<p>I’m sure I’ve told this story on some other CC wisdom tooth thread, but basically what went wrong had its roots (no pun intended) in my D2’s fear of needles. Not just a “I don’t like them”, but a real fear. D1 has had a couple of oral surgeries from this oral surgeon and did develop dry socket, but even that was handled well. He comes highly, highly recommended. </p>
<p>When D2 went in, we gave him a history of her asthma and IBS, as well as her anxiety about the needles. They gave us the standard prep sheet, which stated no food six hours prior to surgery, and included a valium to take an hour before the procedure (which I think is stupid because by the time it enters the system and you get relief, it’s almost time for anesthesia anyway - I think it should be given at least two hours prior). Her procedure was scheduled for 9AM, and she had her last food at midnight, so she exceeded the recommendations by three hours. However, she had gotten herself into such a worked-up state the night before that as soon as she went under the next morning, she threw up… and the oral surgeon swears it was lots and lots of undigested food. When he told me he wished he had saved it to show me, I knew at that point we’d be looking for a new oral surgeon for the next procedure. I completely believed it was undigested, but I also knew she had been overly compliant with his pre-op instructions. I understood this was a very serious situation - she could have aspirated, and with her asthma, things could have gone south very quickly. But he kept insisting to me that she’d been non-compliant, despite her telling him (when she was in recovery and I was standing there next to her) that she had been compliant. After this back-and-forth for a bit, he finally admitted that sometimes people can get themselves so worked up with worry that their food will not digest properly and timely. Unfortunately, the way he spoke to us had already sealed the deal that we would not go back.</p>
<p>So now my daughter, who has just had a lot of bone removed along with her bottom wisdom teeth has an incredibly upset stomach, has absolutely no interest in any kind of sustenance, so when she took the pain meds on an empty stomach, it just exascerbated the nausea, furthering her insistence on not eating. The not eating led to a very, very stiff jaw, which then became painful and further disinterested her from food. Had it not been for the ice packs and warm compresses (after a couple of days), I can’t imagine how long it would have taken her to heal. Her swelling actually wasn’t too bad (no bruising, either), but her jaw was so sore, and her stomach so upset, that recovery was complicated.</p>
<p>So we will take a different approach this time around, and ask for two or three valiums, so that she can take one or two the day before, as well as the morning of, which hopefully will help ease her nerves so that her stomach will work properly! I think they gave her Tylenol #3 the last time, and she feels it didn’t really help (I told her she can’t really know because she doesn’t know what it would have felt like if she hadn’t taken it!). But I’m feeling so much better now knowing that the uppers are generally easier to come out than the lowers (info I got from a PM - thanks!), so at least if we can stay on top of the pain, she might be more likely to exercise her jaw. </p>
<p>She already has the name of a dentist near school, which we almost used just to have her go get some x-rays, but the oral surgeon’s office here offered to do the x-rays and consultation the same day, and we’ve already scheduled the procedure.</p>