It’s no secret that wisdom teeth removal is a major surgery. But what most people remember most about it is the various social media posts depicting people divulging their biggest secrets or being overly emotional afterwards. Just look online and you can find many people posting their friends or family members divulging secret love stories or talking nonsense after their wisdom teeth removal. So what gives? What makes you loopy after wisdom teeth removal? Is it the anesthesia? Yes…but only in certain cases. In this article, we will discuss what causes this feeling and what it means.
Sedation and Anesthesia: The Cause of Loopiness
The most common culprit for post-wisdom teeth removal loopiness is anesthesia and sedation. Anesthesia is a process of numbing the body so that surgery can be performed without pain. Sedation is the use of drugs to help a patient feel relaxed and pain-free during a dental appointment. There are different types of anesthesia and sedation but not all cause loopiness. The most common types used for wisdom teeth removal are broken down below.
With local anesthesia, you are awake during the surgery but your mouth is numb. This type of anesthesia is injected into the gums around the teeth that are being removed. You may feel some pressure and movement, but you should not feel any pain.
Local anesthesia is always administered regardless of what other anesthesia/sedation techniques are done.
Local anesthesia works by temporarily blocking pain signals from being sent to your brain. However, since the anesthetic is only used in your mouth it does not result in loopiness. Typically, you will only feel some numbness in your mouth and jaw that will wear off after a few hours.
Minimal sedation is when patients are awake during surgery but feel more relaxed.
This type of sedation is often achieved through the use of nitrous oxide, also known as laughing gas. Nitrous oxide is a gas that you breathe in through a mask which results in a relaxed and carefree feeling as well as reducing the ability to perceive pain. It’s a super-safe type of sedation that is frequently given to women going through childbirth to minimize discomfort and anxiety.
Laughing gas is a very straightforward sedation technique and typically fully wears off before patients leave the dental office. Thus it doesn’t usually cause loopiness. Although not as common, minimal sedation can also be achieved through oral sedatives which are discussed below.
With this type of sedation, you are awake but may drift in and out of sleep. It is also extremely common to experience partial or complete amnesia. This means it is very common to not remember anything about your surgery once it is over. Moderate sedation also means you can be more easily woken in cases of emergencies.
In moderate sedation, you are typically given a sedative pill, which is either swallowed or dissolved under the tongue. The best class of drugs to use for oral sedation are benzodiazepines such as Diazepam (Valium), Triazolam (Halcion), Midazolam (Versed), Lorazepam (Ativan). These drugs work by depressing the central nervous system, resulting in relaxation and drowsiness that typically take hours to wear off.
Moderate sedation can also be achieved through a mix of oral sedatives and nitrous oxide. It can also be achieved through IV Sedation which is discussed below.
With deep sedation, you are on the edge of consciousness and may not be able to be easily awoken. You are also extremely unlikely to remember any part of your dental appointment. This type of sedation is typically only used in high-risk patients or for very long surgeries.
Deep sedation is usually achieved through IV sedation which involves the administration of drugs through an intravenous line directly into your bloodstream. The drugs used for IV sedation vary depending on how deep the sedation is required.
Moderate Sedation is achieved by using a benzodiazepine, most commonly midazolam or diazepam. Deep Sedation is achieved using a benzodiazepine and an opioid.
General anesthesia is used when a more complex surgery is being performed or if the person prefers to be asleep during the surgery. It will result in you being completely unconscious and unable to feel any pain. Usually, it is not required during wisdom teeth removal.
Whereas all other sedation/anesthesia techniques can be performed by dentists, general anesthesia requires a separate medical anesthesiologist to be present during your procedure. This is because general anesthesia is a lot deeper than all other procedures listed above and results in a complete inability to be woken up. It can also remove the ability of a person to maintain their airway to breathe.
General anesthesia is typically achieved through the drug propofol. Propofol is administered through an IV and works by depressing the central nervous system to the point where you are completely unconscious.
Which Sedation Types Cause Loopiness?
The type of sedation/anesthesia techniques that are most likely to cause loopiness after wisdom teeth removal are moderate sedation, deep sedation, and general anesthesia. This is because all of these types of sedations involve the use of drugs that depress the central nervous system. The more depressed the central nervous system is, the higher the likelihood of experiencing side effects such as loopiness.
Typically results of these techniques include feeling “out of it,” overly emotional, loopy, lacking inhibitions, having slurred speech, or behaving in an exaggerated manner. Don’t worry, this is all temporary and will pass as the drugs leave your system! The only side effects may be a slightly bruised ego and a new video posted to the internet.
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No two mouths are the same, and each oral situation is unique. As such, it isn’t possible to give comprehensive advice or diagnose oral conditions based on articles alone. The best way to ensure you’re getting the best dental care possible is to visit a dentist in person for an examination and consultation.