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CTyankee

(63,926 posts)
Thu Feb 29, 2024, 05:14 PM Feb 29

In tears today at the dentist. Getting a dental crown was extremely painful, even with local anesthesia...

He's a wonderful dentist, great guy, good Democrat. Never had a problem with dental pain from his procedures. He takes great care of me. But today I was in tears from the pain, even tho I had numbing anesthetic injections (which also hurt). I'm an elderly woman and cannot physically endure pain that strong.

I was going to put it off having this done but the tooth cracked again and I couldn't eat without pain and I also feared infection setting in.

Now I see why people avoid going to the dentist (my husband is one).

Is there a dentist here that can advise me? I go back in two weeks for the final crown and am planning a soft food diet as a precaution.

38 replies = new reply since forum marked as read
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In tears today at the dentist. Getting a dental crown was extremely painful, even with local anesthesia... (Original Post) CTyankee Feb 29 OP
That's what nitro gas is for. multigraincracker Feb 29 #1
I have to drive myself to and from the dentist. I fear being impaired... CTyankee Feb 29 #3
Nitrous wears off very quickly JoseBalow Feb 29 #5
When they are about done, multigraincracker Feb 29 #7
Not sure I want to do that when I'm driving because of my age. CTyankee Feb 29 #14
This message was self-deleted by its author SharonClark Feb 29 #10
Does your county snpsmom Feb 29 #19
They will switch the nitrous to oxygen to clear your head. Laffy Kat Feb 29 #26
Nitro gas as a general anesthetic, several hours recovery time. 3Hotdogs Feb 29 #33
$20?! Good deal. Gidney N Cloyd Feb 29 #11
Yep, the first thing I noticed multigraincracker Feb 29 #12
I have them turn it up to 11 Shermann Feb 29 #16
Cracked tooth...you likely had an infection that should have been treated by anti-biotics BEFORE any dental work? NoSheep Feb 29 #2
I am sure he would have detected an infection. He had worked on this tooth before (root canal) so he knew what was going CTyankee Feb 29 #6
I'm with your husband. My childhood dentist was 6'7", rsdsharp Feb 29 #4
I had one of those bastards as a kid. Joinfortmill Feb 29 #13
My Dad took us to a dentist like that Bayard Feb 29 #30
My childhood dentist didn't either Jilly_in_VA Feb 29 #20
I had the same experience. That's the way it was back in the day. Laffy Kat Feb 29 #27
I had three of my wisdom teeth pulled about 30 years ago. rsdsharp Feb 29 #29
best recipe for crown pamdb Feb 29 #8
I will discuss this with him for my follow up. Thanks! CTyankee Feb 29 #9
I had a dentist that had me raise my hand if Joinfortmill Feb 29 #15
Crown enid602 Feb 29 #17
I'm old and can't handle pain very well. I'm sure there are others who can't handle pain well, either. CTyankee Feb 29 #18
My daughter is hyper dental pain averse Desert grandma Feb 29 #23
Mine Jilly_in_VA Feb 29 #21
Temp enid602 Feb 29 #22
I don't understand having pain if you were injected with novacaine. Did he not offer to give you more since you beaglelover Feb 29 #24
I was embarrassed by my reaction. I felt I should have been stronger and not waste his time. CTyankee Mar 1 #36
Did you tell him how much it was hurting to treat your tooth? Big Blue Marble Feb 29 #25
He already did a root canal on that tooth. I trust his judgment. I had a bad reaction to this procedure. CTyankee Feb 29 #34
Don't be embarrassed! Elessar Zappa Mar 1 #38
Sorry you went through that. BlueKota Feb 29 #28
Check with PCIntern, Yank. elleng Feb 29 #31
I'm so glad this is mostly behind me. Aussie105 Feb 29 #32
I had a tooth pulled yesterday AKwannabe Mar 1 #35
OMG, that's awful! CTyankee Mar 1 #37

multigraincracker

(32,748 posts)
1. That's what nitro gas is for.
Thu Feb 29, 2024, 05:18 PM
Feb 29

I always ask for it and tell the dentist to turn it up to 10.
Works great for me. My insurance doesn’t cover it but the $20 out of pocket is well worth it.
Ask him for it next time.

multigraincracker

(32,748 posts)
7. When they are about done,
Thu Feb 29, 2024, 05:25 PM
Feb 29

they replace it with pure oxygen and your head clears up in a few minutes. I end up with just a little ringing in my ears. I can can drive home with no after effects.

