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  1. I am planning on having oral surgery to perform two implants where I have missing teeth. Fortunately these teeth are hidden at the back of my mouth so cosmetically not really an issue, but my bigger concern is maintaining normally healthy teeth throughout my life. First I consulted my regular dentist and he advised me that I am a candidate for either dental implants or bridgework. They look at bone structure and proximity to nerves running through the mouth. Next I requested a list of the medications prescribed in association with the procedure and researched them against my current medications. Since I am also taking a benzo I went to the benzo site and researched each of the meds there. In my case the following prescriptions are given: Amoxicillin/Cephalexin as a prophylatic antibiotic to prevent infection Chlorhexidine 0.12% as an oral antibiotic to help prevent any chance of secondary infection Vicodin/Percocet as narcotic pain medication Ibuprofen 800 mg as prescription strength pain medication Medrol Dospak as a corticosteriod to reduce post-operative swelling Next I met with the oral surgeon and explained that I am hypersensitive to medications. We discussed my drug history and the problem I had with Cipro back in fall 2011. I also told him how albuterol causes me to shake all over and that I am concerned about epinephrine. He recommended that I go with what is called twilight anesthesia. Twilight anesthesia is an anesthetic technique in which the patient is not unconscious, but sedated. The patient is sleepy, but able to answer questions and follow simple directions from the doctor. In this process they use a combination of midazolam, fentanyl and propofol. Midazolam (versed) is called a dissociative, it keeps nerve sensations from reaching the brain. Fentanyl is a potent, synthetic opioid analgesic with a rapid onset and short duration of action. Propofol is a hypnotic/amnestic agent (puts you to sleep and causes you not to remember). He will also use a local, but since I will be sedated he only has to use about half as much of the local as he would if I wasn't sedated. I read on the benzo site where someone over there had this procedure with just the local ... and they used carbocaine rather than novacaine and did just fine. Not sure I'm that brave ... I think I'd rather be slightly knocked out and not remember the procedure. My procedure is scheduled for about 3 weeks from now. I'd be interested in any comments from members who are withdrawing from antidepressants and who have either had implants or used any of these meds while in the process of withdrawing or after withdrawing. I am going to do some more research, but if all goes as planned I will update this thread with my experience for other members who may plan this type of procedure in the future.
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