Originally Posted by MSCherokee

Yes, I know, I shouldn't smoke...nevertheless, I do, about a half pack a day. Brief background - I have RRMS, TMJ and periodontal disease (told it was caused by a combination of MS meds and genetics).

I had a root canal in lower molar 21 years ago. Had an infection under the tooth a couple of months ago. My dentist gave me antibiotics and said I could either have a repeat root canal or extraction. He said if it were his tooth, he'd have an extraction. I was leaning towards a second root canal but when I went back for a cleaning, my dentist said he took a closer look at the x-ray and recommended extraction only. So lucky me, I go in the day after Valentine's Day.
I hope this shows up. Can't figure out where to type a reply.
I have practiced Dental Hygiene for 30 years.
I would not worry about a dry socket. This is not a wisdom tooth, and dry sockets are not ususally a problem in other areas.
I agree with your DDS. If the tooth has already had a root canal, then blows up years later, don't dump anymore time and money into it.
I think you will be surprised how fast you heal up. Gentle rinsing. Try not to dislodge the clot. If the dentist places a suture over the extraction hole, all the better. not usually necessary, tho.
Most ext's don't require RX paid relief. usually controlled with Motrin, etc. But if you need it, be the sqyeaky wheel and GET IT. Don't let anyone tell you you don't hurt when you do, and don't take a prescription that you know you can't use. There are alot of options to keep you comfy, but usually, just getting the problem tooth OUT, starts the pain relief. Good Luck. I bet you do well! JOE1:
I am no stranger to having extractions/oral surgery. I had four permanent teeth pulled as a child due to overcrowding and had my impacted wisdom teeth surgically removed, which was an extremely painful experience that left me virtually unable to open my mouth or eat for well over a week.

I've read several of the extraction posts and recommendations and I already have my arnica on its way. I guess my main concern is keeping the pain - either from the extraction itself or my TMJ - to an absolute bare minimum and trying to avoid dry socket at all costs.

Any helpful hints/suggestions? I am almost positive the dentist won't prescribe pain meds. If he does, it will be hydrocodone which makes me barf every time so I refuse to take it.