CTyankee

(63,926 posts)
14. Not sure I want to do that when I'm driving because of my age.
Thu Feb 29, 2024, 05:37 PM
Feb 29

Hubby is handicapped and driving me would be a hardship for him for several reasons.

I will ask about the anesthetic, tho. He has elderly patients so he must have seen this situation before.

Response to CTyankee (Reply #3)

snpsmom

(691 posts)
19. Does your county
Thu Feb 29, 2024, 06:13 PM
Feb 29

have a transit system that allows you to call for a ride? In our rural area of Michigan, elderly folks can call the transit authority and get a small bus to pick them up and take them to and from shopping and appointments. Check with your local Human Development Agency.

Laffy Kat

(16,391 posts)
26. They will switch the nitrous to oxygen to clear your head.
Thu Feb 29, 2024, 07:39 PM
Feb 29

You can leave whenever you feel ready. It usually takes me a few minutes more even off the oxygen to feel "right" again, but it's soooo worth it!

3Hotdogs

(12,462 posts)
33. Nitro gas as a general anesthetic, several hours recovery time.
Thu Feb 29, 2024, 08:28 PM
Feb 29

In lower concentration, it wears off in seconds.

Maybe p.m. PC Intern when he posts something. He is a dentist.

Gidney N Cloyd

(19,847 posts)
11. $20?! Good deal.
Thu Feb 29, 2024, 05:30 PM
Feb 29

My old dentist used to throw it in almost for free-- I think calming me down was as much for him as for me.
The guy who took over the practice charges a lot more than $20, though I don't recall the number.

multigraincracker

(32,748 posts)
12. Yep, the first thing I noticed
Thu Feb 29, 2024, 05:34 PM
Feb 29

was I wasn’t squeezing the arm rest with my hands. You remain relaxed the whole time.

Shermann

(7,480 posts)
16. I have them turn it up to 11
Thu Feb 29, 2024, 05:48 PM
Feb 29

I'm on the None More Black Cross and None More Black Shield health care plan.

NoSheep

(8,133 posts)
2. Cracked tooth...you likely had an infection that should have been treated by anti-biotics BEFORE any dental work?
Thu Feb 29, 2024, 05:20 PM
Feb 29

Is it possible in your case?
I got 9 shots of Novocain at an emergency dentist before I realized they couldn't numb me and I bolted out of the chair and ran from the office. I had an infection. Cracked tooth is an easy way to get a deep infection that is very painful and must be treated before you get any work done. 2 times this happened and I learned my lesson.

I am so sorry you are going through this. I have been through hell with dental work.

CTyankee

(63,926 posts)
6. I am sure he would have detected an infection. He had worked on this tooth before (root canal) so he knew what was going
Thu Feb 29, 2024, 05:25 PM
Feb 29

on. the only reason I didn't take care of it earlier was that my insurance wouldn't cover the crown. It's $1,000. So I initially had decided not to do it, but when I literally cracked my tooth I decided it was best to spend the money and get it fixed.

rsdsharp

(9,229 posts)
4. I'm with your husband. My childhood dentist was 6'7",
Thu Feb 29, 2024, 05:23 PM
Feb 29

and didn’t believe in novocaine.

Scarred me for life!

Bayard

(22,225 posts)
30. My Dad took us to a dentist like that
Thu Feb 29, 2024, 08:02 PM
Feb 29

He used to tell us--with that high speed drill they have now, you hardly feel anything. Wrong! I remember being in 1st or 2nd grade, crying, and squirming in the dentist chair enough to wet my pants.

