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Help needed for guidance

I need some help/guidance for COPD and dental procedure. I have been a year with tooth needing extraction. My anxiety would make my BP spike, dentist not touch. GP, not helping. Would someone have any idea where i could go to ask a professional for proper guidance. This covid has exhausted health care workers in our area and now have another chip tooth and the pain is making it unbearable to concentrate. Thank you


  1. Hi Carol, and thanks for your post. I hear you! This pandemic is making it quite challenging seeking out regular medical and even, for some, dental care - you certainly make a good point!
    In my area (Long Island, New York), it took the dental practices some time to crank up to full speed, but within 3-4 months everyone (here) seemed to be working quite well. They kept to their appointments, did not double book, used air purifiers (several of them), throughout the office and, of course, wore proper personal protective equipment (PPE).
    I will share with you, that during the past year, I needed several extensive and complicated dental procedures, from three different specialists and, I am happy to report, everything went pretty smoothly. The medical doctors that I am seeing were able to support these dental procedures medically as well.
    My suggestion would be to look around to see if anyone (besides your dentist and GP), have gotten themselves back to functioning normally. If it is happening here, I would hope other areas might be able to offer you proper care and treatment.
    What do you think?
    Leon (site moderator COPD.net)

    1. Leon, thank you for your suggestions. It is comforting to know someone is listening.

      1. I haven't had any dental work done for years, as I had all my teeth out years ago. So, no more of that pain and anguish. I'm glad of that now, especially since I now have this COPD. But I will say this to you: If you go to have a tooth out, they will use a local anesthetic rather than a general one, which is the kind you would need to be worried about. The local will get you through most of the immediate pain, and will be okay from there, as long as you make sure any infection is cleared up before you have the tooth out. That is imperative. You must make sure that if you do have an infection it is cleared up with antibiotics first. Then you should be good to go. They should have already told you this (the Dentist AND the Doctor). The two things about a dental infection are - that it can kill you, and that when you have one, no local anesthetic can deaden the infected nerve. The deadening simply does not work. At all. So, if there is an infection, they will need to give you antibiotics for a couple of weeks or more to clear it up before proceeding.


        FYI - An interesting fact about dental infections is that, up until modern dentistry came about in the 20th century, up to half of all human deaths were caused by dental infections. Evidence of this is found in the histories and medical journals all the way from the dark ages and renaissance all the way to the early 1900's! Why? Because, while an even larger percentage of deaths were caused by infections of all kinds, such as with broken bones and internal organs as well as injuries, not everyone suffered those, but literally everyone did suffer from dental problems. And like Paul Harvey always used to say, that is the rest of the story!

        1. And, oh, yeah, I left out one very important fact - there were no antibiotics yet. Infections are still responsible for a large percentage of deaths, but nothing like it used to be. And now, of course, we have antibiotic-resistant infections. Aargh!

        2. thank you for the interesting information. As i told Leon, it is comforting to know someone is listening and sharing .

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