this post was submitted on 10 Oct 2024
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I just learnt a sore tooth of mine is caused by my tooth root never fully closing (due to getting braces and shifting my teeth around). Now at 30 I need a root canal.

I’ve never even had a cavity before. I’m legit terrified. Teeth are the one thing that are much worse than nails on chalkboard for me.

How was your experience been? Any words of advice or words of encouragement? I could use it :(

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[–] [email protected] 5 points 1 month ago

The analgesics today are really good, so you won't feel much, just pressure as the dentist drills through the roots.

Otherwise, tell your dentist if you feel anxious or afraid, they are pretty used to that and will generally try to make you comfortable.

Afterward, your gum will be a bit sensitive, but your tooth won't hurt since you don't have nerves endings anymore.

You got this.

[–] [email protected] 4 points 1 month ago* (last edited 1 month ago)

I had my first root canal recently. Honestly it was no worse than a filling, the most painful part was simply having to lie still with my mouth open for so long.

(I hate the injections, but I always hate injections, worth it to go through the procedure pain free though)

[–] [email protected] 2 points 1 month ago

The worst thing of the root canal for me was that they had a hard time getting the numbing agent where it needed to go, so they used a lot, so half my face was numb for the rest of the day. So I looked really weird when eating/drinking/speaking/smiling.

[–] [email protected] 3 points 1 month ago* (last edited 1 month ago)

If you are in pain now, you will love it when they are finished with the root canal. I have had six of them over the years, and every time I went from feeling absolutely horrible to 100% in the 1 hour it took them to do the operation.

The only thing that is not comfortable are the initial numbing shots.

Make sure they get you good and numb. If you have any doubt as to whether you need another shot, just get another shot.

After 3 or 4 or 5 shots of numbing agent, you won’t feel a thing.

Once the numbing wears off you will feel totally fine.

It’s really not that bad, much better than living with tooth pain.

Also, ask for a big gloop of topical anesthetic where they are planning to do the injections, it helps a little bit.

Lastly, ask for 10 milligrams of diazepam if you have someone to drive you. A little benzo to take the edge off goes a super long way and dentists have no problem prescribing it. Have the dentist prescribe it and take it 1 hour before the appointment. I am 200lbs and 10mg does the trick.

[–] [email protected] 8 points 1 month ago

I have a long involved horror story that led up to me needing a root canal that I decided not to post here because it probably isnt nteresting to anybody but me.

For the most part, a root canal is kind of minor. They numb your gums where they're going to inject a numbing agent, then they inject a numbing agent, worst case they go a little nutso and try to inject a few places in there but the pain is there and gone in 5 seconds. If at any point you feel pain they can do a better job of numbing you. Honestly, any pain caused in the numbing process goes away pretty quickly when they successfully do it.

They poke around, there's a little drilling, some bad smell maybe heat maybe cold a lot of spitting out little sandy chunks of debris. If the tooth is still in pretty good shape they just pack it back up and you're good to go.

If you end up needing a crown there's a good bit more drilling a good bit more spitting a good bit more smoke. But it's really just the same thing prolonged.

It won't kill you, it will annoy you and it's marginally unpleasant, The anxiety of being there in the anxiety of not knowing what's going on is much worse than the actual procedure. Meditate, chill, roll with it you'll be fine.

[–] [email protected] 2 points 1 month ago

My dentist had to break apart a wisdom tooth and remove it in pieces. They also had to drill and fill cavities in nearby teeth.

They gave me a shots in that area to numb. They did a bit of testing before doing to work to make sure I was sufficiently numb. It didn’t hurt much, but there was some pinching that didn’t feel awesome.

The worst part for me was the pushing, pulling, and vibration of the tools in your mouth. It doesn’t feel natural and it made my skin crawl. I didn’t like the sound either. I recommend earbuds.

Afterwards, I had no pain at all. They gave me hydrocodone to take but I honestly didn’t even need ibuprofen. That isn’t the experience of most people, I’m told. I’m very lucky.

Aside from the headphones, my best tip is to visit a dentist that you feel comfortable with. Tell them up front, that you’re feeling anxious and any worries you have. A good dentist will do their best to explain the process clearly and do what they can to ease the pain.

[–] [email protected] 5 points 1 month ago

Many. There wasn't fluoride in the water where I grew up for the first decade of my life. Tips:

Bring earbuds and clear it with the dentist that they'll tap your arm if they need to talk to you. Have a playlist ready. If you can afford it / have the right insurance, ask for gas to help you zone out. If you feel pain, they didn't give you enough novocaine. My dentist informed me that people with red hair are less sensitive to the drug and need more of it (she noticed my beard comes in kinda reddish when she told me about that). Don't be afraid to let them know of discomfort; they want you to be ok during the procedure so not to make you avoid getting treatment right away in the future, thus making whatever problem worse.

