[Megan]

How many people here got Neuropathic symptoms or became unwell after having dental work such as gold crowns, implants or root canal work?

[glenntaj]

--but Rose and Mrs. D have reported about nitrous oxide depleting B12 in susceptible people and leading to neurological symptoms:

http://psychology.wikia.com/wiki/Nitrous_oxide

http://www.umm.edu/altmed/drugs/nitr...ide-091811.htm

http://www.ncbi.nlm.nih.gov/pubmed/8250714

http://www.ncbi.nlm.nih.gov/pubmed/8...ubmed_RVDocSum

http://jama.ama-assn.org/cgi/content...ct/255/12/1605

http://journals.lww.com/anesthesiolo...&type=fulltext

There's considerably more available through PubMed and Google Scholar, but you get the idea--it's definitely an area of concern.

[Kitt]

Repeated usage of nitrous oxide for a person with CMT is not recommended. It can make it worse.

[Dr. Smith]

Originally Posted by glenntaj

....Rose and Mrs. D have reported about nitrous oxide depleting B12 in susceptible people and leading to neurological symptoms:

This is something I would have suspected in chronic abusers or people requiring many anesthetizations - but not from single/brief instances as I'm inferring from the links.

If this is the case, wouldn't it be so simple (and prudent) to follow up nitrous anesthetization with a B-12 shot as S.O.P.? (rhetorical)

Doc

[dahlek]

There IS a caution in those detailed 'prescribing information sheets' for those meds about not taking these meds the day of the procedures? And, as a result? I've got a BIG 'NO epinepherine' note on the front of my dental file!
The descretionary use and cautious use of many anathestics for PN'ers is similar to a degree with those who have MS. MS Folks have and are the lead in the forefront about how many painkillers can make the long term pains worse.
I'd consult 'jointly' [?] with Bryanna from the dental forum http://neurotalk.psychcentral.com/forum89.html And what Mrs D advises.
A really Good to Great dentist and good dental care are keys to saving your teeth IF YOU CAN!
's!!!! - j

[mrsD]

I believe in people who are borderline low in B12...one snootful of Nitrous can have consequences. People with very good levels or high maybe not. The latter may react with repeated exposures.

This link discusses those people with the MTHFR mutation, faring poorly after nitrous.

Not good for children:
http://www.ncbi.nlm.nih.gov/pubmed/17683399

Alot depends on the medical status of the person receiving it.

[cyclelops]

My daughter received nitrous oxide when she was in high school. We had a 2 hour drive home and it was entertaining to say the least.

What concerns me is she didn't clear it.

First of all, she was laughing and behaving in such a 'funny' manner, the dentist made us leave thru the back door. She got into the car seat upside down. I thought she was kidding....she wasn't. The most bizzaire conversations and behavior continued for 2 hours all the way home, then when she came out of the 'funnies', she was not feeling well at all.

She has autonomic issues now, not as bad as mine, but she is of course, much younger. She has not been tested for PN.

I had general surgery where the sucinyl choline took and what ever they use to knock people out did not. Needless to say, I was aware. (This was the C-section for the above mentioned daughter). Awful experience....and this was before they knew of anesthesia awareness.

I had an ablation a decade ago (I regret it) and they did a general....I was not aware but when I awoke, they could not stabilize my vital signs, basically it looked like hypovolemic shock, but it wasn't. My BP and P would not go up, into the normal range, and after this experience, I have never been 'normal'. I told them I felt like I had a 'stroke' like episode, but it is dysautonomia, I guess. I am fearful if I ever need a surgery that requires a general, I will be up the creek.

I have the most local or regional anesthesia I can. I also have a 'NO EPI' on my chart.

Besides PN, and other than CMT are there any metabolic conditions, mitochondrial myopathy like things that cause this?

[Raglet]

me - but it's due to terror of the dentist (childhood memories of the 'murder house' as we used to call it), compounded by a distinct pessimism that it all won't work and I will have to spend megga bucks getting it all redone.

Yes, I am a big baby when it comes to dentists, and phantom pain abounds.

cheers

raglet
btw I have an excellent dentist who shares my paranoia about causing pain.

[BEGLET]

I had really major dental surgery a month ago, and multiple visits since to the dentist (started with a bad fall from my PN) - now my lips and mouth are very numb and I've been feeling worse gut wise - I think the nerves were really damaged in my mouht (I already have bad gastroparesis too due to autonomic neuropathy).... surgery and PN dont seem to mix, and any time they do anything to my mouth I'm permanently numb, still feel like the novacaine is active - cant taste at all either. Doc is going to do endoscopy asap to see whats going on with my throat too - had some before but lots more now trouble swallowing....

[guitarman13]

Originally Posted by Megan

How many people here got Neuropathic symptoms or became unwell after having dental work such as gold crowns, implants or root canal work?

New user (hold your applause)
Diagnosed with PN in legs and autonomic PN. felt fine till I had 6 shots of good stuff for a root canal. Have not mentioned this to neurologist, actually just considered this thought yesterday. Is there any connections?