Dental

Ask a Dentist. Get Answers to Your Dental Questions.

Ask an Expert,
Get an Answer ASAP!

Dental

I was part of a drug trial for a new anti depressant and it

Customer Question
Hi. I was part of...
Hi. I was part of a drug trial for a new anti depressant and it ruined the inside of my teeth so parts of the outside that looked fine started to come off. The pharm company is paying to have all of my teeth extracted and then will pay for dentures and later implants. I had an examination with a dentist who wrote the referral to an oral surgeon to have the extractions done. All 27 teeth will be removed at once. Is this usually atraumatic? Also sedation would have to be sent to the insurance company on the day of the extraction and I would have to reschedule so they are just using nitrous oxide and a numbing agent like novocaine. Can I expect the extractions to be painful during the surgery and will I have pain after the extractions? Since I have not been able to talk to the oral surgeon I don't know what to expect and the dentist told me that ibuprofen should be sufficient afterwards but I am unsure. I'm scared that it will be extremely painful afterwards.
Submitted: 1 year ago.Category: Dental
Show More
Show Less
Ask Your Own Dental Question
Answered in 1 hour by:
3/26/2016
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago
Dr. Katz
Dr. Katz, Dentist (DDS or equivalent)
Category: Dental
Satisfied Customers: 3,682
Experience: Dentist and Anesthesiologist for 37 years.Anesthesiology Fellow-Johns Hopkins School of Medicine.Evaluator for Maryland State Board of Dental Examiners.
Verified

The extractions themselves should be painless but you will be aware of what is going on even with nitrous oxide.Normally we like to do these cases under IV sedation because it is more comfortable for patients and it reduces the stress.If you cannot go this route,the teeth can be extracted with local anesthesia and nitrous oxide.Make sure that you let the dentist know if you feel anything more than just pressure.Afterwards,there will be some discomfort and slight swelling for about 3 to 4 days.They should prescribe you an antibiotic like penicillin,amoxicillin or clindamycin for you to remain on for one week.Insist that they give you an antibiotic.They should also be giving you a narcotic pain medication like Percocet,Lortab or Vicodin.You will find that you need these medicines for the first few days.It is important that you do not brush or rinse your mouth after the extraction or smoke for 24 hours.Following these instructions and an experienced surgeon should give you a speedy recovery.Do you need any more details?

Ask Your Own Dental Question
Customer reply replied 1 year ago
Thank you for responding. I've heard of those antibiotics. My regular dentist gave me 40 Clindamycin 300mg tablets to start taking when I saw her and the pain medications I have heard of those names but the oral surgeons office said I should only need ibuprofen. If that won't be enough I am getting very nervous about having the procedure. Is tooth extractions usually traumatic or atraumatic and they said it should take 45 minutes to get all of them out. Does that sound reasonable? I understand you have not examined me. It is very hard to get any answers from the oral surgeons office (I have not met the surgeon). There is one tooth that broke and is below the gum line do they have to cut the gum to get that out?
Customer reply replied 1 year ago
I've had to beg my regular dentist at times when one tooth was really killing me to come in every day to get a Marcaine shot because ibuprofen was not working. She was very hesitant and said the oral surgeon should be dealing with it (when the appt is 15 days away) The oral surgeons office said the dentist should be dealing with it. It goes backwards and forwards.
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

The oral surgeon is not the one having the extractions done.From my experience,and I remove teeth gently,most patients need a stronger pain medicine for a couple of days.If your oral surgeon refuses to do this,find a new oral surgeon.I cannot comment on the difficulty of your extractions without your xrays,but for 27 extractions including sewing up and trimming,the whole process should be less than 1 1/2 hours.I think that you need to find a new oral surgeon if possible.I have never heard of setting up an appointment with an oral surgeon for the extractions without even seeing the oral surgeon.The correct sequence here is to see the oral surgeon,have a full exam,he describes the procedures and you ask questions.Then you set up the appointment.

