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wisdom teeth out after RSD?

Has anybody had their wisdom teeth out with rsd?? I have it in my right side of my body, and my wisdom teeth need to come out... Thanks

Hannah

Quote:

Originally Posted by hannah1234 (Post 649855)

Has anybody had their wisdom teeth out with rsd?? I have it in my right side of my body, and my wisdom teeth need to come out... Thanks

Hannah

Hi Hannah,

I have not had my wisdom teeth out while having RSD but I have had a lot of problems with my teeth since the RSD came along. My PM Doctor recommended the least work the better, for example I lost some teeth in the back and wanted to get inplants but was advised both my the dentist and my pm doctor not to do it. So I went with what they call a fixed bridge, one that does not come in and out. Also my PM doctor recommended that I go to a dental school. Your probably saying WHAT just like I did. Let me explain. The reason he said that is that most dentist don't no what RSD is and how to handle a patient when doing dental work. But when you go to a dental school they have Pain doctors on staff and all the necessary anthestic(spelling) if needed and in case of a emergencey the hospital is right there. And they just don't throw you to a student. You have a student,who has there MD already,and there doing there resident training and hen you have a normal dentist who never leaves there side. I have to say going to the dental school has been a blessing. Everything that is scheduled to be done first goes through thre PM Department then I go to the special conditions department for the dental work. The dentist that is assigned to me is wonderful. I have had the fixed bridge done and some other minor things with not one problem and no additional pain. My RSD is upper extremity so I think its more of a concern when it's upper extremity versus a foot or leg etc. And the best part the cost is a fraction of what a private dentist charges. They base the charges on your income. So it's really inexpensive.

To get to the point I would make sure your dentist is aware of what RSD is and understands it. My PM doctor spoke to my private dentist, who never even heard of RSD and then told me to go to the dental school.

Good Luck,

Gabbycakes

Oh my gosh Hannah,

I just had Lindsay at the PM today and asked that same question, she said to go for it. She shouldn't have any problem. But, I would make sure that the first question that you ask the oral surgeon is if he knows what RSD or CRPS is, and if he can't answer that question they go somewhere else. I have found a surgeon that was able to tell me exactly what it is and how he would remove her wisdom teeth.

Be careful as with everything. Let me know what your plan is.

:hug:Sandy[

QUOTE=hannah1234;649855]Has anybody had their wisdom teeth out with rsd?? I have it in my right side of my body, and my wisdom teeth need to come out... Thanks

Hannah[/QUOTE]

Thank you so much. Can you let me know how they are going to do Lindsays... what they are going to give her anesthetic wise??

Hannah

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Originally Posted by SandyS (Post 650030)

[/QUOTE]

Quote:

Originally Posted by hannah1234 (Post 649855)

Has anybody had their wisdom teeth out with rsd?? I have it in my right side of my body, and my wisdom teeth need to come out... Thanks

Hannah

Hi Hannah,

I got the article below from this site, I think!

RSD Articles
RSD and Dentistry, One Assessment - Dental Issues

Reflex Sympathetic Dystrophy Patients and Dentistry
by Dr. Aldino P. Maggiulli
Reflex Sympathetic Dystrophy Syndrome (RSD) usually develops after a traumatic episode. Any body part can be affected but the symptoms are mostly seen on the upper and lower extremities. Victims of an injury may develop a burning sensation or numbness on their extremities.
Their pain varies day to day. They may develop problems maneuvering their limbs and have dexterity problems. Some people affected with this syndrome face great challenges while trying to accomplish even routine functions. It is important to share any asset which can provide comfort and consistent results to those who suffer with RSD.
This article shares one such asset which was discovered in a dental setting.
It is apparent that patients with RSD can't be treated in the usual manner as other dental patients. This was discovered when a patient with RSD came to my office for routine dental treatment. The patient, who we'll call "Will" to provide confidentially entered my office on June 21, 2002. Will informed me that he bad been suffering with RSD for the past seven years. He mentioned that he had been involved in a car accident and the symptoms of the disease followed there after.
Will was diagnosed with generalized gum disease and a second appointment was made for him to return for aggressive hygiene therapy. His treatment was initiated on July 22, 2002. Traditional dental anesthesia was given and treatment was delivered to the top right and bottom right gum tissues. Will didn't tolerate the deep cleaning procedure well. He reported feeling fatigue and generalized aches. He still had to return to complete the left sides of his dentition. Will had to be motivated to continue. An agreement was made that his next appointments would be shorter. We would treat only the top left side and on a subsequent appointment treat the remaining bottom left side.
Will reluctantly returned on August 6th. Traditional dental anesthesia was given only to the top left side. The appointment time was cut in half and Will reported feeling a little better than his first visit. He wasn't tired but the aches associated with RSD persisted. A startling discovery was made on Will's third visit. He reluctantly returned for the remaining bottom left gum treatment.
Traditional dental anesthesia was given to the bottom left side. The appointment time was short, unlike his first marathon session treating two upper and lower right areas. This appointment was different in that a second dose of dental anesthesia was given to the patient before the gum treatment ended. Will, for the first time, felt great.
The decreased appointment time combined with additional local anesthesia close to the conclusion of his gum treatment made this RSD patient completely comfortable and report no post-op sensation. It's difficult to conclude any significant treatment protocol by revealing the results of just one RSD patient. This experience demonstrates that RSD patients can't be treated like traditional patients.
Thanks to Will's help, the conclusion to draw is that it is best to give RSD patients short dental appointments. RSD sufferers tire easily and their symptoms may be exacerbated by lengthy dental procedures.
The progression of treatment recorded also shows that two doses of local anesthesia are beneficial; one before treatment and one prior to the conclusion of dental treatment. The two dose application allowed this patient comfortable treatment and no fatigue or generalized ache post operatively. It should be noted that this two dose technique has worked consecutively for Will on multiple appointments since this writing, Will has even had a three unit bridge placed without complications and without increasing the symptoms felt with RSD.