You can maybe ask for a single pill script for a downer like zanex if you don't drive to the appt.

[–] [email protected] 4 points 1 month ago (1 children)

I used to have really bad dentist anxiety, so my teeth got pretty bad before I finally saw someone. My dentist prescribed some kind of twilight drug before my procedures, so I could still respond to commands, but I'd have no memory of the event. I've had two root canals and the surgeon had me use the same drugs for both procedures. I don't know if that's a viable option, but I don't think I could have done them without.

Otherwise, when you go in for your consult, be honest about your anxiety. If you don't want to hear the details of the procedure, tell them that. They have to inform you of risks, but they don't have to go into detail about the procedure. I brought in headphones, which helped me calm down until the drugs kicked in, though, oddly, I can remember the music I woke up to and not much else. I was so scared in the days leading up to the first procedure, but the pain relief was so great that I'm glad I did it. If nothing else, focus on that.

[–] [email protected] 1 points 1 month ago

This is good advice. I had an implant post hole screwed into my jaw a few months ago. During the initial consultation I honestly explained I get anxious and asked about what kind of drugs I could get. The dentist was literally like "oh we usually prescribe what I like to call 'happy pills'" which turned out to be some kind of benzos. I also asked for nitrous. It was a total non-event, I don't remember it at all, and experienced no pain (that I can remember). Also the initial local anesthetic shot you get in the gums is about 50x worse mentally than physically. It hurts way less than when e.g., you bite down hard on a sideways tortilla chip fragment and it gets jammed up into your gums.

So just be honest, ask for meds, and be proud that you're taking care of your health and your anxiety.

[–] [email protected] 3 points 1 month ago* (last edited 1 month ago) (2 children)

I had one on an incisor as a teenager (a wrestling match knocked it loose and it formed an Abscess). It isn't exactly fun, but it won't hurt much except the needle at the beginning. I was only under local, but i hear sometimes you get the option to get laughing gas, I would take the gas if you can. It was significantly more painful before the operation than during. The vibrations are pretty intense at times and you have to stay in a pretty uncomfortable open mouth position for an hour (although they prop your mouth open for you). My least favourite part was when they clamped a uv lamp around the tooth, which felt like a big pressure for me. My mouth and tongue also got very dry, and the squirts of water they provided didn't do much to make that better. I don't remember much of the after care but it wasn't bad.

10years later fwiw, my root canal developed an infection and I needed dental surgery to clear it out. During this the local numbing was ineffective for some reason and the dentist had to go in 3 times to try and renumb it, but it never really worked. That really really hurt, but it is not exactly a typical case.

[–] [email protected] 1 points 1 month ago

Gosh that second root canal sounds horrid. I’m really sorry you went through that

[–] [email protected] 1 points 1 month ago

As I am learning in a somewhat similar circumstance, you can request to be sedated during the surgery. I'm not sure about the original root canal.

[–] [email protected] 2 points 1 month ago

My nerves were dead in that tooth. They died before the appointment date. All the pain from the toothache disappeared. The doctor did the root canal without anesthesia and i didn't feel a thing. Also because i went to a specialist it was far more professional than a cavity at my main doctor. Two thumbs up

[–] [email protected] 3 points 1 month ago* (last edited 1 month ago) (1 children)

As far as fearing pain: I got drugged up enough as I assume most did that you can’t feel a whole lot—& we aren’t talking anything beyond local anesthesia + strong paracetamol (just make sure you take something before bed or GG sleep). I will never get used to getting needles in gums tho.

If possible, seriously try to get a one-shot appointment. Mine had 5 1-hour visits every 2 weeks (not what I expected or would have signed up for) & each time they would spend like 15–20 minutes of that clearing out & reapplying a temporary resin. In this state your tooth is quite compromised state. My tooth ended up getting a fissure all along it after the penultimate visit—which ended up being irrepairable. Which meant they had to do an entire extraction for an implant wasting more money & time. I do not wish this on anyone.

Adding fuel to the shit fire was after visit 3 I had massive pain on the other side. They were going to start a root canal on that one too but I begged for a temporary filling (was supposed to hold up 2 months but has been a year) so I could still eat. Tooth 18 was under repair so I had moved all chewing to 31 as my mouth favors putting a majority of pressure on these 2 molars. I don’t think I could have reasonable eaten anything enjoyable for months if both sides were out.

