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Medical Forum / General / Dentistry / September 2005

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Root Canal Nightmare

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mark@prairieinet.net - 06 Sep 2005 23:48 GMT
My dentist told me I needed a root canal on number 30 lower right
molar. I arrived at the office in a curious mood, never having a root
canal I wasn't sure what to expect. At 40 I'm no stranger to the
dentist office, I've had teeth pulled, fillings, wisdom teeth cut out
with no problem what so ever, so there was no concern about this trip.
After two shots of Novocaine I was ready to get on with it and the
drilling began. About two minutes into the drilling a felt a sharp
pain, my dentist stopped. I told him it was ok to continue on. Thirty
seconds later I felt it again, my dentist stopped and gave me a shot
that he said was right into the bone. Without waiting he started to
drill again and I again experienced sharp pain. At this time to
procedure was stopped and the tooth was filled with a temporary
filling. I was told I needed to See a specialist. Confused about what
just happen I spoke to several friends and one recommended a dentist
that did sleep sedation. I thought why not and gave it a try. I was
given a pill to take about an hour before my appointment. I went in sat
down and the procedure was started after the local was administered. I
again felt the same pain, all be it with less intensity. The dentist
asked me if I felt pain, and I said yes. Next thing I know I'm sat up
in the chair and the dentist is telling me he cannot get me numb. What
is going on here?? I have an appointment with a specialist on 9/28.
Will he have the same problem??
Amatus Cremona - 07 Sep 2005 00:10 GMT
>I have an appointment with a specialist on 9/28.
> Will he have the same problem??

These are not NHS, HMO or PPO dentists, right?

You may need a short course of antibiotics.  You may need an X-tip
injection.  You may need a Gow-Gates injection.  You may need to block the
mandibular nerve further back and higher up.  You may need to tough it out
for few seconds and get an injection into the pulp.

Signature

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Amatus

/

> My dentist told me I needed a root canal on number 30 lower right
> molar. I arrived at the office in a curious mood, never having a root
[quoted text clipped - 18 lines]
> is going on here?? I have an appointment with a specialist on 9/28.
> Will he have the same problem??
Joel M. Eichen - 07 Sep 2005 01:23 GMT
>>I have an appointment with a specialist on 9/28.
>> Will he have the same problem??
[quoted text clipped - 5 lines]
>mandibular nerve further back and higher up.  You may need to tough it out
>for few seconds and get an injection into the pulp.

We agree.

Joel
John - 07 Sep 2005 10:29 GMT
With regards to movies, what do you think of the depiction of the
dental profession in the move "The Little Shop of Horrors" distributed
free with "The Mail" newspaper in Britain last week?
John - 07 Sep 2005 10:32 GMT
>> My dentist told me I needed a root canal on number 30 lower right
>> molar. I arrived at the office in a curious mood,

> Reminds me of a movie ........
> I am curious YELLOW! (scared).

With regards to movies, what do you think of the depiction of the
dental profession in the movie "The Little Shop of Horrors" distributed
free with "The Mail" newspaper in Britain last week? It is quite an old
film and has probably been shown all over the world.
Joel344 - 07 Sep 2005 10:39 GMT
Little Shop of Horrors was great. If they be depicting
dentists, its better that its sappy, not sadistic.

Joe

--
Joel34
Amatus Cremona - 07 Sep 2005 14:40 GMT
> With regards to movies, what do you think of the depiction of the
> dental profession in the movie "The Little Shop of Horrors" distributed
> free with "The Mail" newspaper in Britain last week?

Is this the one with Steve Martin playing the dentist?  If so, I thought it
was hilarious.  My wife finally came into the living room and took the
remote control away from me as I kept rewinding to watch Steve Martin sing
his song about "Be a Dentist!" over and over again.

Signature

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Amatus

/

>>> My dentist told me I needed a root canal on number 30 lower right
>>> molar. I arrived at the office in a curious mood,
[quoted text clipped - 6 lines]
> free with "The Mail" newspaper in Britain last week? It is quite an old
> film and has probably been shown all over the world.
Sue - 07 Sep 2005 15:19 GMT
Amatus Cremona Wrote:

> > With regards to movies, what do you think of the depiction of the
> > dental profession in the movie "The Little Shop of Horrors"
[quoted text clipped - 26 lines]
> old
> > film and has probably been shown all over the world.

I thought Little House of Horrors was hilarious.  Steve Martin was
great  "....cuzzzzz I'm a dah......en....tist!"
</john>

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Sue

Joel M. Eichen - 07 Sep 2005 17:55 GMT
YUP.

>> With regards to movies, what do you think of the depiction of the
>> dental profession in the movie "The Little Shop of Horrors" distributed
[quoted text clipped - 4 lines]
>remote control away from me as I kept rewinding to watch Steve Martin sing
>his song about "Be a Dentist!" over and over again.
Steven Fawks - 08 Sep 2005 18:20 GMT
And Bill Murray was the patient who 'enjoyed' the treatment
too much and made Martin loose his cool.

Fawks

> YUP.

>>Is this the one with Steve Martin playing the dentist?  If so, I thought it
>>was hilarious.  My wife finally came into the living room and took the
>>remote control away from me as I kept rewinding to watch Steve Martin sing
>>his song about "Be a Dentist!" over and over again.
Amatus Cremona - 08 Sep 2005 18:25 GMT
> And Bill Murray was the patient who 'enjoyed' the treatment
> too much and made Martin loose his cool.

