Our bodies work differently. Some dental patients don’t respond to local anesthetics by getting numb. This is understandably concerning when you need dental treatment. (And the word “concerning” may be a huge understatement!)
It’s important to recognize that bad experiences in the past don’t guarantee that you will never be able to become numb.
At Shwarts Family Dentistry in Richardson, we take extra time and care with people who have historically had issues getting numb. Various methods used with different medications can overcome numbing factors. We will find the accurate combination to make you comfortable.
Let’s discuss the possible causes.
What Can Affect How I Respond To Numbing Medication?
A pH Imbalance
Your body’s pH level is a measure of the acidity or alkalinity in the blood and other fluids. Also referred to as acid-base balance, the pH scale goes from 0 to 14. A pH below 7 is acidic. A pH above 7 is alkaline or basic. 7.40 is considered a normal blood pH. Your lungs and kidneys work continually to monitor your pH balance.
When the pH level is abnormal, numbing agents can be less powerful. Medical conditions such as asthma, emphysema, untreated diabetes, and cancer can influence pH levels.
An Acute Local Infection
This is related to the previous section because an infection changes the pH balance. If a dental patient has an infection in their mouth (sometimes called a hot tooth), it may need to be treated with antibiotics prior to dental care.
Active Metabolism
If painkilling medications wear off swiftly, it could be due to an extra-active metabolism. Intensive exercise and caffeine can speed up your metabolism. It’s best not to overdo either of these immediately before dental treatment.
Differences In Anatomy
When administering local anesthetics, dentists need to locate your nerve(s). But everyone is wired differently and X-rays don’t always give a clear picture of the location of nerves. The size and shape of your jaw and the amount of fat and muscle influence where nerves are located. Some individuals even have an extra nerve whereas most people have only one.
The Patient Moves During The Injection (We Want To Get On Your Nerves)
We get it. It’s not easy to stay perfectly still when your dentist is putting a needle into your mouth. But you want the painkiller transmitted to the nerve and it’s difficult to hit a moving target.
Red Hair
People with red hair and fair skin may need additional painkilling medication. This sounds wacky, but it is backed by science. The gene that produces hair color (Mc1R) also impacts the pain receptors in the brain. The MC1R mutation that produces red hair is due to the production of pheomelanin. The presence of pheomelanin can increase the body’s sensitivity to pain. This is another way people with auburn tresses are unique. But if you are a redhead who has avoided dental visits, please schedule an appointment by calling us. We can help you keep your smile as uniquely beautiful as your hair.
Nervousness
Men and women who are extra nervous at the dentist may have difficulty getting numb. This could be due to a number of factors. Jaw clenching and holding your breath may change the way the body reacts to painkillers. Extreme anxiety may also affect the perception of pain even though there are no biological changes.
Ehlers-Danlos Syndrome
This rare connective tissue disorder influences a body’s reaction to the numbing medication
We Can Overcome These Challenges
Dr. Ellis Shwarts takes special care of dental patients who have difficulty getting numb. We use different medications and methods to work around these concerns.
There is no need to forego dental treatment if you have had problems with anesthetics. Come talk to us. We will keep you comfortable during dental procedures.
About the Practice
Dr. Ellis Shwarts and his skilled team have proudly served the dental needs of patients and families in the Richardson, TX community for several years! A Dallas native, Dr. Shwarts received his dental degree from the University of Texas Health Science Center in San Antonio and has spent countless hours educating himself and honing his skills so that he can provide a truly unmatched level of care. The practice offers a comprehensive range of preventive, cosmetic, and restorative treatment options. If you have any questions about the article or would like to schedule your next visit, feel free to contact the practice online or over the phone for further assistance: (972) 525-9283.