Dental Trauma and "Adjustment Disorder"

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
  • Hi, all I can say is to be really careful in what you are doing. I’m in my 50’s and from a result of treatment as a child, have had PTSD ever since, with flashbacks everyday. I had a meltdown when I sat in the dentists chair, I was to have 6 teeth removed, I bit one of the dentists and tried to climb out of a window. Four adults held me down and forcibly administered gas anaesthetic. I ended up in hospital for a week with severe dehydration from a severe shutdown. Obviously you have your sons welfare at heart, my personal thoughts are that he will never trust you again, from not knowing it was going to happen, if it was me,  I would spend everyday wondering if it was going to happen in that day again. He will have a mouth full of stitches, the sensory issues from that alone can be hell. Apologies if I sound blunt.

  • Oh Roy.  How awful.  I'm so sorry you went through that.

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