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PCIntern

(25,532 posts)
Mon Mar 23, 2020, 02:49 PM Mar 2020

About Dentistry, at least in Pennsylvania:

So the initial order from the governor, quite appropriately, was NO treatment that was not emergency was to be rendered. To be specific: major infections that would not be immediately responsive to antibiotic therapy, bleeding issues, severe intractable pain associated with a tooth or impacted wisdom tooth. That’s about it. Lost temporaries, decay, anything involving replacement of missing teeth is off the table, as it should be.

Now however, a new mandate has been issued that unless you can provide hospital-grade negative pressure treatment rooms, full gowning and full discarding and changing between patients, and other strict stipulations, we are NOT PERMITTED to see even the emergencies stipulated above. Failure to follow this may result in license suspensions/revocations. Thus that would be career-ending at worst and highly frightening at best.

I have no choice in the matter. The group which purchased my practice and for whom I work have closed my office and thus I have no decisions to make. I would State that I have no idea how hospitals, most of which have little or no dental resources, will cope. If anyone here thinks that you can’t die from a routine dental infection you’d be mightily mistaken. It IS GOING TO HAPPEN. Without question.

This goes to one of my earlier posts about increased morbidity and mortality with this Coronavirus superimposed on ordinary, as it were, sickness and pathology. And dental is NOTHING in comparison with cardiac, cancer, autoimmune, and all other entities for which many millions are in complex treatment. It’s going to be a rough ride over a long haul.

14 replies = new reply since forum marked as read
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About Dentistry, at least in Pennsylvania: (Original Post) PCIntern Mar 2020 OP
I put off major important dental work about a year. Now it is necessary. LizBeth Mar 2020 #1
I'm sorry. PCIntern Mar 2020 #2
Lol, right. LizBeth Mar 2020 #7
Ouch. I'm scheduled for a root canal in April. Ms. Toad Mar 2020 #3
If u can take them: PCIntern Mar 2020 #4
I'm on 1600 mg Ibuprofen Turin_C3PO Mar 2020 #9
Great. If you take a Tylenol PCIntern Mar 2020 #10
Yes, it's a lot of ibuprofen. Turin_C3PO Mar 2020 #11
The combo of ibu plus aceto was a "big secret" years ago PCIntern Mar 2020 #13
Thanks! Unfortunatey Ibuprofen (on a regular basis) dangerously elevates my blood pressure, Ms. Toad Mar 2020 #12
thank you for the update, PCIntern Skittles Mar 2020 #5
Dentists need to be in Every ER. I_UndergroundPanther Mar 2020 #6
That is exactly correct PCIntern Mar 2020 #8
Spoke with the dentist office I go to today Kathy M Mar 2020 #14

LizBeth

(9,952 posts)
1. I put off major important dental work about a year. Now it is necessary.
Mon Mar 23, 2020, 03:19 PM
Mar 2020

I got the insurance January and procrastinated and knew I was in dire need. Now I am at the point of HAVING to address, or I am going to be in huge trouble. All that is my fault. Who knew though, dental would not be available which could be three months or more.

I am in toruble.

Ms. Toad

(34,062 posts)
3. Ouch. I'm scheduled for a root canal in April.
Mon Mar 23, 2020, 03:27 PM
Mar 2020

I've already been living with it for a month - that was the earliest they could get me in. Not looking forward to living with it for six months, or longer.

PCIntern

(25,532 posts)
4. If u can take them:
Mon Mar 23, 2020, 03:30 PM
Mar 2020

2 -200mg ibuprofen AND 1 regular acetaminophen every 6-8 hours.

Dental pain is inflammatory pain. These work together to reduce pain dramatically.

Turin_C3PO

(13,964 posts)
9. I'm on 1600 mg Ibuprofen
Mon Mar 23, 2020, 03:37 PM
Mar 2020

twice daily. It’s an off label treatment for inflammation in the lungs due to cystic fibrosis. My dental pain goes completely away at that dosage.

PCIntern

(25,532 posts)
10. Great. If you take a Tylenol
Mon Mar 23, 2020, 03:40 PM
Mar 2020

You might be able to reduce that dosage. Your liver might appreciate that. But I am not contradicting your MD. If he or she feels that’s best then great.

Turin_C3PO

(13,964 posts)
11. Yes, it's a lot of ibuprofen.
Mon Mar 23, 2020, 03:48 PM
Mar 2020

I take liver and kidney blood tests every three months and certainly don’t recommend anyone taking that high a dose without consulting their doctor.

Thanks for the Tylenol tip, I’ll ask my doc and see if I can lower my ibu dosage!

PCIntern

(25,532 posts)
13. The combo of ibu plus aceto was a "big secret" years ago
Mon Mar 23, 2020, 09:38 PM
Mar 2020

Asshole dentists would tell their patients to take it and say, “don’t tell your friends. It’s our little secret.”

That’s so other dentists wouldn’t find out about it. Real scummy assholery.

Ms. Toad

(34,062 posts)
12. Thanks! Unfortunatey Ibuprofen (on a regular basis) dangerously elevates my blood pressure,
Mon Mar 23, 2020, 09:33 PM
Mar 2020

And the only thing acetaminophen is good for (according to how my body reacts) is a sore throat.

Fortunately, is is not anywere near as bad as the iatrogenci root canal on the other side. With pain like that pain I'd be finding someone to do an emergency root canal.

This new tooth has only gotten to the point of throbbing three times (over a period of 6 months since I noticed it - and has cleared up by morning each time (with ibuprofen, which I can tolerate on an occasionaly basis). I know it's there all the time (for the last month or so), but mostly as long as I chew on the other side it is tolerable.

Skittles

(153,147 posts)
5. thank you for the update, PCIntern
Mon Mar 23, 2020, 03:35 PM
Mar 2020

scary, scary times

I remember getting a fistula near one of my back teeth; I freaked out, thinking the lump was cancer....I cannot imagine not being able to see a dentist right away.

Scary times.

Kathy M

(1,242 posts)
14. Spoke with the dentist office I go to today
Mon Mar 23, 2020, 09:48 PM
Mar 2020

Cleaning appointment for next week cancelled , they are waiting for any new mandate from Gov whether they stay open or not . They are taking it day by day .

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