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Is what my dentist did normal?

3 replies

fhdl34 · 21/03/2012 16:21

I had a couple of fillings today. As he was injecting the anaesthetic, it felt like he'd spilt anaesthetic liquid all across my lip, I felt it instantly and it really bloody hurt (so much so that I swore at him Blush). He apologised but didn't stop what he was doing.
After we were waiting for it to fully work, he said he'd injected directly into the nerve and there was no blood (the blood part he said it more to the dental nurse). I asked if it'd last longer than usual and he said I might feel the effect for a couple of days.
Then, whilst he was doing the fillings, it was hurting from time to time, he said at one point it was because the friction of the tools was causing the pain but I felt the pain deep in my jaw.
Now the anaesthetic is wearing off and I have toothache.
Is this normal? I really hate this dentist, he's stabbed me in the gum quite a few times, something which I am always petrified of happening. He also completely isn't bothered that the whole experience makes me very anxious. Unfortunately going private isn't an option for us and NHS dentists in this area are few and far between.

OP posts:
Grumpystiltskin · 21/03/2012 20:37

For teeth on the bottom jaw, we try to deposit the anaesthetic close to a nerve (the inferior dental nerve-ID nerve). Soemtimes if we're very accurate then it hits the nerve & causes an electric shock. If we just withdraw the needle slightly then the rest of the anaesthetic goes in the right place and things go numb no problem.

If I do that I just carry on injecting to be honest as the most painful bit is introducing and removing the needle, once it's in the right place it's far less painful and traumatic to simply get on with it than it is to remove it & replace it-then you've lost the landmarks you had before & may hit the nerve again.

On the bottom jaw there is occasionally "accessory innervation" where a nerve branches off from somewhere that hasn't been numbed & causes problems. Often though just the pressure/vibration of drilling a tooth can be interpreted as pain by an anxious patient. This is very common and doesn't mean you're not feeling pain, it's just a mixed up signal that the body is producing.

What do you mean he's stabbed you in the gum? Examining and probing the gums is practically mandatory and dentists have lost their NHS contracts for not doing this correctly. A bit more info & we can ascertain exactly what's going on.

Two points to remember: Firstly, it's not the dentist's fault you need treatment (prevention is better than cure) and secondly, have you actually told him in words "this is making me very anxious"? It sounds like there isn't much communication going on.

Where in the UK are you?

Fluffycloudland77 · 21/03/2012 21:29

I'm not a dentist (podiatrist we also use LA) but I have seen patients who I know are fully anaethatised swear blind they can feel the nail surgery instruments but when they arent looking we have poked them with a sharp instrument and they felt nothing! (in a medical poking way).

I've had loads of teeth out and extractions are less painful than when I had something coated on my back teeth to prevent cavities.

fhdl34 · 22/03/2012 16:06

Whilst he's been examining me or working on me he's slipped and stabbed me in the gum.
He does know I'm very anxious, I had a bad experience with a dentist 13 years ago, before that going to the dentist never bothered me but since then I get very anxious. I've had 3 dentists since then, the 1st left the practice and I was going to go with him but they gave me my 2nd, really nice dentist who was also great with me. Unfortunately he retired and now I'm stuck with this one. Every dentist I've had since that bad experience I've told them about my anxiety but this one just isn't bothered. The only good thing about him is that he'll willingly pull my teeth out. In the past if I've had problem teeth where the problem recurrs, I've asked previous dentists if they'll remove the tooth and they never would unless it was really bad but this dentist is more than happy to pull mine out. Perhaps he just doesn't like me.
Re feeling pain through anaesthetic, I had an epidural when I had my DD, couldn't feel any contractions at all but did feel pain on the right hand side of my pelvis for quite a few hours, which turned out to be my cervix swelling up on that side so sometimes you can feel pain through it. I know this is a different area of my body but I'm just saying that sometimes you can feel pain through anaesthetic although I don't know why.
I live in the Midlands.

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