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Emergency dental

Posted by on Jul. 2, 2013 at 12:24 PM
  • 12 Replies
I'm headed into the dentist because I'm in horrible pain, barely slept last night. I'm not sure what procedures they'll want to do or what the common meds are that are used. I looked up Valium and vicodine on lactmed, but what about Nitrous oxide? I have an extreme fear/anxiety, hence why this is an emergency. I'm fairy certain that all meds they'll want to use are fine, but wanted to double check.
by on Jul. 2, 2013 at 12:24 PM
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Replies (1-10):
LoveOfWisdom
by on Jul. 2, 2013 at 12:25 PM
Oh and baby is 7.5mo
Baby_Avas_Momma
by on Jul. 2, 2013 at 12:27 PM
1 mom liked this
As soon as you can safely hold baby, you can nurse! :)
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K8wizzo
by Kate on Jul. 2, 2013 at 1:32 PM

Nitrous oxide is fine.

Dental Work and Breastfeeding

JULY 29, 2011. Posted in: ILLNESS, SURGERY & MEDICAL PROCEDURES,MOM'S HEALTH

(x-rays, local anesthesia, sedation and more)

By Kelly Bonyata, IBCLC

Both x-rays and novocaine (and other drugs used for local anesthesia, such as bupivacaine andlidocaine) are considered to be compatible with breastfeeding.

Most medications used for oral and IV sedation are considered compatible with breastfeeding.

Nitrous oxide (laughing gas) sedation is also considered to be compatible with breastfeeding. It is virtually insoluble in the bloodstream, which means it goes from your brain to your lungs to the room air immediately after you stop breathing it in. Per Hale, “it is rapidly eliminated from the body due to rapid exchange with nitrogen via the pulmonary alveoli (within minutes). A rapid recovery generally occurs within 3-5 minutes… Ingestion of nitrous oxide orally via milk is unlikely.” See Conscious Sedation for more information.

A mother who has wisdom tooth surgery should not need to interrupt breastfeeding at all (except during the surgery, of course). To minimize baby’s exposure (and increase mom’s comfort), mom can nurse just before she goes in for the procedure. There is no need to wait on breastfeeding afterwards or to pump and dump — mom can nurse as soon as she feels alert enough to hold baby. See Breastfeeding when mom has surgery for more information on breastfeeding and general anesthesia.

There are many pain medications compatible with breastfeeding. See Pain medications and breastfeeding for more information.

Additional information

@ other websites

Research

Giuliani M, Grossi GB, Pileri M, Lajolo C, Casparrini G. Could local anesthesia while breast-feeding be harmful to infants? J Pediatr Gastroenterol Nutr 2001 Feb;32(2):142-4. Conclusion: “This study suggests that even if a nursing mother undergoes dental treatment with local anesthesia using lidocaine without adrenaline, she can safely continue breastfeeding.”

Ortega D, Viviand X, Lorec AM, Gamerre M, Martin C, Bruguerolle B. Excretion of lidocaine and bupivacaine in breast milk following epidural anesthesia for cesarean delivery. Acta Anaesthesiol Scand 1999 Apr;43(4):394-7. Conclusion: “This study documents the magnitude of excreted lidocaine, bupivacaine and PPX in breast milk, and indicates that the use of both lidocaine and bupivacaine for epidural anaesthesia is safe with regard to breast-feeding.”

Lebedevs TH, Wojnar-Horton RE, Yapp P, Roberts MJ, Dusci LJ, Hackett LP, Ilett K. Excretion of lignocaine and its metabolite monoethylglycinexylidide in breast milk following its use in a dental procedure. A case reportJ Clin Periodontol 1993 Sep;20(8):606-8. “Nursing mothers receiving lignocaine for standard dental procedures can be advised that continuation

mostlymaydays
by Group Admin - Stacy on Jul. 2, 2013 at 2:03 PM
As stated above, the nitrous oxide is less worry than the others, and they're fine. The nitrous only works as you're breathing it. Once the mask is off the effects disappear.
MamaDee83
by on Jul. 2, 2013 at 2:25 PM

As far as I know, and I am a dental assistant, the Nitrous Oxide will be out of your system before you leave or at least they SHOULD be doing an oxygen "flush" after they are done using the laughing gas. Everything they will use for numbing (novacaine, etc) is ok if you are nursing, but if you need some pain killers afterwards, the narcotics could be an issue.

gdiamante
by Gina on Jul. 2, 2013 at 4:08 PM

The most dangerous thing in the dentist's office is the billing department!

LoveOfWisdom
by on Jul. 2, 2013 at 5:21 PM
Thanks ladies! Only thing I could afford today was the pain meds, which I don't even want to take :/ total cost is about $2663, discount is $1300, payments would be about $445. Yeah, so have that! I was bawling in the office.
mostlymaydays
by Group Admin - Stacy on Jul. 2, 2013 at 5:29 PM
Omg. :-( that's half of what I'm paying for my son's braces. Did they at least let you pick a toy from the treasure box?!?

Quoting LoveOfWisdom:

Thanks ladies! Only thing I could afford today was the pain meds, which I don't even want to take :/ total cost is about $2663, discount is $1300, payments would be about $445. Yeah, so have that! I was bawling in the office.
LoveOfWisdom
by on Jul. 2, 2013 at 6:22 PM
If an estimate on paper counts, sure!

Quoting mostlymaydays:

Omg. :-( that's half of what I'm paying for my son's braces. Did they at least let you pick a toy from the treasure box?!?



Quoting LoveOfWisdom:

Thanks ladies! Only thing I could afford today was the pain meds, which I don't even want to take :/ total cost is about $2663, discount is $1300, payments would be about $445. Yeah, so have that! I was bawling in the office.
LoveOfWisdom
by on Jul. 2, 2013 at 6:23 PM
Oh and that doesn't cover today or the full exam that's required before there's even be able to do the root canal.
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