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] 3 points 5 days ago (1 children)

Good luck kid your gonna need it

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[–] [email protected] 1 points 5 days ago
[–] [email protected] 3 points 5 days ago (3 children)

Yep, mine got infected on a trip the usa, food hygiene there isn't what I'm used to. I was considering ripping my own teeth out, over the counter pain killers didn't help one bit.

It was a horrible experience

[–] [email protected] 6 points 5 days ago (3 children)

Wtf were you eating that led to the need for a root canal?

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[–] [email protected] 26 points 5 days ago (2 children)

Don’t worry. I’ve had a lot of work done on my front teeth due to an accident when I was a child. Eventually needed root canals on both.

Honestly those root canals weren’t even as bad as cavity fillings.

Most painful part, as others have said, will be the numbing injections. If you still feel pain, let them know and they’ll give you more (different people have different levels).

Make sure to ask for a bite block so you don’t have to hold your mouth open, that’ll help a lot.

They might even let you listen to music, audiobook, or podcast, depending on your dentist.

Here’s what you’ll experience:

They’ll put you in the chair, and they’ll use a q-tip to apply some local anesthetic to your gums. They’ll give that a bit to kick in, then they’ll inject your gums with a tiny little hypodermic needle to really numb them. This is the only part that hurts. I find if I grip the arm of my chair and focus on that, I get through it easier.

They’ll likely do 2-3 injections around the area, depending on the tooth and where the nerves are located. But the first is the worst, because the numbing agent will start to take effect for the others. Also your body is gonna flood with endorphins because of the pain, so the injections following the first won’t be nearly as bad. Then the dentist will probably leave the room for a few minutes while they let that kick in. If the assistant is there, strike up a conversation! In my experience, the relief that the injections are done, along with the aforementioned flood of endorphins, almost feels like a mild high.

The dentist will come back and ask how you’re doing. Your lip will feel huge right now (though it isn’t, it’s just the way the nerves interpret not being able to feel what’s going on).

Here, if they haven’t given you one yet, ask for a bite block. Seriously, it makes the process so much easier.

They’ll start working by drying the area with some air. Then they’ll probably begin drilling. If you feel any pain at all, let them know. They’ll be looking for it, and may even ask you. I’ve only ever had to get an additional injection once or twice. By this point, the injection won’t really hurt because the area is so numb.

When they’ve drilled in they’ll begin using tools to clean out the inside of the tooth, clearing as much of the infected tissue as possible and removing the nerve. The work and the drilling all feel kind of weird, because the area is numb but you can still sense pressure in other parts of your mouth. You can also hear it, unless you choose the music route. I actually find this kind of fascinating.

Once they’ve cleaned the area, they’ll put in what’s called gutta percha, which they use to plug up the canal. This will feel funny, you’ll definitely feel the pressure. It won’t hurt though.

Then they’ll plug the hole with some bonding material or cement or something. This will probably be UV cured.

And then you’ll be done! Unless you’re having the whole tooth replaced with a crown. In that case, they’ll have made a mold beforehand for a temporary and permanent crown. They’ll drill away more of the tooth and put a post in to hold the crown in place. Then they’ll put the temporary crown on while they send the mold out to make a proper one.

Then you get to go home. Take a sick day if you get them, not because you need it but because it’s a good excuse and your co-workers will all feel sorry for you. 🤣

Don’t fret! You’re gonna do great. If you have any questions or concerns don’t hesitate to ask!

[–] [email protected] 4 points 5 days ago

This is a great step-by-step. If I were having a root canal, this would make me feel immensely reassured

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[–] [email protected] 3 points 5 days ago

I've had one and I am straight up terrified of needles in general. The only thing that hurt me was the initial needle. I won't lie, getting a shot in the roof of the mouth is not a good time, but literally everywhere else is on par, if not less than a regular needle. I don't know how to explain it, but it's less resistance, and a good dentist will numb along the way. Also, let your dentist know. You're not the only one who finds it scary. They'll do what they can to make it comfortable. And if it's long, they usually let you wear headphones. It's not a spa by any means, but once you get the injection (which I promise is not bad), that's it. Hard parts done. And you'll sleep great that night because it'll be all over. 👌🏾

