Has anyone had this type of oral surgery before?!


Question:

Has anyone had this type of oral surgery before?

My 12 year molars aren't in yet, and I'm almost 15. I was referred to an oral and maxillial (sp?) surgeon, and he is going to perform a procedure in which the gum is pulled away and then the molar is brought up. Has anyone had this surgery before, and if so, does it hurt, do they put you to sleep, etc.?

Thanks.


Answers:

I have not had the surgery but am a Maxillofacial Intern and have seen the procedure many times. It is much like extractions only the teeth are brought up instead of removed. The procedure itself is not painful at all. Local shots are given to make the the gums/mouth/teeth numb regardless of whether he is awake or not. General anesthesia (putting someone to sleep) causes the body not to feel pain. Doctors go the extra mile with local anesthesia shots to make sure that the mouth is numb during and after. Some IV sedations may be used where the patient is not asleep, but is in a sedated/calm state. It is likely for patients not to remember the procedure after it is over, but are very alert and calm during the procedure. Laughing gas is a very common thing for surgeons to use on younger children, since they do not typically like to put children to sleep. Depending on his size/med history, severity of procedure, and anxiety, they will determine what is best for him. Laughing gas calms the patient and may or may not cause them to forget the procedure, depending on the concentration of nitrous oxide and o2 that they use. He should be fine afterwards. The only thing I will warn you to watch is nausea. Typically, if IV sedation or General Anesthesia is administered, a pain killer will also be given through the IV. This may cause a sick feeling or vomitting. Sometimes smaller patients have a reaction to laughing gas and will get sick or have a really bad headache. Ask the surgeon if they are planning on using pain meds or anesthetics, and if they are request that the give something for the stomach (such as phinergin). No parent likes dealing with a sick and groggy kid throwing up all over the place. I have also heard by many doctors that if the patient eat pineapple the night before, it will help with the swelling. I tried it when I had my wisdom teeth removed and it actually worked.
hope that this helped! good luck.




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