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Wisdom teeth removal

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Wisdom teeth removal

Postby ApexAZ » Wed Apr 28, 2010 1:43 pm

Hey guys,

I have read that OSA can cause complications during or after surgery and am wondering what sort of precautions I should take when I undergo surgery to remove my wisdom teeth.

Will OSA complicate local anesthesia? How about general anesthesia if I ask them to put me to sleep? They said that recovery from both anesthesia is really quick with this type of surgery but I want to make sure I don't need to bring my BiPAP or something. Obviously BiPAP is not an option DURING surgery so is general anesthesia even possible?

Thanks in advance :)
Brian
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Postby CrohnieToo » Wed Apr 28, 2010 1:54 pm

General anesthesia is definitely possible for apneans. Dental surgery is short enough that you won't need your PAP altho you should make sure that your dental surgeon is aware that you have OSA and use a PAP.

Its the longer surgeries - 2, 3, 4 or more hours under general anesthetic that your PAP might be needed in Recovery, not during the surgery itself. If they allow you to use your PAP in Recovery after a lengthy surgery it sure beats relying on a nurse to wake you up every time you desat!!!! You can just happily sleep off the anesthetic w/your PAP protecting you. Much more restful and reliable than a busy Recovery nurse w/more than one patient in her care.
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Postby billg0519 » Wed Apr 28, 2010 2:08 pm

Crohnie is right regarding PAP in recovery, but one word of advice: My mom had surgery last year and she ended up biting her oxygen hose during either the surgery or recovery (I don't remember for sure) and it ended up putting her in the hospital for two days afterward from what was supposed to be a minor outpatient procedure. It did something to her and I wish I could remember what it was #-o ... either way, telling the surgeon that you use PAP can only help you in the end.
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Postby ApexAZ » Mon May 03, 2010 3:31 pm

How about recovery? Will this increase susceptibility to dry socket or healing issues in my mouth? I realize this may be a more appropriate question for the doctors but wondering if anyone has gone through it.
Brian
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Postby CrohnieToo » Mon May 03, 2010 4:41 pm

I've had TWO dry sockets - both long before starting PAP therapy. BUT BY ALL MEANS, discuss this w/the oral surgeon. I would think it would be best to go w/o PAP, if at all possible (unless your OSA is severe), for AT LEAST 2-3 nights. I doubt you would need to go w/o beyond the 3rd night at most.
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Postby Webbie73 » Wed May 05, 2010 8:26 am

ApexAZ wrote:How about recovery? Will this increase susceptibility to dry socket or healing issues in my mouth? I realize this may be a more appropriate question for the doctors but wondering if anyone has gone through it.


Brien, I recently had one upper wisdom tooth removed and had a problem using my CPAP during recovery. I went without CPAP for about 3 days. I found the pressure pushes against my tongue and the soft tissue along the roof of my mouth.....towards the back.... which it is suppose to do but it pushed against my empty socket. Once I started healing I was back on CPAP.

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Postby ApexAZ » Wed May 05, 2010 2:03 pm

Thanks. I will discuss it with the surgeon and plan to avoid it for a few days. Sucks. I'm gonna be tired =-(
Brian
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Postby ApexAZ » Wed May 19, 2010 4:41 pm

Well I had 3 wisdom teeth (one severely impacted) and 1 molar removed and even though I can't eat much so far it hasn't been too bad. The worst part has been trying to avoid spitting and suction type motions. I'm afraid of getting dry socket! I figure I will go 2 more nights without my BiPAP and use the weekend to catch up on sleep. My poor girlfriend didn't get a lot of sleep due to my snoring though =(
Brian
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