[–] [email protected] 3 points 5 days ago

I've had good dentists that have kept me mostly pain free. Hope you have the same. For me, it's mostly about tolerating the amount of stuff put into my mouth at once, which can be uncomfortable. But it's not too bad. You'll be fine I'm sure :)

[–] [email protected] 3 points 5 days ago (2 children)

Just get the gas! It's very affordable and very relaxing i did mine without the gas and it still wasn't too bad

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[–] [email protected] 14 points 6 days ago (2 children)

I'm late to the thread, but just wanted to reiterate what others have said. The "pinch" of the anesthetic injection was probably the worst pain. The process was relatively quick, especially if they're only doing one tooth. Heck, the real pain was covering the costs that my insurance didn't cover. :)

My guy did have me use a bite block to hold my mouth open. Very handy, definitely made it easier. When the process was all said and done, my jaw was a bit sore from being in that position for that long. But that past very quickly.

Be sure to communicate with your dentist and be honest. Before, after, and during the procedure. You're the patient here, and they need to listen to you especially as it pertains to what you're feeling. If you're still feeling anxious (and who could blame you), you might ask to have one of those heavy xray blankets. It acts like a "weighted blanket" and can really help with some of those nerves.

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[–] [email protected] 3 points 6 days ago

The worst part in my experience was actually getting numbed. You can't see the needle going in so a lot of people with needle phobias won't have any problem, but for me the feeling of a needle is repulsive. After that it was smooth sailing, just a bit boring.

The pop culture reputation of dentists as literal torturers is pretty outdated. Medicine has improved a lot in a short amount of time. Just look up reviews before picking your dentist, and don't cheap out if you can help it.

[–] [email protected] 7 points 6 days ago

I've had several, due to childhood trauma making me not take care of my teeth.

It's a lot better these days. They numb, and if I say it still hurts, they get more novacaine into the tooth. They also listen when I say I need more than typical because of genetics.

Also my primary doctor gives me xanax. It helps.

For me it's three visits for each root canal. First is the drilling, second is the temp plastic cap, third is the permanent cap. Third is very quick cause is just putting it in basically.

[–] [email protected] 7 points 6 days ago

I had a double root canal a few months ago, no anesthesia, and literally couldn't feel anything. The nerves on both teeth were already completely dead, there was simply no sensation at all.

[–] [email protected] 6 points 6 days ago

I had one a couple of years ago. The worst part was the anesthetic injection but it was smooth sailing once it kicked in. No pain afterwards.

[–] [email protected] 23 points 6 days ago (2 children)

I've had one. The only pain I felt was the needle prick for the anaesthetic and then later sore jaws from having to hold them open for an hour.

[–] [email protected] 5 points 5 days ago* (last edited 5 days ago)

This is how it should be!!!

If you can feel more than nothing during the root canal (or any dental work) then you need more anesthetic. Dentists aim to give you as little as possible so it is up to you to let them know if you have any feeling. It can start to wear off too, you'll know and should tell them so they can give you more.

Take earbuds and listen to some music during it. Let the dentist know and they will probably be fine with that.

Edit: Read more of the thread. Don't get high, it can interfere with the anesthetics. Your tolerance to them can be higher as well. If you feel comfortable with it you can talk to your dentist about it.

[–] [email protected] 11 points 6 days ago

For anyone worried about this, you can ask for a bite block.

[–] [email protected] 2 points 6 days ago (1 children)

I literally had one on Friday! Long story short: mine was nowhere near as bad as I was expecting.

I had a wisdom tooth removed a couple of years ago and that sucked but it was bearable - it hurt for about two weeks, but Tylenol made it manageable. So I was expecting something along the same lines here. The actual procedure itself was fine - the scraping out of the inside of the tooth is a weird sensation, but not painful 'cause they freeze you up. Then afterwards, once the freezing wore off it hurt for about three hours and I was expecting it to suck for a while. But I had a Tylenol and a nap, and when I woke up it wasn't hurting at all and it's been fine ever since.

Other people have told me that they had pain for a week or so, so your mileage may vary, but yeah for me it was literally just a few hours of discomfort and then back to normal. Nowhere near as big a deal as I thought it was going to be.

