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Share your dilemmas and get honest opinions from other Mumsnetters.

To be worried about being sedated for an extraction?

36 replies

tarmactreacle · 29/10/2024 21:10

I need a broken stump of a tooth removed. It's being done surgically because it's a tricky procedure and the dentist has given me three options.

  1. local anaesthetic
  2. sedation
  3. general anaesthetic

A general anaesthetic is out. I've had them before but I know they all come with a risk and it's not worth it for something small like this.

How risk free is sedation? I vaguely remember stories of people dying in the dentist chair. Does this happen? I would much prefer to be sedated but not if it's a risk.

OP posts:
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Shelledwarrior · 30/10/2024 16:09

I was sedated for an implant where they are screwing metal into your jaw bone… horrific!
Had the sedation to calm me down and then they gave a local for the pain. AMAZING! Mine was a shot of some greenish liquid — made me think of crème de menthe. I felt vaguely pissed but that lovely warm cuddly phase of being drunk. I thought I was fully aware of what was going on at the time but I couldn’t remember much the next day apart from telling the dentist he was really handsome. He was, that’s my excuse!

SoNiceToComeHomeTo · 30/10/2024 15:57

Sedation is blissful. Have it if you can. You won't care if you die in the dentist's chair, it will be a wonderful way to go... seriously, best research the risks yourself if you're worried, but I wouldn't hesitate.

Tumbleweed101 · 30/10/2024 06:51

I had my tooth extracted under sedation. You just need to make sure you have a friend/partner with you as you’ll still feel the effects for a few hours and won’t be able to drive.

I think the sedation they use on tooth extractions is fairly light. I was unaware but I think I did feel the bit when they pulled the tooth as I became aware of a sensation a bit like when you unexpectedly put your hand on something hot but aren’t aware of why you have an odd sensation for a moment. It wasn’t pain, just odd.

When I came around they told me to keep the gauze in place for a while and I became obsessed with getting more gauze to the point I sent my brother to get some from the local pharmacy! I never used it lol.

I did get some vivid dreams for a couple days afterwards too.

HousedInMySoul · 30/10/2024 06:41

Greybeardy · 29/10/2024 22:34

Propofol quite often is used for dental sedation but would be done by an anaesthetist.

OP, the risks associated with sedation depend on your medical history and what drugs they plan to use. For some people it’s very low risk, for some people it’s higher risk than a GA. You’ll need to ask your dentist what their plan is to work out what’s best for you.

Ah right, apologies, I didn't know that.
My point that it isn't casually administered in the way that MJ's doctor did, still stands

protectthesmallones · 30/10/2024 01:07

Ask for local anaesthetic and sedation.

If you have some local anaesthetic you'll not be roused so easily from sedation.

Both should work together. Ask if this is an option.

Remember if you do get roused too easily from sedation it can be topped up there and then.

OrangeCrusher · 30/10/2024 00:12

Honestly, get the sedation, DO NOT get a local. I had a local for a wisdom tooth and it was horrendous and I ended up with terrible bruising and swelling that was so bad I had to go to A & E. The tooth next to it got damaged in the process so had to come out. I was terrified of sedation and even tried backing out at the last minute. 😂

I’m so glad I got it done, don’t remember a thing and was physically and mentally left without trauma. I was completely away with the fairies afterwards but it was a much better experience.

polydactylfeline · 29/10/2024 23:58

I had sedation with a wisdom tooth extraction and it was amazing! I was in tears in the loo before I went in, I was really frightened. I couldn't believe how painless and easy it was. Obviously throbbed a bit once the local wore off, but paracetamol and ibuprofen soon sorted that out.

BabyCloud · 29/10/2024 23:41

I had a surgical extraction done under local and it was fine. I wouldn’t have needed anything more.

Grrrrf · 29/10/2024 23:39

I had a simple extraction (as it turned out but could have needed to be surgical) with just LA. Have another dodgy tooth which will sadly be the same in the future and will definitely go for LA again, even though it almost certainly will be a surgical extraction ( failed root canal although it's been good for 20+ years). I'd personally opt for that OP but speak to your dentist if you're concerned.

CalmFox · 29/10/2024 23:28

Had a GA for wisdom tooth extraction many years ago. Made me vomit alot after, and I developed an infection in the socket. Last year I had sedation for another wisdom tooth removal, it was 100% better experience. Didn't feel a thing, had no recollection of the extraction happening just remember receiving the sedation and then being helped up from the chair to the recovery room to my husband who drove me home. Had a few hours sleep and was fine.

justasking111 · 29/10/2024 22:46

Nervous Nellie here. I had sedation for implants. It's wonderful stuff. I recall very little. Husband had to drive. I went home and fell asleep again. Woke up feeling fine.

