A real pain the mouth...

Capt Steve

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About 10 days ago I woke twice in one night to severe pain in my upper right jaw. As I don't have any on going dental issues it got my undivided attention and off to my local dentist I went.

After the exam he diagnosed an infection in my upper right #2 molar. Prescribed 7 days of Amoxocillan {500's three times a day} in a futile attempt to knock out the infection. He neglected to warn me that:
A. This probably would not get the job done and B: there would be a whole bunch of pain coming my way. At this point they shut down their office for the extended holidays and sent me home with a referral to an Endodontist who was also closed until 1/3.

I think you can see where this was headed... I gutted it out for a week using over the counter meds in vain attempt to mitigate what was quickly becoming unbearable pain. Got an appointment for a root canal and drove 100 miles down the off the mountain to Mesa leaving in 3" of snow with another inch of ice beneath.

I have had a couple of root canals over the years and they were minor, relatively painless events which left me with high hopes for relief that were soon to be dashed. It took an hour and 15 minutes of grinding away but he finally finished and pronounced me good to go assuring me that the multiple pain injections {4 needles - 4 injections each} would see me home through the 2 hour drive and I would be pain free for at least 3 more hours.

To say the least he was WRONG! This guy should run for congress. I had them call in a prescription for the pain and got Hydrocodone which helps but does NOT provide much relief. After two days my pain levels are down to approximately what it was when they gave the bill. My insurance got me a $560 discount leaving a balance due of $1,440, Yep the Mother of all Root Canals at an Endodontics specialty clinic comes in at $2,000!

Adding insult to injury I have to go back to my regular dentist to have the crown that was destroyed to do the root canal replaced. That should be another $300 but will save that thrill for a a couple of weeks down the road to give my tooth more time to heal. Fortunately I have the money but can think of a few things i would rather have spent it on. Thanks for letting me vent and much like a little decent bourbon... it helps.
 
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We seem to be on a similar trajectory.

On Saturday at dinner, I bit down and felt something wrong. Nothing really visible. Trouble chewing on left side.

Dental visit reveals split bicuspid vertically above gum line.

Assuming the worst, I was thinking extraction and implant. Dentist tries to be optimistic thinking just crown needed but soon changed his tune and agreed with me.

Used to handle pain/discomfort fairly well. Old age has evidently turned my boxers into lacey, frilly panties as the pain level and anxiety level have blossomed exponentially. Had some prior bad experience with local injections where epi was in with the novocaine. My files are now marked with "no epi novocaine" as a result.

The endodontist doesn't do gas but can knock me up on halcion. But then I need a ride...

Grrrrr... getting old is rough.
 
Not much to offer except sympathy and those of us who've been there can commiserate. Pain is largely subjective to the individual, but personally, toothache pain gets my vote for the worst and most maddening I have yet to encounter. If there's something worse I certainly don't want to ever have the experience. Bilateral knee replacements were a lark compared to a toothache on a holiday weekend . . . .
 
These doctors of all kinds are scared to death to give out real pain meds. That hydrocodone is pretty useless for that kind of pain. He probably only gave you the 5mg ones, which are about as strong as aspirin pertaining to toothache pain. You need at least 10/325 Oxycodone (Percoset). That's 10mg Oxy and 325 mg acetaminophen.
If there is a worse pain than tooth issues it would be kidney stone.
By chance, did the doctor ask you "is it safe?"
 
There are not many things as unpleasant as dental pain. A few years ago I developed an abscess while on an out-of-state trip and wound up in the hospital for two days of IV antibiotics and, thankfully, morphine, followed by an extraction upon returning home. Hope things smooth out for you soon.
 
One of my oldest friends is a dentist. A couple of thing he told me that I thought I'd pass along.

1) Opioid pain meds are highly regulated and the DEA and state equivalent agencies look askance at dentists or oral surgeons who those agencies think may be over prescribing.

2) He stopped using nitrous several years ago. The requirements for scavenging expired gas are stringent and equipment is expense. Plus most patients don't want it so the tank he had just sat there collecting dust.

His practice doesn't do root canals, but his daughter (also a dentist) does implants and crowns. He refers his patients to an endodontist near his office. I've had her do two root canals and they were painless and took 45 minutes each.

Insurance paid part, I still had to pay the balance. Well worth it though.
 
I've had much dental work: crowns, root canals, implant, etc. I've found
that whatever it costs to avoid or alleviate pain has always been money well spent.
 
A serious pain control suggestion. If you can take Advil, Ibuprofen, Motrin, etc... give those a try.

A lot of pain from dental work comes from swelling. Those medications reduce swelling and may reduce the pain.

Worth a try.
 
Thanks...

I appreciate the kind thoughts and pain mitigation suggestions. Unfortunately I have had more experience with serious pain than you would believe. I don't get sick all that often but when I do it is always bad {Shingles, gaul bladder, kidney stone} to name just a few.

Have done a lot of stupid things that resulted in more than my share immediate medical attention. Throw in a TKR gone bad {they installed a new knee that I was deathly allergic to} followed by a full revision {med speak for we screwed the pooch the first time. A couple of bike wrecks, multiple broken ribs, arms, fingers and toes, serious burns {16% of my body} when a car radiator threw up on me and one really ridiculous face plant {tripped over pool noodle... you can't make this stuff up.

Luckily my battered body tends to heal quickly {probably from all of the practice it's had} and I have never suffered from any withdrawal when the happy pills went away.

At 2+ days down the road from the root canal I am feeling better than I have a right to which is great as we have a 6 day/1,000 mile road trip commencing on Sunday. Be safe and healthy out there guys... at least try and do better than I have.
 
I had two root canals at about 27 years old after getting sucker punched at work (Security in a LV dive casino), and they were no big deal. When I was about 55, I had a cracked tooth that needed a crown, but after it was put on, a few weeks later, I had amazingly bad pain in it, it was infected. Antibiotics did nothing for me, I needed a root canal. Ibuprofen helped make it tolerable, but it was still no fun. I went in to have the root canal done on it, and the crown was amazingly difficult to remove, but he finally got it off. There was a lot of pain just from the crown removal, but the worst was yet to come. I don't know why, but as time has gone by, the pain numbing drugs have become less and less effective. I really need a ton of it to even get close to numb, and usually the drill makes me squirm and it's not from the noise/vibration. This root canal was hands down the worst thing I've ever had done at the dentist's office. As the procedure went on, the pain went up. I had a bad reaction (Blubbered for like 2 hours) from Nitrous, so I just toughed it out. As he finished, the pain got to the point my feet looked like I was having a seizure, and I was grunting and moaning. When I got out of the chair, my legs were like rubber, and the first thing I did when I left the office was to stop at Kroger to get the RX for Vicodin filled. The rest of the day was brutal. I finally fell asleep, and when I woke up, no more pain. I have a couple of old fillings that are about to need replacing, and I'm just dreading it.
 
My root canals have been easy peasy (so far). All were done by my regular dentist who I've been seeing since shortly after he started practicing. The first one took a couple of hours, but it was painless. I actually slept through much of that one. He and his assistant woke me up with their laughing. Evidently I was snoring rather loudly.

Subsequent root canals have been much quicker and still painless.

I'm very fond of my dentist. I hope he doesn't decide to retire. I think he's about 5 years younger than I am, so who knows.
 
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