Ask Your Own Dental Question
Customer reply replied 1 year ago
It is interesting. I saw a regular dentist she did the xrays and an exam. She stated they are beyond repair. She then writes a referal stating "Hey Doctor XXX, Hope you are doing great. Can you please remove everything. Pt will be getting a full set of dentures and then implants. Thank You Dr. XXX. She marked Extract and circled all the teeth. Checked the Consult box. She then submitted for dentures to the insurance they approved it. The Oral surgeon got my xrays from her and made sure the procedure to extract was covered. They dentist and surgeon are not affiliated and are not in the same office. The procedures have been prior authed by the oral surgeon to the insurance. The dentures have been authorized by the insurance company for the dentist. They cannot change it without great difficulty. The pharm. company will take care of the implants later. Is there anything else I should know? Is nitrous oxide at all dangerous? How does it make you feel?
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

Yes , implants are not a necessity and many people do just fine without them.Nitrous oxide is not dangerous.It never gets absorbed in the body and leaves as you breathe oxygen.The nitrous oxide just gives you a relaxed feeling and a feeling of euphoria.An appointment to have all of you r teeth extracted should always be preceeded by an examination by the oral surgeon who is going to do the extractions.If they will not do this,I can assure you that you can have this procedure done almost anywhere and the insurance company will cooperate.You should never feel that these people are the only ones that can do this procedure.When it is done,it should be done properly.If they will not give you a consult appointment with the surgeon prior to the extractions,that is a danger sign.Find a new office if that is the case.

Ask Your Own Dental Question
Customer reply replied 1 year ago
Hypothetically why would an oral surgeon not want to meet with the patient before doing a heavy involved procedure? Again hypothetically. What is a danger sign of?
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

Any doctor doing surgery of any kind needs to examine you before the procedure is done.That is just common sense and good medical practice.The only reason that they would not is because they think they are using less time and less time means for you means more money for them.If you are dealing with a corporation based dental office,this is the kind of crap that they would pull. You need to call and insist on meeting with the surgeon that will do the extractions.Do not take no for an answer.If they refuse,find a new office.I am being honest with you.You can take my advice or not.It is up to you.

Ask Your Own Dental Question
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

When you get a chance,can you please leave a rating so that we can maintain good quality control on this site.Thank you and good luck with your surgery.

Ask Your Own Dental Question
Ask Dr. Katz Your Own Question
Dr. Katz
Dr. Katz
Dr. Katz, Dentist (DDS or equivalent)
Category: Dental
Satisfied Customers: 3,682
3,682 Satisfied Customers
Experience: Dentist and Anesthesiologist for 37 years.Anesthesiology Fellow-Johns Hopkins School of Medicine.Evaluator for Maryland State Board of Dental Examiners.

Dr. Katz is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Mark Bornfeld, DDS

Mark Bornfeld, DDS

Dentist

5,765 satisfied customers

Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine

Dr. Alex

Dr. Alex

Dentist

1,607 satisfied customers

I am a General Dentist and founder of the American School of Dental Assisting

Dr. George McKee

Dr. George McKee

Dentist

1,392 satisfied customers

Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.

Dr. Girish

Dr. Girish

Dentist

788 satisfied customers

19 years of clinical experience in all phases of Dentistry.

Julian Chen

Julian Chen

Dentist

567 satisfied customers

Practicing General Dentist since 2002

Dr. Winterholler

Dr. Winterholler

Dentist

266 satisfied customers

4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class

Dr. Mitch

Dr. Mitch

Dentist

211 satisfied customers

DMD General Dentist Private Practice Over 20 yrs.

