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Re: Re: FMS & Dentistry

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I've always been VERY sensitive to any type of meds.? It doesn't take long for me to become numb,but takes forever for it to wear off?! I do know what you mean about childhood dental memories,lol! I had a awful dentist when I was very little and that experience has effected me to this day! I'm much better now,of course,but I will NEVER forget him! haha! Take care all! Pam.S

Fibromyalgia Awareness Items

At= http://www.zazzle.com/pammys*

Lets Spread Awareness Together

ANY way we can! Thanks! Pam

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Thank you so much for the extensive explanation to my dental questions! I am printing this out and taking it to my dentist to see if any of this can be used. Obviously those of us with Fibro are on numerous meds and not in good physical condition, so our options are few. The sedation dentistry is not covered by insurance, so that limits me there.

I trully appreciate the information and please thank you husband as well. That was very kind of both of you. Gentle Hugs H.

From: choggins77 <poggins@...>Subject: Re: FMS & Dentistrydominie Date: Tuesday, November 4, 2008, 3:10 AM

I asked my husband Tom, a dentist here in Washington state, if hecould shine some light on these questions for us all: Does fibro affect dental health?My limited experience with fibro patients tells me that fibro does notdirectly affect teeth. Having bad teeth may be due to genetics but isprobably not caused by FM/CFS. People that cannot get numb and thathave chronic pain with their teeth (e.g. 10 root canals) are oftenunder a lot of stress. Whether the fibro causes stress or the stresscauses fibro is hard to say. At any rate, people need to get a goodnightguard and learn stress management strategies. [He means thatdoing these things will help protect your teeth and reduce clenchingand grinding.] difficulty getting numb:Tom uses something called Ardocaine [sp?], which he says is twice thestrength of Lidocaine/Novacaine . Says all his patients get numb, buthe only has 2 or 3 fibro

patients in his practice. :)What is a block?A local anesthetic block is where the dentist places local anestheticin the location where the nerve that serves the teeth enters the upperor lower jaw bone. Anesthesia of the nerve in this area will block anynerve transmission from any teeth that the nerve serves. The oppositeof a block is infiltration anesthesia, where the dentist placesanesthetic directly over the tooth that is going to be worked onand hopes that the anesthetic will soak through the bone to numb thetooth.An alternative to Lidocaine and general anesthesia.. . sort of.Oral Conscious Sedation is often done using Halcyon [sp?]and Valium.It is used to decrease anxiety. Patients need to be in good physicalcondition, under 60 years old, have normal blood pressure and pulseand not be taking more than 1 medication. Dentists with more advancedtraining may take on patients that are in

compromised physical condition. What is EPI?EPI is short for epinephrine. Epi is a common vasoconstrictor inlocal anesthetics. It helps shrink blood vessels in the area wherethe anesthetic is placed. This keeps the anesthetic in the arealonger so the duration of anesthesia is longer. An allergy to localanesthetic or epinephrine are very rare. [but, as we fibromites knowtoo well, we tend to be in that "rare" category!] Hope this helps --

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