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Medical Forum / General / Dentistry / February 2005Very painful extraction
I have had a tooth removed today. Got FOUR local anesthetic injections but It still hurt badly when my dentist moved the tooth around or pulled it. I'm having another one extracted next week, it was supposed to also go out today but the pain was too intense. Is this common? My dentist said he doesnt believe me when I said it hurt because of how much of the anesthetic I have been injected with. Are there any possible explanations for this? Thanks in advance Nikola > I have had a tooth removed today. Got FOUR local anesthetic injections but > It still hurt badly when my dentist moved the tooth around or pulled it. [quoted text clipped - 10 lines] > > Nikola Teeth with acutely inflamed teeth can be very difficult to properly anesthetize. Hopefully your dentist was exclaiming something on the order of, "Gee, I can't believe you're not numb" as in frustrated you weren't, rather than disbelieving you personally. Some teeth (particularly some lower molars) are difficult to numb because of variations in anatomy of the nerves. Good luck with the other one. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Teeth with acutely inflamed teeth can be very difficult to properly > anesthetize. Im affraid this is the case with me > Hopefully your dentist was exclaiming something on the > order of, "Gee, I can't believe you're not numb" as in frustrated you > weren't, rather than disbelieving you personally. He said that he doesn't believe me, he normaly does but didnt in this case. He said I would have to be a medical phenomenon to feel pain after that much novocaine. > Some teeth (particularly some lower molars) are difficult to numb > because of variations in anatomy of the nerves. Exactly the case here, two lowe molars. How could i explain this to him? > Good luck with the other one. Thank you very much! I wish it was only one more to go, it's actualy 5 more :( >>Teeth with acutely inflamed teeth can be very difficult to properly >>anesthetize. [quoted text clipped - 8 lines] > He said I would have to be a medical phenomenon to feel pain after that much > novocaine. Nah. That kind of phenomenon happens, and not rarely. There is no reason to think this anything wrong with you. For that matter, it shouldn't be a cause for embarassment by your dentist (except for the inexcusable behavior). >>Some teeth (particularly some lower molars) are difficult to numb >>because of variations in anatomy of the nerves. > > Exactly the case here, two lowe molars. How could i explain this to him? If he needs for you to explain this to him, I'd find another dentist--one with perhaps better anesthesia skills, and certainly better interpersonal skills. Really. Steve >>Good luck with the other one. > > Thank you very much! I wish it was only one more to go, it's actualy 5 more > :( SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 More than likely, the patient is too nervous to get thoroughly numb. Probably needs an anti-anxiety drug prior to treatment. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>>Teeth with acutely inflamed teeth can be very difficult to properly [quoted text clipped - 33 lines] >> more >> :( Dr. Steve could very well be right. People do not realize that going to the dentist and having extensive work can cause trauma to the entire body. If I tell that to some people, they say they never take anything and do not like to take medication but I think sometimes the effects can show up later in different ways. Gail I just tell the dentist, Wait ! More Noicane..Wait, More Novicain !! and when IM comfortable enough the works done and I feel nothing. MC If you are very nervious it becomes very difficult to numb as well as the infection problem. If you are properly numb the only thing you will feel is pressure. Quantity of anesthesia used has very little to do with being numb it is where it is placed that counts. > > Teeth with acutely inflamed teeth can be very difficult to properly > > anesthetize. [quoted text clipped - 18 lines] > Thank you very much! I wish it was only one more to go, it's actualy 5 more > :( Stabident (and maybe a little nitrous). Fawks >> I have had a tooth removed today. Got FOUR local anesthetic injections >> but [quoted text clipped - 22 lines] > > Steve "four local anesthetic injections but it still hurt badly" Have your physician or dentist prescribe a tranquillizer. You may have been exceptionally tense. Gail (not a dentist) but think sometimes that this should be routine for certain procedures. I agree Gal. I tell the Dentist I need a lot of Novicane and I always took two tranquilizers half hour before the appointment. I have fallen asleep while I was being drilled. MC |
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