Other Anyone had really impacted wisdom teeth out with LOCAL anaesthetic?

I have a bottom one that's pretty much sideways and close to the nerve, and the fella advised general.

But I've had the other bottom one done local, which required "a bit of slicing and dicing", and I was totally fine and relaxed. Now as time goes on I'm getting more and more uncomfortable with the small yet huge risk of general. (Well why risk death?)

Officially I'm overweight right now too, which makes it worse.

 

Hey, if I was advising someone else, I'd make general and local equals too!

 

1. Go general. Simple, and you wake up and everything is done.
2. Buy clove oil from boots. A dry socket is no joke.
3. Anaesthetists spend years studying to get the dosage right. If the doc says general, I'd go for general. Mine was done in 45 mins and one of them was very impacted too.

 

I mean literally someone died from it just last month.

I've never had dry socket thankfully.

Local was really simple for me too though. They could've been sawing my jaw off and I wouldn't have known. I was unaware of the horror film-calibre of blood in my mouth until after I left.

I've asked a few about it and probably already made my decision really. If I went through with it now and died, I'd never live it down!

 

I would go general, the risk is extremely low. People die walking up and down stairs, we still use stairs.

 

The risk of dying in the operating theatre under anaesthetic is extremely small. For a healthy person having planned surgery, around 1 person may die for every 100,000 general anaesthetics given.

 

The healthy teenager who died last month, the staff were found to blame.

I get the risk is low, but lying to ourselves like this doesn't help anyone. We can't pretend we're dealing with fine-tuned pros in a perfected environment, where low risk = no risk. It's fallible humans in a stretched high-pressure environment where low risk = low risk i.e. risk. We want to believe the former, and by all means be realistic and say it PROBABLY won't happen, I know that, I've been under before, but let's not start being salesmen.

The odds of dying in an airplane crash are more than double that, but planes crash and disappear and I get if someone is put off flying over Asia right now if they have the choice of flying a diverted path.

Depends on the hospital too. If they're trying to put me under general in the place everyone hates where they killed babies (the John Radcliffe) then hell naw. If it's the more highly-regarded place, then maybe.

 

Stop looking for excuses to chicken out and get you damn teeth sorted...

 

Stop looking for excuses to be a big internet man.

I never said I didn't want it done. If you could read, I said I've had 2 already taken out under local and just sat back and relaxed. I've been under before, I've 'low odds' been vomiting 2 bucketful's of blood after having my tonsils out. So siddown, boy.

 

I didn't read his response as internet big man. Your thread thus far is basically everyone agreeing that general sounds like the right choice in this case.

The odds of you doing under general anaesthesia are so infinitesimally tiny as to be irrelevant to any decision, but you are procrastinating.

That's what his post was conveying, albeit in a more 'direct' way.

Good luck with the recovery, whichever route you take, that's the more difficult part by far.

 

Take this as you will.

I am terminally ill, with a condition that destroys my tidal volume and makes breathing rather difficult. I have undergone multiple surgeries under general anesthetic and had no issues. With oral surgery (something I am intimately familiar with) they recommend general for two reasons-one, because it carries less risk than local and two, because if something goes tits up they'll have to put you under general whether you want it or not.

Choosing local may actually increase your risk profile. Go with what your dentist/oral surgeon recommends, they have the training necessary and we don't.

And vomiting up blood after a surgery like tonsils (or my full mouth extraction) is extremely common and has nothing to do with anesthesia. It has to do with the fact you can only swallow so much blood before you get sick from it.

BTW, I have seen someone have issues with general anesthesia. My former mother-in-law has terrible sleep apnea and didn't tell them before starting a procedure. That's the worst I've heard about in years, and that was her fault. Once they knew they were able to complete the procedure no problem.

I'm just speaking from my own experience. But I'll be going under again in the future for sure and I have nary a care about it.

 

How am I procrastinating for an appointment I already have?

How is "stop looking for excuses" and hurling "chicken" insults constructive?

How am I looking for excuses when I haven't given any? What am I even looking for excuses about? What have I even said that are excuses or false, let alone worthy of insult?

