Friday, November 6, 2009

Going to sleep for wisdom teeth?

So my dentist recommends I have 2 wisdom teeth taken out that are not impaced they are already up. But only one of them, the bottom one is causing some problems. Anyways he says that if you take the bottom one out you should also take the top out.





I think I only want to have the bottom one out at least for now. But my question is even though they are already in (not impacted) the person I scheduled my appointment said they can make me go to sleep. I'm wondering do they normally let ppl go to sleep if they arent impacted and you only take out one wisdom tooth. And also, do you think I should go to sleep cuz I have no clue what its like to be knocked out.





Also I know this sounds crazy but I always wanted to know what happens if when ur getting your teeth pulled and you needa pee cuz ur asleep and you cant go up to go to the bathroom. Does your body just allow you to keep holding it in even if you needa go or do you go in ur pants

Going to sleep for wisdom teeth?
If there is no surgical procedure involved then you should be bale to get them out while awake.


But alot of dentists are different and they may have reasons for wanting to put you under.


Find out from your dentist if you can have them taken out in the chair as it can be alot cheaper.
Reply:i don't think this is a serious question. if your bladder is full, u av no choice
Reply:Drugs given to induce or maintain general anaesthesia are either given as:





* Gases or vapors (inhalational anaesthetics)


* Injections (intravenous anaesthetics)





Most commonly these two forms are combined, with an injection given to induce anaesthesia and a gas used to maintain it, although it is possible to deliver anaesthesia solely by inhalation or injection.





Inhalational anaesthetic substances are either volatile liquids or gases and are usually delivered using an anaesthesia machine. An anaesthesia machine allows composing a mixture of oxygen, anaesthetics and ambient air, delivering it to the patient and monitoring patient and machine parameters. Liquid anaesthetics are vaporized in the machine.





Many compounds have been used for inhalation anaesthesia, but only a few are still in widespread use. Desflurane, isoflurane and sevoflurane are the most widely used volatile anaesthetics today. They are often combined with nitrous oxide. Older, less popular, volatile anesthetics, include halothane, enflurane, and methoxyflurane. Researchers are also actively exploring the use of xenon as an anaesthetic.





Injection anaesthetics are used for induction and maintenance of a state of unconsciousness. Anaesthetists prefer to use intravenous injections as they are faster, generally less painful and more reliable than intramuscular or subcutaneous injections. Among the most widely used drugs are:





* Propofol


* Etomidate


* Barbiturates such as methohexital and thiopentone/thiopental


* Benzodiazepines such as midazolam and diazepam (commonly known as Valium)


* Ketamine is used in the UK as "field anaesthesia", for instance at a road traffic incident, and is more frequently used in the operative setting in the US.





The volatile anaesthetics are a class of general anaesthetic drugs. They share the property of being liquid at room temperature, but evaporating easily for administration by inhalation (some experts make a distinction between volatile and gas anesthetics on this basis, but both are treated in this article, since they probably do not differ in mechanism of action). All of these agents share the property of being quite hydrophobic (i.e., as liquids, they are not freely miscible with in water, and as gases they dissolve in oils better than in water








In dental terminology an "impacted" tooth refers to a tooth that has failed to emerge fully into its expected position. This failure to erupt properly might occur because there is not enough room in the person's jaw to accommodate the tooth, or because the angulation of the tooth is improper.





Classifications of impacted wisdom teeth.





Dentists use specific terms to describe the positioning of impacted wisdom teeth. The most common type of impacted wisdom tooth is one that is impacted mesially. The term "mesial" simply means that the wisdom tooth is angled forward, toward the front of the mouth.





The reason why some wisdom teeth are impacted is not an easy question to answer. A primary cause of wisdom tooth impaction is simply that there is inadequate jawbone space behind the person's second molar. Why this lack of space exists is not fully understood, however there does seem to be a correlation between large tooth size, tooth crowding, and the presence of impacted wisdom teeth.





It has been theorized that the coarse nature of stone age man's diet had the effect of producing extensive tooth wear, not only on the chewing surface of the teeth but also on the sides of the teeth where neighboring teeth rest against each other. The net effect of this wear would be a reduction in the collective "length" of the teeth as a set, thus creating enough jawbone space to accommodate the wisdom teeth by the time they erupted. In comparison the diet of modern man does not usually cause a significant amount of this type of tooth wear.





It has also been argued that the coarse nature of stone age man's diet, as compared to modern man's relatively soft diet, probably required more activity of the "chewing" muscles. This activity could have stimulated greater jawbone growth, thus providing more space for wisdom teeth.





The harsh and threatening world of the caveman no doubt often lead to the occurrence of broken teeth and even tooth loss. Once a tooth (or a portion of it) is missing the teeth behind it have a tendency to move forward. This shifting would make more jawbone space available for the wisdom teeth. In comparison, with the advent of modern dentistry there are relatively few reasons why a tooth should be lost or remain in a state of disrepair.
Reply:I had all four of my wisdom teeth remove without going to sleep. They may have numbed the area but I don't even remember that. If the teeth aren't impacted; you'll be find. I think the thoughts of it are worse than having it done. It may be better to have one side done at one time. The other side of your mouth will be okay while the first side is healing.


When they pull your teeth; they push down and put pressure on the tooth to loosen it; then they pull it out. Believe me; it is not that bad. You will remember how you worried so much for nothing.


Just pee before the treatment and you will be find.
Reply:Every dentist is different but most of the time for teeth that aren't impacted they will give a local anesthetic (which is a shot of novicaine) to help numben the area.





When I was a teenager one of my wisdom teeth was impacted (showed up on the x-ray at the time) but by the time I was ready to get it pulled it came up. And although impacted even a bit still the doctor was able to take it out with the local anesthetic.





Sometimes general anesthesia is done on patients who have particular medical problems where local anesthetic could create further problems such as due to low pain threshold.





I would recommend checking with your dentist directly to find out what his method for handling non-impacted wisdom teeth are.



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