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Dentistry/dental shots without epinephrine
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Question
I need to have dental work done that i have put off for 10 years because the shots with the epinephrine cause rapid, pounding heartbeat for about 20 minutes straight that made my heart hurt painfully. I have been told I could get shots without the epinephrine but that that it would cause too much pain and too much bleeding. The dentist decided not to work on me. What could my options be now?
Dear Dawn: Find another dentist. There are several anesthetics that do not contain epinephrine, that block pain and do not cause bleeding (Carbocaine being just one). I know the nature of your condition, and it is likely IST (intermittent sinus tachycardia). My wife was recently diagnosed with this relatively new heart condition, where the regulator of the heartbeat (sinus, in the heart) becomes easily irritated, and causes the heart to beat rapidly, like yours. Epinephrine is only one of the things that can cause the rapid heartbeat. If the non-epinephrine anesthetics do not work for you, you may need to be given medication prior to your visit that will help regulate your heart. Or you may need to be put to sleep for your dental work. Good luck. dd
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Answers by Expert:
- Joel S. Teig, DMD, Diplomate ABOMS, retired
- Dr. Randolph Myerson
- Gary Backlund, DMD, MSD
- Howard Finnk, D.D.S., P.A., CEO
- Tony Appleton BDS DPDS
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- Lawrence Spindel DDS, www.lspindeldds.com
- Dr Craig Peck ( B.Med.Sc., B.Ch.D., M.Sc., Clin. Botox, Cosmet. Derm.)
- Benjamin Schwartz, DDS FAGD
- Susan Tannenbam
- Joseph Zelig, DDS, D.ABP www.smileinthecity.com
- Dr.Mike Glasmeier
- Larry Burnett DDS
- Ketan Amin, DMD
- Dr. Madhvendra T. Singh
- Simarjit kalra
- dr mayank kaurani BDS, MDS
- Mohamed Elsafi, DDS, MS, FACP
- Lawrence Gold
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Howard Finnk, D.D.S., P.A., CEO
Expertise
I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.
Experience
Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center (floridaimplantcenter.com). On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (nobhilldentalcenter.com), I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.
Organizations
American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)
Publications
"How To Save Money At The Dentist" Going to press soon.
Education/Credentials
Bachelor of Arts and Sciences in Psychology from Wayne State University
Doctor of Dental Surgery from University of Detroit College of Dentistry
Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida
Awards and Honors
Membership in The Vedder Honors Society
Past/Present Clients
HIPAA rules do not allow me to post this information.
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