To be petrified..surgical tooth extraction, curly roots and sinus involvement.. NO SEDATION

[Oucht]

Dear god I want to vomit. Molar is cracked through and giving me loads of pain. Dentist cannot get me seen either on NHS or privately for months unless I use their visiting surgeon who does their implants.
It needs extracting and he has looked at the x-ray saying it will be a very difficult extraction with curly roots and that I should be prepared for sinus cavity perforation where they touch, that he would attempt to stitch it up but that it could leave me worse off.

That can be done but without sedation next Wednesday.. or I wait for months when I am in agony with this tooth split down the middle. I said yes and I'm bricking it.

I wish it was repairable. This is the 4th tooth to have to come our due to being cracked despite wearing a nightguard.
I am booked to seem someone in January for a splint instead. The hormone treatment I had for endometriosis put me in a state of hormonally pregnant for almost 20 years and women who are pregnant get free dentail because of how badly if affects the teeth.

I also took a cancer drug for sometime again for endo leaving me chemo style side effects.. teeth and bones brittle so it takes nothing to break them and I grind and clench, Great combo!!

Surgeon has said he thinks it will take an hour to do and that it will be difficult but I doubt he would take on the job if he could not do it.. he;'s charging almost 4 figures for it so I hope he can!!

Ask your Dr for valium it will help you remain still and not panic

Dab some clove oil on your teeth for now

Ask the dentist to prescribe some diazepam and good luck!

100% this

I obviously don't know what availability they have, but if you're in Essex, you aren't far from these guys in London:

https://www.thegentledentist.co.uk/

Want gas and air, sedation, all the legal drugs known to humankind? They will give it to you! Highly recommend.

No, you're not understanding me. It was nothing like that video. I was flat on my back, and she was on top of me. Feet either side of my hips, knees on my chest. Pulling side-to-side and along the line of my body - putting her body weight into the pull, not into breaking my ribs (and went nowhere near my collarbone, I've no idea where you got that from).

Was she doing it wrong? Yes, most certainly - it's not like I'm pretending that this is somehow endorsed practice. She'd already cracked my upper jaw by that point, according to the nurse (much later on), and she'd slipped trying to get the tooth out enough times that it had to come out in several pieces.

But hey, I must've imagined it. As did the witness (the nurse) and the people who completed the investigation afterwards.

Well done, top Internet marks to you there.

FFS.

20 years ago I had 2 wisdom teeth out without general anaesthetic - both turned out to have curly roots. I was left with severe lifetime nerve damage across the whole of my bottom lip and underneath. The saddest thing. No longer able to kiss my husband. Well I can but I don’t, as it feels so weird and unpleasant. I can’t help wondering whether sedation might have produced a better outcome. Everyone has their sad stories, but I will never really get over mine.

I will just make one more comment. It only takes 10 to 12lb of force to break a rib in a healthy adult . Even a very light person kneeling on someone's chest whilst engaging in physical exertion is easily capable of breaking one or more ribs . That's just kneeling with one knee. Kneeling with both knees on the chest would increase danger, make breathing very difficult and make the dentist very unstable on top of the patient.

Whatever happened to you kneeling on someone's chest with one or both knees for a dental extraction is not taught , not practiced , dangerous and would make extraction much more difficult rather than less.

Unfortunately even in the best and most experienced hands , under ideal conditions , a small percentage of people will get permanent damage to nerves on lower jaw.
Sedation makes no difference to success , it just calms the patient and leaves most with little memory of proceedure.

I recently had a wisdom tooth removed and root canal filling without sedation, just local anaesthetic. The wisdom tooth did crack, but he got it all out. For both I went privately due to waiting times, and I was pleased with the outcomes (cost a fortune though).

I think if you are being seen by a skilled dentist who is experienced you will be fine.

I had a infected molar it was complicated, NHS got it out is few minutes with local it was fine

I really hope that it ends up being straight forward for you, fingers crossed.

I was told NHS would be at least 2 months wait to get this one out. How does anyone live with severe toothache for that long? Just getting through the week to next Wednesday feels like forever!