Jilly_in_VA

(10,045 posts)
20. My childhood dentist didn't either
Thu Feb 29, 2024, 06:21 PM
Feb 29

I don't understand it for the life of me. He numbed adults. My mom got numbed, but I didn't. Bastard. As a result, between him and my orthodontist (who I swear trained at Auschwitz Dental Academy!) I have severe dental phobia. I found a dentist I like and trusted here and then his office went corporate and they seemed to feel I could see just anyone....and he moved to an office over an hour away. Just about that time I had gotten a card announcing that a new dentist was opening an office ten minutes away. I had met him briefly at a RAM clinic where I was volunteering in the dental clinic and I liked him, so I became one of his patients. He recently got a partner but I made it clear that he's the only one I'll see. He knows I'm hard to numb and terrified of dentists and he takes extra care with me.

Laffy Kat

(16,391 posts)
27. I had the same experience. That's the way it was back in the day.
Thu Feb 29, 2024, 07:42 PM
Feb 29

I've never forgotten the pain. The only way I can have dental work now is with nitrous oxide on top of the Novocain. They'll put you on the nitrous first and you will still "feel" the shots, but it won't bother you.

rsdsharp

(9,229 posts)
29. I had three of my wisdom teeth pulled about 30 years ago.
Thu Feb 29, 2024, 07:58 PM
Feb 29

I had Novocaine, nitrous AND liquid valium. He said “Open wide,” and then I woke up with fewer teeth. That wasn’t bad.

Ten years before that, the first wisdom tooth was pulled. It was broken, and I only had Novocaine and nitrous. I still have the image of the dentist’s bright blue eyes as he was swinging a probe into my tooth — multiple times — to break it up.

No mas.

pamdb

(1,333 posts)
8. best recipe for crown
Thu Feb 29, 2024, 05:26 PM
Feb 29


I get gas

Then novocaine-the shot is the worst part of the whole thing.

Then more gas

Then I get earbuds and can crank up the music to avoid hearing the drill

And keep the gas going until almost the end.

Best way to do it.

Joinfortmill

(14,500 posts)
15. I had a dentist that had me raise my hand if
Thu Feb 29, 2024, 05:38 PM
Feb 29

I felt any pain (not the sadist I mentioned above). If I did, he gave me more novacine. I don't think the injections are an exact science. Best of luck

enid602

(8,668 posts)
17. Crown
Thu Feb 29, 2024, 05:58 PM
Feb 29

On the day he puts on the crown, he’ll simply pop it on (to make sure it’s a good fit), pop it off, and glue it up and pop it back on. No novocaine needed. I’m not a dentist, but have a mouthful of crowns. Many re-crowned teeth as well. Good luck to you; sounds like you’re that one in a million that had such a rough time.

CTyankee

(63,926 posts)
18. I'm old and can't handle pain very well. I'm sure there are others who can't handle pain well, either.
Thu Feb 29, 2024, 06:05 PM
Feb 29

You just haven't known them, but then how could you?

I hope it goes the way you say it will. My experience doesn't bode well, tho.

Desert grandma

(804 posts)
23. My daughter is hyper dental pain averse
Thu Feb 29, 2024, 06:41 PM
Feb 29

She sees a dentist that does IV Sedation for almost any dental work for those type of patients. It does require she have someone take her and pick her up. I am not quite that bad. In spite of the fact that I have had a lot of dental work done. I am OK with using nitrous gas for most dental work. Good luck!! By the way, you might be able to get dental insurance for any future work. Hubby and I have 2 policies so we do not end up paying a lot for implants or crowns. If he is a veteran, check out the listing in the Veterans folder for information. Metlife VADIP has no waiting period for major work. If he is not, you can still get coverage with AARP dental plan or Spirit Dental. Waiting period before major dental work vary for those.
www.spiritdental.com They offer plans for individuals
www.aarp.org They also have plans for individuals. You need to join AARP.

