Tooth Extractions

[Cjbro2000]

As a PwP, is there anything in particular I need to be aware of regarding having a couple teeth pulled? I am concerned about what kind of anesthesia will be used and how I might respond to it. Also, am I more prone to infection? Should I ask them to prescribe an antibiotic for after? I’m just not sure what to expect.

[MBAnderson]

I'm 73 and just had two wisdom teeth taken out two months ago and it was no problem.

[Juliegrace]

Sometimes an antibiotic is prescribed prophylactically before dental work. I seem to recall reading that nitrous oxide (laughing gas) can be harmful to PwP. Do an internet search and talk to your dentist about what they typically use and what options are available.

[Routine100]

I suggest a local anesthesia (NOVA-CANE) a good dentist can pull the teeth without pain maybe after the extraction some pain warm salt water can help. Infection can happen but does not occur often most dentist will give a prescription. I suggest taking supplements that will build your immunity system CQ-10 and others are good as a back up. I had a tooth pulled and it was not really that bad it is distasteful after all your tooth is part of your body.

Another suggestion if you want to relax St. John's Wort will calm you. Prepare yourself mentally while in the chair foucus in on how you could do some good in the world help a orphan or widow maybe a sick child think about other people that need help. This will bring you peace and uplift your soul.

Don't worry you will be in good hands.

[Johnboy46]

Hi Cjbro,,,,, I'm 70 and have had PD for 3 years. I had an abscess over Christmas and had to have antibiotics for a week, then have my three back upper right teeth removed three weeks ago. No problems with local anesthetic or the extraction. Only minor problem, was my tremor shaking the dental couch. LOL . Good luck ,John.

[Hidden]

I doubt that you would need prophylactic antibiotics on account of your PD.

[pvw2]

If your teeth are extracted because of an infection, the dentist will prescribe antibiotics. My neurologist said opioids would interfere with my PD medications (a dopamine agonist and a MAO-B inhibitor) so the dentist used pain killers without opioids. I haven't had any issues.

[MarionP]

Only one thing really and that is that a person here about a year ago reported that she had been damaged by a needle that penetrated a nerve, the fourth trigeminal nerve I believe, which was accidental, however it created a permanent very very terrible and really untreatable condition for her called chronic burning mouth syndrome, which was for 11 years (12 now) and continues to be a horrible horrible experience for her. This was iatrogenic from the needle puncture, unlike the more "usually" encountered etiology.

It was a regular dentist rather than oral surgeon, but regardless, I would have a serious discussion about this report and it's a possibility. Rare, but did happen.

Spoke about it to my own oral surgeon when considering pulling a wisdom tooth along with possibly a tooth near it, as the area was very hard to keep clean and would eventually have to come out some day as well, and to my surprise he considered my condition sufficiently stable as to not warrant pulling the tooth, or two teeth, as a necessity at this time, and said he had no problem with simply watchful waiting.

My regular dentist, in contrast, had more distinctively recommended that the tooth (two teeth) should come out, and fortunately I was concerned enough about losing sensation function as a possible consequence because that tooth was tightly wrapped in nerves, and then reading about this lady's ecperience and conversing with her about it, that it occurred to me to ask for a second opinion, thus the appointment with the oral surgeon.

In the process I found out that it may be sometimes a "symptom" of general dentists that they can be more quick sometimes to recommend extraction when an oral surgeon might not. Not to detract from dentists in any way, sometimes it's possible they might not concur for some reason, which if they didn't you'd of course ask the two to dialog a bit and see if they can together agree.

Also I Asked the surgeon about whether delaying the extraction might lead to a low-level chronic inflammation due to low level infection in the gums, and he said no that would not present much, if any concern.

So on his assurance, I am waiting and watching via the regular dentist, to whom I had the oral surgeon share a copy of the surgeon's consult report.

PS I found the oral surgeon by asking my dentist name me somebody you would send your own children to. As it happened, one of his kids had an appointment with the surgeon that month, and as luck would have it he had me on file, once did an extraction I'd forgotten about.

Actually these guys seemed so chummy I'd bet they play golf together.

[Larrydds]

I am a retired dentist and there should be no complications for the procedure for a PD patient. The most important thing is to follow the dentists post operative instructions.

[awrdjr]

If you are taking Azilect you must not allow any anesthetic that contains any amount of Epinephrine. Dentist may claim it’s just a tiny amount as did my wife’s dentist She spent the night in the hospital with sky high blood pressure. Look at the Azilect contraindications and abide them strictly.

[Cjbro2000 in reply to awrdjr]

@awrdjr Not taking Azilect, but thanks for the warning.

[bepo]

Go to a holistic dentist who used ozone to kill the residual bacteria.

[Robertplewis]

Most of the time you'll be good within a few days and no need to take antibiotics.

But sometimes it'll take some time to properly heal so you will have to take antibiotics and keep your mouth clean to avoid infections.

I went to a clinic for getting invisalign braces( guelphfamilydentistry.ca/in... ) and the dentist extracted two of my molars due to crowding issues. It was painful and my cheeks stayed swollen for 3-4 days. The pain lasted about a week. I took antibiotics and washed my mouth frequently with salt water. One week later the dentist removed my stitches and I had no problems till now. So it'll depend on your condition and the teeth to be extracted.