Not feeling as nervous as I did yesterday..I think.
It is what it is, have to do it, get in, get it done, get out and enjoy my xmas dinner in a blender haha

Ok, well I had my tooth out today and it was fine, OP. They put topical cream on, then injected up and it was literally pulled out in about 3 seconds. (It was fairly loose). I haven't even really had toothache since the anaesthetic wore off, just a bit of a dull ache - but I haven't bothered with paracetamol or anything.

I hope everything goes as well for you!

So glad it went well for you. I don't think I've ever had a tooth come out in less than 45 minutes! Maybe this difficult one will be the quickest.. nice to dream!

Enjoy the excuse to eat a lot of icecream and keep it clean but don't swish! Dry socket is as much fun as the toothache in the first place! Been there and done that!

You'll feel so much better once it's out. I had to have one removed earlier this year after years of trouble. It was likely to be a surgical extraction, and I also have low sinuses to add to the fun, but it came out in about 20 seconds and no problems at all. (I didn't need a surgical extraction either in the end.) I was absolutely dreading it, but it really was fine. Hopefully you'll be pleasantly surprised this time, but whatever, once it's gone you can get better.

It might all go absolutely fine.
You'll be numbed up to the eyeballs.
As others suggested bring earphones for your phone and listen to a light hearted podcast or audiobook.
The surgeon is doing these extractions days in and day out.

I hope it goes well for you on Wednesday @Oucht. Better to get it over and done with as quickly as possible. What time is your appointment?

I'm a dental nurse in a hospital oral surgery and maxillofacial unit. Curved roots on an upper molar are really not that big of a deal and a sinus repair is simply a couple of extra stitches under the gum that you wouldn't even know about.

Relax, it will be over within 5 mins (hopefully!) that's how long it takes 99% or our dentists.

Hi there. This may or may not apply to your dentist…. Some dentists just aren’t that great at extractions and will play up how difficult it is when they refer you. The dentist I have worked with for 36 years is excellent at removing teeth( curly roots, broken roots, the lot) we have seen patients who have been referred by other dentists to hospital settings for extractions and have been able to remove the teeth in practice with local anaesthetic. It may not be as bad as he made out, it might just be that he’s not great at removing teeth. In 36 years I’ve seen it once where the sinus floor was damaged. That’s it! Once in 36 years.
Be brave, keep the appointment and hopefully it will go swimmingly x

Tramadol is no good for dental pain. Oddly although ibuprofen and paracetamol aren’t that strong they are the best thing for dental pain x

Listen to Lollygaggle re knee on chest.
It’s a common perception by patients , misinterpreting the sensations they feel.
They are feeling anxious, they are feeling pressure, they have anaesthesia numbing some sensations but not pressure. They have someone leaning over them. They feel pressure in their chest and believe their chest was being leaned on.
Its anxiety mixed with all the other sensations.
It’s common for people to refer to a panic attack as “like an elephant sitting on my chest, I couldn’t breathe”.
It would help us in no way to straddle you or mount you.

OP I hope it goes well, it’s sounds as though your visiting surgeon is experienced. You may wish to agree a stop signal such as raising your hand if you need a break and to give you some sense of control which reduces anxiety. Good luck.

I have a filling being done at 11.45am and then go back for the extraction at 5.45pm. He is staying behind when they close to do it for me.

He is very experienced in oral surgery which is why I am going ahead. He can't charge what he does if he's not good.... I hope!
He has removed 2 teeth for me before and only charged £300 per tooth, this time its 3x that for the one where he thinks it is going to be so difficult but I am in so much pain that I just want it out asap and before xmas. Credit cards are made for times like this!

@Oucht morning, just wanted to wish you luck today for your double visit to the dentist. It will all be over with by this time tomorrow. You are very brave. Let us know how you get on. 💐

My uncle is a dentist and he says the same thing. Normal dentistry and it doesn’t matter. Extractions you want a burly bloke with big shoulders. There’s a reason the local blacksmith would of been your go to person in days of yore.