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Dental surgery, dental medications, tooth discoloration

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manymoretodays

My last fillings were with the nerve block(needle) and lidocaine.  It worked out fine.  I wasn't anxious before or after.   I usually also bring my ear buds and music.

I actually felt better for several days.

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NJJ

Basically I'll just have to talk to the dentist when I go. Only the dentist is going to know if it's possible to have one without a needle by examining the cavity. Like someone has said, there may only be a slight risk and leaving it is only going to cause me more trouble. Thanks

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brassmonkey

I have had both a root channel and full deep cleaning in the last year and have had no problem with the drugs they use.  When I was a child I can remember having nine or ten fillings done without Novocain. It left me with a hatred for dentists that too decades to get over and a hatred for my parents for making it happen,which I still haven't gotten over and their long gone.

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compsports

Hi,

 

My filling came out yesterday and I'm very reluctant to go to the dentist, not because of the Procedure itself as I've had many before but the fear of yet another drug interaction. I know I probably sound paranoid but I'm finding now I'm sensitive to everything. I'm thinking that the cavity is to deep for no drugs. I do suspect that I may have a slight reaction to the needle drug, because every time I get it, I get this rush of adrenaline and my heart beats fast. I think there are alternative drugs. Has anyone had a filling without drugs?

It sounds like you have the same problem as I do which is not being able to tolerate epinephrine.   Yes, there are definitely alternatives.   Just tell the dentist and it shouldn't be any problem.

 

CS

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NJJ

So got my filling done.... No way I was going to get out of it without any drug as its boredline needing a root canal. I asked for the non adrenaline drug and didn't get that horrible feeling where I felt shaky and heart racing. Last time I still felt the affects when I got home, but not this time, so that's good to know. I just had to get more injections of the different drug half way through the procedure because it's not as strong as the other.

Thanks

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Martina23

I will try to get a filling without drugs. I have not been at the dentist yet even when I wanted to go in december. But it does not hurt and I am not yet sure if I am stabilized enough that eventual anestetic if necessary would not set me back.

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reachingforthestars

Has anyone experienced worsening of anhedonia after local anesthesia? I have. 

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erer

Has anyone experienced accelerated tooth decay while on meds? I'm finding myself visiting the dentist every few months ever since I was put on the combination of Olanzapine, Valdoxan and Diazepam and every time there is lots of work to be done. Before that I didn't have a reason to visit the dentist for years. For the first time in my life I also found tartar on my teeth.

I tend to be suspicious of Olanzapine, but of course I cannot rule out the others. 

 

I am just wondering if anyone else has had that problem.

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ang

Hi Alto, and everyone,  could you add a topic here about   checking your teeth.           I have found my major health problem, causing all this.              I had a root canal done 25 years ago, and all my problems, including chronic ear infection, ear operation, depression, exhaustion,       started about 2 years after that.

 

Had to go to three dentists, and demand!  before they finally dug around, and down went his little pic, side of tooth,  into YUCK. All this yuck has been leaking from that dead bacteria farm, ie root canal tooth for over 20 years.   I had the cultures from my present ear infection, and yes the bacteria in my ear, are common infections found in infected root canal teeth.  Left side of my face a few months back  at crisis point, was full of itchy dry scabs,  all same side as the tooth.  Xrays do not show a rotten tooth, as the tooth is totally dead, root canal means all the living blood, tissue, pulp is removed, and you are left with a dead thing in your mouth.  

 

Seems root canals, are the same sort of  ""political""      medical science.        They go so overboard  (even the one who finally is going to pull the damn thing out) to say how wonderful root canals are, they are like a pre recorded record.  They ALL give the same spiel,  root canals are wonderful, you have had it 25 years, thats a success,   dont read stuff on the internet.           Then that dentist, admitted, the tooth was infected, and the ""muck"' was leaking out of it, around the back of the tooth, he his a gusher!  YUCK.     I will not elaborate, dont want to put you off christmas dinner!

 

Have a great one everybody,  after 2 years of chronic fatigue, getting off those antidepressants, was the best thiing I ever did, all they do is mask a problem, until the body completely breaks down.

