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Best, most effective drugs for a dentalphobe

  • Help me figure out which drugs I need to get through my next dental appointment. Realizing that I won't have dental insurance when the COBRA runs out in May, and knowing I have a dental phobia, I finally went in and got 1 1/2 crowns and a root canal. I did this by using 2 old 1 mg lorazepam pills, and in the case of the root canal, by paying the endodontist for lots of laughing gas. I thought my dental phobia was over. But when I went in for a filling sans drugs, I freaked, by which I mean I shook so hard the session was terminated. My dentist prescribed diazepam for our next visit; I went in, thought I'd be fine, and freaked again. What drugs can I ask my dentist - who does not offer nitrous oxide - to give me for the completion of the crown, and for that last filling? As nice as it would be to find a dentist who deals with phobic patients, I don't think I have time for that - COBRA ends in a month. I need effective drugs. Three 2 mg tabs of diazepam isn't doing it.

  • Answer:

    You may want to see if your current dentist can recommend a sedation dentist. I'm sure you're not the first patient your dentist has had who has strong anxiety.

goofyfoot at Ask.Metafilter.Com Visit the source

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Can you ask your doctor for lorazepam? S/he's presumably the one who prescribed it in the first place, and doc's are generally willing to give a small amount more of anxiety meds if you explain what's freaking you out. And yeah, it sounds like it wouldn't be easy to switch dentists now, but try hard in the future to find a phobic-friendly dentist. My dentist has a sign on the wall, "We cater to cowards" and it makes me feel better just to see it.

Margalo Epps

You're 1) trying to self medicate, and 2) asking random strangers on the internet to recommend prescription drugs. Don't do this. Besides, dental insurance is almost bound to be cheaper than COBRA, which charges ridiculous, even punitive premiums. Call around for quotes for dental insurance and do this the right way.

valkyryn

I'm sorry if my question comes off as quest for self-medication. My intention is to get some feedback from other dentalphobes on drugs which worked for them that a dentist can prescribe.

goofyfoot

I don't know anything about the drugs, but I just had my crown finished last week, and it was nothing. All they're really doing is cementing it in place.

MexicanYenta

Why not just ask for lorazepam again?

PhoBWanKenobi

I am not your dentist nor your doctor nor your pharmacist...but FWIW....I'm a hardcore dental-phobe, too, but my most recent trips to my dentist have been blissfully anxiety-free, thanks to (prescribed, legal) sub-lingual Halcion (http://en.wikipedia.org/wiki/Triazolam). It didn't quite render me unconscious, but it did put me in a state of utter relaxation and I just didn't care what the dentist was doing. Had a friend drive me home, slept it off for a few hours, and have virtually no memory of anything that happened in The Chair. YMMV>

davidmsc

Yeah Halcion really makes the dentist not scary at all - I had it for my first root canal. But it's sort of like using a bazooka gun to kill an ant. That stuff is strong. Actually, it kind of makes the dentist so un-scary that it goes back to being scary again because you're so drugged. I'd suggest switching dentists -- tell your dentist that you really need nitrous oxide and that you have to go to someone who uses it; s/he'll understand. Nitrous oxide was plenty strong enough for me and to be honest Halcion was a bit much for a root canal. I am super, super anxious about the dentist and have actually cleared out a waiting room on more than one occasion with my screams (seriously) so if the nitrous works for me, it should work for you.

k8lin

Not a meds recommendation, but my dental anxiety has been significantly reduced at dentists that had TV in the ceiling. Having the distraction, and maybe more importantly having my hearing blocked, always makes a huge difference. (I get twitchy even during cleanings.) You might consider taking your iPod or whatever; a Walkman made my horrible dentist bearable during my high school days.

epersonae

Can you at least wear headphones? That can help a lot. I'd also switch dentists to one that has the gas. There are ones that will put you completely under (for severe phobias), but I don't think the risk is worth it when the gas should be fine.

meepmeow

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