Novocaine doesent work?

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IRON MAN
New Member


Date Joined Apr 2012
Total Posts : 4
   Posted 4/3/2012 5:37 PM (GMT -6)   
Just got back from the dentist to get a tooth pulled. Well he couldn't get me numb enough. He didn't try very hard. He just told me i take to many pain meds and i needed to go to a oral surgeon to be knocked out. Does this sound right?Iv been taken hydromorphone(sp?) and ms cotton for a year or so now. i think I need to see another dentist?

Medicalkid2
Regular Member


Date Joined Oct 2010
Total Posts : 147
   Posted 4/3/2012 7:52 PM (GMT -6)   
You mean MS Contin and Hydromorphone? And Opioid tolerance has no relation to topical/subcu. anesthetics....although long term Opioid use can cause hyperalgesia (aka INCREASED pain) but hyperalgesia usually doesn't occur unless the dose of the opioid is stopped or reduced (similar to withdrawal). Some people don't respond to novocaine, procaine or lidocaine....wouldn't expect anyone but a clinical pharmacologist to know this since most docs other than PM docs don't look past the pharmaceutical label...drugs like Adderall and other amphetamines can render it less effective too and some people's bodies just don't respond. I know my dentist either has to load me up on the stuff or not at all. I usually don't need an anesthetic at the dentist though.

I'm not a doctor but I do have personal experience with all of the above. Seeing another dentist is advisable if your uncomfortable though. There are some dentists who will do twilight or even full sedation with a CRNA for even minor procedures, my friends dad is an oral surgeon and does everyones teeth haha.
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IRON MAN
New Member


Date Joined Apr 2012
Total Posts : 4
   Posted 4/3/2012 8:08 PM (GMT -6)   
Iv had lots of dental work before and no problems getting numb, but I was just taking 6 norco a day. now I take 4 dilodid and 1 MS contin a day.I think he was just a quack. this is a new (to me) dentist as I'm  now on medi-cal and my normal dentist doesent take it.

Medicalkid2
Regular Member


Date Joined Oct 2010
Total Posts : 147
   Posted 4/4/2012 7:11 AM (GMT -6)   
That's still odd....I know people who are on extraordinary amounts of opioids a day fro Chronic pain have have no troubles with something like this. If possible see another Dentist if not then you need to tell him that makes no sense. Doctors do not know everything and sometimes like to "fill in" areas where they lack expertise with BS like this.
C6 Herniation/Buldge (my docs debate), gen. nerve pain, ankylosing spondylitis, Crohns disease, Anxiety, Aspergers, and Mild Insomnia.
-Adderall 10mg am, Oxycodone 5-7.5mg 3-4x day,Lyrica 50mg 3x day, Klonopin 1mg night, Zoloft 200mg night. It could be worse :)

straydog
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Date Joined Feb 2003
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   Posted 4/4/2012 10:38 AM (GMT -6)   
As a matter of fact this very same thing happened to a friend of mine. Her dentist said with the amount of medications she was on he just did not feel comfortable with the whole scene because he was not well versed in medications like that. I for one appreciate the honesty and someone really looking out for me. Go to an oral surgeon have it taken care of, you will not regret it.

Take care....Susie
Moderator, Chronic Pain Forum & Psoriasis Forum

IRON MAN
New Member


Date Joined Apr 2012
Total Posts : 4
   Posted 4/4/2012 12:52 PM (GMT -6)   
should I be concerned about them putting me out to pull the tooth? Like a drug reaction? when it comes to people who take a lot of pain meds most Dr's are clueless.
 
Iv been asking around and no one has heard of pain meds interfering with the way Novocaine works

Post Edited (IRON MAN) : 4/4/2012 1:53:28 PM (GMT-6)


IRON MAN
New Member


Date Joined Apr 2012
Total Posts : 4
   Posted 4/4/2012 6:50 PM (GMT -6)   
went to my normal dentist and he numbed me right up and pulled the tooth right out. First dentist was a quack

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 4/5/2012 3:57 PM (GMT -6)   
Calling the new dentist a quack may be a bit unfair. It may have a lot to do with him being uncomfortable administering pain medication to people who are on narcotics.

If this is the case I think he should have said so, but doctors in any field are often taught not to show "weakness" in front of a patient.

As a final thought. MD's do not get a lot of training in med school when it comes to pain medications. How much training do you think a DDS probably gets?
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