Re: Medical Info needed, why dental numbing agents dont work for long term cp'er on high dose opiates
- From: "Cabbi" <cabbi@xxxxxxx>
- Date: Sun, 4 Nov 2007 16:06:56 -0600
"lhamo55" <lhamo55@xxxxxxxxxxxxx> wrote in message
news:1194192984.426326.143420@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
On Nov 3, 8:38 pm, "Cabbi" <ca...@xxxxxxx> wrote:The configuration of nerves running to your teeth and the problems caused by
Hello Cabbi, and Top
Gow Gates is the technique they used to prepare me for dental
procedures. My current dentist can do the procedure himself but back
at the Chicago VA, my dentist would have one of the oral surgeons come
in and do it. They use a much larger needle and a different
anaesthetic and go into the jaw (after administering a local) and
flood the entire upper or lower area; only one or two shots are
needed, tops.
The dental nerve has an odd configuration both in my jaw and in the
way it branches out into each tooth; each nerve root has more than the
usual number of "legs" many which were quite long and barely
detectable as they twisted and turned along my jaw and nestled in the
vicinity of neighboring canals. Before more sensitive digital xrays
one toothache would lead to an infection of the adjoining canal that
would go undetected on film until an abcess set in so badly the extra
root could finally be seen.
I once had 6 root canals performed on one tooth over a 2 year period
back when I was working and didn't have dental insurance (fortunately
we did have a tax free "cafeteria" plan that allowed us to set aside a
monthly amount for medical expenses not covered by insurance). The
pain in that tooth was absolutely excrutiating 90% of the time and
this was back when the dental assistant took Xrays at every step that
had to be developed and were not so clear. The dentist wanted to send
me to an endodontist but I couldn't afford his fees whereas she had a
reasonable payment plan so I stuck with her and insisted she keep
looking until she got all the offending nerve root out. She accepted
the challenge and I think she did the best she could with the
equipment she had. When the 4th abcessed canal was finally discovered
and cleaned out, not much was left of my tooth. And I haven't
mentioned how many shots it took to deaden the area or the agony I was
in because of TMJD. And after all that, as you can imagine, not much
was left of the tooth so crowning it ASAP was top priority.
Well, that next week a day before the appointment to have the crown
fitting, renee was chewing unthinkingly on a piece of dry toast and
suddenly bit on a piece of broken tooth. I ended up having to see an
oral surgeon that same day to have the tooth pulled that same day. And
it still gave him trouble - seems there was still another canal hooked
under the next tooth that had been missed. What a mess.
Foolishly avoided dentists for almost 10 years after that experience
until another tooth caught fire. Fortunately technology has advanced
quite a bit since then and keeping the teeth still left has become
more important;^) Too much trouble having them worked on, lol.
Best wishes for a low pain week and don't forget the time change.
renee in the state where time never changes (AZ)
them have convinced me that I'm a whining baby who needs to keep his mouth
shut about dental difficulties. What you've faced sounds horrible and I'm so
sorry for your pain. There is nothing like dental pain, and to have six root
canals on the same tooth is just too much like water boarding for me to ever
think of my little problems with anesthetics as "important" again. There is
no bit of sarcasm in this response. I can't imagine what it would be like to
have ones "wiring" so convoluted that dentists can't even figure out where
to put the needle for the local. May you have better luck in the future,
both in dental treatment and in general dental health.
Cabbi
.
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