Overcoming Infection To Achieve Profound Anesthesia

Overcoming Infection To Achieve Profound Anesthesia | OnlineExodontia.com

Рет қаралды 48,161

Күн бұрын

Have You Been Wanting To Improve Your Confidence In Oral Surgery And Extract More Teeth? Do You Want An Experienced Dentist That You Can Contact Anytime To Support Your Efforts? Join Me. The O.S. Accelerator Course: onlineexodontia.com/store
This video is an in-depth look at the interplay between dental anesthesia and infection. Approaches are discussed that will help the general dentist achieve more profound anesthesia even in cases where there is significant infection present.

Пікірлер: 69

@gooddaytoridemtb4562 3 жыл бұрын

Thanks for taking time to make these videos. It is a great reminder that going back to the basics can make things we do everyday even easier.

@OnlineExodontia 3 жыл бұрын

You're totally welcome! Glad you found it helpful! All the best!

@hebashehab2647 3 жыл бұрын

That was very helpful.Thank you so much!

@rtyankeedoodle 3 жыл бұрын

Love your intro it's quite theaterical.

@ivan-cb5dc 3 жыл бұрын

Your video are more useful than many lessons given by most of the Italian state universities. Thanks! Keep'em going on...

@OnlineExodontia 3 жыл бұрын

Much appreciated Gianni! All the best!

@nonpiangetepermesonogiamor7411 2 жыл бұрын

Confermo purtroppo...

@nitinsingh5195 3 жыл бұрын

Very informative Sir.Came across your channel recently need to tell you the topic that you choose for your video's are just awesome.Thank you for making me polish my exodontia skills.Please keep'em comming😊

@OnlineExodontia 3 жыл бұрын

Thanks a ton Nitin! Comments like yours is what motivates me to continue on! All the best my friend.

@cutecathatesme336 Жыл бұрын

This video is so helpful for a dental student ! Thank you sir

@anjaliv2117 2 жыл бұрын

Very good and informative video... Thank you

@masterofpuppets8157 Жыл бұрын

Thank you,sir!

@moneyjoyk 3 жыл бұрын

Maaaaan thank u

@jmatt2871 Жыл бұрын

Hey doc - I'm reading the ADA guidelines on antibiotic stewardship in regards to dental infection and for penicillin allergic patients with a history of anaphylaxis, angioedema, or hives with the cillin antibiotics, they recommend either azithromycin or clindaymcin. Seems that the main issue with azithromycin is the possibility of resistance while with clindamycin it is c.difficile. What do you typically give for these patients?

@OnlineExodontia Жыл бұрын

This is great to know - I will often use Biaxin for these patients and it seems effective. There are probably better choices out there as you mentioned. All the best!

@drabmeraz7827 2 жыл бұрын

My dentist hates me ,,how do I know we'll I had three abscesses and he insisted I didn't have an infection even though I also had a fever then he pulled them and I felt every bit of it

@ALBA_INDIAN Жыл бұрын

Today removed my lower wisdom teeth... and local anesthesia was not working. 1 bottle and above was used to nome teeth and it was vety painfull. I can't express

@ZACY1234 3 жыл бұрын

Great Video 👍👍🔥🔥 thanks a lot! Are you making a PDL Injection video as well?

@OnlineExodontia 3 жыл бұрын

Thanks so much! I have a PDL injection video, just it’s a part of my course so I haven’t released it here on KZfaq. Did you have questions?

@ZACY1234 3 жыл бұрын

@@OnlineExodontia just wanted to see how you perform a PDL injection. Maybe you do it different than me. Thanks anyway. Really enjoy your videos. Keep it up 💪👍

@mikeparrish7536 Жыл бұрын

I just had #12 pulled and only the area around the gum and my nose was numb. When my dentist began to actually pull the tooth I began having the most excruciating pain I’ve ever had. She stopped and began giving me more injections to no avail. I told her to just pull it out because I was in so much pain. I did have a few glasses of orange juice about an hour and a half before the surgery. Would that cause the numbing agents not to work. Now I am terrified of going back to the dentist and I’m looking for answers.

@OnlineExodontia Жыл бұрын

Mike - sorry to hear this. Some teeth can be very difficult to get numb, however the orange juice wouldn't factor in. Rest assured this certainly isn't the norm and there are many approaches to these types of situations that can get patients through the procedure comfortably. All the best!

@meganhastings7325 3 жыл бұрын

I have to get a filling in my front tooth, I got 4 shots of novacaine because they all didn’t work, still felt it after the 4th shot... he temporarily sealed it up and we set up another appointment. The next day my face was not back to normal and I experienced pain in my nose for over a month. This has never happened to me, I have gotten cavities filled in the past. How can I reduce the pain during my appointment if I can, and is there anything I can do on my end to help this appointment go smoother?

@awknAngel 2 жыл бұрын

Had the same situation myself, except needed SIX injections before I didn’t feel anything anymore. Came to this now because the same tooth is a problem yet again… which means either six more injections and a redo of the filling, OR getting it pulled…. Neither of which are inviting.

