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Old 04-02-2009, 11:05 PM   #16
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Juvenile tooth extractions aren't so bad, because the roots are very short. Adult tooth extractions can be very upsetting because the roots are deep and strong. If you can get nitrous, please do so! I'm sorry you have to go through this, and I hope it goes very smoothly.
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Old 04-03-2009, 01:38 AM   #17
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Quote:
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Has anyone had extractions done under just novacaine? How torturous is it?
It won't "hurt", but it won't be pleasant.
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Old 04-03-2009, 06:24 AM   #18
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wolf,

As a pre-teen, one of my adult front teeth was accidentally broken. A root canal was done and a crown affixed. A few years ago, the underlying tooth gave out. I elected to have a dental implant which entailed oral surgery. The remaining tooth was extracted, the gums incised, a hole was drilled into the jaw bone, a threaded titanium post embedded, the gums sewn back together, and I was wide awake for the entire procedure which was done with local anesthetic and without nitrous oxide. The only pain I felt was the insertion of the needle when the anesthetic was injected. That stung enough to autonomically make my eyes tear; but, lasted only a few seconds. After the gums healed, an artificial tooth was threaded onto the titanium post and permanently sealed. It will last me the rest of my life.

I had an advantage going into the procedure in that I knew what to expect. My prior military occupation as a Special Forces medical specialist included formal training in basic dentistry (i.e. administering anesthetic for nerve blocks and local infiltration, simple extractions, excavations, and temporary restorations). On my first day of clinicals (on the job training), I performed 17 extractions. My supervising dentist was looking over my shoulder for the first two and then he was down the hall, in his office, should I need him for the rest. I subsequently performed many more extractions.

Here's the deal:

When the needle is inserted to inject the anesthetic, you may feel a sharp stinging or burning sensation; but, it will last for only seconds. There may be several injections depending on which tooth is to be extracted. Once an area is numbed, subsequent injections to keep it that way do not hurt if you alert the dentist at the first inkling of pain sensation (which may not occur at all depending on the duration of the procedure).

While you're completely numbed up, you may still perceive a disconcerting amount of pressure (not pain) being applied to the tooth and jaw as the tooth is rocked in its socket to loosen it, levered up and/or pulled out. Sometimes a tooth can be alarmingly stubborn due to its contours. I've seen a dentist spend a lot of time wrestling with a tooth to avoid complications.

It there are complications (e.g. the tooth won't loosen enough to be pulled out intact; or, the crown breaks), the dentist may use a drill to bisect the tooth an take it out in pieces in which case you may perceive a disconcerting amount of vibration (not pain).

The entire procedure can be messy, noisy, aggravating, fatiguing, and even disappointing if complications arise. More typically, all goes smoothly and it's just an annoying inconvenience for anyone with a decent pain threshold.

It's somewhat analogous to learning to shoot centerfire. At first, the recoil seems like it should be painful; but, you immediately realize that it isn't. Still, the recoil is quite disconcerting, so you flinch. After awhile you get used to it though it remains a nuisance. A few hundred rounds later, your hands get fatigued and you're not having fun at all anymore. Now you're hoping there aren't any malfunctions so you won't have to perform immediate action drills; because, you have to keep shooting until the dentist says you're free to go.
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Old 04-03-2009, 09:31 AM   #19
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I had my wisdom teeth taken out about 12 years ago. I was in the same boat as you. Insurance would not pay for anesthesia.

I don't remember the pain being too bad, but the sound is terrible. I was sure they broke my jaw.
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Old 04-03-2009, 10:19 PM   #20
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My husband just got $3000+ done with "conscious(SP) sedation" They almost all the way put him out.. and my insurance paid 80%
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Old 04-04-2009, 11:49 PM   #21
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My dental work is not yet done. I must return Thursday to have the permanent crowns put in, on top of two root canals and three cavities, plus moderate enamel deterioration. All uppers and three lowers. I will have the rest of the lowers crowned soon to complete the set, but that will wait until I save up money. I have a dentist in the fambly, in Mexico. He put me, the big chicken in a dentist office, under totally, for which I was eternally grateful. I once tore a hole in the chair padding during a simple repair of a filling gone bad. Cost me $200 extra for the magic shot. Oh, and 30 extra minutes for the anesthesiologist to come in. Total bill, $3300, for which my dental plan will be billed double, in case they disallow some parts and maybe a little extra to the RV savings acct. Try coming here next time, I was favorably impressed, for the first time ever. Fastest service I ever had, and only one small form to fill out. Despite twenty or so people waiting, I was seen in minutes and fixed in less than two hours.

My only minor beef was the procedures were conducted in Mexican, which was translated by a handy-dandy translator plus my wife to help him over the rough spots.

I'd go back, which is something I NEVER thought I'd say about a dentist.
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Old 04-08-2009, 10:05 PM   #22
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Two fillings down, one more to go in two weeks. One of my teeth was only filled with a temporary filling. The dentist said it was pretty bad - thus a root canal is inevitable or if I want, I can just have the teeth pulled. If it was the very last molar, I would probably just have it pulled, but it's the second to the last one, so I guess root canal it is.

Are root canals really as bad as people say?
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Old 04-08-2009, 11:05 PM   #23
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The drilling and grinding seemed to be par for the course as for a regular fililng, but more so.

What I was not prepared for was the smell of the melted plastic that was used to fill in the hollowed-out space.
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Old 04-09-2009, 12:03 AM   #24
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The antibiotic seems to be working, no pain at all ... just have to get momwolf through her surgery and I can go back to obsessing over having my teefs yanked.
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Old 04-09-2009, 08:16 AM   #25
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Thank goodness for small mercies, wolf.

I gotta find me a dentist here in MD. I have pretty good teeth, thanks to Indian genetics, but I still need the cleaning and xrays from time to time.
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Old 04-09-2009, 08:40 AM   #26
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Quote:
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The antibiotic seems to be working, no pain at all ... just have to get momwolf through her surgery and I can go back to obsessing over having my teefs yanked.

Ok. IF you want the antibiotic to work and refuse pain meds, that's on you.


I'd buy them from you as you very well know.


lovevibes to your mom....she brung you up right.
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Old 04-17-2009, 02:21 PM   #27
wolf
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FUUUUUCK.

Maybe next time I need an extraction, I'll go for the full-under.

There was some infection under the root on #13, and I had pain despite three rounds of novacaine.

The one on the other side (#5) just didn't want to let go and he had to resort to the drill.

It's time to take some Vicoden.
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Old 04-17-2009, 03:34 PM   #28
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it's Vicoden Friday!


YAY!
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Old 04-17-2009, 03:48 PM   #29
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So sorry Wolf. Enjoy the Vicoden!
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Old 04-18-2009, 02:59 AM   #30
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I'll bet that dentist even kept your extracted teeth to put under his pillow at night and collect 50 cents from the tooth fairy ... the bastard.
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