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Question:
Oral Surgery - Anesthetics: I had my wisdom teeth pulled out four years ago, I was given nitrous and ketamine, and during the procedure I kept coming to and I heard the assistant say that my blood pressure was dangerously high.

When I woke up, they told me to get it checked, I did since, and the doctor said everything's fine. My question is, if in the future I need oral surgery, what would be an alternative to using these drugs, and which was the drug or was it the combination that might have caused an adverse reaction?

Can you have oral surgery with using novocaine only, or what other drugs can they use on me? ...Visitor from CA

Answer:
It is hard to say what exactly caused the spike in your blood pressure during the past oral surgery visit. You may have been very fearful or stressed about having your wisdom teeth out, which may have contributed to the elevated blood pressure readings.

However the use of Ketamine for your extractions may have been a factor in not having the most comfortable sedation experience during your oral surgery visit. Ketamine is a powerful anesthetic used for animals, although it has been approved for use with both animals and humans.

Ketamine is also an anesthetic that is abused for its hallucinogenic properties. Abuse of this drug grew once users discovered that it produced effects similar to PCP. Ketamine can cause users to have distorted perceptions of sight and sound and to feel disconnected and out of control.

Since Ketamine can cause hallucinations and intense terrifying dreams, for dental sedation appointments it is usually best to administer it to patients under 10-12 yrs old.

The reasoning behind this is that pre-adolesents have not been affected by the world and it's evil's as much as adult,and their dreams and hallucinations are more tame and less fear inducing. In contrast adults have been exposed to so many more life events and trauma's that their Ketamine sedation experience can be vastly more negative.

In the future be sure to inform your dental or medical surgeon of your elevated blood pressure during your past wisdom tooth extraction, and that Ketamine was administed during this appointment. If you require any other oral surgical procedures in the future, you can ask the doctor to use a calmer type of sedation medication such as Versed.

Versed,which is in the same family as Valium, is a Benzodiazapine, which helps the patient relax, feel warm and secure, all with little memory of the appointment.

In our sedation dental practice we specialize in helping truly fearful and phobic dental clients complete years worth of needed dental treatment. Our sedation medication of choice is IV Versed, along with other IV and oral sedation medications.

Editorial Staff

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