1. Is sedation dentistry a good route to take for a patient with
Fibromyalgia and facial pain history?
Sedation dentistry can be a good modality for patients with
facial pain and fibromyalgia because greater comfort is provided
during dental care. Oral sedation provides a level of relaxation and
sometimes a degree of amnesia during the care appointment. Depending
on the needs of the patient, I will often use intravenous sedation
because it allows me to make the patient even more comfortable, pain
free, relaxed, and gives the patient the perception that they were
"out" for the procedure. With intravenous sedation, I'm also able to
give medications that make the post op more comfortable as well.
Over the years many fibro patients have told me they get, "two good
days after" my procedures where they are generally pain free of the
fibro. Regarding the trigeminal neuralgia, there are adjunctive
medications that can be used (orally, or intravenously) during your
procedure to address additional pain pathways to best control dental
pain and provide the maximum comfort to you. Many fibro and facial
pain patients have in general reached the limit of their suffering
and want to minimize suffering through anything else, if they can. A
consultation would help us determine the best approach for you.