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Real members of MyLupusTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyLupusTeam Member asked a question 💭
Yazoo City, MS

Has anybody had to get teeth pulled or a wisdom tooth pulled . I’m in a great deal of pain I took a Tylenol. Which I know I might end up flaring up soon. I have anxiety when it comes to dentist I honestly rather be put to sleep then be awake for the procedure . Has any one did anesthesia getting a teeth pulled. I went to a dentist but they told me they couldn’t put me to sleep because my acid reflux which is crazy because I have been put to sleep for many procedures I never have heard of that.

September 14, 2025
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MyLupusTeam

Getting teeth pulled with lupus requires special considerations. While nitrous oxide ("laughing gas") is not recommended for people with lupus due to breathing concerns, there are other sedation options available. It's important to discuss your complete medical history and concerns with both your dentist and rheumatologist Show Full Answer

Getting teeth pulled with lupus requires special considerations. While nitrous oxide ("laughing gas") is not recommended for people with lupus due to breathing concerns, there are other sedation options available. It's important to discuss your complete medical history and concerns with both your dentist and rheumatologist to determine the safest approach.

Most dental procedures can be performed using local anesthetic (like lidocaine) which numbs the area. Many people with lupus successfully undergo dental procedures this way. Before any dental procedure, keep these important points in mind:

• Tell your dentist about your lupus diagnosis - you may need preventive antibiotics due to higher infection risk
• Discuss all medications you're taking with both your dentist and rheumatologist
• You may need to adjust certain medications before the procedure
• You can request sunglasses to protect from the bright dental lights if you have photosensitivity
• Work with your healthcare team to create a pain management plan that won't trigger flares

Consider getting a second opinion from another dentist regarding anesthesia options, since you've successfully had other procedures under anesthesia before.

September 14, 2025

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