allergy to local anesthesia + autoimmune disease 
Author Message
 allergy to local anesthesia + autoimmune disease

Hello

I hope you all don't mind me posting my questions here. I'm in a very
difficult situation. I've already reacted to two locals, xylocaine (Decadron
with Xylocaine injection), and proparacaine (at the eye doctor's). Both
reactions were severe and life-threatening. My allergist says it would be
dangerous to test for other locals. I have severe dry mouth as a
complication of Lupus. In the past 20 years, I have had all dental work done
without anesthesia, but now I was told that two, possibly three teeth may
need root canal. The strange thing is, I had sharp pain, but now the pain
has largely subsided. Could it be that I really don't need root canal? Are
there new visualization techniques that would be able to show more clearly
what's going on in there?

With a combination of autoimmune diseases, Lupus (with anti-phospholipid
antibodies), uveitis, Sjogrens, Raynauds, root c{*filter*}would not be a good
idea anyway, would it? Should I have the teeth drilled to see if they are
salvageable, and then have them pulled if they are not? If I have them
pulled, what would be the safest anesthetic for an autoimmune patient that
is also a steroid dependant asthmatic?

Are there any new less painful drilling options? Are there new less
allergenic filling materials on the market? Should I consider having
sealants applied because of  the Sjogrens? I'm really at a loss. I'd
appreciate any help you could provide. I just moved to the North Shore
(close to Boston),  and made an appointment with a new dentist. The problem
is that the first appointment I could get is for Feb 10. Is that too long to
wait? Could I risk losing the teeth, and possibly risk septicemia if I wait
that long? My previous dentist said that I should have it taken care of as
soon as possible.

I'd appreciate any advice that you could provide, and I apologize for such a
long post.

Thanks.
MH



Tue, 03 Jul 2001 03:00:00 GMT
 allergy to local anesthesia + autoimmune disease
: Hello

: I hope you all don't mind me posting my questions here. I'm in a very
: difficult situation. I've already reacted to two locals, xylocaine (Decadron
: with Xylocaine injection), and proparacaine (at the eye doctor's). Both
: reactions were severe and life-threatening.

I would be interested to know what your reactions were, for my own
purposes, if you could tell us. I have been writing about my problems on
the formocreosol and lidocaine threads. Joel spoke of severe reactions
but did not thoroughly describe them.

 My allergist says it would be
: dangerous to test for other locals. I have severe dry mouth as a
: complication of Lupus. In the past 20 years, I have had all dental work done
: without anesthesia, but now I was told that two, possibly three teeth may
: need root canal. The strange thing is, I had sharp pain, but now the pain
: has largely subsided.

How often can the root die without infecting up into the bone later?

Could it be that I really don't need root canal? Are
: there new visualization techniques that would be able to show more clearly
: what's going on in there?

Sorry I am not hleping you much but I am wondering if we will one day
have an electrically shielded room at dentists room where they can
diagnose by the nerve signals aroused by heat and cold, tapping, pressure
on various places of a tooth.

The testing of hearing now depends less on asking the patient for response.

: With a combination of autoimmune diseases, Lupus (with anti-phospholipid
: antibodies), uveitis, Sjogrens, Raynauds, root c{*filter*}would not be a good
: idea anyway, would it? Should I have the teeth drilled to see if they are
: salvageable, and then have them pulled if they are not? If I have them
: pulled, what would be the safest anesthetic for an autoimmune patient that
: is also a steroid dependant asthmatic?

One dentist in Christchurch hear offers electric anesthesia. He must be
popular I never get a wring back after I leave a message on the answer phone.

: Are there any new less painful drilling options? Are there new less
: allergenic filling materials on the market?

The individual reacts differently. Ceramics may be better, though the
cemetns to glue them may be a problem. Perhaps ask to hold some material
in the mouth if you can persuade the dentist. Remember they are often in
business. They will not want to offer anything which means that there may
be a risk for some patients to which they may be liable.

They are prepared for `untoward results.'

 Should I consider having
: sealants applied because of  the Sjogrens? I'm really at a loss. I'd
: appreciate any help you could provide. I just moved to the North Shore
: (close to Boston),  and made an appointment with a new dentist. The problem
: is that the first appointment I could get is for Feb 10. Is that too long to
: wait? Could I risk losing the teeth, and possibly risk septicemia if I wait
: that long? My previous dentist said that I should have it taken care of as
: soon as possible.

???
: I'd appreciate any advice that you could provide, and I apologize for such a
: long post.

: Thanks.
: MH

Brian Sandle



Thu, 05 Jul 2001 03:00:00 GMT
 allergy to local anesthesia + autoimmune disease

Quote:


>I would be interested to know what your reactions were, for my own
>purposes, if you could tell us. I have been writing about my problems on
>the formocreosol and lidocaine threads. Joel spoke of severe reactions
>but did not thoroughly describe them.

The injection of Decadron with Xylocaine was injected into the right ankle.
The pain began within minutes, and then progressed to a burning pain that
was torture. I have never experienced such severe pain in my life. I was
unable to touch the leg, and couldn't put it down. I had to lie on the couch
with my foot over the couch back for about two days. I also had breathing
difficulties and arrhythmia. I don't remember much else other than the
reaction required very high doses of steroids, antihistamines and {*filter*}
ephedrine (Epi-Pen has sulfites). I may have needed additional medications
but I don't remember since it was so long ago. I was told it was a severe
vascular reaction. The second reaction was to Alcaine. It started very
quickly after I had drops put into my eye (to measure pressure). My {*filter*}
pressure dropped, I had drenching sweats, difficulty breathing and edema.
Since I always carry prednisone in case of an emergency  I immediately took
50 mg and rushed to the allergists office.  The reaction lasted for about
two days and I needed to keep the medication level (prednisone and
antihistamines) constant to avoid relapsing during those 48 hrs

Quote:
>How often can the root die without infecting up into the bone later?

===I think the root has died already. I hope.

Quote:
>Sorry I am not helping you much but I am wondering if we will one day
>have an electrically shielded room at dentists room where they can
>diagnose by the nerve signals aroused by heat and cold, tapping, pressure
>on various places of a tooth.

===That would be great!

Quote:
>One dentist in Christchurch hear offers electric anesthesia. He must be
>popular I never get a wring back after I leave a message on the answer

phone.

===In what state is he located? Could you give me his name? Do you know
anyone in the Boston area?

Quote:
>The individual reacts differently. Ceramics may be better, though the
>cements to glue them may be a problem. Perhaps ask to hold some material
>in the mouth if you can persuade the dentist. Remember they are often in
>business. They will not want to offer anything which means that there may
>be a risk for some patients to which they may be liable.
>They are prepared for `untoward results.'

>Brian Sandle

===Thank you Brian.  Now...to find someone that is willing to take me on as
a patient. After that eye drop incident it took me many months before I was
able to find an eye doctor that was willing to take me on.

Mira (AKA Woolly Ram)



Sat, 07 Jul 2001 03:00:00 GMT
 
 [ 3 post ] 

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