ThatWhiteElephant · 29/10/2024 22:43

I am terrified of the dentist but recently had to have some teeth removed.
One of them was a molar that was only 3/4 remaining.
I was due to have them out at the hospital under general but there was a very long waiting list.
I went for a local in the end and it wasn't as bad as I had built it all up to be!
The molar was the worse one (wish I'd worn ear pods to drown out the drilling), but it was fine. Very quick, with pretty much no pain afterwards.
Good luck!

tarmactreacle · 29/10/2024 22:41

Thanks @Greybeardy I have extremely low blood pressure but other than that I'm in okay health. Not fit, but no health problems thankfully.

OP posts:
Greybeardy · 29/10/2024 22:34

HousedInMySoul · 29/10/2024 21:20

I think the thing that killed MJ was a drug called propofol, which is used to induce general anaesthesia, and will often cause the patient to be unable to breathe without help.
This is NOT what is used for sedation at the dentist 😂

Propofol quite often is used for dental sedation but would be done by an anaesthetist.

OP, the risks associated with sedation depend on your medical history and what drugs they plan to use. For some people it’s very low risk, for some people it’s higher risk than a GA. You’ll need to ask your dentist what their plan is to work out what’s best for you.

Scutterbug · 29/10/2024 22:11

Sedation is bloody marvellous. Don’t even think twice.

AlteredStater · 29/10/2024 22:10

I just want to add that the dental team don't just inject you with a drug and that's it. Your BP and heart rate are continually monitored so that the amount can be adjusted as need be.

AlteredStater · 29/10/2024 22:08

I've had sedation twice. The first time I literally remember nothing! Had a tooth out and a couple of fillings. A few months ago I had more than that done, 2 extractions and 5 fillings. I was aware of some parts of it but they were fleeting. Far preferable to being awake for all of it! I had midazolam.

Imperrysmum · 29/10/2024 21:54

LizzieBowesLyon · 29/10/2024 21:16

Sedation is fucking awesome. If you could book a treatment at the spa etc and it was a straight up sedation I’d be there every day.

what happens is someone says “sharp scratch” and you feel a little something and then the next thing it’s all done AND you’ve had the best sleep EVER.

Seriously awesome stuff. It’s what offed Michael Jackson cos it’s so nice and he overdid it.

this is hilarious.

LuLuRN · 29/10/2024 21:54

I bloody love twilight sedation.
I've had it a few times for dental treatment.
I would agree to absolutely anything with the drugs on board, like if they said we will just need to remove your leg as well as your tooth I would be like yeah that's fine.
I do get very shivery though so they wrap me all up in cosy blankets then I nod off.

tarmactreacle · 29/10/2024 21:50

Having thought about it a bit more, what's worrying me is that it's taking place in the village dental surgery 30 minutes from the nearest hospital. If anything goes wrong we are really remote.

I suppose this stems from when I gave birth. I opted for a hospital birth but had I chosen a home birth I probably would have died.

OP posts:
Longhotsummers · 29/10/2024 21:47

DH is TERRIFIED of the dentist and had to have an extraction. He had sedation (tablet form) and it went so well he didn’t realise the tooth was gone. He was euphoric afterwards as he’d built it up to be such an awful event and it was literally painless.
Ii was funny waiting for it to take effect. They said he would get talkative and he did, although he doesn’t remember this.

honeyfox · 29/10/2024 21:47

Had mild sedation for a complicated root canal, it was fine. Thought I was fully with it until I got up off the chair and I couldn't walk in a straight line! But highly recommend, I was a very nervous patient. I don't think I fell asleep, they said I did but I only closed my eyes as I couldn't bear watching what was going on.

ForPearlViper · 29/10/2024 21:44

tarmactreacle · 29/10/2024 21:35

@ForPearlViper one in 10 million?? Those sound pretty good odds!

If you have any degree of health anxiety I would strong urge you to learn how risk works. For example, you often see stuff than says a particular behaviour increases your risk of getting a disease by 50%. But your baseline risk of getting that disease is one in million.....

SisterAgatha · 29/10/2024 21:39

It’s good. Like being pissed. Didn’t feel any pain at all. Felt fully aware of what was going on though and didn’t could have sworn the sedation hadn’t worked because I was so “awake”. I was chatting away about how broken the bits of tooth were.

Then I went to bed when I got home and slept for ages. Woke up with my partner pretending to have some legal docs for me to sign as that was one of the stipulations “don’t sign any legal docs under sedation” hahahha

Madcats · 29/10/2024 21:36

I had loads of teeth removed by my dentist in the 70's (all by general anaesthetic). This was for baby and over-crowded adult teeth.

DD(17) has also had to have some baby teeth removed, but via local anaesthetic (I've been sat there, listening). Some were fine, others were trickier to pull out.

Go for sedation and take a friend.