Shaking after local anaesthetic

[SkinPaperThin]

I was meant to have a molar extracted today (failed root canal) and I needed quite a lot of anaesthetic (3 injections) as there is an infection as well. Unfortunately the adrenaline in the local made me shake uncontrollably for quite a long time and they couldn't do the extraction. Has anyone had an extraction with the anaesthetic without adrenaline? Is it really painful? I can't be lying shaking in the chair for half an hour again so I probably don't have much choice but I want to know what I'm letting myself in for.

I may be wrong, but I didn't think dentists were supposed to attempt extracting teeth with an infection present? I'm not a dentist though and may be wrong. It sounds horrible, hopefully someone will be able to advise you.

It's not a spreading infection apparently, just an abscess that keeps draining itself :/ I don't know if that makes a difference?

Me neither, though I've had a couple of abscesses in the past and the dentist hasn't attempted treatment until the infection's cleared up... (course of antibiotics was required both times)

You can be given a local without adrenaline. I do as I get palpitations. Ask the dentist.

Hmm strange. I'll call and ask them.

I always request the adrenaline free anaesthetic because otherwise I shake too much. It works just fine but because adrenaline helps to close the capillaries, there can be a little more bleeding afterwards. It’s never been an issue though.

I had a bad reaction to local anaesthetic at dentist once, never knew it was because of adrenaline. I had a bit of cold and under the weather a bit at the time, so I thought that was why.
I had it done many times before, and few times after, it was all fine.

@rainrainraincamedowndowndown I have recently had covid so it could be that on top of everything else.

Did you eat anything before the anaesthetic ? If not then the shaking could have been your blood sugar dropping.

I get this too, shaking and feeling generally horrible and panicky.

I've had loads of dental work done recently and asked for the anaesthetic without adrenaline. Such a better experience! I used to think I was having panic attacks because of a fear of the dentist but I'm fine now.

I'd had my usual breakfast but I think maybe I need more food than usual at the moment anyway. Covid really took it out of me.

I always shake excessively after the anaesthetic is initially administered but it normally stops after a few mins.

Just three? I would definitely ask for adrenaline free

@CornishGem1975 yeah same here, it did subside a bit after the first 2 but after the 3rd it wouldn't stop for ages. Not a nice experience.

Yes. Had this at the dentist for an extraction. Heart racing, shaking, etc. Also had it when I had a hysterectopy and when biopsy sample taken. Shaking like mad all over, consultant started shouting at the anaesthatist, nurse was panicking

You can definitely have treatment with infection present, moreover, extraction /root canal +/- incise and drain , is usually the only way to definitively treat the dental infection.

There is another local anaesthetic with a different vasoconstrictor to adrenaline available, citanest with felypressin. The top & bottom of it is it's not as good as lignocaine or Articaine with adrenaline ie anaesthesia isn't as deep/ reliable.

I would try again with more breakfast, inside you next time OP before assuming you need the adrenaline-free local anaesthetic for future treatments.

Thank you @Maelstrom23 that's really helpful and reassuring

The reason the adrenaline is in the anaesthetic is to keep the anaesthetising liquid in the correct place as the adrenaline reduces the blood flow to the area. Non-adrenaline anaesthetics therefore wear off much faster.

I had this a while ago. The dentist told me off for not eating (i had!) got some liquid sugary sachet thing, literally fed it to me and the shaking stopped!
It was a very strange visit

Yeah, I might try and get a later appointment so I've had more food. This bloody tooth was meant to be extracted before Xmas and then I caught covid. Just want it gone now! It wasn't that sore before but now that extraction has been attempted it's quite painful.

@Ahhhhhbisto yeah they gave me a sugary sweet and a drink. It helped eventually but took a while.

Wow, you learn something every day. Receptionist at dentist gave me a sugary cup of tea, and yes, I felt a lot better soon enough. They must see this happen often.

I am a fainter so I ask the dentist for the non adrenaline one. Its just as powerful for numbing as the regular one.