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smoking marijuana after wisdom teeth removal

HelloMD

“Do you know how long I should wait, or what would be the best way for me to smoke without getting dry sockets? I’m only slightly swollen today and off painkillers. Also, if I smoke before the operation to calm my nerves, will it affect the anesthesia?”

I know from experience that wisdom teeth removal can be a painful experience! Great care must be taken with oral hygiene to aide the healing process and to avoid the “dry sockets” you mentioned. Be careful with alcohol based tinctures (they can be irritating), and with anything you put into your mouth during the healing process. The “cotton-mouth” that many people experience with cannabis may also have some detrimental effects, so be sure to maintain an adequate moisture level in your mouth. I might suggest using a vaporizer (with pursed lips you should be able to avoid excessive vapor coming into contact with the healing tissue), or an infused honey, or easily ingested liquid/drink. Although not yet a reality, cannabis may soon be administered as a vapor through a nasal canula.

My husband just had 1 of his wisdom teeth pulled and he used 1/4 (12.5mg) of the Trokie CBD 50mg lozenge, once or twice a day. He placed a 1/4 of the lozenge between his upper gums and cheek (called buccal absorption) where the tooth was pulled. Not only did the pain melt away in about 30 minutes, but the CBD also has a natural numbing effect. The buccal absorption allows for most of the medicine to get absorbed right into the blood stream, missing the first pass metabolism of the Liver, so you end up getting more of the active ingredient CBD.

I think it would help you greatly but to stop pain and calm your fear. You should start ahead of time if possible but if not possible use a vape pen of AC/DC, Harlequin or Cannatonic. Why do we have pain, anxiety and fear? Because we imagine the worst, so stop that. Let your wisdom teeth go, don’t fight to hold them in, imagine that your teeth are sitting in soft butter and they slide right out. If you think a little buzz will help you be sure to have someone drive you to and from the dental office and use a CBD: THC @ 2:1 OR 1:1. You might be on larger doses of CBD at bedtime just stop all the inflammation and support your immune system and calm your fears. Don’t imagine the worst, Imagine that you made it through in five minutes and everything went perfect and easy and I likely will happen that way. Do not mentally resist the procedure but if you realize that you are resisting maybe you shouldn’t have it done. Any time we resist what our body is trying to communicate to us we will experience more anxiety, which leads to fear, which translates to pain. Have that talk with yourself, do you really want to have this done? If is yes, be happy you’re having it done and let it occur easily. You have much more control than you know but do not do high doses of THC like Sativa because you can flip yourself out with anxiety on Sativa or hi THC. Stick with CBD since it will help stop pain, inflammation & anxiety.

The general rules is to wait at least five days after your procedure. Patients undergoing oral surgery are advised to avoid smoking (whether of cigarettes or cannabis) because the sucking action can dislodge the blood clot that forms over the surgery site and lead to dry socket. Dry socket is an infection that can occur in the empty tooth socket, leaving the the nerve and bone exposed to air, food, and bacteria in your mouth. It is extremely painful (I experienced it firsthand and can attest to this!) and typically involves an emergency trip to your oral surgeon to have the site flushed, and then a course of antibiotics, and prescription pain killers as needed. Smoking also decreases blood flow to the gums, which slows the healing process.

Finally, the dry mouth you experience when smoking cannabis is something that negatively impacts your gum health. A recent study in New Zealand examined habitual cannabis smokers over a 20 year period and found that the one risk of this behavior was an increased rate of gum disease, regardless of hygiene, and other socio-demographic factors. Researchers believe that one reason for this is the lack of saliva to flush out bacteria from the gum tissues. When you do resume smoking cannabis after your post-surgical hiatus, make sure you are drinking lots of fluids to compensate for decreased saliva production.

Hi! I recently had my upper wisdom teeth removed and I was very honest with my dentist regarding my cannabis consumption.

He informed me that healing time varies by each patient, but typically you want to avoid smoking (cannabis or tobacco) from 7-14 days to prevent bacteria or opening of the wounds. It is also important to keep your mouth moisturized to prevent dry sockets, so avoid smoking to prevent “cotton mouth”!

My dentist also informed me that alternatives to smoking cannabis – edibles, patches, and tinctures – should not impact the healing process. Transdermal patches can be used for pain relief and are not consumed orally. Tinctures can be easily ingested by placing a few drops under your tongue. Personally, to tame my wisdom teeth pain, I found relief with drinkable edibles! Smoking is my preferred method of marijuana consumption, but to avoid issues with my extraction, I would enjoy cannabis-infused lemonade in the day, and cannabis tea in the evening to help me sleep. If you decide to use edibles, you’ll want to avoid anything hard or sticky, as chewing will be difficult for the first week or so. That said, if you decide to use an edible or tincture after wisdom teeth removal, make sure you remember to rinse your mouth with warm water and salt to prevent an infection.

As for consuming cannabis PRIOR to your wisdom teeth surgery, please avoid smoking as increased production of stupum could occur making your surgery more difficult.

Hope this information helps!

This is a very good question! Due to the seriousness of the situation, it is best to be cautious when combining any cannabinoid with local anesthesia. Definitely consult a doctor! There are a few articles online that talk about cannabis building a tolerance to anesthesia for a patient, not something you want happening during surgery. While established practices for cannabis and general anesthesia are not in place yet, other people have asked similar questions. Take a look here

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"Do you know how long I should wait, or what would be the best way for me to smoke without getting dry sockets? I'm only…

What weed smokers need to know before going into surgery

One day in 2016, Jennie awoke to sharp pain and a tugging sensation on the left side of her jaw — “like my jaw was being pulled off my head,” she recalls — along with the firm pressure of hands holding her mouth agape. She opened her eyes just enough to see human silhouettes hovering over her. Her body felt heavy, but also like it was floating; she tried to lift her arms, but all she could do was wriggle. What was going on? she wondered, scared.

