Hyper and dental work: Hi, this is only my second... - Thyroid UK

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Hyper and dental work

dubers4 profile image

Hi, this is only my second post but already I have picked up a lot of information and advice which I'm extremely grateful for. This post is regarding some dental work that I'm going to have to have in the next 3-4 days, it may mean having a tooth extracted. I've been advised to request that no adrenaline should be used for the anaesthetic but I would like to know if there is anything else to be mindful of, such as whether or not to take my beta blocker (40mg propanolo) and if theres anything I can do to help myself through the ordeal? My dentist when asked didnt seem to be concerned at all about my thyroid issues, that in itself worries me. Many thanks

20 Replies

Take your normal medication. Using local anaesthetic without adrenaline means you are less likely to get palpitations, however you may need a bit more local to be really numb - lots of dentists do this automatically to avoid any issues should a patient not give a complete medical history.

Hope all goes smoothly.

Thank you, appreciate the advice.

Nanaedake profile image
Nanaedake in reply to dubers4

You may not be able to altogether avoid adrenalin based local anaesthetic if having a tooth extraction. The dentist should be able to advise. Using adrenaline diminishes bleeding apparently. The dentist should be able to minimise use of adrenaline if not cut it out completely - at least that's what I discovered during dental treatment.

shaws profile image
shawsAdministrator in reply to Nanaedake

I found that an injection with citanest octapressin didn't cause severe palps.

dubers4 profile image
dubers4 in reply to Nanaedake

Thank you for the advice.

dubers4 profile image
dubers4 in reply to Nanaedake

Thank you very much for the advice, greatly appreciated.

I had a tooth extracted last year and had anaesthetic without adrenaline. It did bleed a bit more, but nothing to worry about.

dubers4 profile image
dubers4 in reply to Had-enough

Thanks for your response, much appreciated.

If you have an x ray request a thyroid or neck collar to protect your thyroid.

dubers4 profile image
dubers4 in reply to

Thanks for the advice, much appreciated.

I have lost over half of my teeth due to hyper /graves and a gum disease. My endo told me 20 years ago i would lose my teeth due to hyper and graves. Thyroid is the engine to your body.

Thanks for your response, sorry to hear about your teeth, I'm certainly not looking forward to the appointment, I'm paranoid about my reactions to things at the moment, I just seem to be sensitive to anything and everything, hence the anxiety about the anaesthetic.

Anxiety comes with being hyperthyroid. Not an easy road for me to the bulk of my teeth. Anyway hope u feel better.

Thank you


Also if you're having any teeth filled request a ceramic filling material called admira fusion and if they don't have that you could also do ceramic inlays/onlays. These are the most biologicaly inert options.

dubers4 profile image
dubers4 in reply to nerdess

Hi, thank you for your response. I'm still debating whether to get the tooth out or secondary root treatment done. Dentist says best solution would be taking it out, but I'm just worried about the anaesthetic. I'll bear in mind your advice 're any fillings thanks.

nerdess profile image
nerdess in reply to dubers4

My bad, I mistakenly thought you were having multiple procedures. Best of luck with your tooth

dubers4 profile image
dubers4 in reply to nerdess

Thank you

Hi dubers4 , i hate having anything done at the dentist but they know what they are doing. They are very good and I have had teeth taken out at various times since being hyper and then hypo he knows I’m a scaredy-cat and can’t wait to get out of the chair if it was me I’d go for the dentists recommendations and get it over with the worst bit is always waiting for the appointment to come round good luck with whatever you decide to have done thinking of you

Thank you very much, really appreciate it, I agree just want it over and done with now.

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