Thursday, November 12, 2009

I am gonna need a dental surgery and they can't put me to sleep because I have sleep apnea.?

Do you think my surgery will hurt too much if I am awake?

I am gonna need a dental surgery and they can't put me to sleep because I have sleep apnea.?
Due to sleep apnea, you can't be put under general anesthesia, which is the type you're referring too. With a general anesthetic, they have to breath for you and that's the problem. They can do other things, too, though. They can give you what's called conscious sedation or twilight sleep. It's not deep enough for them to put a breathing tube in you, but you do lose consciousness and it's as if you were completely out in that you won't remember a thing. I would ask your dentist if this is an appropriate alternative for you. If not, they can give you nitrous oxide, or what they call laughing gas. You're awake completely but sedated somewhat. You'll still be aware of what they are doing but you won't care. They can couple this with an anesthetic which will numb the area and nerve so that you shouldn't feel much or nothing. If it's a root canal or other procedure where they must disturb the nerve or root, you might feel just a small pinch for a second but it won't bother you too much. Or you can forgo any sedation and just have the anesthetic. If you at least had nitrous oxide along with the anesthetic, the little pinch won't even bother you. I would ask your Dentist what the best thing would be for you if you can't be under a general. Good luck!
Reply:Not really, they have drugs that would numb your mouth and wont feel anything...
Reply:i have sleep apnea and use a CPAP machine at home.








at the dentist, i use the nitrous oxide, and haven't had any problems.
Reply:Depends what you are having done. Local injection may be more than enough.





Ask your oral surgeon/dentist about this one.





If you feel you need to be asleep, make arrangements to have it done in a surgery center and have anesthesia by an anesthesiologist or nurse anesthetist.
Reply:What kind of surgery are you going to have?





The pain medication they give to numb the area will probably be good enough. You might feel some pressure and maybe a slight bit of discomfort depending on how well the medication works on you, but you should not feel any real pain.
Reply:You can opt to have surgery in a hospital where they will tube you and monitor your breathing.





Depends on how much work you need done and whether major nerves are involved such as wisdom teeth removal when roots are wrapped around nerves are not able to be done while you are awake.
Reply:they can sedate u pretty good .you wont be out they call it a twilight sleep, get the nitrus oxide really helps too
Reply:I don't think so. They'll definitely inject you with anesthesia so you won't feel a thing. If you feel something though, it might be psychological. It would be that you think you are in pain even though you're not.
Reply:i had a wisdom tooth removed while i was awake. they injected me with a local anesthesia and that was the most painful part. the first shot kind of stung.





it was a little weird when they were drilling and stuff. i couldn't feel it, but it was a bit unsettiling having things getting janked and drilled in my mouth. i am thankful i only had to get one tooth out. if i had to do two teeth it would have been a bit of an ordeal, i think.





the worst part was after the surgery. over the next few days i had some pain in my jaw and the pain medication made me very nauseous, so for a week i had a lot of discomfort, but nothing unbearable.





i don't know what kind of operation you will experience, but i hope you have the best experience possible. good luck.
Reply:Dear ,


God with you,


wish you getting better soon, i read the following:


If the dentist appropriately positions your head so your airway is maintained, and monitors your vital signs with pulse oximetry then they will be able to manage you well.
Reply:Sleep apnea is usually an anatomical- or posture-related obstruction. Airway maintenance is the most important thing during any type of anesthetic, your surgeon should discuss sedation options with you!
Reply:The answer to your question depends on a few things:





1. Severity of your sleep apnea.


2. Extent of the surgery.


3. Your baseline medical condition.





Being sedated will put you at increased risk of airway closure.


If there are any concerns about airway closure during your surgery, an anesthesiologist may be necessary to monitor/manage your airway.


Find out about risks of sleep apnea and surgical possibilities at American Sleep Association


http://www.sleepassociation.org/


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