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A Procedure Where It Was Almost Impossible to Get Numb

Posted on August 31, 2023 by writeradmin.

I recently had a tooth extracted. It was my bottom, left back molar. I think my dentist called it tooth #18. I have three major concerns that I need to ask someone other than my dentist about. First, it took multiple shots to get me numb. I lost count at 13 and was just crying by them. Is this normal? Second, a few days after the extraction, a bone spur appeared at the site. I wasn’t thrilled with the deal of going back to the dentist after the extraction, but it hurt so much any time someting even brushed it (including my tongue) that I had to. It took the dentist about 30 minutes to deal with that. Now, about eight days later, the extraction site has a sharp ridge. It’s also still painful for me to swallow and eat. I don’t even try to smile anymore. I think I’ve lost confidence in this dentist and I don’t know what to do about this ridge or even if any of this experience was normal.

Mary

Dear Mary,

Woman asleep in the dental chair

You have definitely had a rough go of things. Let’s start with the problem getting numb as this will impact every dental appointment you have. I highly doubt your dentist missed the tooth area that many times. The underlying issue more likely lies in a dental anxiety issue combined with your dentist not understanding how that impacts your ability to get numb.

As your anxiety goes up, it gets harder and harder for your body to stay numb. This is because your metabolism jumps up during that anxiety and burns off the numbing medication. This is why it was so difficult for you to get and stay numb. Now for the good news. There is a solution to this.

Pain Free Dental Procedures

My suggestion is you go to a dentist who offers dental sedation. In some cases, all you need is nitrous oxide. This is a mild form of sedation that relaxes you. It is sometimes called laughing gas because of the floaty feeling it gives you. It has the benefit of allowing you to immediately get on with your day because, once the procedure is over, they switch the gas to oxygen and you are back to normal in just a few moments.

Some patients have such a high anxiety level, however, that they need something a bit stronger. If you are in that camp, my suggestion is oral conscious sedation. This takes a little more preparation. While it is administered by a pill, this pill is so strong that you will need someone to drive you to and from your appointment as well as stay with you at home until you are lucid and steady on your feet.

Your Other Questions

The bone spur puzzles me. I don’t have a lot of information about it. What I can say is that dentists should try their best to remove any loose pieces of bone, etc. As for the sharp ridge, I have more information. When the tooth is first removed, the socket will have a sharp edge to it. You didn’t notice it because the gum tissue is over it and a bit swollen. As it heals the gum goes back to normal size and the sharp edges are then on the surface. If it is causing you a problem, your dentist can smooth it or clip it.

I hope this helps.
This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Filed Under: Sedation Dentist Tagged With: dental anxiety, nitrous oxide, oral conscious sedation, pain free dental care

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