View Full Version : Tooth Extraction With Diazepam
Hi all,
I am going to the dentist tomorrow for a tooth extraction which I'm really nervous. I'm on Amoxicillin due to the infection and I'm really fearing a few things like the local anesthetic not working, prolonged bleeding or post op infection. :(
My GP has prescribed me 4x 5mg diazepam tablets for my nerves and I'm planning on taking 1 tonight, another when I get up and 2 right before I leave tomorrow lunch time. Could anyone let me know if this will take my jitters away as I'm very anxious at the moment with more than a day to go? Also anyone experienced a tooth extraction with sedation or general anesthetic? How was the experience???
As you are already on Amoxicillin you need have no fear of a further infection after the extraction as that is the purpose of the anti biotic.
You don't say if you have taken diazepam before but nevertheless 20 mg over under 24 hours should definitely calm you if not make you go to sleep :) and I doubt very much you would be given a general anesthetic.
MyNameIsTerry
23-11-15, 11:48
The dentist will ensure the local anesthetic has taken effect before he/she starts. I had to have a second set once as I could still feel something when he poked the area. That stuff works very quickly but sometimes another dose is needed.
Prolonged bleeding is not something to worry about as they will ensure everything has been done correctly. Putting something in that area will help it clot up so they will likely give you something which you keep in for so long afterward. Mine gave out a "do's & don'ts" sheet which was a first on me. If there were any problems, dentists are excellent for getting people back in unlike GP's. But it's highly unlikely you would ever need this anyway as this is something they do loads of times each day with no issues.
You can do it. I had to have a broken wisdom tooth out at the height of my relapse when the meds were giving me loads of problems with side effects. I managed the first 2 check ups and couldn't cope with the extraction so re-arranged that (I had been up all night over it) but on the next time a week or so later I forced myself there and was surprised how I handled it. It wasn't pleasant but using a distraction technique I managed to get through it.
Good luck!
Thanks for the advice guys. I have had diazepam before but it was a long time ago and was surprised I got 5mg rather than 2mg. Dreading tomorrow but looking forward to once it has healed and I should start feeling a bit better. :)
My mom always has diazepam before she visits the dentist because she is terrified,she said it really helps
Good luck
5mg will def relax you and will help you get to sleep.
It is a very good idea faking a the 5mg first thing as thus will relax you and stop anxiety building up.
For me, one more 5mg would be more than enough before the actual extraction, but were all different and you have the luxury of having extra.
I do think you will be 'very relaxed'. So hope you have someone going with you to look after you.
Good luck.
Let us know how it goes x
Well it all went horribly, I missed times the diazepam doses so was very panicky. When I got there they were lovely and numbed me up before going to the waiting room. Upon teetering the surgery they tested how numb I was which wasn't nearly enough and kept using yet more anethesic which still didn't work! She tried to pry the tooth several times but each time I had to stop her due to how much pain I was in and she said there was nothing else she could do.
She blamed the anxiety but I've had tooth extractions before and never felt pain like this and now I'm home I'm barely numb still but in a lot of pain from where she has disturbed the tooth. She said it could be due to how long the infection has been there and has referred me to the local dental hospital for sedation to carry out the work but there is a 6-8 week waiting list! My only other option is to pay £350 plus extraction cost to have it out privately. So now I'm really worried about repercussions during the wait such as swelling, infection spreading etc.
Also has anyone had sedation for dental work, will I feel the pain at all?
Hiya, sorry it didn't go well today. I had it sedation for my wisdom tooth last year. Don't have a clue what was in it, possible diazepam. All I remember was being sat in the chair and she slowly pushed the syringe so more went into my blood stream, she did that about three times and the next thing I remember is walking out of the room repeatedly telling her I was allergic to amoxicillin. I had no recollection whatsoever! I brought my dad with me which was good as he helped me walk to the car and drove me home. I was a bit tired after but was feeling more normal by the time I got home. Hope this helps! :)
Well it all went horribly, I missed times the diazepam doses so was very panicky. When I got there they were lovely and numbed me up before going to the waiting room. Upon teetering the surgery they tested how numb I was which wasn't nearly enough and kept using yet more anethesic which still didn't work! She tried to pry the tooth several times but each time I had to stop her due to how much pain I was in and she said there was nothing else she could do.
She blamed the anxiety but I've had tooth extractions before and never felt pain like this and now I'm home I'm barely numb still but in a lot of pain from where she has disturbed the tooth. She said it could be due to how long the infection has been there and has referred me to the local dental hospital for sedation to carry out the work but there is a 6-8 week waiting list! My only other option is to pay £350 plus extraction cost to have it out privately. So now I'm really worried about repercussions during the wait such as swelling, infection spreading etc.
Also has anyone had sedation for dental work, will I feel the pain at all?
I am really sorry it all went wrong for you.it is unusual that having already started the anti biotics which usually take 48 to kick in and that you had several injections that you were still in pain.Not being able to extract the tooth is feasable but not usual, in fact teeth extraction is quite a simple procedure for a dentist.
