A 34-year-old female asked:
having dentistry work done. he said i will only need shots for numbing. i have pvcs and tachy. should i b worried?
18 doctor answers
Dr. Joseph Wineman answered
40 years experience Dentistry
PVCS and numbing: Discuss your cardiac issues with your dentist. Dentists can use a variety of dental anesthetics. 3% Carbocaine without any vasoconstrictor may be the best one for you based on your heart related issues, but it only provides profound anesthesia for 30-45 minutes so you may want to keep your appts short. Anti-anxiety meds may also be prescribed to lessen your worry about the procedures planned.
Answered on Oct 13, 2016
Dr. James Wright answered
33 years experience Dentistry
Ask a Cardiologist: It is always good to be concerned. For the best results consult with your cardiologist. Find out if you need premedication. Also inquire into anesthetics. Can you tolerate Lidocaine with epinephrine? Is Mepivacaine only recommended? A medical release will have you and your dentist feel more comfortable.
Answered on Apr 15, 2015
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Dr. Gary Sandler answered
54 years experience Dentistry
Cardio Consult: In cases such as these, it's always best to have your dentist consult with your cardiologist. This is a very common situation and easily handled. Most of the time as long as the dentist does not use a local anesthetic with epinephrine, there is to contraindication to treatment or the use of local anesthetics.If you feel it necessary, you should also discuss your concerns with your cardiologist.
Answered on Apr 15, 2015
Dr. Donald Rollofson answered
45 years experience Dentistry
Ask cardiologist: Your dentist needs to be informed about any relevant issues in your medical status. The answer may be as simple as changing the type of local anesthetic used but this question should be asked of your medical specialist who is treating these conditions.
Answered on Jul 4, 2015
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Dr. Marielaina Perrone answered
26 years experience Cosmetic Dentistry
Medical history: Agree you should inform your dentist of your history which was probably already done. Local anesthetic can be changed for a patient like yourself so should not be any worries receiving treatment.
Answered on Apr 15, 2015
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Dr. George Ayoub answered
18 years experience Cosmetic Dentistry
No: Not really but you can always check with an allergy doctor.
Answered on Apr 15, 2015
Dr. Earl Sandroff answered
43 years experience Dentistry
Not really...: Most people getting shots for dental work are more worried about the shots than the chemical results. The body naturally produces epinephrine and we use it in anesthetics to lengthen the effects of the anesthetic. If you are worried....ask your doctor to use anesthetic without epinephrine. Brink some music along and listent to that and help keep you relaxed and calm.
Answered on Apr 15, 2015
Dr. Lindsey Wolfer answered
43 years experience Dentistry
No: your dentist will use anesthetic without epinephrine; specifically for patients with heart problems
Answered on Nov 10, 2016
Dr. Lawrence Kessler answered
56 years experience Periodontics
Talk to your dentist: Let your dentist know your medical problems. He should not use an anesthetic with epinephrine. There are many other choices to numb the area so before they start tell them about your tachycardia
Answered on May 1, 2015
Dr. James Manning answered
43 years experience Dentistry
Consultation needed.: With your permission, your dentist and treating physician should discuss your needs, medical status, and dental treatment anticipated.
Answered on May 14, 2015
Dr. Brian Hoffman answered
14 years experience Dentistry
Maybe Avoid Epi: Depending on your medical consult and what you may need done dentally, avoiding the Epinephrine in the local anesthesia may be warranted in your case. BP and pulse should be taken before EVERY injection of local anesthetic to ensure you are in an acceptable range for treatment. Try Carbocaine, but only lasts about 45 min.
Answered on May 14, 2015
Dr. Fay Gyapong answered
31 years experience Dentistry
Consultation : With most individuals who have heart concerns, especially at your relatively young age, your dentist may want to consult with your cardiologist to discuss your status and perhaps make recommendations with regards to whether a vasoconstrictor should be avoided. It appears that you are being medically managed via medication and tests which is good to consider when electing treatment.
Answered on Jun 4, 2017
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Dr. Robert Douglas answered
51 years experience Orthodontics
No Worries: Discuss your medical condition and your concerns with the Dentist and he will take the necessary precautions. Good luck!
Answered on May 20, 2015
Dr. Robert Goldenberg answered
52 years experience Dentistry
Dental injections: I would say not to worry. As long as the dentist does not inject into a blood vessel (esp for lower injections) which he/she will confirm by aspirating the syringe during the injection. Natural anxiety can do worse thing for you tachycardia.
Answered on May 26, 2015
Dr. Mark Birnbach answered
48 years experience Cosmetic Dentistry
Dentistry: There are different types of anesthetic available and your dentist should take your medical conditions into consideration when deciding what would be best for you.
Answered on May 28, 2015
Dr. David Epstein answered
24 years experience Cosmetic Dentistry
Limit or avoid Epi : If you have a serious heart condition with a known arrhythmia it would be wise for your dentist to consult with your cardiologist. Most of the anesthetics used in dentistry whether it's "just fillings" or surgery have epinephrine in them. Epinephrine exists in your own body so you're not allergic to it, so to speak, but I have had many cases where patients feel like their heart races. Just check
Answered on Mar 16, 2016
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Dr. Debra Rosenblatt answered
38 years experience Dentistry
MD decisionb: As with most medical issues, it is important that your dentist speak with your primary care physician or cardiologist in reference to the type of local anesthesia that can be utilized. If the answer is to not use any epinephrine, then carbocaine will be utilized. This is up to your MD. Most dentists like to get a written letter from your MD for your electronic file.
Answered on Jul 30, 2015
Dr. Hunter Smart answered
8 years experience Dentistry
No: You should not be worried. Be sure that you have filled out your medical questionnaire thoroughly and make sure the office has an updated medical history. Your dentist should make note of the PVC's and tachy and will use the appropriate anesthetic for your situation. All dentists should be well versed in handling your medical conditions appropriately and safely!
Answered on Oct 10, 2016
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