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Dental Trauma and "Adjustment Disorder"

NAS83709

Anyone with experience of recovery from dental extractions and general anaesthetic in adults??

We have a 31yr old severely autistic son who has refused dental treatment for years despite 50 hours+ of "desensitisation" from our local psychologist team and multiple attempts to cajole/persuade him to enter the hospital supported by our "multi-disciplinary team" over the past 7 years.

We finally (after presenting him as an emergency 12 months ago) have a date booked for "the procedure".

"The procedure" involves pre-med in the home environment supervised by an anaesthetist, car trip to hospital, at least 6 tooth extractions including 4 wisdom teeth, a trip to the recovery ward and a blue-light ambulance trip home followed by some form of short-term monitoring/nursing care.

All of this has to be done without giving "the patient" any advance warning and so is being "bought off" by the Court of Protection.

We are , of course, expecting severe recovery problems, his reaction is likely to be extreme but he desperately needs the treatment.

Does anyone out there have experience of handling a case like this? What strategies should we use? What help should we expect from NHS and Social services? etc ?

Thanks for any helpful suggestions.

PT and AT

Parents
  • NAS83709 said:
    at least 6 tooth extractions including 4 wisdom teeth

    He's going to need pain meds afterwards for a day or two. You should take advice about what to give him but I used a combination of co-codamol and ibuprofen alternating between the 2. Also you can expect at least one of those clots to come out which means regular mouth washes with salt water.

    Lets see I think I generally took cocodamol in the morning soon as I got out of bed. Then ibuprofen 2 hours after that then more cocodamol 2-3 hours after that and it cycled like that till my 4th does of cocodomol before bed. The pain from 6 extractions will be pretty bad for a few days.

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  • NAS83709 said:
    at least 6 tooth extractions including 4 wisdom teeth

    He's going to need pain meds afterwards for a day or two. You should take advice about what to give him but I used a combination of co-codamol and ibuprofen alternating between the 2. Also you can expect at least one of those clots to come out which means regular mouth washes with salt water.

    Lets see I think I generally took cocodamol in the morning soon as I got out of bed. Then ibuprofen 2 hours after that then more cocodamol 2-3 hours after that and it cycled like that till my 4th does of cocodomol before bed. The pain from 6 extractions will be pretty bad for a few days.

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