I may have to go out and rent that movie, again, this weekend!

Signature

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Amatus

/

>
> And Bill Murray was the patient who 'enjoyed' the treatment
[quoted text clipped - 8 lines]
>>>remote control away from me as I kept rewinding to watch Steve Martin
>>>sing his song about "Be a Dentist!" over and over again.
Joel M. Eichen - 09 Sep 2005 00:56 GMT
>> And Bill Murray was the patient who 'enjoyed' the treatment
>> too much and made Martin loose his cool.
>
>I may have to go out and rent that movie, again, this weekend!

We'll be over .... at eight!
W_B - 08 Sep 2005 20:26 GMT
In the original Jack Nicholson was the patient.

>And Bill Murray was the patient who 'enjoyed' the treatment
>too much and made Martin loose his cool.
[quoted text clipped - 7 lines]
>>>remote control away from me as I kept rewinding to watch Steve Martin sing
>>>his song about "Be a Dentist!" over and over again.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 07 Sep 2005 01:22 GMT
>My dentist told me I needed a root canal on number 30 lower right
>molar. I arrived at the office in a curious mood,

Reminds me of a movie ........

I am curious YELLOW! (scared).

> never having a root
>canal I wasn't sure what to expect. At 40 I'm no stranger to the
>dentist office, I've had teeth pulled, fillings, wisdom teeth cut out
>with no problem what so ever, so there was no concern about this trip.
>After two shots of Novocaine I was ready to get on with it and the
>drilling began.

correction, most likely Xylocaine.

>About two minutes into the drilling a felt a sharp
>pain, my dentist stopped. I told him it was ok to continue on. Thirty
[quoted text clipped - 3 lines]
>procedure was stopped and the tooth was filled with a temporary
>filling. I was told I needed to See a specialist.

A small amount of anesthetic or water injected into the nerve itself
will cause a brief sensation of pain followed by complete anesthesia.

Joel M. Eichen DDS

Joel

>Confused about what
>just happen I spoke to several friends and one recommended a dentist
[quoted text clipped - 6 lines]
>is going on here?? I have an appointment with a specialist on 9/28.
>Will he have the same problem??

See above.
Jacob - 08 Sep 2005 10:54 GMT
Achieving profound anesthesia can be quite a challenge when a tooth is
infected; apparently this is the situation you are in.  A root canal
specialist [endodontist] has special training and should be able to take
care of your treatment and have complete anesthesia for you.  You may need
to have antibiotics first for several days to reduce the infection which is
probably present.  The infection can cause a change of pH in the area and
that can make it difficult -- sometimes almost impossible -- to get total
anesthesia.  However, the endodontist should be able to take care of your
pain/discomfort, and I seriously doubt that you will have a problem when you
go.  Good luck, and I hope you will feel better very soon.

> My dentist told me I needed a root canal on number 30 lower right
> molar. I arrived at the office in a curious mood, never having a root
[quoted text clipped - 18 lines]
> is going on here?? I have an appointment with a specialist on 9/28.
> Will he have the same problem??
Joel M. Eichen - 08 Sep 2005 12:15 GMT
Actually, I read this differently.

The tooth (nerve) is still vital or partially vital. There's the
problem. If a tooth is "infected (meaning presence of bacteria)  I
always tell patients to stay away and remain on antibiotics to solve
that problem.

Pushing pus past the apical foramen is what gave root canal therapy a
bad name years ago.

Joel

>Achieving profound anesthesia can be quite a challenge when a tooth is
>infected; apparently this is the situation you are in.  A root canal
[quoted text clipped - 29 lines]
>> is going on here?? I have an appointment with a specialist on 9/28.
>> Will he have the same problem??
John - 08 Sep 2005 12:45 GMT
http://www.doctorspiller.com/tooth_anatomy.htm may be helpful.

Root Canal (endodontic treatment of the dental pulp) still has a bad
name amongst the public in the UK.
Amatus Cremona - 08 Sep 2005 12:49 GMT
> Root Canal (endodontic treatment of the dental pulp) still has a bad
> name amongst the public in the UK.

No wonder we hear and see so much about lousy teeth in British Subjects.

Signature

/

Amatus

/

> http://www.doctorspiller.com/tooth_anatomy.htm may be helpful.
>
> Root Canal (endodontic treatment of the dental pulp) still has a bad
> name amongst the public in the UK.
Joel344 - 08 Sep 2005 13:03 GMT
John http://www.doctorspiller.com/tooth_anatomy.htm may be helpful.

Root Canal (endodontic treatment of the dental pulp) still has a bad
name amongst the public in the UK.

REPLY

I have figured this out long ago. Today, 3/4ths of the root cana
therapies in the US are performed on vital teeth that MAY REQUIRE roo
canal therapy in the future. The possibility of huge post-op pain ar
very small.

Now in the UK and elsewhere in poor America, when people wait unti
there is pulpal necrosis (death), and infection, the post-op pai
possibility goes up astronomically.

Its a money 'thang.

Joel

And perhaps an overutilization 'thang

--
Joel34
W_B - 08 Sep 2005 19:08 GMT
>> Root Canal (endodontic treatment of the dental pulp) still has a bad
>> name amongst the public in the UK.
>
>No wonder we hear and see so much about lousy teeth in British Subjects.

If they can't do a decent composite, chances are the RCT is crappy too !
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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