Nitrous oxide 
Author Message
 Nitrous oxide

I've just moved to San Diego and had to get a dentist on rather short
notice as I developed an abscessed tooth.  I'm moderately phobic; after
ten years of no dentistry I've gotten to the point where I can make and
keep appointments, get fillings, etc, though I've never had a drilling
procedure done without nitrous oxide.  

My new dental office gave me nitrous without comment for the two emergency
appointments necessary to get the abscess down.  I returned for a root
c{*filter*}and found that the endodontist on staff doesn't believe in using
nitrous, considers it dangerous, and will not give it to me.  I
rescheduled with the original non-endo doctor and came in this morning.  
He told me that the office had run out of nitrous oxide canisters six
weeks ago and hadn't re-ordered any yet.  He said he doesn't like to use
it either, the mask is awkward, and while it might be okay for a half-hour
appointment he did not want anybody on it for the potential hour or 90
minutes that the root c{*filter*}might take.  He wrote me a prescription for
halcion to take before actually getting the procedure done, and
rescheduled again for next week.

Aside from my annoyance at being allowed to make and keep today's
appointment when it was obvious the dentist did not intend to do the root
c{*filter*}today (He never told me that; I went in expecting to have it done),
I'm wondering if these guys' attitude toward nitrous oxide is typical of
dentists, or dentists in southern california, or what.  My dentist in
Wisconsin was the one who suggested that using it might make me able to
get through appointments, and he was right.  He had no qualms about giving
it to me even for somewhat extended procedures.  It's not like I was in
there every week or anything.  I find it very difficult and stressful to
have procedures done without it.  I even suspected that they thought I was
just asking for it because it got me high or something, but apparently not
if he's turning around and writing prescriptions for tranquilizers.  For
some reason, getting tranked up sounds like a bigger, more dangerous deal
than inhaling a bit of gas that quickly gets out of the system when it's
turned off, but what do I know?  I half-wonder if the guy wasn't shitting
me about the office having run out of the stuff.  Have they had a bad
experience with it or something, that they're so discouraging?

I'm definitely in the market for a new dentist as soon as this root c{*filter*}
is dealt with, but I'm wondering if I'm likely to have difficulty finding
dentists who are willing as a matter of course to administer nitrous oxide
to nervous patients who need root canals.  Any dentists out there?  Do you
consider it an option dependent on patient preference, or something only
to be used in extreme cases or last resorts, or not at all?  Do you
pressure people to wean off of it?  I thought I was doing pretty damn good
considering my former phobia, but apparently my dentist does not consider
my progress adequate.  He's inducing a hell of a lot more anxiety than
he's soothing...



Tue, 07 Oct 2003 08:52:24 GMT
 Nitrous oxide
    Nitrous is about as safe as these {*filter*} get--if used with
well-functioning, modern equipment.  There is a small risk for chronic
exposure.  An hour or so doesn't qualify for chronic exposure.
    I don't use nitrous--just never got into using it.  Once had an office
with rather old equipment, and the patients sometimes threw up, and I just
didn't try again.  But this is just my personal preference.
    It might be inconvenient to do a root c{*filter*}under {*filter*} dam with suction
and a nasal hood for nitrous, but an office that uses nitrous should be able
to work something out.
    Good luck,
    Steve
Quote:

> I've just moved to San Diego and had to get a dentist on rather short
> notice as I developed an abscessed tooth.  I'm moderately phobic; after
> ten years of no dentistry I've gotten to the point where I can make and
> keep appointments, get fillings, etc, though I've never had a drilling
> procedure done without nitrous oxide.

> My new dental office gave me nitrous without comment for the two emergency
> appointments necessary to get the abscess down.  I returned for a root
> c{*filter*}and found that the endodontist on staff doesn't believe in using
> nitrous, considers it dangerous, and will not give it to me.  I
> rescheduled with the original non-endo doctor and came in this morning.
> He told me that the office had run out of nitrous oxide canisters six
> weeks ago and hadn't re-ordered any yet.  He said he doesn't like to use
> it either, the mask is awkward, and while it might be okay for a half-hour
> appointment he did not want anybody on it for the potential hour or 90
> minutes that the root c{*filter*}might take.  He wrote me a prescription for
> halcion to take before actually getting the procedure done, and
> rescheduled again for next week.