 

I reckon my immune system is strong, it has done a pretty decent job, fighting the bacteria from this infection powerhouse  (dead tooth) for over 20 years.           It said enough is enough about 6 weeks ago.   My Natural Killer cells are double what they should be.                  Yep,  this staph, does enter cells, and the ONLY cells that can kill our own cells are natural killer cells.                     On ordinary blood tests, all looks fine.   But when best quality testing is done, my Killer Cells are double............ the upper limit.        

 

Also MTHFR,   when my immune system began packing up completely, I had little B12.                Again, blood tests show levels of B vitamins are fine, but a BETTER test done, called homocysteine, showed something very wrong.   With the MTHFR,   the wrong B12, and folic acid  (sysnthetic crap in our food),  is not used.    Can not be used with my genetics, so it clogs ups everything,  and I then can not use real folate in food.        B12 tablets were also useless.  I had one B12 shot of the right form of B12,  and it got me out of bed,  moving, and calmed my whacked out brain.        

 

Wow,  lets hope, my 2017 will be so much better than the last few years.          

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whitelily

Since taking Abilify, I have noticed that my teeth have become discolored.  Has anyone else had this side effect?  Is the only remedy to switch anti-psychotic?

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InvisibleUnless

antipsychotics, along with many other psychotropics and other drugs, are known to cause tooth discoloration in some patients.  the exact reasons are not always clear, but the reduction of saliva and alteration of our microbiome that such drugs often precipitate are among the factors which can lead to a bodily environment facilitating discoloration problems.  in both usage and withdrawal, antipsychotics have dullened my teeth, no matter how hard i work to take care of them.  it is reversible in at least some of the cases, and i have had phases where the discoloration lifted significantly (only to return later with the onset of cycling withdrawal symptoms).

 

switching to a different antipsychotic may or may not help you.  they have different binding profiles but are more similar than dissimilar.  you should consult with a highly experienced mouth-knowledgeable prescriber or a dental specialist for diagnosis, options, and recommendations.  in some cases, things like drinking water several times a day, changing the time of day you take your drug, and other measures may have an impact on the severity of your discoloration, but some types of discoloration are not going to be manageable if the drug is still present.  indeed, some are long-term problems regardless, though one cannot assume your own situation based on what you have shared.

 

also keep in mind that switching doses or drugs comes with its own set of risks, and those risks are possibly heightened if you are already in the middle of tapering other drugs.  plus, as mentioned, tapering off the drug or cocktail which has led to discoloration may not have an immediately positive effect, and any persistent, cycling, or withdrawal-related symptoms might involve discoloration problems--especially if actively taking the drug created them for you.

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whitelily

InvisibleUnless: thanks for your reply.  I have had a dry mouth for a while now, especially at night - which I believe is linked to the diabetes I got.  This is so frustrating.

 

 I just wish that there were a quicker way to get off these toxic drugs.   

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Waiting12

Hi all,

I have a wisdom tooth that is showing and possibly needs to come out. Its infected as well. It is not painful just having some discharge. I go to the dentist tomorrow to get it looked at and am quite scared. I am not even sure how to explain to him my situation. I have been having a terrible time lately with panic/depression/scary thoughts etc... and do not want to get any worse. I would appreciate any information on anesthetics, pain meds and antibiotics during withdrawal. I have read a lot that we are supposed to especially avoid antibiotics, how come?

 

I am so scared I could cry. I've never even had a cavity before. Any words of encouragement?

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Martina23

Hello waiting, normally people react vwry well on local anestethics without epinephrine (for example carbocaine, mepivacaine), but I personally tried it and it triggered a wave, basicly I had problems for one month. Therefore some people are alergic against anything in withdrawal. But if you cant do anything other, you just have to try. There are also doctors offering alternative ways like hypnose, but I never tried it myself. I have myself now problem with one wisdom tooth but after last experience I am waiting till it starts to hurt.

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AliG

There seems to be intrinsic problems with dentistry and W/D  - one being the anesthesia and the other  - the mercury etc. ( cancer causing) elements.

 

Take care and don't use fluoride. Look to herbal toothpastes if you can. 

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Siskin

Hello Waiting12,

 

My 22 year old son, in 4th year of protracted withdrawal from prozac and 3 antipsychotics, just had his wisdom teeth out 3 weeks ago. We had postponed as long as possible, but they had to go. Like you, we were very anxious about how he would respond to the medications. Using a local anesthetic only was not an option for him because he, like you, has panic attacks, and had one not long ago in the dentist's chair. He clearly needed to be sedated.

