There will be more on this later YOU CAN JUST BET ON IT, but for now I will just say that I am finally having a top front tooth pulled and an implant put in, and I am conceptually horrified by this whole thing, and soon I will need to choose between having laughing gas during the procedure or being knocked out (I’m saying “knocked out” because I’m not sure what it actually is: on the estimate it says “deep sedation / general anesthesia”). Either way, it all takes place right in the oral surgeon’s chair (no hospital or anything). Either way, the procedure takes about the same amount of time. Here are the considerations, for me:
1. Anxiety. I’m not worried I’ll freak out to a can’t-do-the-procedure extent, at all. But the concepts involved are, as I said before, conceptually horrifying: it’s a front tooth, and it will presumably be removed from my mouth using some degree of force, and then a METAL THING will be SCREWED INTO THE UNDERLYING BONE, but maybe first they will need to DRILL OUT SOME BONE or else ADD SOME BONE. There would be some comfort in thinking I can just check out of the whole thing. See you when it’s over, let me know how it went.
2. After-effects/recovery. When I am put under, I usually have trouble afterward with nausea/barfing. I hate that. (And when I had my wisdom teeth removed, I threw up blood. BLOOD. Without knowing ahead of time that that would happen. It was a memorable experience.) I know there are pills/medicines for that, but still. There’s a waking-up time that I hate, and the whole thing is much more complicated. With laughing gas, they just turn it off and I’d be back to normal in a few minutes.
3. Risk. Going completely out is more dangerous.
4. Expense. Going completely out is much more expensive. This is my least concern—except I think that afterwards, when it’s all over, I might feel differently. Also, it feels babyish to pay so much more for such a relatively minor procedure: I’m not having a LIMB amputated. In earlier times, people used to just drink a pint of whiskey, maybe swab a little more of it on the gums! (The oral surgeon says that is no longer one of the options.)
I was basically set on the knockout until my friend Jillian heard the story and said that she personally would go with the laughing gas. “I LOVE that stuff,” she said. She says you can still feel things and hear things, and you’re basically aware of what’s going on, but you do not care one single bit. Everything is just PEACHY. Like, “Oh! I think there is some pain happening over there! Neat!” She says it takes away allllll the anxiety and stress, and that it’s a good thing it’s not available on the open market or she’d be on it constantly. Well. That sounds like what I might need.
But then I think of how nice it would be to just skip this, mentally. There are so few unpleasant experiences that include the “Wake up when it’s all over” option; perhaps I should go ahead and take this one. But then maybe I’m just postponing the unpleasantness to AFTER the procedure.
Or perhaps I should do the laughing gas to get a better story out of the whole thing, and because Jillian’s review really did make it sound pretty fun. I could do some added incentive thing, like, “If I save $X by going with laughing gas, I can spend $X on _______.”
Plus, I had two permanent teeth pulled when I was about 10 years old, to make room for the rest of my teeth. I didn’t have laughing gas OR get knocked out for that, and I don’t remember it being a huge deal. (To be fair to my current quaking self, back then I was at an age when having gaps in my mouth was familiar, and also looked normal to other people.)
I am leaning toward the laughing gas. I would like to know what you think, especially if you’ve had experience with this.