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-   -   Root canal... Experts please reply (https://www.askmehelpdesk.com/showthread.php?t=501056)

  • Aug 23, 2010, 05:20 PM
    Wondergirl
    Quote:

    Originally Posted by Mini_Her View Post
    Even if the tooth has been painful for over a year?

    The amoxicillin will deal with any oral infection. The Advil-Tylenol taking will deal with pain.
  • Aug 23, 2010, 05:22 PM
    Mini_Her
    Quote:

    Originally Posted by Wondergirl View Post
    The amoxicillin will deal with any oral infection. The Advil-Tylenol taking will deal with pain.

    I know I'm asking lots of questions, please forgive me for that. But, suppose I just take the antibiotics from now on instead of seeking root canal treatment. Would that be safe? You know they say meds are not good over long periods.
  • Aug 23, 2010, 05:23 PM
    flossie
    Laughing gas is VERY LIGHT. You should probably be trying a sedation that you take orally. The dentist can prescribe something you take the night before and then the morning of the procedure. Can't guarantee you won't feel any pain. The only one that can guarantee that would be the general anesthetic.
  • Aug 23, 2010, 05:26 PM
    Mini_Her
    Quote:

    Originally Posted by flossie View Post
    Laughing gas is VERY LIGHT. You should probably be trying a sedation that you take orally. The dentist can prescribe something you take the night before and then the morning of the procedure. Can't guarantee you won't feel any pain. The only one that can guarantee that would be the general anesthetic.

    Well I'll go with the general anesthetic. I just can NOT take that pain that I felt today. As if someone literally stuck an electrical wire into my nerve! Thanks for your advice, it was badly needed and greatly appreciated.
  • Aug 23, 2010, 06:23 PM
    Mini_Her

    I have another question... Suppose I just get the tooth extracted... do you think I'd still feel pain during the extraction as well? I've had teeth extracted and don't recall feeling pain during the procedure. The dentist wouldn't use the vibrating tool for an extraction, and that tool is what I felt pain with. Do you think it would be safe to get the tooth extracted (without pain)?
  • Aug 23, 2010, 07:12 PM
    Wondergirl

    You would still have to be numbed, the tooth might break and have to be removed in sections, and yes, there could be pain. I have done my best to keep my teeth. My husband, on the other hand, hasn't been as careful with his and so has shrinking gums and has to get his upper plate relined every so often. I say keep your teeth as long as you can.
  • Aug 23, 2010, 07:30 PM
    Mini_Her
    Quote:

    Originally Posted by Wondergirl View Post
    You would still have to be numbed, the tooth might break and have to be removed in sections, and yes, there could be pain. I have done my best to keep my teeth. My husband, on the other hand, hasn't been as careful with his and so has shrinking gums and has to get his upper plate relined every so often. I say keep your teeth as long as you can.

    So in your sedation case... did they actually knock you out or were you still conscious? From my understanding there are two different types of sedatives.
  • Aug 23, 2010, 07:38 PM
    Wondergirl
    Quote:

    Originally Posted by Mini_Her View Post
    So in your sedation case...did they actually knock you out or were you still conscious? From my understanding there are two different types of sedatives.

    I've never been sedated (the lighter version) for dental work, am a tough German type. I was sedated for a colonoscopy and was awake but in no pain. I was able to watch the colonoscopy procedure on a nearby monitor. My son has had the nitrous oxide (laughing gas) and the sedation (not at the same time) in which he had no memory of the procedures and no pain, but he could respond to directions from the dentist. I've been put out entirely (general anesthesia with no pain) for surgery, a c-section, and wisdom teeth pulling when I was 17.
  • Aug 23, 2010, 07:44 PM
    Mini_Her
    Quote:

    Originally Posted by Wondergirl View Post
    I've never been sedated (the lighter version) for dental work, am a tough German type. I was sedated for a colonoscopy and was awake but in no pain. I was able to watch the colonoscopy procedure on a nearby monitor. My son has had the nitrous oxide (laughing gas) and the sedation (not at the same time) in which he had no memory of the procedures and no pain, but he could respond to directions from the dentist. I've been put out entirely (general anesthesia with no pain) for surgery, a c-section, and wisdom teeth pulling when I was 17.