Jilly_in_VA

(10,045 posts)
21. Mine
Thu Feb 29, 2024, 06:24 PM
Feb 29

makes the crown right in his office with a 3-D printer. No waiting, no temporary. It takes almost no time at all and I'm very happy with mine. He's replacing an old one fairly soon, one that's been in there for about 30 years. Shouldn't be a major problem but he promised he'd numb me anyway because he knows how I am.

enid602

(8,668 posts)
22. Temp
Thu Feb 29, 2024, 06:28 PM
Feb 29

Not having a temporary will be a bonus. No having to return for a new temp if you accidentally break the first one.

beaglelover

(3,497 posts)
24. I don't understand having pain if you were injected with novacaine. Did he not offer to give you more since you
Thu Feb 29, 2024, 06:46 PM
Feb 29

were feeling it? I usually never feel any pain, just pressure, when they are drilling.

Big Blue Marble

(5,155 posts)
25. Did you tell him how much it was hurting to treat your tooth?
Thu Feb 29, 2024, 07:34 PM
Feb 29

Do you still have a nerve in that tooth i.e. it has not had a root canal treatment. if so, it maybe that the nerve is inflamed
and possibly infected. Or your dentist could have been drilling very close to the nerve. Any infection may not yet show
on an X-ray. It is sometimes impossible to numb a tooth that inflamed. Or you may just have needed a more profound anesthetic.

If your tooth nerve is only inflamed, it may calm down on its own. It has been through the trauma of
the crack and needs time to recover.

Be sure your dentist knows what happened. He may recommend root canal treatment prior to placing your crown
if the pain continues.

CTyankee

(63,926 posts)
34. He already did a root canal on that tooth. I trust his judgment. I had a bad reaction to this procedure.
Thu Feb 29, 2024, 10:07 PM
Feb 29

I am not angry with him. This experience just revealed to me how aging has affected my ability to withstand pain. A lack of stamina that I used to pride myself on.

I go back in two weeks and for that time he wants me not to be careful and eat softer foods, so I went to the store and stocked up on yogurt.

Elessar Zappa

(14,130 posts)
38. Don't be embarrassed!
Fri Mar 1, 2024, 08:19 AM
Mar 1

Next time, just inform him of your pain tolerance and don’t be afraid to ask for nitrous oxide and extra novocaine if necessary.

Aussie105

(5,484 posts)
32. I'm so glad this is mostly behind me.
Thu Feb 29, 2024, 08:13 PM
Feb 29

I only had a root canal done once. It set off the tooth next to it and left me with continuous pain afterwards.

After many decades of dental pain and treatment, I got tough on myself - had the remainder top teeth taken out, got fitted for top dentures.
And a couple of bottom teeth went at the same time.
Got sick of developing problems regularly and needing to spend more money.

If you think about it, that's the way most of us old people end up anyway. Inevitable.

My father got the full plastics at 35, I'm double that age plus a bit more.
So I'm doing ok there.

Very few dentists will take a look and tell you the best long term solution is to take a lot out.
Took some convincing that is what I really wanted.
I guess dentists like their steady repeat visit income and don't feel your pain.



AKwannabe

(5,689 posts)
35. I had a tooth pulled yesterday
Fri Mar 1, 2024, 12:02 AM
Mar 1

Bummer but I am not spending any more time in chair or money on it.

It wasn’t ready to be pulled. Doc had a time of it. My jaw and jaw bone are quite painful
Thanks for listening. Haha

I FEEL ya!

CTyankee

(63,926 posts)
37. OMG, that's awful!
Fri Mar 1, 2024, 07:36 AM
Mar 1

Honestly, I don't know why anyone would want to be a dentist. Surely, it can't be gratifying if the help you give people when you treat them involves giving them screeching pain. I felt sorry for my dentist because I know he doesn't want to cause me pain.

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