Dental Work=Pain & Fear 
Author Message
 Dental Work=Pain & Fear

I've had a lot of dental work over the past 3-4 months after years of
neglect due mostly to fear.  Severe pain finally led me to seek treatment -
I had a root c{*filter*}and a crown first off.  The endodontist had given me some
Lortab for the pre/post surgery pain.  That seeemed to keep the pain away,
but I mostly think it was my new hope for the future (of my mouth) that kept
me from hurting.  My enthousiasm led to more dental work - fillings, crown
preps, crowns.  Repeated office visits and $$$.  Now my enthousiasm sucks.
I have a temporary on now that caused me great pain last week.  My fiance
told the receptionist that I was having problems, but I denied it when she
called me (machismo/stupido).  I go tomorrow for the permanent crown,
another filling, and my last crown prep.  I am afraid this will be the
mother of all visits and I dread the soreness it will produce.

My questions to this NG: what should I tell my dentist about the pain (and
my fear)?  Should I ask for or demand pain medicine, or does this seem like
some wimpy junky out for pills?  Should I expect to have dental pain with
associated fear after months of treatment (i.e. is this normal)? Has my
dentist pretended that dental pain would not be a problem because of
potential {*filter*}ion that could be produced from months of medication,
therefore helping him not to have the responsibility therin and me not to
have the associated {*filter*}ion problems? (I really didn't give a shit when I
was flossing out a peace of left-over Thanksgiving turkey fom behind this
temp, with my arms trembling and head throbing from the pain...ouch...just
to rinse with warm water that shocked the sensitive nerve with a temperature
change(I guess-not a DDS!) that sent me to the floor for about 45 minutes)
Was zu tun?

Any suggestions are welcome!

Jason



Fri, 25 May 2001 03:00:00 GMT
 Dental Work=Pain & Fear
Jason,
Hopefully the pain you were getting was from cold or sweets leaking under
the temporary.  If the pain started on its own (sponataneous) without cold
touching it, it could mean the tooth requires a root canal--it happens some
times after crown preps.  By all means, tell the dentist your symptoms
before he cements the existing crown.  Let him make the decision at that
time if it needs a root canal.  Don't wait until the crown is cemented!  I
promise he won't think you're a wimp.  If he does, find a new dentist.

Ray



Fri, 25 May 2001 03:00:00 GMT
 Dental Work=Pain & Fear
I go tomorrow for the permanent crown,

Quote:
> another filling, and my last crown prep.  I am afraid this will be the
> mother of all visits and I dread the soreness it will produce.

Be honest.  The dentist needs to know the status of that tooth      
*before* cementing a permanent crown.

When you are having a lot of rebuilding done there are often some teeth
"on the edge" that "might" get by with just a filling or a crown.  But
they might not, and end up with a root canal.  The only way to limit any
possible toothaches from these teeth is to do root canals in all
questionable teeth.  

Work through this one setback, and see if you don't get back on the
right track.

SWF DDS



Sat, 26 May 2001 03:00:00 GMT
 Dental Work=Pain & Fear

Quote:
>Hopefully the pain you were getting was from cold or sweets leaking under
>the temporary.  If the pain started on its own (sponataneous) without cold
>touching it, it could mean the tooth requires a root canal--it happens some
>times after crown preps.  By all means, tell the dentist your symptoms
>before he cements the existing crown.  Let him make the decision at that
>time if it needs a root canal.  Don't wait until the crown is cemented!  I
>promise he won't think you're a wimp.  If he does, find a new dentist.

Managing your pain is an important part of treatment, you're not being a whimp!
 Regretably (from the patients POV) pain/discomfort gives good information (see
above).

Managing your fear/anxiety is equally important.  You are not being a whimp!!
Discuss your fear/anxiety with your DDS. It can be managed during the procedure
with nitrous oxide sedation, after the procedure with pain medication, and
before the procedure with some type of sedative or anti-anxiety medication.

Quote:
> I
>promise he won't think you're a wimp.  If he does, find a new dentist.

The same is true for management of your anxiety. Find a DDS that will work with
you (the one you have is probably the one, but DDSs' are not mind readers, you
have to tell them!)

WARNING!!

UNSOLICITED ADVICE AHEAD!!

Unsolicted advice: You need to "get to a place" physically (via pain
management) and emotionally (anxiety management) that will allow you to go the
DDS regularly for treatment. Otherwise, this marathon of dental treatment and
$$ will repeat itsself in the future.

You can't get there alone, your DDS needs to work with you, but you have to
tell your DDS whats going on. If your DDS won't work with you, find one who
will.

Good Luck!

Dorothy
I am not a DDS



Sat, 26 May 2001 03:00:00 GMT
 Dental Work=Pain & Fear


Fri, 19 Jun 1992 00:00:00 GMT
 Dental Work=Pain & Fear

I just got back from my dental visit and everything went well.  I explained
all the problems I had been having; yes, it was just cooking.net">food "leakage" (with
mild infection that had cleared up by today) and cold sensitivity that was
causing my problems.  I don't need a root c{*filter*}on this tooth.  We decided
to postpone the last crown prep for two weeks, just to give me a break and
to get used to the feel of this crown.  Both he and his assistant agreed
that I by all means should not EVER hesitate to report ANY problems to a DDS
or any MD by that means.  He was very polite and insisted that if I ever
need pain management to not hesitate to request it.  He will send me out the
door with a small prescription next time, just in case.  As for my worries
of any sort of {*filter*}ion to pain medicines, he promised me that this is his
livelihood, and that he, as a professional, cannot let any such situation
arrise - that would jeopardize his practice.  "Dental medications are mild
and relatively safe in small quantities, not  like hospital medications for
serious trauma and pain management that pose a potential for abuse,
especially if malprescribed".

We'll see how it goes in the next few weeks.

Thank All For Your Advice!!!

Jason

P.S. My anxiety (at his point in life) has not been towards the dental visit
itself, but towards the fear that things will go wrong.  Definately I need
to see a counselor for this matter!



Sat, 26 May 2001 03:00:00 GMT
 
 [ 6 post ] 

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