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

I had 4 wisdom teeth extracted at the same time when I was younger so I’m really relieved to know it won’t be anywhere like that. 🥲

[–] [email protected] 5 points 6 days ago (1 children)

Like everyone else, I agree that pain management can be pretty good these days. For me the experience was:

  • dentist comes in, says hi, reviews what's going to happen, asks if you have any questions; tell them if you feel nervous, it's ok
  • doctor puts a "local anesthesia" (something on a q-tip) to your gum, so the needle won't hurt too much
  • then the doctor injects the "real" anesthesia in the gum. (an assistant may do this part - it varies) Depending on how deep they need to put it, you may feel a bit of pain, but not too bad. Pinch your arm moderately hard, and imagine that happening in your gum, and that's the most I've ever felt for a very deep injection for a removal. it lasts about 1 second. (some places might give you nitrous oxide for this part, but I've never had that.) They may give more than 1 injection, depending on the situation. From this point on you should feel no pain.
  • doctor/assistant goes away for 10-15 minutes to let the anesthesia spread. your mouth starts to feel numb.
  • the dentist comes back with an assistant, they get organized (figuring out what tools they need, etc) From this point on they're mostly just drilling or doing whatever they need, and your job is just to move your head however they want and keep your mouth open and spit when they tell you. it's a little boring, tbh, at one point I almost dozed off and made a bit of a snoring sound.
  • it can be a little weird having saliva pool in your mouth. the assistant should be vacuuming it out regularly. if they're not doing this often enough, let them know. It is also very very helpful if you can breathe through your nose. if you have a problem with this just let them know.

Good luck, let us know how it goes!

[–] [email protected] 3 points 6 days ago (1 children)

I really appreciate the play by play 🩷 I’ve had an implant and wisdom teeth extracted so those steps all checked out. One thing that really causes anxiety for me is experiencing those sounds, vibrations, smells, lighting. They all blend together for me when I’m stressed (or high) and it can cause a really terrifying experience for me. I’m hoping that I can get either nitrous oxide or a general anesthetic or just take an anti anxiety pill beforehand

[–] [email protected] 3 points 6 days ago (1 children)

I think a general anesthetic, where they just knock you completely out, is usually considered unnecessary for a root canal, but you can ask. If you have anti-anxiety pills prescribed, that might work, just let the dentist know beforehand. Some places have movies or some other kind of "patient distraction" because yeah, it can get a little unnerving hearing all those sounds.

[–] [email protected] 3 points 6 days ago (1 children)

I’m being referred to a specialist who apparently offers general. From the sounds of it here it’s probably overkill but knowing how I respond to tooth trauma, I’ll pay extra for it 🥲 I have a prescription for Xanax that I’ve never used or tried. I don’t know how it affects me though so I’m hesitant to go that route.

[–] [email protected] 3 points 5 days ago (1 children)

Xanax would probably help, but be careful using it for the first time because sometimes it can make one just fall asleep.

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[–] [email protected] 2 points 6 days ago (5 children)

Had some. Not bad. The worst part is the numbing. It doesn't hurt, it just feels strange and tastes bitter. Some advice, don't take laxatives before the procedure. You'll be fine.

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[–] [email protected] 5 points 6 days ago (2 children)

I had a dental abscess that ultimately required a root canal to fix. Before I could go into surgery I was in the worst pain of my life. Some people exaggerate when they say they were in the worst pain of their life, so to be clear I'm rating the abscess as causing more pain than when I was hit by a car, fell off a cliff, or had life threatening appendicitis.

I had never had a root canal before, so I was pretty nervous going in. My dentist is pretty cool though, he talked me through the procedure and was very patient with me.

The surgery came in two parts. He did most of the work the first day, and had to do some finishing touches the next. Honestly, the hardest part was just sitting in the chair with my mouth open for an hour. I do remember a period where there was a lot of pressure - not pain, but pressure. That's when they're filling in your roots with... whatever it is dentists use.

Part of the procedure involves removing nerve tissue. That made me anxious to hear, because I imagined that was going to hurt, but I didn't feel a thing. Well, that's not exactly true, about halfway through the surgery I suddenly had immense relief and couldn't feel my abscess anymore.

Root canals kind of have a bad reputation because they're one of the more involved procedures at the dentist. I had heard horror stories and seen it lampooned on sitcoms, but the truth didn't live up to my fears. Dare I say it, it was almost a pleasant experience.