    Wow. This stuff seems so unreal to me... LOL.. So in my case, would you recommend the laughing gas? The pain was so sharp when the dentist used the vibrating tool, it real gave me a fierce, sharp pain. Do you think laughing gas would help me or do you recommend the general anesthesia?
  • Aug 23, 2010, 08:34 PM
    Wondergirl
    Quote:

    Originally Posted by Mini_Her View Post
    Wow. This stuff seems so unreal to me...LOL..So in my case, would you recommend the laughing gas? The pain was so sharp when the dentist used the vibrating tool, it real gave me a fierce, sharp pain. Do you think laughing gas would help me or do you recommend the general anesthesia?

    No matter which kind of sedation you get, you will also have your gum numbed. This will help once you become conscious again until you can take whatever pain med has been prescribed.

    Your dentist is your best advisor. And I'm not sure what this vibrating tool is. I don't remember anything like that unless you are talking about a slow-speed drill that has a low-pitch "brrrrrrr" sound. (The high-speed drill goes "eeeeee".) If you get general, you will feel like you have been unconscious for about two minutes (if that). It will be a similar feeling for the lighter sedation. I don't know about nitrous.

    Do you usually have a high or low pain threshold?
  • Aug 23, 2010, 10:06 PM
    Mini_Her
    Quote:

    Originally Posted by Wondergirl View Post
    No matter which kind of sedation you get, you will also have your gum numbed. This will help once you become conscious again until you can take whatever pain med has been prescribed.

    Your dentist is your best advisor. And I'm not sure what this vibrating tool is. I don't remember anything like that unless you are talking about a slow-speed drill that has a low-pitch "brrrrrrr" sound. (The high-speed drill goes "eeeeee".) If you get general, you will feel like you have been unconscious for about two minutes (if that). It will be a similar feeling for the lighter sedation. I don't know about nitrous.

    Do you usually have a high or low pain threshold?


    The vibrating tool was used to open my tooth, to make way for the dentist to clean out the decay. What do you mean by "high or low pain threshold"? Not sure if this is what you're asking but if you're asking if I can take pain... unfortunately, not at all.
  • Aug 23, 2010, 10:28 PM
    Wondergirl
    Quote:

    Originally Posted by Mini_Her View Post
    The vibrating tool was used to open my tooth, to make way for the dentist to clean out the decay. What do you mean by "high or low pain threshold"? Not sure if this is what you're asking but if you're asking if I can take pain...unfortunately, not at all.

    It sounds like you have a low pain threshold, very little tolerance for pain.

    The vibrating thing must have been the brrrrrrrr drill, the lower speed one.
  • Aug 24, 2010, 10:05 AM
    Mini_Her

    Do you think they could do a root canal with a different tool or is the vibrating tool necessary? I really need to get this thing completed. I can't keep my tooth open the way it is. Also, if it's the low speed device, would that mean the high speed one is less painful?
  • Aug 24, 2010, 10:28 AM
    Mini_Her

    I just spoke with the dentist again and he said that I need to see a specialist because my root canal is too bad for him to treat. Wow. Is that normal? And how do I know if I have an infection or not? He didn't seem sure as to whether I have an infection.
  • Aug 24, 2010, 01:21 PM
    tickle

    You would seriously know if you have an infection, and if it was really bad you could smell it as well. I think you stated that this dentist had put you on amoxicillin and something else (not my choice, pennicilin is better and more thorough) amoxicillin is a general antiobotic and some people are immune to it. I don't know if anyone asked if you have had pain biting on this tooth, brushing, etc?

    By the way, they don't use low speed drills. All are high speed except the attachments are different and make them seem that way.

    You shouldn't have the packing in that tooth too long, so opt for the specialist as soon as possible and get it over and done with.

    I think I mentioned an 'impacted tooth' which is aserious infected area.

    I worked for a periodtonist for a couple years as am RNA, so I know what a root canal is, how it is done, all the ins and outs, etc.

    Flossie is our resident tooth expert, so you will get good feedback from her.

    Tick
  • Aug 24, 2010, 01:24 PM
    Mini_Her

    Thanks Tickle... Do you have any idea as to why I still felt pain even though they numbed me? They used the vibrating tool in a circular motion around the tooth, but in this one particular spot, it hurt like HELL! Mannnnn this is so fustrating!
  • Aug 24, 2010, 01:33 PM
    Mini_Her

    By the way, Tickle, I have some Penicillin. Should I stop the Amoxicillian and start the Penicillin?
  • Aug 24, 2010, 01:35 PM
    tickle

    Hi Mini, no I don't have any idea why you felt pain; is why I said yesterday, we don't know your oral history. I know its frustrating. Just get to a specialist and get it over and done with, like I said, then come back and post what that specialist said. We also don't know your existing medical history which, for reasons very good reasons, should remain unknown to us at the present time. Have you told us how old you are? Don't remember and that makes a difference as well.

