Helen DDS i have a question for you?

i'm not sure how to write back to you after you write to me.. so my sister and i have medi cal.. thats why we are going to western dental... it is a oral surgeon that is coming in from another office and taking care of us.. they said that she is really good and will do a good job! should i worrry or no?
--------------------
As long as the surgeon is an oral surgeon, then I wouldn't worry too much. It sounds like Western Dental has contracted with a surgeon to do extractions. She probably just goes there a few times a month. Then, on the days she's there, they book lots of people needing extraction. Oral surgeons have had tons of experience taking out teeth., whereas, general dentists rarely have. I did a residency for 2 years after dental school and did tons of oral surgery, so I would be able to extract most wisdom teeth safely (I still send them to a surgeon for time's sake). Western Dental will usually line up the patients in the chairs, the surgeon will go through and numb everyone first, then go back, room by room, and extract teeth. Take an iPod or book to pass the time while you are waiting. If it feels like any of the numbness is gone before she starts, ask her to "reinforce" the numbing. (ex., " You know, I never got really numb in this spot. Could you reinforce the block before you start?") This happens most commonly on bottom teeth. Your lower lip and chin should feel fat and rubbery. If it feels tingly, then get more numbing. (it's OK if the tongue feels tingly, though). Before she starts, ask her if there is some way to signal her if something hurts. (ex, raising your hand) Be warned, you will feel vibration and pressure. We cannot numb away those sensations. It's best to think of something else when you feel these things. With an oral surgeon, it'll be over quickly. It's good that you are young. Young people's bone is very flexible and the teeth come out fairly easily. (My record is from the time I started numbing to having the teeth out was 7 and 1/2 minutes). The surgeon will probably give you some pain medications, but they rarely give you enough information about them. As long as you are not allergic, you can take 3 Advils (600mg of ibuprofen) every 4 to six hours in combination with 2 tylenols. If you get a prescription of Tylenol with codeine (APAP w/ codeine) or vicodin (APAP w/ hydrocodone), you can still take the advil, then 1 prescription med and a plain tylenol. This is the best combination for pain. Be sure to take the advil before the numbness wears off. Medi-Cal doesn't cover a prescription of ibuprofen (Also known as Advil or Motrin) so hopefully you can get a bottle of generic from the store. If you have more questions, please feel free to email me at helen@helenalderson.com
Source