This is topic I have to go to the dentist, blah. in forum Medical Questions at LymeNet Flash.


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Posted by BuffyFan (Member # 34679) on :
 
I discovered a bump on my lower gum and it's a blue/grey color.(it's not an amalgram tatoo, I have one and the bump is above it) Has anyone ever had this?

do I need to let my dentist know that i have lyme and am on antibiotics?
 
Posted by Keebler (Member # 12673) on :
 
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Yes, for your dentist, you need to list all the Rx you take - and inform him that you are being treated for chronic lyme (and any other infections or conditions).

The dentist may use some kind of agent or prescribe something that could be contraindicated with your current Rx.

Also, just in case current Rx may affect the mouth, they also need to know everything you take.

Unlike most other doctors, the dentist is unlikely to dismiss you or toss you out to the curb. Still (and especially depending on if you life in a "lyme-hostile" state) the dentist may not know much about lyme or tick borne infections.

The problem in you mouth may not be at all connected to lyme but, even if not, the state of your body and the Rx you take do need to be considered.

The dentists I've found are not hostile about lyme, they just don't know. But I get no "attitude" from them. They are genuinely concerned, yet puzzled by the changes in my mouth.

They do keep pointing me toward treatment for the generic "autoimmune disorder" and I do tell them that the steroids I've been offered would not be safe with chronic lyme. But I live in a state where lyme education is nearly illegal so they just don't know.

If at all possible, find a dentist who is lyme literate and ILADS "minded" in that they really understand lyme and have followed the research on that.
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Posted by Keebler (Member # 12673) on :
 
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If you are to receive any injection of a numbing agent at the dentist, be sure to have them give you the kind without epinephrine and have them write on the inside of your chart:

NO EPI


Epinephrine is frequently in the anesthetic so you have to specifically ask for the kind with that left out. You might call now and make sure they do carry the "No EPI" kinds.

Epinephrine makes it easier for the dentist to work on you (I think because there is less blood but not sure I remember why).

However, epinephrine - even just a tiny bit - can cause neurological & adrenal excitation / irritation, even anxiety and seizures for some with lyme (I found out the hard way).

This can also be part of the reason many report such "pay-back" for a day or more following just GOING to the dentist even if the procedure is relatively minor.

Of course, the noise, lights and other stressors also contribute to that "pay-back" so be sure to plan light "duty" after the appt. and for the next few days.
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