Can a Recovering Addict Still Get Oral Surgery?

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Hello there,

I have struggled with addiction for most of my adult life. I finally am being treated at a methadone clinic for my opiate addiction. Years of drug use have wrecked my teeth, so I need a total makeover. However, the last dentist I saw refused to give me any pain medication for my tooth pain. I hate going to the dentist and worry about pain during and after treatment. Is there any dentist that will help me? I called around but of the dentists were willing to work with me, let alone give me any pain meds. My counselor is more than happy to answer questions any dentist may have.

Kenneth, from Billings, Montana

 

Hi Kenneth,

In the midst of the opioid epidemic, medical professionals are being extra cautious. Today, dentists would rather be careful than compassionate, especially if their compassion for patients could get them in trouble with the Drug Enforcement Agency. Some patients have abused this kindness, and unfortunately for you, their actions have made it harder for you to receive treatment.

You will need to find a kind-hearted dentist, but one that does sedation would work best for you. Gentle dentists can use nitrous oxide to put you under. Let them know about your history and treatment, and they can prescribe the best form of post-treatment medication. Keep calling and asking, and hopefully you’ll find a sedation dentist who’s a good match for you.

This blog post is brought to you by Baton Rouge sedation dentist, Dr. Steven Brooksher, of Dentistry by Brooksher.

 

Can I Trust This Dentist?

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Hello,

I went to see a new dentist about some tooth pain I’ve had for a few weeks. This is the first time I’ve felt pain in this tooth, so I didn’t think it was too serious. However, the dentist told me one of my teeth has a cavity and needs an extraction. He would have to put me under to do either a bone graft or dental implant. Should I get a second opinion? I don’t want to get all this work done over some tooth pain. He didn’t even find an infection, but gave me antibiotics for the pain. I’m mostly worried about having a reaction to the anesthetic. I’m terrified of getting dental work done and am dreading this. What should I do?

Claire from Philadelphia, PA

 

Hi Claire,

If your tooth has recently started feeling pain, it has only become infected recently. It likely isn’t so far gone that it needs extractions, let alone a bone graft or implant. A tooth that’s beyond saving would have been hurting for awhile, and would have a visible cavity in it.

A second opinion would be a good idea. You can bring any X-rays to your new dentist. A fresh set of eyes can give you a new perspective on your issue.

Another point to consider is that anesthetic is a safe medicine, and you are not going to have an allergic reaction to it. Dental anxiety is nothing unusual. Find a second opinion from a sedation dentist. They are experienced in administering nitrous oxide or local anesthetic for anxious patients. The more anxiety you feel, the harder it will be to get you numb. Too much anxiety, and you’ll need conscious oral sedation. A gentle dentist will be able to advise you on your sedation needs.

This blog is brought to you by Baton Rouge sedation dentist, Dr. Steven Brooksher.