[KrisPPP]

Hi Bryanna,

Well, as you know the past few months have been tough for me. I think my anxiety issues and some personal issues certainly have not helped. Anyway, tomorrow I am FINALLY getting that tooth filled in front of the wisdom tooth extraction site. It is time. If you forgot who I am, I am the one who had their upper left wisdom tooth out by reg dentist and seemed to have trouble with healing. u recWell, the healing is going well now. There is still an indention, a good size one, but it is filling in. I am wondering since the tooth was "off to the side" if that is why it "seems" to be more indented. Anyway, I am still having discomfort in that area sometimes but I have been seen by an ENT and he does not think it is TMJ at ALL, yet he thinks I have some residual issues in my left ear tube due to a virus a few months back and that is causing pressure, ect. Anyway, I am afraid of this filling tomorrow since it is RIGHT next to the extraction site. I am afraid of the following:

1. The shot....I am going to request NO epi
2. Reading about Trig neuralgia and how that can start from a dental shot, do you know much about this? Could I have Trig neuralgia or would I be in constant pain if I had this from the wisdom tooth removal on Nov 1?
3. Can I get the cavity filled without novocaine?
4. Do you recommend I just have them "watch" the cavity, since it is smaller, until I get this whole sinus/ear issue resolved?

Any advice, as usual, would be appreciated.

Thank you!!!

Kris

[Bryanna]

Hi Kris,

Of course I remember you I am glad that the extraction site is feeling better. The indentation may stay rather large because of the angulation of that tooth in that it was in mostly tissue, not bone. So when it was removed, the tissue sunk in. I wouldn't be concerned about it if it were me.

To answer your questions...

1. The shot....I am going to request NO epi
OK, GOOD. YOU DON'T NEED EPI TO DRILL AND FILL A CAVITY.

2. Reading about Trig neuralgia and how that can start from a dental shot, do you know much about this? Could I have Trig neuralgia or would I be in constant pain if I had this from the wisdom tooth removal on Nov 1?

MOST DENTAL INJECTIONS DO NOT CAUSE OR CONTRIBUTE TO ANY FORM OF NEURALGIA. IT IS POSSIBLE HOWEVER FOR A DENTAL INJECTION TO CAUSE A NERVE IRRITATION. BUT MOST OF THE TIME IT IS A TEMPORARY CONDITION WITH NO LASTING ILL EFFECTS.

MOST TYPES OF NEURALGIA GENERALLY HAVE SEVERAL CONTRIBUTING FACTORS AND PERHAPS THAT'S ONE OF THE REASONS WHY THE CONDITION CAN BE SO DIFFICULT TO DIAGNOSE AND TREAT. THE PAIN/DISCOMFORT CAN VARY IN FREQUENCY AND SEVERITY. SOMETIMES THE PAIN IS CONSTANT, OTHER TIMES IT IS INTERMITTENT.

3. Can I get the cavity filled without novocaine?
MAYBE? IF IT IS A SMALL, SHALLOW, ONE SURFACE CAVITY, IT'S VERY POSSIBLE YOU CAN DO IT WITHOUT ANESTHETIC. IF IT WRAPS AROUND THE TOOTH REQUIRING SOME ADDITIONAL PROCEDURAL STEPS THAT COULD PINCH THE GUM TISSUE, THEN YOU MAY PREFER TO BE NUMB FOR THAT. ASK YOUR DENTIST IF HE THINKS YOU COULD TRY DOING IT WITHOUT ANESTHETIC.

4. Do you recommend I just have them "watch" the cavity, since it is smaller, until I get this whole sinus/ear issue resolved?
I DO NOT RECOMMEND THAT YOU TAKE THE WATCH OR WAIT AND SEE APPROACH. IT IS ALWAYS EASIER AND WISER TO TAKE CARE OF A CAVITY WHEN IT IS SMALL.

I think you are going to be fine. Get it done now so you have one less stressful thing to think about!

Bryanna

Originally Posted by KrisPPP

Hi Bryanna,

Well, as you know the past few months have been tough for me. I think my anxiety issues and some personal issues certainly have not helped. Anyway, tomorrow I am FINALLY getting that tooth filled in front of the wisdom tooth extraction site. It is time. If you forgot who I am, I am the one who had their upper left wisdom tooth out by reg dentist and seemed to have trouble with healing. u recWell, the healing is going well now. There is still an indention, a good size one, but it is filling in. I am wondering since the tooth was "off to the side" if that is why it "seems" to be more indented. Anyway, I am still having discomfort in that area sometimes but I have been seen by an ENT and he does not think it is TMJ at ALL, yet he thinks I have some residual issues in my left ear tube due to a virus a few months back and that is causing pressure, ect. Anyway, I am afraid of this filling tomorrow since it is RIGHT next to the extraction site. I am afraid of the following:

1. The shot....I am going to request NO epi
2. Reading about Trig neuralgia and how that can start from a dental shot, do you know much about this? Could I have Trig neuralgia or would I be in constant pain if I had this from the wisdom tooth removal on Nov 1?
3. Can I get the cavity filled without novocaine?
4. Do you recommend I just have them "watch" the cavity, since it is smaller, until I get this whole sinus/ear issue resolved?

Any advice, as usual, would be appreciated.

Thank you!!!

Kris

[KrisPPP]

Thanks for the quick reply!! You always make me feel better! I thank God for you and your knowledge...I really do!!

One more question:

1. I have in the past for a filling, and my extraction, taken Lorazepam. Do you encounter many that take this before dentist work? I dont know why I am getting worried about taking this med due to possible interaction with the "shot." The dentist said it is fine......should I be concerned or just take my 0.5 pill and chill out and get this damn thing done!!! I want to do it without but dont think I can. I had chest discomfort earlier today just thinking about tomorrow's procedure!!!

God....please get me through this!!

[Bryanna]

kris,

Yes, it is fairly common for dental patients to take ativan prior to their dental appointment. I think you should take it since that is what you are accustomed to and not to worry.....you will be fine!

Bryanna

Originally Posted by KrisPPP

Thanks for the quick reply!! You always make me feel better! I thank God for you and your knowledge...I really do!!

One more question:

1. I have in the past for a filling, and my extraction, taken Lorazepam. Do you encounter many that take this before dentist work? I dont know why I am getting worried about taking this med due to possible interaction with the "shot." The dentist said it is fine......should I be concerned or just take my 0.5 pill and chill out and get this damn thing done!!! I want to do it without but dont think I can. I had chest discomfort earlier today just thinking about tomorrow's procedure!!!

God....please get me through this!!

[KrisPPP]

Thanks! I will update you tomorrow!

[Bryanna]

Kris,

So how did your dental visit go today?

Bryanna

Originally Posted by KrisPPP

Thanks! I will update you tomorrow!