Root Canal tomorrow Is anaesthetic ok?

[OzJames]

hi all I’m a bit worried as I know Denists use adrenaline as an anaesthetic and am concerned it might kick off my AF. Currently my meds are low dose Metoprolol and daily aspirin. Any thoughts?

[Desanthony]

The dentist should have a different anaesthetic they can use it may be best if you call the dentist as soon as possible and ask about it. I would also ask if they think you should miss a dose of your medication or not - sometimes they deem it necessary and sometimes they don't so do check.

[OzJames in reply to Desanthony]

Thanks good advice

[BobD Volunteer]

Demand non adrenaline local. They are not as effective, needing more injections but less liekly to trigger AF.

[OzJames in reply to BobD]

Thank you Bob I will

[CDreamer]

I normally would ask for LA without adrenaline but believe me, for root canal I’d rather have the AF! I just had one & I was OK - dentist kept a close eye on me as I passed out previous time I had LA with adrenaline but this time I was good - I stayed upright for the first 5 mins which helped. They were all very reassuring and I had a few secs of palpitations but they quickly passed. If the root is dead of corse there may not be feeling.

The first time I had root canal was back in 1970’s and it was traumatic but this procedure was flawless and I had no pain. I was offered Ibuprofen to which I said no to of course and then 2 paracetamol + 5mg of prednisone for the inflammation - worked very well! I took paracetamols for 2 days afterwards- mor for the anti inflammatory rather than pain.

Hope yours is as uneventful., good luck.

[CDreamer in reply to CDreamer]

PS - I didn’t stop anticoagulants - almost no bleeding.

[OzJames in reply to CDreamer]

Thanks for info I’m even concerned the prednisone could kick the AF in I had topical steroids around my neck a few years back for 3 weeks and it stirred up the AF. I’m feeling the ping now as I eat so feels like nerve is going to have a swing at me but I’ve decided I’ll have none of that and will breeze through it like you!

[CDreamer in reply to OzJames]

I was also very concerned about Fred but it is a one off, very low dose and worth the chance to reduce inflammation and improve healing. Had my check 2 days ago - not a sign of the infection now and have solid bone re-growth.

[OzJames in reply to CDreamer]

Ok that makes sense, a good idea!

[CDreamer in reply to CDreamer]

FRED! I meant prednisone! spellchecker 🤦‍♀️

[OzJames in reply to CDreamer]

I got through with local anaesthetic but kept wearing off after 10 minutes then omg felt it…. got through after an hour an about 6 needles. Still feels like nerve is alive but no swelling or pain. See what happens over next day or so

[CDreamer in reply to OzJames]

Well done. I found it throbbed for a day or two so took paracetamol.

[baba]

Why are you on aspirin?

[OzJames in reply to baba]

Cardiologist said to stop apixiban after my cardioversion and take daily mini aspirin. I did question him but he suggested due to my general health and fitness aspirin was ok

[Ronnieboy]

A dentist? What are they ? 😁

[Qualipop]

There's an alternative anaesthetic without adrenaline . I always ask for it as the normal one sends my heart rate crazy. It doesn't last quite as long so they may have to top you up.

[OzJames in reply to Qualipop]

Thanks for response they used a local anaesthetic which only lasted maybe 10 minutes until I could feel the pain. I think they gave me a total of about 8 needles during the 1 hour procedure

[Qualipop in reply to OzJames]

That sounds about right. I Usually need two just for a filling.

[2018NSR]

Ask for carbocaine for a numbing agent. It does not contain epinephrine which raises your heart rate and can initiate an afib episode.

[OzJames in reply to 2018NSR]

Yes they gave me a numbing agent and local anaesthetic then every now and then a spray of sodium something? Pain broke through quite a few times and they kept injecting another local. Intensely uncomfortable so hopefully that’s the last root canal I need!

[2018NSR in reply to OzJames]

oh goodness. Me too. Doesn’t sound like a good time. Glad that’s behind you.