    We are all volunteers here with really busy careers in other places. We can only assume if someone asks us and hope to hit the spot, not allowed to diagnose. We do try to help as much as possible, walk a poster through a problem so that he/she knows where to go next for the proper treatment/information.

    Tick
  • Aug 24, 2010, 01:35 PM
    Wondergirl
    Quote:

    Originally Posted by tickle View Post
    By the way, they dont use low speed drills. All are high speed except the attachments are different and make them seem that way.

    I just called my dentist who has been in practice for over 30 years. His son, who just graduated from dental school two years ago, has come into practice with him. Both use low speed drills (and call them that) during the filling of a tooth. My dentist says the different speed drills are necessary as the tooth is prepped for a filling.
  • Aug 24, 2010, 01:39 PM
    tickle
    Quote:

    Originally Posted by Mini_Her View Post
    By the way, Tickle, I have some Penicillin. Should I stop the Amoxicillian and start the Penicillin?

    Okay, where did you get the pennicilin? No, I can't tell you to do that. Ask your doctor. Time will tell if the amox is not working, if it isn't, then you go to a different antibiotic with your doctor's recommendation.

    Tick
  • Aug 24, 2010, 01:43 PM
    tickle
    Quote:

    Originally Posted by Wondergirl View Post
    I just called my dentist who has been in practice for over 30 years. His son, who just graduated from dental school two years ago, has come into practice with him. Both use low speed drills (and call them that) during the filling of a tooth. My dentist says the different speed drills are necessary as the tooth is prepped for a filling.

    Well, wondergirl, I am really glad you found that out. So where does that get us with this poster's problem right now? So what do they consider low speed, what rpm, wondergirl ? There is a great difference in 'revs per minute'.

    Do you think I am talking through my hat or what ?

    Tick
  • Aug 24, 2010, 01:43 PM
    Mini_Her
    Quote:

    Originally Posted by tickle View Post
    okay, where did you get the pennicilin?? No, I can't tell you to do that. Ask your doctor. Time will tell if the amox is not working, if it isnt, then you go to a different antibiotic with your doctor's recommendation.

    tick

    I was prescribed Penicillin VK 500 MG, earlier this year and I honestly can't recall why it was prescribed to me. I've in and out of the hospital this year.
  • Aug 24, 2010, 01:48 PM
    Wondergirl
    Quote:

    Originally Posted by tickle View Post
    Well, wondergirl, I am really glad you found that out. So where does that get us with this poster's problem right now? So what do they consider low speed, what rpm, wondergirl ? There is a great difference in 'revs per minute'.

    That I don't know, didn't ask for that specific information. They had finished for the day and were walking out the door, are off tomorrow, so will check back with them on Thursday and let you know.
    Quote:

    Do you think I am talking through my hat or what ?
    Do you think I am talking through mine? My previous dentist of 20 years always called it a low speed drill, as does my current one. I was only reporting my experience.
  • Aug 24, 2010, 01:52 PM
    tickle
    Quote:

    Originally Posted by Mini_Her View Post
    I was prescribed Penicillin VK 500 MG, earlier this year and I honestly can't recall why it was prescribed to me. I've in and out of the hospital this year.

    Mini, ever hear of the old expression, 'open mouth insert foot'. Pennicilin can last up to three years in tablet form, depending on what conditions it is kept in, warm, hot, cold, whatever. No I don't want you to take them, I want you to ask your doctor if you can, only if you don't get good results to your low grade infection.

    I have said... go to the specialist... get your tooth taken care of and come back and tell us what happened.

    tick
  • Aug 24, 2010, 01:55 PM
    tickle
    Quote:

    Originally Posted by Wondergirl View Post
    That I don't know, didn't ask for that specific information. They had finished for the day and were walking out the door, are off tomorrow, so will check back with them on Thursday and let you know.

    Do you think I am talking through mine? My previous dentist of 20 years always called it a low speed drill, as does my current one. I was only reporting my experience.

    And I think I have posted that I have experience working as an RNA with a root canal specialist. I am reporting from a professional, blood and spit and cleaning up a mess experience. I also hated the sound of the scalpel going through gum. (just thought I would add that for :D the adventure factor, W).

    Tick
  • Aug 24, 2010, 01:58 PM
    Wondergirl
    Quote:

    Originally Posted by tickle View Post
    And I think I have posted that I have experience working as an RNA with a root canal specialist.

