

[Judge]

I had all four of my wisdom teeth removed at the same time, being given Demerol, then lots of Lidocaine injected. I was technically awake during it all, but my sense of pain and even hearing was so diminished whatever was going on around me didn't seem to matter.

The stress of it all was not during the procedure. Only worrying about it before and then the pain afterwards that set on after all the medications began to wear off.

In other procedures I've been given Nitrus Oxide gas after Lidocaine injections, which made it all much more endurable. Getting a proper amount of Nitrus can be uh...somewhere between fun and amusing.

Having gone through multiple dental surgeries, but never fully sedated.

 

[Ronald Zeeman]

Sedation always wears out fairly quickly with me, dentist pulled tooth told him My issue ignored incredibly painful so changed dentist, current dentist probably top of his class even filled some teeth no pain killer boy is he good. does not use other specialists does it all him self. Building practice. Other dentists needed to use multiple injections of painkillers to freeze my mouth, This guy at most one needle, do not know how he does it. wife sits in room with use chats with him and his assistant. noticed his needles are not straight curved, So no poke and hope, strategic placement of drug. Just watching interact with his staff, the way his office is set up mulitple studios beautifully organized, is stunning. this guy knows his stuff obviously a genius Took me a while to find this guy other dentist's refused as I was on blood thinners, wanted my family doctor signing off their responsibility my doctor sent them a nasty message you are also doctors, your issue not mine This guy just laughed do not worry, his, dentist, issue.

 

[Outdated]

The doctor can do nitrous oxide, but I'm scared we may need a little more. What has anyone else used for this? Thanks so much for any help.

Nitrous Oxide is also known as Laughing Gas for good reason. In Australia it's often used at dentists for children. I recommend it, nitrous oxide makes the dentist fun.

 

[Ronald Zeeman]

Up here the dentist needs to be teamed up with an anesthesiologist. Learned this, after seeking new dentist.

 

[grommet]

Hi, I am the mother of a 30 year old with autism. We've been through everything in the last 30 years and my son is thriving and working part time. My question is about dentistry. He has never been comfortable with the dentist so we've always done full sedation. We are now facing a tooth extraction which will not be under sedation. Does anyone have experience with anything that could calm him enough to sit for this? The doctor can do nitrous oxide, but I'm scared we may need a little more. What has anyone else used for this? Thanks so much for any help.

I wish he could have the sedation. Cyclobenzaprine helped me more than anything. It is a muscle relaxant but it made being with the dentist okay. I have not tried nitrous oxide, I wonder what it is like and if I could get it.

 

[Ronald Zeeman]

Had my wisdom teeth pulled 40 years ago. sedation wore off walked home. couple miles did not drive who would have driven me home single at time. Took some pain killers next day called in sick. Dentists learn after a while 4 or five needles to numb my mouth. couple of hours later wears off. My immune system does not like any thing injected n my body. Why I'm really wary of vaccines. Transverse Myelitis is not fun. Why if I get covid now gone in few hours have to avoid southeast Indians, If at event or party next day like clockwork 37 plus Celsius. Live in city where large population of east Indians reside. Viruses do not care about culture or ethnicity.

 

[AuroraBorealis]

This might be too low-key to be helpful, but since it hasn't been pointed out yet: headphones with anything he likes. During my wisdom teeth removal (done in local anesthesia here), I listened to an audio book. Whenever something longer will be done dental-wise, I ask whether I can have my headphones on. It definitely helps me.

 

[Mary Terry]

This might be too low-key to be helpful, but since it hasn't been pointed out yet: headphones with anything he likes. During my wisdom teeth removal (done in local anesthesia here), I listened to an audio book. Whenever something longer will be done dental-wise, I ask whether I can have my headphones on. It definitely helps me.

Also, it would be helpful to explain the procedure to him so he knows exactly what will happen and how it will be done.

