I’m scheduled for dental implant surgery in mid-August. I have not told the dental implant surgeon that I am on methadone. I mentioned that I used to take Suboxone, and they got really anxious. So, I’ve hesitated to tell them about the methadone because they will probably cancel my surgery. I am afraid not to tell them about the methadone, though, because I know they need to sedate me. Can I make it through surgery without them knowing that I use methadone? – Thanks. Karlos from Chicago
Karlos,
Tell your dentist and periodontist about all your medications and any substance us before dental implant surgery
You must inform your surgeon about your methadone use, including your current dose and frequency. For your safety and to ensure you receive adequate sedation during your procedure, your surgical team needs to adjust its medication plan. This adjustment considers not only the amount of methadone in your system at the time of surgery but also how long-term opioid use can affect your body’s chemistry.
Please don’t worry that disclosing this information might cause them to refuse your treatment. Adjusting a sedation regimen to account for other medications isn’t particularly difficult for experienced professionals. If your surgical team seems unwilling to customize their approach for you or dismisses your concerns as unimportant, consider that a significant red flag. Your well-being is paramount, and you deserve a team that prioritizes it.
How to Find a Dental Implant Specialist
You should feel confident that your dental team genuinely cares about your needs. When looking for a new provider, consider starting with a general dentist rather than immediately seeking an oral surgeon or a periodontist (a dental implant specialist). Even when a specialist performs the implant placement, the overall implant case planning is typically overseen by a general dentist. A dentist with extensive training in cosmetic dentistry and dental implant restoration will collaborate by referring you to a surgeon or periodontist for implant placement, while they handle the restorative phase. The key is to find a professional with the correct credentials and expertise to ensure your care is comprehensive and tailored to your needs.
Dr. David Pumphrey, an Atlanta periodontist, sponsors this post.