> Aside from my annoyance at being allowed to make and keep today's
> appointment when it was obvious the dentist did not intend to do the root
> c{*filter*}today (He never told me that; I went in expecting to have it done),
> I'm wondering if these guys' attitude toward nitrous oxide is typical of
> dentists, or dentists in southern california, or what.  My dentist in
> Wisconsin was the one who suggested that using it might make me able to
> get through appointments, and he was right.  He had no qualms about giving
> it to me even for somewhat extended procedures.  It's not like I was in
> there every week or anything.  I find it very difficult and stressful to
> have procedures done without it.  I even suspected that they thought I was
> just asking for it because it got me high or something, but apparently not
> if he's turning around and writing prescriptions for tranquilizers.  For
> some reason, getting tranked up sounds like a bigger, more dangerous deal
> than inhaling a bit of gas that quickly gets out of the system when it's
> turned off, but what do I know?  I half-wonder if the guy wasn't shitting
> me about the office having run out of the stuff.  Have they had a bad
> experience with it or something, that they're so discouraging?

> I'm definitely in the market for a new dentist as soon as this root c{*filter*}
> is dealt with, but I'm wondering if I'm likely to have difficulty finding
> dentists who are willing as a matter of course to administer nitrous oxide
> to nervous patients who need root canals.  Any dentists out there?  Do you
> consider it an option dependent on patient preference, or something only
> to be used in extreme cases or last resorts, or not at all?  Do you
> pressure people to wean off of it?  I thought I was doing pretty damn good
> considering my former phobia, but apparently my dentist does not consider
> my progress adequate.  He's inducing a hell of a lot more anxiety than
> he's soothing...



Tue, 07 Oct 2003 10:44:37 GMT
 Nitrous oxide
Newsgroups: sci.med.dentistry

Subject: Re: Nitrous oxide
Date: Thu, 19 Apr 2001 22:44:37 -0400

    Nitrous is about as safe as these {*filter*} get--if used with
well-functioning, modern equipment.  There is a small risk for chronic
exposure.

  --- mainly for office personnel ----

 An hour or so doesn't qualify for chronic exposure.
    I don't use nitrous--just never got into using it.

REPLY:

Patients I love ......

"Skip the cleaning Doc, just give me the nitrous today."

 Once had an office
with rather old equipment, and the patients sometimes threw up, and I just
didn't try again.  But this is just my personal preference.
    It might be inconvenient to do a root c{*filter*}under {*filter*} dam with
suction
and a nasal hood for nitrous,

Yep. It is great for a fast job. A fast job and a good job do not
necessarily go together!

but an office that uses nitrous should be able
to work something out.
    Good luck,
    Steve

--
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via Mailgate.ORG Server - http://www.***.com/



Tue, 07 Oct 2003 18:19:09 GMT
 Nitrous oxide
wellllllll, if the dentist doesn't have nitrous oxide, he/she should be able to
tell some really good jokes while keeping patient in stitches!  

Deva



Wed, 08 Oct 2003 11:29:16 GMT
 Nitrous oxide
I am a fan of nitrous oxide and I could have this at NYU Dental School for only
$200 bucks if and when I ever need a tooth removed ($100).  It ain't cheap.
I've done some checking around and the dentists who are set up for nitrous
oxide AND IV valium charge around $300 bucks, more or less just for these two
things.  It's a lot of work.  Their liability is high if things go awry and the
patient usually has to be accompanied by someone.

If I had bucks, i'd definitely choose this way of getting dental work done.
Deva



Wed, 08 Oct 2003 11:35:27 GMT
 
 [ 5 post ] 

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