 

I had a chance to speak to the nurse anesthetist at length before his surgery. She was very understanding about his situation and his hypersensitivity to any kind of drug. We agreed that she would give him Propofol and lydocaine for the surgery. This went really well for him - he has no recollection of the procedure, and he had no ill effects from the sedative.

 

For pain management after surgery, she prescribed 800 mg ibuprofen, and also sent him home with oxycodone/acetaminophen, which we agreed he would only take if the pain was horrible. The first night he agreed to take 1/2 tablet of the oxycodone, but interestingly, it had absolutely no effect on him. After about an hour and a half, he took the other half tab...still no effect. So he just stuck with the ibuprofen and non-stop ice packs to manage his pain.

 

He was also prescribed penicillin to prevent infection. I was very concerned about this as well, because we have spent over 3 years working on his digestive system to minimize bad bacteria and yeast, and to boost his good bacteria. Improving his gut has been his path to treating the condition for which he was originally put on psychiatric medication, so this was super important. But I didn't want him to have to deal with an infection, so we went ahead with it. Fortunately, yogurt is one of the things one can eat following oral surgery, and he ate lots of it! After about a week, he was able to start on his probiotics again.

 

I can honestly tell you that he has experienced no set-back from either the sedation or the antibiotic. He has been very tired, but another friend whose son went through extraction recently was just the same. He has continued to go through the same kinds of waves and windows he'd been having before surgery. He and I are both very relieved to have it all behind us.

 

Of course everyone's situation is unique, but if the dentist tells you the tooth needs to go, just make sure she/he is aware of your hypersensitivities. If the doctor you go to isn't licensed to administer propofol (some of them aren't - the first dentist we met uses benzos), you might want to work with someone who is.

 

Best wishes to you, and let us know how it goes.

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Waiting12

Thank you all for your replies. I'm glad most of you haven't had issues with this stuff. It is really reassuring. I really lucked out. I don't need it pulled, maybe down the road if it gets infected again. For now I have to take amoxicillin 500 mg three times a day for 10 days. This even makes me scared. I am glad to hear that others haven't had a bad time with antibiotics. I bought some probiotic yogurt as well. I am already in a wave so I couldn't bear to make it worse.

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Dwell

I recently went to the dentist and needed a rotting tooth removed. In the time between the dentist appointment and the appointment with the oral surgeon the tooth broke off above the gum. The remaining tooth is obviously still rotting and now I have to find a new oral surgeon due to insurance change. I am so nervous but it's good to see that others did well with non-epenephrine local antistetics. Does anyone think that oral health could be part of the mental health issue during withdrawal? Could a rotting tooth make mental symptoms worse?

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UnfoldingSky

I just wanted to report my experiences with dental work since reacting badly to psych drugs. Recently I had to have a number of cavities filled, and due to being extremely worried how I would react to the local, for most of them I chose to have no freezing at all.  Somehow I got through that, and it was not nearly as bad as I thought it would be...nowhere near as bad as say akathisia.  However those cavities weren't too bad (deep). For one they did end up putting on topical benzocaine even though I was reluctant to have that too.  No reaction though.  It wore off pretty fast too.

 

The final cavity though they insisted on using injectable freezing, as they said that cavity was deep.  Naturally I was really worried then, as I used to react to so many things when in severe withdrawal, even tiny amounts of herbs that are really safe usually.  However, nothing happened--I was given carbocaine, with NO epinephrine.  Before psych drugs I had generally good teeth so I'm not that used to freezing and the feeling to me was awful, maybe worse than the pain I got from work done with no freezing.  I was seriously worried it would not wear off properly but it did eventually (took a few hours.)  But in terms of bad reactions I had none. 

 

It should be noted I haven't touched any psych drug or even medication for a physical health problem in six years, and I have been free of the really severe withdrawal symptoms (except some memory loss) for a number of years too.  I haven't had akathisia, DP/DR, dissociation, really notable tardive dyskinesia symptoms, etc in a number of years now.

 

Also there are a number of hypnosis videos online you can find that might be used while you are having work done including some specifically aimed at calming anxiety that is related to having dental work done. 

 

 

 

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