I have never had an isssue with lidocain or gas. Im a dental whimp and they use both on me. I do fine but that doesn't mean you wont have a prob.

If I thought it set of my crisis, I wouldn't touch it again. But that's just me:)

Best wishes with it.

Jeannie

So let's see , why am I scared...50 50 chance it killed me.
Funny aye....one could say...oh don't worry it won't kill ya....with this stupid desease....yes it could.

Ann,
Remember to take the Dental part of the handbook for Healthcare Providers starting at page 100. Nitrous would be enough for a crown, but they might have to put you to sleep and given your history it would be safer to do the procedure in the hospital with the anesthesiologist present who knows about myasthenia. I would not let them reassure me that nothing is going to happen if they feel it is necessary to give you one of the caines.
b.

I did not have any trouble. Had a deep cleaning so got plenty of Novocaine. I was afraid and I totally understand your fear.

There are certain caine's that are safer, I believe. My dentist has been looking into it, but my neurologist won't let me have the needed work until I am stable, which lately feels like it will be the 12th of never...

Would your neuro & dentist consult with eachother? If that's not a possibility then you might consider a call to the neuro yourself. I'm overdue with my denatl work and am on pins and needles thinking
about it.
Larissa

Yes the dental office is consulting but my neurogist is out of town. My crisis happened 3 days after my dentist visit last time with lidocain and I have decided my life is in hands. I just have to find the right anesthetic so I am comfortable. I can afford to loose a few pounds anyway so eating soft ffods will only benifit me. Interesting I had to get to this point in life that I now realize I am in charge of my own life. God will turn this bad situation(illness is evil). God didn't make it happen but he will help me and it is making me reevaluate who is incharge of my life.
Ann

holy snikies, now I don't want to go to the dentist.....just saying. I actually had an absess (part of one of my wisdom teath got left behind for years and I didn't know it) and I am assumming the lidocane is the liquid stuff they numbed it up with. I did fine, that was before I got sick like this last oct/nov. My dentist had to dig it out, it was awful as that is the first dental work I have ever had done.
In my opinion, if you are not comfy with what is going on the stress is lible to kick you but, so you need to do what you need to do to make sure you are comfy with what is being done,

The most dangerous thing we can do is to neglect to have dental work done. If you catch problems early, work can be done in the dental office with nitrous, which is safe for us.

I told my neurologist and his fellow last visit that an electric toothbrush is not a luxury for someone with MG, but a necessity; not only because brushing is hard and tends to get abbreviated, but because the consequences of having dental work and infection can be so severe.
b.

bweeds,
So how would I knub my nerve without lidocain?

Ann, the nerves don't get numb with nitrous. It acts centrally so the brain still gets the message that there's something going on, it just doesn't care. Mich like aspirin and morphine work to relieve pain. How much nitrous the brain takes not to care depends both on how anxious the patient is ( their state of arousal) and how severe the pain is. Lots of nitrous puts you to sleep (anesthetic). I don't know how to judge just how much pain and how much nitrous your particular procedure would call for.

I had it to replace a deep cracked filling and it was the easiest dental visit I can remember and I walked out feeling better than when I walked in, admittedly partly because I was so relieved, but no numb mouth or sore gum from the shot.

Thanks you so very very very much
Ann

Today I was told if it was the lidocain that cause my crisis last March, the crisis would have been immediate. I was admitted to hospital 3 days after the lidocain at my dental visit. My dental office said they won't do just the gas. I am holding off but still feel like I am in a delema. They said they could recommend a dentist who does do sedation.
Ann

Ann, I ran a Dental Office for 14 years. As anxious as you are I would suggest that you see a Oral Surgeon. I had a infected tooth before I went to work for Dentist and had to have a RCT. I was so scared that he couldn't get that tooth numb that he went to a Oral Surgeon's office, he put me under with IV sedation and my Dentist did the RCT. A Oral Surgeon just might be the answer.

Hi Ann,

Keep us posted!! I have not had any trouble with Novacaine at the dentist and didn't even think a local anesthetic would be of concern.

My dentist is very aware of my Myasthenia and never seems concerned.

Good Luck!! I am sure you will do just fine with whatever procedure/method you choose. i think the idea of an oral
surgeon sounds great because they deal with anesthesia more often!!
Robin