If I or someone new had written that you would've been right on it. Very disappointing behaviour from both of you.

 

It was an example of something low risk involving an operation happening due to error. It's not to say anaesthesia is dangerous, but in response to saying there's no risk and the only people that suffer are old people etc.

Bleeding is common I'm sure, but not throwing up pints of the clotted stuff. At least at the time (early 1990s) back when this was routine too. The staff sure were panicking as if I was having a heart attack, but I felt fine. Until they were stabbing me while simultaneously ripping my arm off with the blood pressure thingamajig. Glad it didn't traumitise me regarding hospitals in hindsight.

 

Yup. All of mine went without being out.

I forget what it's called but there is this thing like a crow bar lol. He put it against my bottom lip and levered real hard. That hurt and I felt it, but I'd rather have all four pulled again at the same sitting than have another root canal.

That's why now I just get them pulled out. It's way less pain and aggro in the long run.

 

Is it it the same dentist/dental consultant/practice in both cases...?
If so, they may not be willing to risk a local & think that a general is in your best interests, recovery wise.

Up to you if you want to second guess their expertise, but I'd go with what they suggest.

 

It sounds like yours weren't impacted and you had a nice easy one. My top one had come out normal too, no problems (but they like to pull 'em out anyway). The dentist was just like "I'm gonna take this one out". After anesthesia, all I felt was huge pressure for 2 seconds (I thought he was just pushing against it but it must've been what you described), then it splintered on my tongue.

But my bottom one was impacted, I had an appointment elsewhere for that, and I was in the chair for half an hour or so, as the cut and drilled, but it was fine. I still have it in my drawer.

No, everyone's been different, even my own dentists. I'll give you the whole story so you can skim or cosume it all.

As above, the only time the dentist himself took it out was when I said my bottom one had been giving me problems, so he took the top one out right away. A few years later I was able to have my bottom one done, which was impacted and they had it done at a dental clinic / health centre, with local.

This other bottom one is impacted a little bit more, an appointment was made at JR hospital, but the one in charge looked, said she couldn't see anything (it's under gum, duh), and gave me a 'choice' of either doing it now but risk the nerve, or waiting to see if it gets worse or goes away. I figured I'll wait and see. She also suggested I take pictures (don't know how I'd manage that). I immediately had another attack, so a new appointment was made at JR and... she refused. She had lied to me (I Googled her and turns out she does this trick a lot). Instead they gave me some syringes to irrigate. After another attack, I went to the dentist, but they said I had to have 3 attacks before arranging a new appointment. I said I had 3, but they said I needed painkillers 3 times rather than take it like a man with ibuprofen and save the money.

After a while, and another new dentist, a new appointment was made after I described my issue. This was again at JR but I rearranged to Horton, the more popular hospital and near where I had my first operation. Couple of my dentists (I have a new one every time!) had suggested coronectomy (a safe option for teeth close to a nerve, where they just remove the crown, then the tooth gradually moves away by itself and they finish the job later), but the Horton guy just wanted to put me under so I "wouldn't move" and take both teeth out. I figured the expert knows best and didn't want to 'um' and 'ah' so I said ok.

Pre-op assessment is coming, at another hospital near JR. As you can see, where I even end up having the operation will also be a big decider. With their history too, I don't trust JR to have my best interests at heart at all.

 

This one 'seems to know what they're doing'; more so than the others.

 

They were impacted. The crow bar like instruments, now I think about it, were called lifters. It broke apart too. In fact they all did as I couldn't keep any.

I still prefer that to root canal though.

The only downside of having teeth out is my jaw always fractures and small shards of bone take weeks to come out. It's like teething and quite uncomfortable.

I used to have local when I was a kid. Being autistic meant meltdowns and flying fists. However, the last time they put me under I got up and slapped the poor assistant in the face. I just woke up to all this mayhem and her crying and not having a clue what was going on.

My anti psychotic pills I take now make me not give a crap. I just lie back and relax and seriously after having banging toothaches for months it's almost relief really.

I'm a biter, grinder and clencher too, so my teeth are literally buggered.