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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by llrrrpp on June 22, 2006, at 19:38:45
Hi All,
I have to go to the dentist tomorrow am.
I have broken a tooth that has a partial crown and a root canal already (from about 15 yrs ago).I have no idea what she'll do about it. Maybe she can drill it down a little bit and put a cap on it. Maybe I get to see an endodontist (hooray!). At least it's in the back of my mouth, a major molar, and I don't look like a jack-o-lantern.
It's been bothering me this past week, and I've been taking standard doses of Naproxen Sodium (Aleve).
I am super super anxious about the dentist, though. If it's going to hurt, I will need a painkiller afterwards. I'm going to take 2 Aleve caps before my appointment. I get pretty sensitive to dental pain.
Current meds: Cymbalta 90 mg for major depression with a side order of anxiety; seroquel 50 mg for insomnia and mood stabilization/augmentor.
My question(s): Any painkillers that I should avoid? Do I need to adjust my dose of seroquel to avoid oversedation?
In the past I've taken percocet (whee!) and vicodin (zzzZZZzzz) for 1-2 week periods following oral surgery. Had no bad side effects, besides sleepiness. I still have one vicodin pill left over from last time. I will probably take it after my appt. (unless contraindicated?) I better do more research- don't want to hurt myself (well, not tomorrow anyways!)Thanks for your help!
-ll
Posted by llrrrpp on June 22, 2006, at 19:44:37
In reply to Painkiller meds combo? don't want to hurt myself!, posted by llrrrpp on June 22, 2006, at 19:38:45
>I still have one vicodin pill left over from last time. I will probably take it after my appt.
Sorry the vicodin pill is vicodin ES 750 mg.
Thanks again
-ll
Posted by curtm on June 22, 2006, at 21:05:04
In reply to Re: Painkiller meds combo? don't want to hurt myse, posted by llrrrpp on June 22, 2006, at 19:44:37
See!!! Now didn't that take your mind off it for a millisecond?
***********
Perhaps some whipped cream (in a can?) or a gargle of $70 Scotch? Whatever you do, DO NOT eat croutons!!!
((((((((((((llrrrpp))))))))))))))
Posted by Phillipa on June 22, 2006, at 21:39:01
In reply to I can help!!!!!!!!!!! » llrrrpp, posted by curtm on June 22, 2006, at 21:05:04
llrrrp won't you dentist give you script for a painkiller? Love Phillipa
Posted by llrrrpp on June 22, 2006, at 21:44:41
In reply to I can help!!!!!!!!!!! » llrrrpp, posted by curtm on June 22, 2006, at 21:05:04
> See!!! Now didn't that take your mind off it for a millisecond?
>
Actually for about 6000 milliseconds. I like ms. They're my favorite unit of time (*cognitive psychology, baby!)
> ***********
>
> Perhaps some whipped cream (in a can?) or a gargle of $70 Scotch? Whatever you do, DO NOT eat croutons!!!now that I think about it, nitrous oxide is used for dental pain. I may have to resort to that. But I probably won't feel like getting up to go to the grocery store for a 5 minute buzz.
Can't eat croutons. They're too crunchy. unless.... I pour milk on them and wait until they're soggy and eat them like cereal. mmmm! now THERE's an idea...!
T asked me not to medicate with alcohol. said it's depressing, and negates many of my AD's effects. Swishing and spitting fine scotch seems like such a waste. I'll save it for a better day, when I'm able to enjoy it. on the rocks, with a splash of soda.
>
> ((((((((((((llrrrpp))))))))))))))
>Aww, thanks for hugs :)
Posted by llrrrpp on June 22, 2006, at 22:16:38
In reply to Re: I can help!!!!!!!!!!!, posted by Phillipa on June 22, 2006, at 21:39:01
> llrrrp won't you dentist give you script for a painkiller? Love Phillipa
She might, but I want to make sure that it's okay with my meds. pdoc is out of town this week (arghgh!)
thanks for your reply Phillipa- you're always on top of things :)
-ll
Posted by Jost on June 22, 2006, at 22:23:24
In reply to Re: I can help!!!!!!!!!!! » Phillipa, posted by llrrrpp on June 22, 2006, at 22:16:38
If you're okay with telling your dentist you're using ADs, she should be able to make appropriate decisions re: pain meds.
However, vicodin or tylenol 3 (tylenol with codeine) should be fine.
