RE: Trip to the Dentist (not kinky, a serious question)

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 11:14:21 AM

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Went in for the initial exam and x-rays. It wasn't very pretty, but I made it through with only vomiting twice.

I am going back in a week for a cleaning (gas, I hope) and then scheduling an appointment to have fillings done (lorazepam) and THEN I get to get a referral to an oral surgeon to remove the wisdom tooth that is causing all these issues.
My mouth actually wasn't in as bad of shape as I thought. I need about 10 teeth worked on total, mostly just surface-type fillings, possibly 1 root canal (I chipped a tooth and it didn't hurt so I ignored it, I guess that's a really bad thing....) and 1 extraction. The dentist said it wasn't good, but it wasn't as bad as most would be after 12+ years without having them checked.

He also scolded me for not flossing enough, but I think that's pretty standard.

(in reply to LadyConstanze)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 11:19:15 AM

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Hmmm...guess you need to work on that gag reflex...I can help you with that

(in reply to siamsa24)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 11:24:03 AM

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I vomit from nerves, not a gag-reflex .

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 11:49:26 AM

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Glad to hear you made it through, siamsa :)

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 11:54:43 AM

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quote:

ORIGINAL: LadyConstanze

quote:

ORIGINAL: windchymes

This is a link to an article that has some really good information and suggestions for those who have trouble being numbed by novocaine for dental work. I like it because it explains things in simple language, rather than highbrow medical language. http://www.dentalfearcentral.org/fears/not-numb/#anatomy

Basically, some people's nerve structures and pathways are "wired weird" through the jaw bones and muscles which keeps the novocaine from doing what it's supposed to do. It list two different techniques that advanced-educated dentists can use to inject novocaine, rather than using the standard block technique that is most often used: the Gow-Gates block and the Akinosi block. Perhaps you could print this article, take it to the dentist and ask if he is familiar with one or both of these techniques and could use one of them?

Almost forgot, the "wearing off too quickly" effect can be helped if you eat about an hour before you go to the dentist (my dentist recommended it) so you don't metabolize the pain killer as quickly, also avoiding stimulants (nicotine, caffeine and booze) about 48 hours before you see the dentist. Due to my odd reactions we decided that if I get the injection, I rather get more and in several parts of the jaw, so I usually end up with a slack face, but that is helped as the dentist serves a double espresso afterwards (with a straw to avoid me spilling it all over myself as I can't feel my lips) and that makes the effect wear off quicker.

You're correct :) I was thinking more of the people who the novocaine doesn't affect at all, because of the anatomical patterns of their nerve structure, density of muscle and/or bone, etc. With them, it's not a matter of wearing off too quickly, it's that the novocaine does not reach their nerves at all because of the person's unique anatomy. The Gow-Gates and Akinosi techniques actually are making the injections in different places in the mouth than the usual ones.

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:16:32 PM

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He actually said that he doesn't use novocaine so I don't have to worry about it.

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:18:03 PM

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The problem is, that you can have the other techniques and being injected in different places, but you still metabolize it too quickly or it takes ages to kick in. I pulled a joker there... The odd thing is that I'm really healthy, but if something goes wrong, I can rely on it going so wrong that it's almost text book

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:20:43 PM

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^ I run into the same thing. I am pretty healthy, but when something goes wrong then everything will go wrong.

(in reply to LadyConstanze)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:26:58 PM

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quote:

ORIGINAL: siamsa24

He actually said that he doesn't use novocaine so I don't have to worry about it.

Not sure if that helps, my dentist experimented with different painkiller injections, just seems the nerves seem to run differently and different bits of the face go numb and not always the tooth that should be numb.

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:49:05 PM

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I will be put on lorazepam, I will basically be totally drugged out of my fucking mind and they will drill out my teeth.
I am hoping it works as well as the stuff they gave me in the hospital before my surgery, that stuff was awesome.

(in reply to LadyConstanze)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:50:17 PM

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You tell them that if you dont have at least three near death experiences from overdosing on nitrous as well during the session, they aint getting their money....