Wisdon teeth out after RSD?

Quote:

Originally Posted by hannah1234 (Post 649855)

Has anybody had their wisdom teeth out with rsd?? I have it in my right side of my body, and my wisdom teeth need to come out... Thanks

Hannah

Hannah - I have great empathy, because any dental procedure is more stressful in an RSD patient because of the issues the article suggests. But the topic of wisdom teeth and RSD is especially interesting, because a few years ago, the NIH was seeking patients for a research study involving the hypothesis that painful and traumatic wisdom teeth extractions had preceded the onset of RSD. Isn't that curious? There have been one or two excellent articles in the RSD Association newsletter written by dentists about special considerations for RSD patients. You can contact the office of the RSD Association to get copies of those articles. I have provided them to my dentist and he implemented their suggestions such as more pain medication during and after any procedures. There is also recent research suggesting that the removal of wisdom teeth in adults has more risk than benefits and should no longer be done in most patients (I recall an article in the L.A. Times within the last 2 years). So my first recommendation is to make certain that your wisdom teeth need to be removed. Get a second opinion if needed. Secondly, seek out only the top oral surgeon to perform your surgery. There is a tremendous difference in quality between oral surgeons when it comes to wisdom teeth. Thirdly, make sure you have a consult before hand to discuss your RSD and the additional steps the oral surgeon needs to take both during the surgeon and in your follow-up care to manage your pain. Take your time to make an informed decision. Know that you have lots of people like me who care about you. If I sound passionate about this, it's because I ended up as the case study for the combined schools of UCLA Dentistry & Medicine after a botched wisdom tooth extraction done by an oral surgeon someplace who was supposed to have been excellent. Believe me, being their case study means lots of dentists and doctors are fussing over you because something is terribly wrong :) For you, everything will be great because you can benefit from all our experience. Best of luck to you!

Skooz.

I have a question, do they consider 17 year olds adults? My daughters wisdom teeth have been giving her a horrible time. But, I am afraid to even consider extraction, especially right now with her beginning a new medication. I am sorry that that has happened to you and thank you for sharing this with us.

Sandy

Quote:

Originally Posted by Skooz (Post 650183)

Hannah - I have great empathy, because any dental procedure is more stressful in an RSD patient because of the issues the article suggests. But the topic of wisdom teeth and RSD is especially interesting, because a few years ago, the NIH was seeking patients for a research study involving the hypothesis that painful and traumatic wisdom teeth extractions ad preceded the onset of RSD. Isn't that curious? There have been one or two excellent articles in the RSD Association newsletter written by dentists about special considerations for RSD patients. You can contact the office of the RSD Association to get copies of those articles. I have provided them to my dentist and he implemented their suggestions such as more pain medication during and after any procedures. There is also recent research suggesting that the removal of wisdom teeth in adults has more risk than benefits and should no longer be done in most patients (I recall an article in the L.A. Times within the last 2 years). So my first recommendation is to make certain that your wisdom teeth need to be removed. Get a second opinion if needed. Secondly, seek out only the top oral surgeon to perform your surgery. There is a tremendous difference in quality between oral surgeons when it comes to wisdom teeth. Thirdly, make sure you have a consult before hand to discuss your RSD and the additional steps the oral surgeon needs to take both during the surgeon and in your follow-up care to manage your pain. Take your time to make an informed decision. Know that you have lots of people like me who care about you. If I sound passionate about this, it's because I ended up as the case study for the combined schools of UCLA Dentistry & Medicine after a botched wisdom tooth extraction done by an oral surgeon someplace who was supposed to have been excellent. Believe me, being their case study means lots of dentists and doctors are fussing over you because something is terribly wrong :) For you, everything will be great because you can benefit from all our experience. Best of luck to you!