I really don't know what to suggest but I would add that however anxious you might have been that doesn't really relate to the pain not subsiding.
Thanks for the advice guys, I went to another dentist this evening for a 2nd opinion and he mentioned that sometimes the fibres of the bacteria can stop the local anethesic from work and also said he can book me an appointment tomorrow evening to have it out under sedation called Midazolam for a princely £400!!! But I would be pain and worry free!!!
He also prescribed me some stronger antibiotics called Clindamycin so here's a what would you do question... Pay up and have it out or try the antibiotics and then attempt another routine extraction in a few days in hope it clears out enough of the infection to numb the area? I'm at an absolute loss with this and it is really stressing me out :(
MyNameIsTerry
25-11-15, 07:31
I think I would want some guidance from the dentist on the best course of action here. Usually treating the infection first is the bets way because the site is enclosed and removing the tooth means letting the infection out of that area which can cause other problems. Thats what my dentist told me and why she wanted to treat my infection with antibiotics before performing the extraction.
Perhaps the question is the level of pain and whether you can cope with it and wait until you finish the new course? If you can, then a more routine extraction seems a good way to deal with it as there is less chance of the infection spreading BUT I really think that is something the dentist is best placed to advise you on as he will understand the impact of that far more than any of us will.
I agree with ricardo about the pain not subsiding under anesthetic. I know we are more sensitised to pain when anxious but I can't see that being able to override a strong anesthetic which cuts off all sensation. Your 2nd dentist's explanation sounds more plausible. Many people are anxious when they go to the dentist. For the first time in having a tooth out I needed a second injection but it numbed up fine then and I was severe in terms of my anxiety back then.
I know what you mean about the hospital. I was faced with that prospect as very little of my wisdom tooth was still above the gumline so I was praying he could grip it enough to extract it as I didn't want to wait months.
My infection pain reduced after a few days but then a few days after the course finished, it came back. I was due to see my GP anyway so asked him and he just gave me a longer course of the same one which did the trick. The pain with the infection was worse than the tooth alone but I've had worse. Like ricardo says, it's usually afterv 48 hours that you see improvement as antibiotics halt the infection first and then reduce it so you find the pain seems to rapidly drop off.
This is slightly confusing,Chandler.
Of course you are naturally stressed but more importantly in pain. If these anti biotics are stronger,again you will need at least 48 hours to feel the effect and if they lessen the pain you have the option to have a normal extraction or still possibly need sedation, but 400.00 is a lot of money.I would at least start these new anti biotics.
If you call 111 out of hours you may well get an emergency dentist at no cost, it's worth a try.
Thanks all,
Got a 2nd opinion today and she said she can defiantly numb the area even if it means numbing from the back of the jaw meaning the entire side of my face will be numb. She also said they have a specialist as their lead dentist there who deals only with extractions and other dentists in the area refer to him he is that good. She said if she can't numb it he will. I go back on Monday for the work to be completed. Failing that, I have the expensive sedation booked for the 9th December so if anything happens with the NHS dentist next week at least I have options to have it sorted within the next couple of weeks.
In the meantime, I have just taken the first Clindamycin and despite having it before, I am feeling really shaky, tired and getting heartburn with it. Not sure if it is the side effects or my anxiety. I also noticed my pupils seemed to be dilated a bit as well. Oh to be free of this constant health anxiety and worst case scenario obsession!
Tooth is out on 2nd attempt! It was a bit of a traumatic experience as they couldn't 100% numb me due to the infection and it took a good 20 minutes of pulling and tugging side to side but it's out and I'm so glad about that. Thank you all for your advice and kind words.
Hi there, so glad everything went well Chandler.
I had an extraction two months ago. Took some getting out.
May take a while for your gum to heal. Take care xx
Hi All,
4 days post extraction now as still in a lot of throbbing pain in my gum and jaw around the tooth. No fever or swelling but dentist says it is infection and not dry socket. I've been back twice for him to clean and pack it with clove covered gauze and he's put me on amoxicillin.
I'm really worried about antibiotic resistant bacteria as I've been on so many sets of different antibiotics before it came out and they didn't help at all. Has anyone here experienced severe pain several days after extraction and can advise what I should do?
Thank you!
Hi Chandler, My extraction was straight forward. no infection or dry socket.
The gum took ages for it to heel though.
It seems like you are having good care from your dentist.
Just will take a while for the antibiotics to work.
Sorry I cannot help you with more advice
Thank you, Magic.
I know it's my OCD and GAD affecting me, anyone else would be "oh this is taking a while to heal, will keep an eye on it" but I can't stop thinking worse case scenario like the infection won't get better and spreads etc.
But thank you for your kind words :)
Hi again Chandler, I have just had a look on my calendar. I had a lower jaw molar extracted September 24th, it has taken until the beginning of December for the gum to heal properly. I did not stop me from eating though.:).
Sorry about the pain you are having
Still in pain today so went back to the dentist and been told I have dry socket. She has packed up the tooth and feeling a little less pain but more importantly feel relieved I know what it is and that it isn't a nasty infection!
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