    That's why I called my dentist, rather than depend on my faulty memory.
    Quote:

    (just thought I would add that for :D the adventure factor, W).
    In the next life, I plan to be a medical examiner or forensic pathologist, so will remember that during autopsies.
  • Aug 24, 2010, 02:01 PM
    Mini_Her
    Quote:

    Originally Posted by wondergirl View Post
    in the next life, i plan to be a medical examiner or forensic pathologist, so will remember that during autopsies.

    Lol
  • Aug 24, 2010, 02:58 PM
    tickle
    Quote:

    Originally Posted by Wondergirl View Post
    That's why I called my dentist, rather than depend on my faulty memory.

    In the next life, I plan to be a medical examiner or forensic pathologist, so will remember that during autopsies.

    Funny you should say that, W, I want to be a forensic pathologist too ! Not an ME, not enough 'hands on'. I love the nitty gritty, getting into things, digging for the last morsel... down to the bottom. I think you know what I mean.:D
  • Aug 24, 2010, 03:05 PM
    Wondergirl
    Quote:

    Originally Posted by tickle View Post
    funny you should say that, W, I want to be a forensic pathologist too ! not an ME, not enough 'hands on'. I love the nitty gritty, getting into things, digging for the last morsel....down to the bottom. I think you know what I mean.:D

    Be sure to read Stiff : The Curious Lives of Human Cadavers by Mary Roach. Sneezy recommended it to me, and I just happened to be reading it then!

    That's why I've loved being a librarian all these years -- another "nitty gritty, getting into things, digging for the last morsel....down to the bottom" job. It fits my Scorpio-ness.
  • Aug 24, 2010, 04:18 PM
    tickle
    Quote:

    Originally Posted by Wondergirl View Post
    Be sure to read [I]Stiff : It fits my Scorpio-ness.

    Shake hands with another scorpio, W :eek: Oct. 25th.
  • Aug 24, 2010, 05:29 PM
    flossie
    OK... When cutting through the enamel of a tooth a high speed drill is used and they can run
    12,000rpm - 450,000rpm and are air driven. Slow speed drills are friction grip and are used to remove soft carious lesions and define the cavity margins and walls. There are special endodontic handpieces that are used to remove the dead nerve and file the walls of the canals in preparation to fill them. These handpieces are generally of the slower speed type.

    Mini - have you ever been told that when you are prescribed an antibiotic, ANY antibiotic you are to take them until they are all gone? You are not supposed to stop taking them once you are feeling better you are still to finish the whole prescription or the infection it was prescribed to treat may not resolve completely.
    Most dentists prescribe amoxicillin for the following reason: Amoxicillin is an extended spectrum member of the penicillin class. It can kill a wider range of bacterium than Penn VK( doses are the same), along with better absorption and it has a longer effect

    I hope this helps.
  • Aug 24, 2010, 07:10 PM
    Mini_Her

    It helps a lot. Thanks Flossie, and yes--I will finish the Amoxicillan.
  • Sep 16, 2010, 03:13 PM
    Mini_Her

    I have a question for Flossie or anyone who can answer... Do you know of any pain killers for tooth ache besides Tylenol and Ibuprofen? My dentist recommended those but I can't take Ibuprofen and Tylenol is not working!

    I had my root canal started today and I was sedated with the laughing gas. During the procedure I felt no pain but the minute they removed the oxygen mask, the tooth they were working on started aching. More than an hour later, I am still aching!
  • Sep 16, 2010, 03:17 PM
    flossie
    Did you try Extra Strength Tylenol? I'm not sure if Aleve would help, it's not available here in Canada yet so I'm not that up on it. The best thing would to go to the pharmacy and ask the pharmacist.

    Glad to hear the nitrous helped!
  • Sep 16, 2010, 03:19 PM
    Mini_Her
    Quote:

    Originally Posted by flossie View Post
    Did you try Extra Strength Tylenol? I'm not sure if Aleve would help, it's not available here in Canada yet so I'm not that up on it. The best thing would to go to the pharmacy and ask the pharmacist.

    Glad to hear the nitrous helped!

    Hi! No, it was not the Extra Strength... Perhaps that's why it didn't help. Alieve... isn't that in the family of Advil/Ibuprofen/Aspirin? I have stomach ulcers and cannot take anything with Aspirin. Have you ever heard of Tramadol?
  • Sep 16, 2010, 03:37 PM
    Mini_Her

    Flossie: You are the greatest. I popped an extra strength Tylenol a few minutes after you posted it and I feel no more pain. THANKS!
  • Sep 16, 2010, 03:45 PM
    flossie
    :) Glad it helped!

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