Hi bolam56,
You sound like you have quite a bit of experience with anesthesia. Thanks so much for sharing.
Have you ever heard of Dr. Wesley Shankland or Dr Jerry Bouquot? I had not until recently. In fact, I know nothing about this subject until my recent online and via phone consultation research. So I'm sending a website where Dr. Bouquot's work is discussed:
www.maxillofacialcenter.com/indexNICO.htm
Dr. Shankland's site is easier for me to find information about NICO (cavitations) so I include a quote from:
www.drshankland.com/osteocavitation_lesions.html#6
Wisdom Teeth Sites: Research findings indicate that 45% to 94% of all cavitational lesions are found at wisdom teeth extraction sites. These areas are anatomically predisposed to develop these bony lesions because they contain numerous tiny blood vessels which are apparently, easily damaged from trauma (oral surgery in these areas) and osteonecrosis can easily develop. Also, many local anesthetic injections are given in the wisdom tooth areas and many of the local anesthetic solutions contain vasoconstrictors (especially epinephrine) which is used to intentionally close or shut-down the blood supply to the bone, teeth and gingiva to prolong the effects of the anesthetic and reduce bleeding. The actions of closing down the blood supply to these wisdom tooth areas may be a major cause for NICO development.
As you can see, this dentist is teaching that \"vasoconstrictors (especially epinephrine)...may be a major cause for NICO development.\" (see above)
Since I have four extraction-sites in my mouth from dental work done years ago, and since Dr. Shankland says \"that 45% to 94% of all cavitational lesions are found at wisdom teeth extraction sites\" (see above) I wonder if I already have NICO. It seems prudent to test for this and also prevent new dental sites from developing it.
One way I have read (in the Dental Amalgam Mercury Solutions, DAMS Health Guide, phone: 651-644-4572) for this disease to be identified is to have a Cavitat Scan, costing about $350 (and very hard to find a dentist who has the equipment and training...) According to DAMS, another way to detect it is to do a panorex x-ray. However, the two dentists mentioned above, have to my understanding, indicated that most dentists are not trained in how to read the x-ray for NICO development.
Apparently,(and what if this has something to do with those having mercury removed, yet they show little improvement in their symptoms) dental extraction patients need to see if they have NICO. I know I want to find out if I already have it, and I am doing everything I can to prevent it in my new dental extraction sites. (and fillings too)
The other reason that don't want vasoconstrictors (epi shots) is because one of my long-term symptoms is heart palpatations. This symptom has been going on for the better part of six years and sometimes it is
very disturbing. I had to give up ALL caffiene years ago and still, my heart pounds. MSG is deadly to me, so is it in its hidden forms, i.e. yeast extract, aspartame, etc. Even less than one tsp of organic honey set me into serious bed-ridden palpatations. Additionally, in years past, I used inhalers with epinephrine for my asthma, but it was just too much for my heart!
Anyway, I hope the reader with read/research this for yourself. If you research, would you reply to this thread?
I recently had a phone consultation with an individual who has five dental sites of NICO and the estimated cost to clean each site is $900 each, so you can see that prevention is the best key to health, and the longer the NICO site goes untreated, the more damage done to the human body.
If vasoconstrictors in pain injections is a major cause, and if epi will cause my already-sressed-heartbeat to beat even harder/faster, then can you see why I don't feel comfortable with this shot?
Alternatives I have read about are Priocaine, Mepivicaine, Novacaine, and Lidocaine. Each of these
may have an adverse side effect for the sensitive dental patient, including rapid heart rate, CNS toxicity, etc. I'm going to try to get more info and post more about these options because there simply has to be a safe alternative. Isn't that what alternative dentistry is all about?
I hope I don't frustrate my dentist.

Thanks for everything! Take care of each other!
gr8ful*<br /><br />Post edited by: gr8tful4life, at: 2009/11/09 16:23