< Previous | Next >

Related Dental Questions
I have horrible teeth no dental insurance and I want to fix
I have horrible teeth no dental insurance and I want to fix them … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
336 satisfied customers
I had a tooth extracted eight hours ago and still bleeding.
I had a tooth extracted eight hours ago and still bleeding … read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,092 satisfied customers
Had a top back molar tooth extracted 6. Months ago and have
months ago and have experienced numb tongue etc... (nerve damage) and I don't know how or what type it would be. Doesn't that only happen when bottom teeth are removed? Thanks … read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,092 satisfied customers
Upper jaw tooth extracted over a month ago... Took a ton of
Upper jaw tooth extracted over a month ago... Took a ton of antibotics. Jaw and face is slightly swollen and a bit numb...Heart racing a bit. am I going to die? … read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,682 satisfied customers
I have to have a tooth extracted and my dentist did not
I have to have a tooth extracted and my dentist did not prescribe antibiotics, but she said the tooth is bad needs get removed. Is that safe? … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
336 satisfied customers
I have a question regarding wisdom tooth extraction,
I have a question regarding wisdom tooth extraction, cavitation, and tonsilitis … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
336 satisfied customers
Went to Dentist-got top set of dentures and a lower parcel-
Went to Dentist-got top set of dentures and a lower parcel- about 5 thousand or more for this About 6-7 months before, the front teeth started popping off. Seemed like once every month So I'm constant… read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,092 satisfied customers
I had to dental implants put in a month ago. The dentist
I had to dental implants put in a month ago. The dentist said that it seemed as though it wasn't draining. I apologize it was an endodontist. So they opened it up and wanted to put healing caps on it.… read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,682 satisfied customers
I had wisdom tooth extraction over 2 weeks ago, in the last
Hi I had wisdom tooth extraction over 2 weeks ago, in the last two days there's a lump on the inside of me my gum above where wisdom tooth was removed is this normal I should I get advice from my dent… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
336 satisfied customers
I had a impacted wisdom tooth extracted last friday. The
I had a impacted wisdom tooth extracted last friday. The bleeding didn't stop for 5 hours until my surgeon placed a collagen plug in the wound. I now have a dry socket. I called my surgeon last night.… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,894 satisfied customers
I had a tooth extraction done on Wednesday and they put a
Hi, I had a tooth extraction done on Wednesday and they put a bone graft in as well for an implant that will go in at a later date. Today the top portion along with the stiches came out today. Now the… read more
Dr Ray
Dr Ray
Retired Dentist
Doctoral Degree
22 satisfied customers
I got a tooth extracted and ever since i have been
i got a tooth extracted and ever since i have been experiencing excruciating pain on my gums extending to my ear. please help me… read more
Dr Ray
Dr Ray
Retired Dentist
Doctoral Degree
22 satisfied customers
Had wisdom tooth extraction 3 days ago. Wisdom tooth had
Had wisdom tooth extraction 3 days ago. Wisdom tooth had infection prior to extraction. Can I smoke yet? … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,894 satisfied customers
I'm 65 and my dentist suggested i get upper denture.
I'm 65 and my dentist suggested i get upper denture. Explained procedure and went ahead and got. Teeth were extracted and denture was put in place. 6 months or so, I'm finding out through emergency to… read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,682 satisfied customers
I'm in terrible pain in my tooth no dental insurance and not
I'm in terrible pain in my tooth no dental insurance and not much money … read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,682 satisfied customers
This is a dental question, but I cant reach my dentist .is
this is a dental question, but I cant reach my dentist .is there a place on the web to ask a dental question? 1st, I will ask you..I had root canal Monday, then I had a flareup Thursday...pain.I am ta… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,894 satisfied customers
I had a wisdom tooth extracted by my dentist on friday. 4
I had a wisdom tooth extracted by my dentist on friday. 4 days ago. I have a large 4 inch long by 2 inch wide hematoma under my jaw now. It continues to grow. My dentist removed the stitches yesterday… read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,092 satisfied customers
I need dentures. I don't have insurance but I am employed.
I need dentures. I don't have insurance but I am employed. My credit is not good. I make good money. I really don't know what to do. … read more
Drew Moore DDS MS
Drew Moore DDS MS
Periodontist/Implantologist
Certificate of Military Education
81 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x