 

[Ronald Zeeman]

You may get lucky doing what I did after being tortured by a previous dentist, shopped around found the best dentist in Brampton, Not all dentists are the same. My doctor being an ass, forced us to shop. My wife is great on the phone. stated the issue. When the dental office gave good answers, Saw the dentist told him I was on spectrum. I could tell he was a very bright guy. He just said let me earn your trust. I have never seen a dentist this qualified. suspect he was the top student in his class. Do your home work If you find a guy let your son meet and chat We can tell if they are sincere.

 

[AuroraBorealis]

Also, it would be helpful to explain the procedure to him so he knows exactly what will happen and how it will be done.

Definitely. It also makes a huge difference how the team is and how they talk to you. I was very happy with my new dentist. The dental assistant was aware of my discomfort because of some instruments' sounds and I could have let her know if it got too much. The dentist showed me a tool/toy which they give you to hold during procedures, it makes a clicking noise and you can use it to indicate during a procedure that you're in pain. It's primarily for kids, but anyone could request to use it. This seemed good to me because during a procedure it might be difficult to make a sound, and I was always nervous to raise my hand (as advised during discomfort) because I am so clumsy I was worried to bump my hand into someone.

 

[JayCee]

Hi, I am the mother of a 30 year old with autism. We've been through everything in the last 30 years and my son is thriving and working part time. My question is about dentistry. He has never been comfortable with the dentist so we've always done full sedation. We are now facing a tooth extraction which will not be under sedation. Does anyone have experience with anything that could calm him enough to sit for this? The doctor can do nitrous oxide, but I'm scared we may need a little more. What has anyone else used for this? Thanks so much for any help.

Get a second opinion . Have had so many descrepancies between dentists, not good at trust to begin eith, but have bad some very ridiculous contrary opinions between dentists
that unless am in abject pain . Would always seek a second opinion on any major work dental work now. If in any way you can possibly afford it. Especially if the dentist is in private practice. (just my humble opinion)

 

[Ronald Zeeman]

Another dentist before stroke told me patients like make make or break practices. when I left hospital a few months later he died from a stroke implants pricy. You are the customer so do not settle for sub standard work or attitudes.

 

[JayCee]

Curious, as to why the Doctor dies not want to give sedation, .?? a tooth extraction is pretty large procedure for the mouth. When they came to extract a tooth in my mouth .
The roots on a bavk molar were very deep. And he only wished to do lidocaine. Think your Doctor maybe cheaping out on the procedure. At the very least nitrous oxide .
Might see if their has been any legal actions taken against his licence to practice dentistry.? If there is such a database to search where you are? Just My Opinion

 

[Ronald Zeeman]

My dentist who relaced mt previous dentist who had passed due to a stroke used only one needle of lidocaine
wore off in minutes He was shocked I was pissed when I left never went there again, boy did his practice lose a lot of money. I was losing teeth all on my left side probably due to stroke shutting off my saliva gland on this side.

 

[JayCee]

Oh.. that would be aweful about salivary gland on one side . Just a thought found a ,
"you tube" dentist recommending strongly about using a Xylitol type of chewing gum.Which is suppose to help deactivate some of the major bacteria in the mouth that create cavities. Has heard this before about a Birchwood gum ,long ago. But had forgotten it.
just a FYI

 

[Ronald Zeeman]

I do not chew gum, thanks teeth already gone first got pulled just after leaving hospital then a year later called dentist found out practice no longer existed he passed via stroke. Then the real fun began other dentists would not do pain fee or implants as I was on blood thinners. Wife went to work, found my current dentist he does it all, stuff other dentists would farm to specialists he does himself amazing, master of every dental procedure.

 

[JayCee]

Very Nice to hear, What to say Congradulations, because my luck was really not so Good with them. But very good on you !

 

[Jeff T]

40 years ago I had all four wisdom teeth pulled in one go. The nitrous oxide seemed to do the job. It tended to make me laugh, especially when a blood squirt splatted the dentist's visor..... Hopefully he'll do okay if you go that route.