“She’s waking up,” a male voice said. It was around then that Jennie remembered: She was in the dentist’s office, getting her wisdom teeth pulled. She must have awoken during the procedure. Almost as soon as she realized what was happening, the anesthesia pulled her back into sleep.

Jennie had been smoking weed at least once a day for the past four years. She smoked with her fiancГ© the day of her wisdom tooth extraction. “I had no idea it was going to affect the anesthesia,” says the 35-year-old, who lives in Arizona. (She requested that Mic publish only her first name out of concern for the legal repercussions of her weed use, since Arizona prohibits recreational cannabis.) Indeed, as legalization sweeps across the country, evidence has emerged that regular marijuana users need more anesthesia for surgery than non-users to ensure they become, and stay, sedated and don’t awaken mid-procedure. In plain, very urgent, English: If you consume cannabis on the reg, you need to let your doctor know before you go under for surgery.

Along with anecdotal reports, a 2019 study found that patients who reported smoking weed or ingesting edibles on a daily or weekly basis needed more than double the amount of the anesthetic propofol for endoscopic procedures (like colonoscopies) than non-users. They also needed 19.6% more midazolam and 14% more fentanyl.

Why marijuana increases your need for anesthesia remains unclear, largely because of its status as a federally illegal drug, which makes it difficult to research, Jeffrey Uppington, an anesthesiologist at UC Davis Medical Center, tells Mic. It’s possible that compounds in weed called cannabinoids — which tetrahydrocannabinol (THC, which is responsible for making you feel high) — affect the same receptors in the brain and spinal cord as anesthesia drugs do.

But, “that’s more speculation than we really know,” Uppington says. “The bottom line is, if you’re a chronic user of marijuana, you are more resistant to anesthetics, both those that put you to sleep, like propofol, and those that keep you asleep, like various anesthesia gases.”

Thanks to modern-day monitors that measure brain waves and other vitals, an anesthesiologist can likely spot when a patient is about to awaken and give them more drugs before they reach that point, Uppington says. But even if you don’t wake up during a procedure, you can still have issues. If you routinely smoke weed, your airway might be more reactive during anesthesia. You might cough more, experience bronchial spasms, and/or have a more active gag reflex, which is a problem if you need to be intubated, as with general anesthesia (the kind that puts you to sleep).

“If you’re a chronic user of marijuana, you are more resistant to anesthetics, both those that put you to sleep, like propofol, and those that keep you asleep, like various anesthesia gases.”

After surgery, you might also experience more pain, which may nudge you toward using more opioids and increase your risk of addiction to these substances, says David Hepner, the medical director of the Weiner Center for Preoperative Evaluation at Brigham and Women’s Hospital and an associate professor of anaesthesia at Harvard Medical School.

High doses of anesthesia also carry risks, such as causing significant drops in blood pressure, which may lead to a heart attack in at-risk patients, They may also delay awakening, Hepner tells Mic. For instance, propofol usually wears off in about five to 10 minutes but a marijuana user who requires a higher dose may take longer to awaken, delaying them from resuming their normal, day-to-day life.

Jennie’s wisdom tooth extraction left her so groggy that she needed to be transported to her car by wheelchair, and she doesn’t remember anything from the 45-minute ride home. As her fiancГ© drove, she drifted in and out of sleep, and didn’t feel like herself again for another three hours. In contrast, a friend she drove home after a dental procedure was a little groggy, but could walk to his car and felt fine when he got home, probably because he wasn’t a cannabis user, and therefore didn’t require as much anesthesia.

The amount of cannabis you need to consume for it increase your resistance to anesthesia remains unclear, though. Determining this threshold is tricky, thanks to the varying concentrations of THC from one product to the next, how long you hold the smoke in your lungs, and the many other variables involved, Uppington says. But it’s probably safe to say that using cannabis every day for a few years is more likely to affect your response to anesthesia than using it just once.

If you do smoke cannabis regularly, tell your anesthesiologist how much and how often, as well as the last time you smoked, Uppington says. They can then assess whether your use could increase your risk of being resistant to anesthesia and make adjustments accordingly.

While disclosing your weed use may feel embarrassing or even dangerous, remember that your doctor’s job isn’t to judge you, Hepner says. “We just want to understand the health of the patient and how the body may react to different medications to give them the most pain-free procedure.” He adds that it’s also important to mention any other substances or medications you’re taking, since they, too, may react with the anesthesia. Since physicians take an oath to protect patient confidentiality, they wouldn’t disclose your use of cannabis or other substances to your family, law enforcement, or anyone other than the medical professionals directly involved in your care.

No matter how often you consume cannabis, though, don’t use it at all on the day of your procedure, Hepner says. Taking an edible on the same day poses the added risk of inhaling it, which may result in a life-threatening lung infection called aspiration pneumonia. And if you come into the clinic high AF, you can pretty much count on your surgery being cancelled. Uppington recommends hitting pause for as many days as you can before your surgery, ideally a month, which is how long it takes for cannabis to be fully removed from the body.

Awakening mid-wisdom tooth extraction was eye-opening for Jennie. Since her doctor didn’t ask her specifically about her drug use, and she didn’t think smoking weed wouldn’t matter for her surgery, she didn’t mention it; in fact, she worried that if she did, she wouldn’t be allowed to undergo the procedure. “In the future, I would definitely inform my doctor of my cannabis use,” she says.

This article was originally published on Jan. 31, 2020

One day in 2016, Jennie awoke to sharp pain and a tugging sensation on the left side of her jaw — "like my jaw was being pulled off my head," she recalls — along with the firm pressure of hands holding her mouth agape. She opened her eyes just…