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:50:28 PM

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So no injections of pain killers will be needed. There is always the option of gas or IV sedation if I need it, but he doesn't really use injectable locals because of how sketchy they seem to work (which is kind of how he explained it to me)

(in reply to siamsa24)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 12:51:21 PM

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tell him to load you up on max dose of novacaine after you pass out a couple times from the nitrous.

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 1:30:17 PM

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quote:

Went in for the initial exam and x-rays. It wasn't very pretty, but I made it through with only vomiting twice. I am going back in a week for a cleaning (gas, I hope) and then scheduling an appointment to have fillings done (lorazepam) and THEN I get to get a referral to an oral surgeon to remove the wisdom tooth that is causing all these issues. My mouth actually wasn't in as bad of shape as I thought. I need about 10 teeth worked on total, mostly just surface-type fillings, possibly 1 root canal (I chipped a tooth and it didn't hurt so I ignored it, I guess that's a really bad thing....) and 1 extraction.

Thanks for the update!

Did you find out about the insurance at work? There are also plans that allow you to "sign up today and see a dentist today." Might save time if you ask the person at your dentist office to help you find a plan that they are on.

Good luck,

KK

(in reply to siamsa24)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 1:49:32 PM

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You should really be proud of yourself for keeping the appointment.
I know just how debilitating this fear can be, I am fighting the same fight right now.
If you "click" with this dentist I can only recommend to keep at it. Set rewards for yourself for each kept appointment, celebrate big after the last work is done, and then keep on going twice a year.
If I can do it, you will succeed too.

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 2:02:56 PM

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No news on the insurance, they are "working on it"
My Father in Law says that if it turns out I'm not covered that he has instructed the dentist's office to send all the bills to him, he doesn't want money to be a factor in this at all.

The dentist I am seeing specializes in "hard to treat" patients, people with severe phobias, hair-trigger gag reflexes and the like and he even said I have some pretty serious issues. He said that we are just going to have to give me serious drugs to start, just to get through the initial treatments, and then after that he said he's just going to have to work on building my trust.

I was really proud of myself for keeping the appointment, I didn't think I could do it!

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 2:05:12 PM

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That's really nice of your father-in-law! And the dentist sounds like a good guy, too :)

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You know it's going to be a GOOD blow job when she puts a Breathe Right strip on first.

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RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 2:07:57 PM

zephyroftheNorth

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siamsa I am so incredibly proud of you right now! Good for you sweetie!

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(in reply to siamsa24)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 2:17:56 PM

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quote:

No news on the insurance, they are "working on it" My Father in Law says that if it turns out I'm not covered that he has instructed the dentist's office to send all the bills to him, he doesn't want money to be a factor in this at all. The dentist I am seeing specializes in "hard to treat" patients, people with severe phobias, hair-trigger gag reflexes and the like and he even said I have some pretty serious issues. He said that we are just going to have to give me serious drugs to start, just to get through the initial treatments, and then after that he said he's just going to have to work on building my trust. I was really proud of myself for keeping the appointment, I didn't think I could do it!

Yay to you, FIL and DDS!

(in reply to siamsa24)

RE: Trip to the Dentist (not kinky, a serious question) - 7/29/2011 2:46:35 PM

Aswad

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quote:

ORIGINAL: LadyConstanze

Not sure if that helps, my dentist experimented with different painkiller injections, just seems the nerves seem to run differently and different bits of the face go numb and not always the tooth that should be numb.

Have you tried mapping the nerves yourself?

If you have a pinwheel, you can draw a grid on your face with something that comes off easily, and then pay attention to where the nerves signal to the different zones. There are usually three major zones carried by the trigeminal, and depending on how your internal wiring is, it may be possible for you to determine these groupings. That should let the dentist locate the correct location to inject the anaesthetic to get the desired effect on your teeth.

Failing that, I was told it is possible to target the trigeminal ganglion directly by making the injection close to it, but I have no experience with it myself. Some time back, a poster here related VZV issues that were effectively ameliorated by applying a topical anaesthetic over the corresponding ganglion (where VZV and HSV are dormant), in effect the same approach without actually putting a needle in there. In either case, you will of course have motor nerve side effects, since they converge with the sensory nerves.

Not advice, just thoughts and curiosity.

Health,
al-Aswad.

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(in reply to LadyConstanze)

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