I had a root canal (before ADs) and didn't need much except for that day-- but there's wide variation in intensity of pain after those. My sense is that there's an extremity of horror associated with the procedure that's pretty overblown. At least in my case, I was assuming it would be maximally awful, and it was no big deal.
Only problem was keeping my mouth open for such a long time-- a little muscle strain-- which sounds weird, but it's a stretch (pun intended).
So take it easy-- and hope all goes well.
Jost
Posted by Meri-Tuuli on June 23, 2006, at 11:25:31
In reply to Re: I can help!!!!!!!!!!!, posted by Jost on June 22, 2006, at 22:23:24
Wow, I'm going to America for dental surgery. I had a wisdom tooth removed here in the UK, which hadn't even come through (it was totally under the gum!) and the dentist didn't give me anything for the pain afterwards. Told me to take a couple of parcetamol if it got bad. IF IT GOT BAD! My whole jaw was bruised after and I had these weird stitches in my jaw for two weeks after. And I had to gargle with salt water all the time.
And then in Finland I had root canal surgery, eeeek! Yeah she didn't even use an anasthenic in my gum, nothing. Yeah and she kept proding down the roots until I squeeled with pain, apparently its better that way so they can 'feel' where the rot is or something. Yeah, that was pretty bad.
Oh well!!!!!!
Kind regards
Meri
Posted by llrrrpp on June 23, 2006, at 12:01:37
In reply to Re: I can help!!!!!!!!!!!, posted by Meri-Tuuli on June 23, 2006, at 11:25:31
Okay,
well, found out this morning that I don't have dental coverage until Aug 1st. SOOO... I didn't get anything too complicated. My dentist recommended that I get a crown. In the meanwhile, she checked my bite, and said that that tooth was getting too much pressure, and that's why the tooth crackedShe drilled the tooth down a little bit, then repaired the cracked off part by putting in more composite filling on top of it. She says it might hold for a while, but that it's not a long-term solution.
I got super anxious waiting for her. She was about 40 minutes late. oh well. and they had Oprah on with an awful topic that would trigger about 30% of normal-mentally-well-adjusted? people, so I'm not even going to mention it here. That REALLY helped. I was too shy to ask to change the channel.
Drilling is so awful. I tried some mindfulness exercises. seemed to help, but I can't keep it up for so long.
Decided to stick with aleve for pain. I can use vicodin later on, but I think the reshaping should help eliminate the pressure point that was causing the sensitivity. I feel that awful jittery sick feeling that is probably me coming down off of my own adrenalin. barf. Oh well. I'll survive.
Thanks all!
-llMerri-T, remind me to get my dental work settled in the USA. That goes a long way towards explaining why we have the stereotype of the British with their crooked crazy teeth! I have had good luck getting my teeth filled in Thailand too. The dentist there had good training, and his work has held up well. Very inexpensive too. Sterility standards are comparable to the USA. Anyone needing major restorations might consider going to Thailand and at least getting a little vacation while they fix your teeth. :) My sister-in-law saved several thousand dollars this way, even factoring in the plane fare.
Posted by curtm on June 23, 2006, at 13:17:56
In reply to Dentist update » Meri-Tuuli, posted by llrrrpp on June 23, 2006, at 12:01:37
((((((llrrrpp)))))))
pronounced with novacaine in mouth: llrrrpp
Posted by Meri-Tuuli on June 24, 2006, at 4:45:02
In reply to Dentist update » Meri-Tuuli, posted by llrrrpp on June 23, 2006, at 12:01:37
Hey!
>That goes a long way towards explaining why we have the stereotype of the British with their crooked crazy teeth!
Hehehehe we have the opposite stereotype, that American's have unnaturally white teeth that look false!! Although obviously its a stereotype, no offence meant....
Well its also probably due to the fact that we're not used to paying for healthcare here in the UK, so people are rather relucant to shell out for their teeth, and noone really has dental insurance, again we're not at all used to having insurance for dental or health things. Plus we can get teeth things done on the NHS very cheaply, and obviously NHS dentists won't do cosmetic things. But then, I got train tracks on my teeth upper and lower, when I was a teenager, completely free on the NHS and the whole thing lasted for four years. And that was purely cosmetic. So I have nice straight teeth!
But yeah, the trend is moving towards American style of teeth now, particulary along young people.
This is the end of the thread.
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