Oral and Maxillofacial Surgery Expert Forum
Can't have Epinephrine and Carbocaine isn't enough
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Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch and Dr. Mario Tuchman. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia , jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.

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Can't have Epinephrine and Carbocaine isn't enough

I am at my wits end!!  I had rooting and scaling done in my entire mouth over 2 sessions by a periodontist.  It was the most horrible and painful experience!!  First off, I must have had about 20 injectionsof carbocaine done and they didn't numb nearly enough!!  I am now supposed to have surgery on my gums. How in the heck can I do this with carbocaine?  Epinephrine gives me very bad palpitations so I cant have any.  Do you have any alternative suggestions?  Thank you so much!!
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There are many forms of anesthesia other than local.  Medications, nitrous oxide and IV sedation are several.  You should speak to the periodontist as well as your general dentist about your experience.

It is important for them to know that you were very uncomfortable.  You may want to consider having the periodontist do the procedures in an oral surgeons office where you can be sedated.

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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Michael H Kirsch, DDSBlank
Dr. Michael H. Kirsch
Caldwell, NJ
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