Of note: the root canal isn’t like a finalized thing either. They seem to inevitably, eventually break down & will likely require an implant anyways in a few years. When my right side goes out—which it is—I may just consider doing another implant there too since it can be done in just 2 visits here.

[–] [email protected] 1 points 1 month ago (1 children)

Oh? I was under the impression that a canal was a permanent solution. You end up losing the tooth it’s done to???

[–] [email protected] 2 points 1 month ago

That's a tooth extraction, a root canal is where they drill down through the tooth and root to get at and eliminate the infection, saving the tooth. It's not a one session job, they drill down then inject antibiotics to kill the infection, then place a temporary filling in the hole. This is to make sure the infection is gone before placing the permanent filling. I had one a few years ago that took several sessions to get rid of the infection. With a good dentist, it's not painful. Hell, my wisdom teeth extraction was way more painful.

[–] [email protected] 2 points 1 month ago

It's not all that bad. Ever done body work on a car with bondo fill, grinding, drilling, and sanding? It smells, sounds, and vibrates just like that, but in your mouth. The drugs will work, unless you take drugs like weed recreationally. Go ahead and tell the dentist this because you will need more than normal. Follow all the dentist instructions, especially about icing afterwards and taking ibuprofen (not for the pain, but to reduce inflammation), even if you feel okay. The worst part for me was always how sore my jaw was just from holding it open so long. Don't try to go to work afterwards, it'll just interfere with your aftercare of ice to the jaw. Besides, you'll just end up drooling on yourself. It's not so bad really. You'll be fine.

[–] [email protected] 0 points 1 month ago

I've had two root canals. One in 5th grade, and one in college. Local anesthesia only. It was a long painful process. Both teeth eventually failed anyway, and had to be pulled, and replaced with implants.

So my opinion is, if you can afford it just skip the extra misery and have them yank it out and replace it from the start.

[–] [email protected] 3 points 1 month ago

I've had two in the past, had my third just three days ago, my gums are still a little raw. My most recent root canal was on a hyper-sensitive tooth, so there was initially some pain, but once the dentist applied another couple of doses of anesthetic, it was painless, basically a more prolonged filling. The only thing I'd add is that my dentist recommended ibuprofen for after the anesthetic wears off, since there may be some pain, I'd second that recommendation since your gums will be sore for a few days

[–] [email protected] 2 points 1 month ago* (last edited 1 month ago)

I've had two. If there's an infection and the dentist get's a person on antibiotics several days beforehand, then the procedure has a pretty limited amount of pain. Usually less pain than a typical filling. As others have pointed out, the local anesthetic shots are often the gardest parts which aren't that bad. Don't avoid the local anesthetic. If you need more, speak up. Basically, if you can handle a few seconds of being pinched then a root canal is no problem. There are also bad dentists out there.

[–] [email protected] 7 points 1 month ago

I've had several, performed by good dentists. By far the worst part is administering the anesthesia. Second to that is the long boring wait in the dentist's chair.

[–] [email protected] 5 points 1 month ago* (last edited 1 month ago) (1 children)

I heard the horror stories but from older generation. My root canal was easy.

They took xrays to view how deep the tooth went.

Froze area flattened a spot drilled in, and would stop and measure depth compared to xray and go again.

Dentist explained, too shallow and they would miss infected material, too deep and they could damage bone and nerve in jaw.

They cleaned it with a flexible metal tool, like I imagine as a tiny baby bottle brush, and a solution that smelled like bleach.

Filled it with a rod of material, and then did the regular filling type stuff on the hole.

Zero pain after, and abaolutely no after affects or pain.

[–] [email protected] 6 points 1 month ago

My two were relatively easy like this too. No pain after, mostly just weird pressure sensations during.

[–] [email protected] 4 points 1 month ago (1 children)

I’ve had a number of cavities repaired but only one root canal. It wasn’t a fun day, sure, but one thing that I appreciate was that it was such a complete fix for the problem. Some of my other work has had to be repaired, or I’ve had more issues on the same tooth. But with the root canal I went from being in a lot of pain to having none at all.

[–] [email protected] 1 points 1 month ago (1 children)

And no future issues with that tooth? I’ve got an irrational fear of losing my tooth haha

[–] [email protected] 2 points 1 month ago

No future issues. But there isn’t that much of the tooth left, I have a crown there which is most of what’s visible. Make sure you look up or have explained to you the steps of the procedure so you aren’t surprised.

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