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Medical Forum / General / Dentistry / September 2006Root Canal Pain
My endodentist attempted a root canal on a lower back molar today. I have undergone 2 root canals with the same doctor before and had zero discomfort. Today she gave me 2 injections which numbed my mouth very well. Once she was inside the tooth I experienced pain. She then injected inside the tooth (excruciating 2 seconds of pain). She drilled some more and all was ok, then she inserted the first file, and I FLEW up in the air. The pain was beyond belief. I had tears streaming down my face and could not believe this could happen to me. She then packed the tooth and filled it, and said when I go back next week the nerve should be virtually dead and she will continue. I do not think I have the inner strength to attempt it again. What is happening and how can I continue? >My endodentist attempted a root canal on a lower back molar today. I >have undergone 2 root canals with the same doctor before and had zero [quoted text clipped - 9 lines] >I do not think I have the inner strength to attempt it again. >What is happening and how can I continue? Take nitrous oxide. -- "There is no distinctly native American criminal class save Congress." --Mark Twain > My endodentist attempted a root canal on a lower back molar today. I > have undergone 2 root canals with the same doctor before and had zero [quoted text clipped - 9 lines] > I do not think I have the inner strength to attempt it again. > What is happening and how can I continue? It is sometimes impossible to numb a "hot" tooth. Injecting into a pulp in this condition is not fun. I presume the endodontist placed a fixative agent in the pulp chamber, which should kill remaining vital nerve tissue. If it does its job, next time should be much easier. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > It is sometimes impossible to numb a "hot" tooth. What is the most powerful pain killer that a dentist can legally prescribe for a client to take after a root canal? -- "There is no distinctly native American criminal class save Congress." --Mark Twain The most powerful ones I prescrip are Vicodin & Tylenol #3. There are more powerful ones but I don't give them out. And no I am not going to give you prescription for them :)- [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > > It is sometimes impossible to numb a "hot" tooth. > [quoted text clipped - 5 lines] > "There is no distinctly native American criminal class save Congress." > --Mark Twain >The most powerful ones I prescrip are Vicodin That's hydrocodone. The Watson generic is a lot cheaper. >Tylenol #3. Codeine >There are more powerful ones but I don't give them out. Why not? Actually hydrocodone is powerful enough if taken as directed. >And no I am not going to give you prescription for them :)- I do not need your prescription. You are aware that prescription pain killers are available for a price. You don't need a prescription in Mexico for pain killers. You can get morphine at a pharmacy without a prescription. -- "There is no distinctly native American criminal class save Congress." --Mark Twain > The most powerful ones I prescrip are Vicodin & Tylenol #3. There are > more powerful ones but I don't give them out. [quoted text clipped - 15 lines] > > "There is no distinctly native American criminal class save Congress." > > --Mark Twain Dentists and doctors don't hand out the Percs like they used to, damn! Signature. >> It is sometimes impossible to numb a "hot" tooth. > [quoted text clipped - 5 lines] > "There is no distinctly native American criminal class save Congress." > --Mark Twain A dentist may legally prescribe any analgesic, narcotic or not, if it does not conflict with state law and the dentist is registered to give it by the DEA. Of course, a dentist who routinely writes prescriptions for fentanyl for dental pain is going to get into trouble somewhere. You should know that effectiveness of a given analgesic vary from patient to patient and from time to time in the same patient. You also want to look at the potential side effects of these meds when prescribing, and of course the patient's health. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >Of course, a dentist who routinely writes prescriptions >for fentanyl for dental pain is going to get into trouble somewhere. That's meant for anesthesia. I am talking pain killers. >effectiveness of a given analgesic vary from ... time to time in the same patient. I wonder why that happens. -- "There is no distinctly native American criminal class save Congress." --Mark Twain Some "druggies" build up tolerance for pain killers. It will take more shots to get them numb and more pain killer for pain. This also build dependency. [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > >Of course, a dentist who routinely writes prescriptions > >for fentanyl for dental pain is going to get into trouble somewhere. [quoted text clipped - 9 lines] > "There is no distinctly native American criminal class save Congress." > --Mark Twain >>Of course, a dentist who routinely writes prescriptions >>for fentanyl for dental pain is going to get into trouble somewhere. > > That's meant for anesthesia. I am talking pain killers. Fentanyl is a powerful narcotic analgesic. It is often given post-surgery for pain control. Most narcotics work similarly. Some are more potent, and the appropriate dose is commensurately lower. >>effectiveness of a given analgesic vary from ... time to time in the same patient. > > I wonder why that happens. This is a very complex set of mechanisms, and some of them have not been fully figured out. Went to a lecture on pain control a couple of years ago and came out with my head spinning. Pain perception is a very, very complicated subject. To give just one example, pain medications work far better if given while an area is numbed with local anesthetic. If you wait for the anesthetic to wear off, pain control is far more difficult to achieve. Steve > -- > > "There is no distinctly native American criminal class save Congress." > --Mark Twain SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 If it does its job, next time should be much easier. IF? Oh I do not know if I can ake te chance. The endodentist wants me to take a Valium before I go next time. WHat is your opinion? > If it does its job, next time should be much easier. > > IF? > Oh I do not know if I can ake te chance. The endodentist wants me to > take a Valium before I go next time. WHat is your opinion? Not knowing you except for what you are posting here, it appears that anxiety is a large part of the problem (understandably so), perhaps more than the actual pain relief, which as I said will almost certainly be much easier than last time. Under the circumstances, I would be inclined to agree with your endodontist. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Not knowing you except for what you are posting here, it appears that >anxiety is a large part of the problem (understandably so), perhaps more >than the actual pain relief, which as I said will almost certainly be >much easier than last time. Under the circumstances, I would be >inclined to agree with your endodontist. Why not use nitrous oxide? -- "There is no distinctly native American criminal class save Congress." --Mark Twain That's another good option. NO will calm you down and less side effects(almost no) compare to general. Assuming the endodontist is set up for Nitrous Oxide. [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > > Not knowing you except for what you are posting here, it appears that > >anxiety is a large part of the problem (understandably so), perhaps more [quoted text clipped - 8 lines] > "There is no distinctly native American criminal class save Congress." > --Mark Twain >That's another good option. NO will calm you down and less side >effects(almost no) compare to general. Assuming the endodontist is set >up for Nitrous Oxide. If he isn't then he's an oral sadist. -- "There is no distinctly native American criminal class save Congress." --Mark Twain >> Not knowing you except for what you are posting here, it appears that >>anxiety is a large part of the problem (understandably so), perhaps more [quoted text clipped - 3 lines] > > Why not use nitrous oxide? That could be appropriate too. We don't know if the endodontist has nitrous. Anything that could relieve short-term anxiety might be useful. Steve > -- > > "There is no distinctly native American criminal class save Congress." > --Mark Twain SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Why not use nitrous oxide? > That could be appropriate too. We don't know if the endodontist has >nitrous. If he doesn't, find one who does. I have been told that if it weren't for anoxia, NO would be a perfect anesthetic. >Anything that could relieve short-term anxiety might be useful. You seem to be implying that pain killers are a matter of anxiety relief. Believe me, when the endodontist hits the root, there is very real pain - excruciating pain. It takes more than Valium to kill such pain. -- "There is no distinctly native American criminal class save Congress." --Mark Twain >>>Why not use nitrous oxide? > [quoted text clipped - 12 lines] > real pain - excruciating pain. It takes more than Valium to kill such > pain. There is no question that anxiety affects pain perception. But apart from that, anxiety is worth taking seriously--not only because it is unpleasant in itself, but because it interferes directly with treatment. Steve > -- > > "There is no distinctly native American criminal class save Congress." > --Mark Twain > There is no question that anxiety affects pain perception. But apart >from that, anxiety is worth taking seriously--not only because it is >unpleasant in itself, but because it interferes directly with treatment. I can tell you that I have no anxiety about pain when I take NO. You could pull every tooth out of my mouth and I would not bat an eyelid. Indeed the anticipation of pain heightens the perception. But perception of pain is nevertheless very real and not just a neurotic disorder. Eric Berne might have gotten by with sexual fantasies blocking dental pain, but that sort of thing does not work for me at all. The good news for the dentist is that when I take NO, I do not interfere with the treatment at all. I don't even laugh. -- "There is no distinctly native American criminal class save Congress." --Mark Twain I have just been to visit my regular dentist to discuss what happened yesterday. She feels that by next week the nerve will have died anyway. She is calling the Endodentist to discuss exactly what happened and will get back to me. She was sympathetic and felt that it was such a shame for this to happen as I was so very relaxed and ready to get this done. I have had a huge amount of work done on my teeth since end of May, just the last 2 root canals and now this has happened. I remember why I stopped visiting the dentist. I shall let you know how I get on and what meds they use - if any. > I can tell you that I have no anxiety about pain when I take NO. You > could pull every tooth out of my mouth and I would not bat an eyelid. > > Indeed the anticipation of pain heightens the perception. But > perception of pain is nevertheless very real and not just a neurotic > disorder. I would never suggest that dental pain is a neurotic disorder Eric Berne might have gotten by with sexual fantasies > blocking dental pain, but that sort of thing does not work for me at > all. > > The good news for the dentist is that when I take NO, I do not > interfere with the treatment at all. I don't even laugh. I've never seen anyone laugh with NO actually. It's great for some patients. Steve > -- > > "There is no distinctly native American criminal class save Congress." > --Mark Twain SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > I would never suggest that dental pain is a neurotic disorder Someone recommend treating dental pain with Valium. > I've never seen anyone laugh with NO actually. I did once, and my son did on his last visit. Usually I just daydream. My dentist loves it because he can do what he needs to do and I don't flinch at all. But it is not perfect - it still requires a hefty dose of local anesthetic. -- With or without govt, you would have good people doing good things and evil people doing evil things. But for good people to do evil things, that takes govt. This is actually very common. To make your next trip a little more comfortable, you an ask your endodontist to prescrip some Vicodin. Take it may be an hour before your visit. It will also help with post op pain control, if you have any. I truely think the next visit will be much better than your last one. [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > My endodentist attempted a root canal on a lower back molar today. I > have undergone 2 root canals with the same doctor before and had zero [quoted text clipped - 9 lines] > I do not think I have the inner strength to attempt it again. > What is happening and how can I continue? I always like to offer my patients options for them to choose. Here is another option for you. You can have general anesthesia(going to sleep). This is usually reserve for patient who are very nervous or patient with physically difficulty. I don't recommend it for you. Again I think you will be fine on the next visit. [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > This is actually very common. To make your next trip a little more > comfortable, you an ask your endodontist to prescrip some Vicodin. [quoted text clipped - 21 lines] > > I do not think I have the inner strength to attempt it again. > > What is happening and how can I continue? > My endodentist attempted a root canal on a lower back molar today. I > have undergone 2 root canals with the same doctor before and had zero [quoted text clipped - 9 lines] > I do not think I have the inner strength to attempt it again. > What is happening and how can I continue? Morphine is the only answer. Signature.
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