Good luck with your procedure, you've got this!

[–] [email protected] 3 points 6 days ago (1 children)

That's when they're filling in your roots with... whatever it is dentists use.

It's usually gutta percha, a kind of rubbery material.

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[–] [email protected] 3 points 6 days ago* (last edited 6 days ago) (1 children)

Gosh that abscess sounds absolutely horrible! I’m sorry you had to experience that but interesting that the removal of the nerve was felt that way.

The removal of the root and therefore no more feeling in the tooth is the part that scares me the most about it all.

Apparently the stuff they fill the root in with is a biocompatible composite mush thing (according to the dentist today).

I appreciate all the detail and well wishes :) Makes my day a little better because I’ve been an anxious wreck haha

[–] [email protected] 4 points 6 days ago (1 children)

Well, if losing feeling in your tooth is the part that has you most anxious, then I'm pleased to report that also seems like no big deal. I had my root canal about five years ago and I often forget that it was done, my mouth feels pretty much the same.

I was a little nervous that it might be pins and needles or numbness in my mouth 24/7, but the truth is that you just... don't feel it. Either the other nerves in my mouth are picking up the slack, or teeth just don't have a whole lot of feeling on their own.

[–] [email protected] 3 points 6 days ago

Wooo! 🥳 forgetting that it was even done is the best case scenario in my head. The human body is WACK.

[–] [email protected] 6 points 6 days ago (1 children)

I had the root canal done without an anesthesia, because I did not want a needle sticking into my gum.

It was tolerable, I did not cry or anything like. The nerve was mostly dead anyway.

The dentist took his sweet time removing the nerve piece by piece with a probe, instead of just drilling the whole tooth through. It did not matter at the end anyway, because he filled the canal afterwards. And the molar has three roots, so he repeated that two more times.

I guess it depends on your pain tolerance.

[–] [email protected] 4 points 6 days ago

Pain tolerance is very low rip. I’m looking to get fully knocked out haha

[–] [email protected] 2 points 6 days ago

I had half of one. It fixed the pain, never went back to get the other half done.

[–] [email protected] 3 points 6 days ago (1 children)

I used to get cavities filled without numbing, until I was 22 and needed a root canal. They make you get numbed and I haven't gone back when getting work done. I don't think the tooth pain is bad, and if you feel tooth pain, let them know. It should be completely shut down. The most uncomfortable part is really having your mouth kept open if they do it right. The light in your eyes too, but you can close your eyes. Also the vibrations sometimes make my nose hairs tickle. All that should be worse than the pain.

[–] [email protected] 1 points 6 days ago* (last edited 6 days ago) (1 children)

I’ve got an old memory of my baby canines being extracted just with local anesthesia and the tugging and drilling was terror for me.

I can’t imagine cavity fillings WITHOUT anesthesia. You’re a tough customer.

[–] [email protected] 2 points 6 days ago (1 children)

When I was around 8 or so, I was more afraid of the needle than the drill. It does hurt, but all pain is something you can get through. If you're numbing though, it shouldn't hurt. Also you may fell numb for over 6 hours afterwards. If they do it right you shouldn't feel pain after it goes away either.

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

Funnily enough the needle in the mouth isn’t so bad for me if I’m swabbed with a bit of lidocaine first.

[–] [email protected] 2 points 6 days ago (2 children)

I had one, from a tooth that got damaged with braces as a teenager. It finally got to the point in my 40s that it hurt all the time and couldn't be saved. My dentist suggested the root canal. Like you, I was scared.

I didn't need to be scared. It barely hurt after - in 48 hours it was like it never happened. During the procedure (maybe 75 minutes total?) they had really good pain blocks. My advise is to let them know your fear. Good dentists/endodontists expect it and have ways to help you.

If you've been in pain from this for a while, you have already been feeling the worst of it. It'll be so much better afterwards. Really!

They will likely fit you with a temporary crown to protect the remaining tooth until a proper crown is ready. Most of the pain will be from your irritated gums after the procedure, which will ache. Root canals terminate the damaged tooth nerves, so you may need to relearn how to chew on that tooth a bit. But did I mention it won't hurt?

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[–] [email protected] 5 points 6 days ago

It really depends on the doctor handling it. If they're good, it's nothing to worry about.

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