Posted by Amy on 5/5/2008, 4:40 am, in reply to "Re: Tooth Extraction"
162.84.55.165
Angela,
Nope, we do not have a cleft team working with us. When I asked his specialist if we should go to a special pediatric dentist b/c of pierre robin sequence and his history w/ medical issues, he told us theres no reason why he can't have "regular" dental procedures done by an ordinary dentist- just no anesestha that will alter his breathing. His specialist has been dealing with us since NICU days and i trust him completely, however it still makes me nervous expecially remembering the "critical airway" sign above my sons hospital bed for almost 4 months.
--Previous Message--
: I can't answer any of your questions, but I
: think I'd be nervous too based on your son's
: previous medical history. None of my
: 'healthy' kids ever had a tooth extracted,
: so I don't have any idea if laughing gas and
: local anesthetics are enough. Is your son
: followed by a cleft palate clinic?? Our
: daughter (trach, palate repair ear tubes) is
: 19 mos right now, but will be followed for
: years by the cleft palate team at CHOP. That
: includes dental, so they'll handle all this.
:
: I don't know. Can you wait and contact a the
: cleft palate clinic nearest you and ask??
:
:
: --Previous Message--
: Hi, my son is now 3 1/2 years old... he had
: decay in his back tooth, so the dentist
: "fixed" it and put a silver crown
: on it. This procedure was done in the
: outpatient hospital building rather than the
: dental office due to concerns with sedation.
: Ever since he had the surgery done, he has
: complained daily that the tooth is still
: hurting him- only worse than before. I was
: instructed to just give him motrin for the
: pain and eventually he would
: "adapt" to the new crown in his
: mouth. His daycare director called me last
: week and told me he was crying over his
: tooth so i immediatly went to pick him up
: and took him to a local dentist nearby. (he
: was seen by a dentist 2 hrs away innitially
: b/c he was the only one i could find who did
: dental procedures in a hospital setting)
: The local dentist told me he is not
: "taking well" to the crown and the
: whole tooth has to be extracted. His gums
: are inflamed and raised up around the tooth.
: He was given an antibiotic to help with the
: swelling. The dentist would like to do the
: tooth extraction procedure in his office. We
: have an appointment tomorrow morning. The
: local dentist has spoken with the dentist
: that did the crown procedure and apparently
: they both agreed extraction is needed and it
: CAN be done in the local dentists office.
: We were told by the specialist that our son
: CAN NOT have any type of anesthsia outside
: of a hospital setting due to his history
: with breathing problems. I informed the
: local dentist about this and he said he
: could just use local anesthetics to numb him
: and maybe a little laughing gas to relax
: him.
: Is laughing gas considered anesthsa?? The
: last procedure was done in a hospital
: setting with 3 anesthiologists standing by,
: who had trouble intubating him due to his
: small airway. I'm really nervous about
: tomorrow. Is tooth extraction a huge
: procedure? Will he be alright with just
: using the local anesthetics or wil he be in
: too much pain? I should mention my son
: previously had a trach, jaw distraction,
: cleft pallate repair, ear tubes, g-tube and
: scar tissue revision sugeries. Any input
: would greatly be appreciated!
: Amy
:
:
:
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