Dental procedures!!
 

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

Not myself--
 

--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.

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.

Dental
 

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....:eek:

new today
 

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?

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

Were/are you, guitarman? taking...neurontin or lyrica?
 

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!
:hug::hug::hug:'s!!!! - j

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.

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?

I work in the dental field and have not heard of local anesthetics causing any type of neuropathy. The most common type of local anesthetic used now is called Septocaine. But, some people can get a rare numbness from oral surgery due to damaged nerves during the surgery. Most cases take 3-12 months before the nerves heal back to normal.

Now, general anesthesia is different. I had an epidural and spinal block 5 years ago for me c-section and I have been sick ever since then. Body pains, fatigue, headaches. I know that it was the anesthesia that caused it. After my surgery, I was shaking so bad from the anesthesia I couldn't hold my son for the first 3 hours of his life. But of course Dr.'s never think the two could be related. Now my pain Dr. wants me to consider Ketamine infusions. I'm not sure that I want to do that considering the bad reaction to the anesthesia last time I had it!

For some it's the MEDs and the EPI's? .....
 

for others it's the COMBO's of some of your meds, epinepherine AND your condition.
I do know that MS folks are far more aware of these interactions than most people are tho...I don't know all the hows or whys of it all? I just know that most circumstances have been well documented [and...I'd learned this all over 5 years ago?].
Only thing to do for now? Is to find out what 'good stuff' they used? Then try to avoid it in the future....there likely is other 'good stuff' available that can work as well yet not add to problems. Tho some of the anathetics my dentist uses now are shorter lasting..but? They have to work more quickly, so... I'm not sitting in that chair soo long! Plusses and minuses to each and every thing, I guess.
Especially important IF you've autonomic issues to NOT aggravate them any more than possible. Bad enuf as it is! NO?
Good luck! :hug::hug:'s !! - j

really?people may have neuropathic result after any dental procedures?
actually i am afraid of removing my teeth. i always think of what is the best thing to be done that is free from pain.

Hello and welcome
 

Hello Sephchu, I want to welcome you to Neuro Talk. There is also a good dental forum on this site. Use the search bar up at the top of the page if you would like to. You have found a very compassionate site, and many people will be able to say hello and address your concerns.
The most knowledgeable that I have met here is Bryanna. She has some wonderful insites on dental issues.
I have had a reaction to nerve blocks in particular. I got alot of tingling, shocky feelings for quite awhile after the proceedure. The last time I had a tooth removed last week, I was put to sleep, but still had the shot and didn't get a reaction. I am not sure why there was a difference in the two injections and their reactions. Keep posting, and someone may be able to address your concerns. I am sincerely hoping I don't have to go back for another dental visit for awhile:D ginnie

Although I've had sole and cheek tingling in the past, which would go away, I never had constant numbness or burning until just AFTER my wisdom teeth were removed. This happened in July. 2 weeks later I had an ingrown toenail occur, and ever since my toes, then feet both bottom and top, then ankles, and calves have not been normal. I took longer to heal than most, only 2 wisdom teeth removed and I couldn't eat anything for a good month. I went back to the dentist 3 times. So all I ate were liquid/soft foods full of sugar. For one whole month. It was exactly around that time that some of my other issues got much WORSE.

I have questioned whether my teeth extractions have something to do with this. I only received novacaine. Although earlier in the year I had the nitrous when I had some fillings.

Hi Geraldine
 

Don't hesitate to post to Bryanna. I am so sorry you are experiencing worseing congiditon. Some neuro problems creep up regardless of dental proceedures. I did have what I call NP in my jaw after a nerve block. I don't know what caused the issue, I just know it hurts. I do recommend talking to Bryanna as she has 35 years in the field and has heard of many issues. I hope you find and answer, and can get rid of the problem.ginnie

Nitrous oxide is a known trigger for low B12 development.

I'd get blood work ASAP for this...to see if you are low.
In people borderline low, it will tip them into deeper lower numbers. In people with really high levels, it may not affect them unless done repeatedly.

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

Hi MrsD
 

I go monday to my PCP I will ask him about B12. I do have to have Nitrous as my bP sky rockets without it, last time was 160/95 when I got home. Thank you for the information on that and of theanine. I appreciate your knowledge about these medications. I do get a reaction that feels like NP in my jaw. ginnie