@meganhastings7325 2 жыл бұрын

@@awknAngel there is no way that is safe!! The dentist had to make another appointment because he told me 4 was the max. Good luck! I hope it all works out:)

@JewelBlueIbanez 2 жыл бұрын

I have this problem too. After for shots of anesthesia, I still feel everything, so my dentist just started using this pressure gun thing that puts the anesthesia directly into the tooth/jaw.

@kianawilcox253 2 жыл бұрын

Thank you for the video! I have a few questions. Is extreme tooth decay and breakage considered a type of infection? If you see your teeth seeming to turn gray and clear, and becoming very painful, and developing holes, is there any way to combat that besides a root canal and crown or pulling the tooth snd installing an implant? Is it okay to take this homeopathic medicine I found (Hypericum perforatum 30c) advertised fo help block nerve pain? I’m asking to see if it could be thing for me to take before dental appointment where I’m expecting a lot of pain. I have severe problems getting numb and when I do it is only partial numbness and wears off within 2 hours or less., and I have TMD, sideways-displacement on both sides of my jaw. In your option is it best to go to a specialist for a root canal? I do have a TMD specialist but she doesn’t do dentistry herself. Do you think they would have more numbing options that might be more successful? Thanks you ♥️

@kianawilcox253 2 жыл бұрын

Please pardon my grammatical errors.

@OnlineExodontia 2 жыл бұрын

Kiana, if possible prior to your next appointment try taking 600mg of ibuprofen 45 minutes before assuming that you are able to take this medication safely and haven't been advised not to by your doctor. Ibuprofen is an anti-inflammatory medication which will often help to facilitate the anesthetic kicking in. That's just a thought of something you could try. Often when teeth are badly broken down, they do not anesthetize well. This is why regular dental visits to manage minor decay is often more comfortable for people than only going when a tooth is aching or causing trouble with large holes or decay. All the best!

@kianawilcox253 2 жыл бұрын

@@OnlineExodontia thank you so much for the advice! I will certainly use it. :)

@OnlineExodontia 2 жыл бұрын

@@kianawilcox253 That's awesome! All the best to you!

@SirSamsalot 2 жыл бұрын

What about taking a strong pain pill before you go in? I got #2 extracted and felt like a horse kicked my face during extraction and after.

@OnlineExodontia 2 жыл бұрын

That is a good approach as well and NSAIDS for example can be effective in helping anesthetic work in situations where teeth are very sore. All the best!

@nubblyglambert 3 жыл бұрын

was deeply traumatized, the last time i removed two wisdom teeth on two different occasions. They were the laying down deep inside type. The local anesthetic didn't work on both occasions so i ended up feeling every single probe durimg the whole removing process. At one point the tooth got stuck half removed cause the tooth was out but the nerves or some sort of "thread" was still connected to the gum.. it was the worst 30 mins of my life, i was screaming and crying. Today, i have another wisdom tooth that stopped growing cause my jaw is too narrow. Honestly thinking about getting a GA instead of local....

@davie-annecortezano6789 3 жыл бұрын

Me too had the same experience the local anesthesia didn't work it felt like torture. I can feel everything while they where removing my wisdom tooth

@Harsh-oh2ev 3 жыл бұрын

Me too..mine was 2nd molar and it was literally a torture..if next time this condition ever comes I think I will do it only on GA

@pilotavery 3 жыл бұрын

I'm so happy that my dentist does all wisdom tooth extractions while you're asleep.

@BlueUKLouis 2 жыл бұрын

Same thing happened to me, but with a root canal. Anesthesia didn't work, even after 4 shots. Hurt like hell.

@Violet1887 2 жыл бұрын

Same here. 2 days ago I was set to get my bottom 2nd molar removed. The local anesthetic failed, he kept injecting more anesthesia until I finally screamed from the pain. He asked me to come back later for a GA. The inside of my cheek is bruised up. I’m so traumatized by this event.

@theroyalprincess8400 3 жыл бұрын

Has anyone here used articaine 4% for nerve blocks ? Is it safe to administer for every case ?

@belindaorrock6856 2 жыл бұрын

We were taught not for IAN blocks, due to the risk of neuropathy/parasthesia. For uppers it’s fine.

@dopamine5393 2 жыл бұрын

if we have infection or inflammation in area that we will be injection with anesthesia in this case the anesthesia can not worked if we alter the site of injection technique is the procedure will done and is the inflam area will anesthesia..

@OnlineExodontia 2 жыл бұрын

Often times for a lower tooth that has a lot of infection around it, an IAN block supplemented with PDL injections at the line angles of the tooth will more than suffice to get the tooth comfortable enough to remove. I would use the same approach on the upper (do a block, supplemented by PDL injections). All the best!

@dopamine5393 2 жыл бұрын

@@OnlineExodontia Thank you so much dr.🌹💗💗

@rbkylebacabis6684 3 жыл бұрын

Dr. i was supposed to have a root canal awhile ago but we didnt continue becuz the anesthetics wont work on my tooth. How do i let this anesthics work? Does antibiotic help ? The doctor just put something on my cavity before putting a temporary filling and he said that it will kill the nerves. Will the anesthetics work the next time ? Im so scared that i might experience the kind of pain i had awhile ago upon the start of the rct.

@OnlineExodontia 3 жыл бұрын

That is certainly one approach. Sometimes formocresol is used in a tooth like that which may be what was done. I can't say I use this approach myself. The tooth was likely very inflamed which makes it difficult for the anesthetic to work. Typically, just opening it is enough to relieve lots of the discomfort. If you are able to take a NSAID drug like ibuprofen you could take 600mg to 800mg 1 hour before your next appointment (assuming you have no contraindications for doing so). This will help the onset of the anesthetic. I wish you the best!

@rbkylebacabis6684 3 жыл бұрын

@@OnlineExodontiathank you so much for the reply doc. Yes it was formocresol he put. I'm just worried that it might still hurt the next time doc. But the doctor did gave me mefenamic and i dont know if it'll perform the same as ibuprofen.

@OnlineExodontia 3 жыл бұрын

@@rbkylebacabis6684 That's not a drug I'm real familiar with, but it's similar to ibuprofen in terms of the class of drug (NSAID). It should have some positive effect. All the best!

@artjacobbermejo5780 2 жыл бұрын

I had the same problem, how was your second attempt to have root canal does the antibiotics help? Is it still painful? I'm gonna have my second appointment today

@TheCanada416 Жыл бұрын

@@artjacobbermejo5780 did the antibiotics work? Did you feel pain during treatment?

@maxineholmes6921 2 жыл бұрын

They say I don't have infections yet I I can never get numbed I just have to go along with the agonising pain for every extraction 😓

@OnlineExodontia 2 жыл бұрын

Maxine - this isn’t normal and there are options for you to have teeth removed comfortably. Nitrous oxide or IV sedation would be an option and frankly, it’s rare that local anesthetic doesn’t work for people so you should be numb. All the best!

@landofmilkchillies5832 3 жыл бұрын

When would it be best to put the patient on antibiotics and call them back for an extraction, or do you prefer getting the route of the problem head on?

@OnlineExodontia 3 жыл бұрын

The standard of care is to remove the tooth that day to address the infection. There are many ways to combat / overcome infection to achieve great anesthesia which I discuss in other videos including, but not limited to: 1. Pre-op NSAIDS 2. Nitrous 3. Buffered Local 4. Block anesthesia 5. Supplemental injections (PDL, IO, etc.) If you send a patient home with antibiotics that the infection does not respond to...you have just made indirectly their condition worse and in some cases, this could be a big problem. All the best!

@theroyalprincess8400 3 жыл бұрын

Has anyone here used articaine 4% for nerve blocks ? Is it safe to administer for every case ? For maxillary nerve blocks?

@OnlineExodontia 3 жыл бұрын

I use it routinely for blocks, as do many in Canada. All the best!

@theroyalprincess8400 3 жыл бұрын

@@OnlineExodontia thankyou doctor

@ManjeetKumar-ce9zc 11 ай бұрын

Sir i have infection in gums and swelling he give me 3 does of local anesthesia but it can't work i feel lots of pain and not able to extract full tooth half are still left he give me next date for tomorrow i m very scar what i can do sir😭😭😭

@OnlineExodontia 11 ай бұрын

Hello - if you’re able to take ibuprofen or NSAID medications it can be helpful to do this prior to your appointment. All the best!

@smyrnasstory 2 жыл бұрын

“And no resident will say: “I am sick.”

@mahinkhan8299 3 жыл бұрын

Hello Dr. I have a question please reply sir, i had root canal treatment but during the treatment i felt unbearable pain so i thought that local anesthesia didn't work on me.. Can you please tell me why this happened? Is there any problem within my body? 😥

@OnlineExodontia 3 жыл бұрын

The video explains this well, but I will try to sum it up. Sorry first of all to hear about your experience. Second, if a tooth requires a root canal the nerve is often either dead, or very inflamed and unhealthy. When there is much inflammation, the anesthetic does not always convert and cross into the nerve to block the pain signals that your tooth is sending. Anesthetic gets activated by the body (it doesn't come in the active form when it's inside the glass carpules we use while injecting) so if the environment isn't right to buffer and convert it, it won't exert its full effect. Hopefully that helps. All the best!

@michael.imv.8989 2 жыл бұрын

No one can get me numb 😢🥺😢 an my wisdom tooth bottom left is the one I need out an no one can numb it

@OnlineExodontia 2 жыл бұрын

You might be a good candidate for sedation Michael. You still require anesthesia, but at least with some sedation you would be more comfortable throughout. All the best!

@angleschannel9373 Жыл бұрын

I am lucky I got good gums and teeth not lost one tooth I know ppl who hasn't got any or younger ppl losing there tooth and have drilled in there gums. Stop surgery fatty stuff that will effect your gums and teeth I do know about teeth I have a dentist I do see

@angleschannel9373 Жыл бұрын

You don't need to use your hands all the time