Tag Archives: abscess

Murphy’s Law of the Mouth

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I went in for my root canal. The first thing the dental assistant did was take some x-rays of Princess Tooth and her surrounding tooth friends.

The endodontist, Dr. Endo came in next. He was younger than I expected, but very nice. I liked him, and more importantly, I trusted him.

He said he’d looked at the x-rays of my mouth and asked if I’d cracked the tooth. My x-rays (newfangled x-rays taken with a computer) were up on a screen to my left, and Dr. Endo pointed out the large abscess (ugh!), as well as some slight bone loss. Then he said the remainder of the tooth was cracked, and he wasn’t sure if the root canal was going to save the tooth. He said he wouldn’t be able to tell until he got in there with a microscope, but warned me that if the crack went too far down, the root canal had a 100% chance of failure and there was no sense continuing.

Dr.  Endo left the room and his lovely (friendly, caring) assistant put numbing gel in two areas in my mouth, behind and on the side of Princess Tooth. Once the gel had numbed me, Dr. Endo came back into the room and told me to close my eyes if I didn’t want to see the needle. I decided it was best if I didn’t see the needle, so I squeezed my eyes shut. Needles hurt, even when I can’t see them.

The assistant came back into the room with a beige square in her hands. She showed the square to me and asked, Are you familiar with dental dams? I wanted to say, Only as a safer sex technique for cunnilingus, but I kept that to myself and just said no.

She told me the dental dam would isolate my tooth during the procedure. She told me I’d feel pressure when she put it over my tooth, but to let her know if it poked or pinched.

She put it in my mouth and said, Do you feel the pressure? I didn’t feel a dang thing, so I shook my head no. She said, Oh, you’re good and numb. Oh yeah, I was numb all right. Swallowing felt weird, and I wondered if I was actually having problems breathing or it just felt that way because I couldn’t feel anything in the back of my mouth.

Then the assistant left the room again. I was in the room alone, leaned all the way back in the chair, with mouth wide open and a piece of latex over it while I wondered if I was going to continue to be able to breathe. It was not my happiest moment.

Finally (finally!) Dr. Endo and the lovely assistant came back into the room and started working in my mouth. Dr. Endo was drilling, and I could hear the loud hum of the drill in my head, but I couldn’t feel a thing. Oh blessed numbness!

Dr. Endo didn’t work in my mouth very long before he gave me the bad news. The tooth was way cracked and there was no saving it. Doing a root canal on it would be a waste of time and money. The Princess Tooth must be pulled.

I didn’t even cry about it. There’s only so much crying a person can do over one tooth. (Besides, my van has an appointment with a new mechanic , so I better keep some tears in reserve for that verdict.)

Dr. Endo said he’d write a report on my tooth and send it to the dentist who put on the crown. I’ll have to see her again, and we can decide if I’ll get an implant after the tooth is pulled. (Unless extraction + implant = < $1,100, the answer to the implant questions will be no.)

Dr. Endo said I should get the tooth extracted within a month. The abscess is still there and won’t go away until the tooth is out. Dr. Endo said to call his office if the tooth becomes painful or swollen (or painfully swollen, I presume), and he’ll write another prescription for antibiotics for me.

The cost to find out that my $900 crown is worthless and my tooth needs to be pulled? $400.

 

Princess Tooth Revisited

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business, care, chairThe last time I wrote of my teeth, I had a temporary crown on my farthest back lower right molar. (That’s tooth #31, for those of you who keep track.) (That’s also the tooth I call my Princess Tooth, since it wears a crown.) I was waiting for the permanent crown to be constructed so the dentist could cement it in my mouth.

On the morning of the day of my put-the-crown-in dental appointment, I was eating cereal for breakfast. I felt a crack and ended up spitting half of the temporary crown into my hand. I immediately called the dentist’s office and was told to come in at 10:30 in the morning instead of 2:30 in the afternoon.

I was so ready to be finished with all this dental business. I was ready to be finished spending large sums of money. I was certainly ready to be finished with the mouth pain.

It was apparent that the office manager had not told the dentist that the temporary crown had cracked in two and detached from my tooth. Both the dentist and her assistant were surprised when they looked at my tooth. Hey folks, I wanted to shout, ever hear of the concept of communication?

With the old temp crown out, we began the tedious process of adjusting the permanent crown. The dentist would pop it out of my mouth, do some work on it (grinding? buffing?) then put it back in place in hopes that now my left back teeth touched. In and out. In and out. The good part of this process was that I didn’t feel any pain.

Then they were moving me into an upright position while the assistant said she was going to take an x-ray. That seemed a little weird, but whatever. I figured they knew what they were doing.

After several minutes, the dentist came in and announced that I had an abscess. An abscess? I realized at that moment that I wasn’t exactly sure what that meant.

An abscess? I asked her. Like an infection?

(An abscess is “a confined pocket of pus that collects in tissues, organs, or spaces inside the body.” EEEEEWWWW!!!! That is so gross!)

Yes, she said, an infection. Then she said she was going to give me antibiotics. (Have you ever noticed that medical professionals often say they are going to “give” some sort of medication, but what they actually mean is that they are going to give you a prescription so you can trot the piece of paper on down to the pharmacy and then pay for the actual drugs?)

It was at about that point that I made a comment about not having any money left.

Then the dentist told her assistant to get me a referral and the assistant asked what the referral was for. The dentist said one word: Endo. (Meaning endodontist, a dentist concerned with the study and treatment of the dental pulp, not as defined by the Urban Dictionary “the bottom tips of the marijuana plant that accumulate the most resin and crystals after being hung to dry.”)

The dentist then told me, guess what, I do need a root canal after all.

(Ok, the dentist was more professional than that. She’s very nice. But she also was talking from behind my head. She never came over and looked me in the eye and explained everything to me.)

And I started crying. Not sobbing. Just tears leaking out of my eyes and dripping into my ears. (Oh, yeah, I was in the dental-chair-tilted-back position again.) I felt very overwhelmed and frustrated. On top of the other complications in my life, I had just been told that the insufficient amount of money I still had was pretty soon going to be zero money. So I was crying.

And then the dentist realized I was crying and said, Are you crying? What surprises me is that so few people burst into tears upon hearing bad dental news that the dentist was surprised at my tears.

When I left, the dentist gave me not only the referral to the endodontist, but also the card of a regular dentist who does root canals. I think she was telling me the dentist might hook me up for a lower than normal price, but I’m unsure. She also gave me the x-ray they’d just taken so I could let the possible bargain dentist see for him/herself exactly what was going on.

Then I went to Wal-Mart to get my prescription filled. Have you tried to navigate a large Wal-Mart pharmacy? There are multiple windows and you can’t see the drop-off window from the pick-up area. I was in the wrong place and didn’t understand for a moment where I was supposed to go. (I saw another woman have the same experience, so I think the flaw is with Wal-Mart’s system, not me.) The good news is that the antibiotics only cost me $4. The bad news is that it took an hour to get the prescription filled.

It was raining outside and I didn’t want to walk back out to the van, so I wandered aimlessly through Wal-Mart for 50 dragging minutes.

I messed around on the laptop all afternoon while the Lady of the House napped on the couch, but finally forced myself to call the possible bargain dentist around 4:30. They want me to “drop by” their office (fifteen miles from where I am staying) tomorrow with the x-ray so they can take a look at it and tell me how much they will charge for my root canal.

So now I have a $900 crown and a pocket of pus in my mouth. Apparently the antibiotics are going to help fight the infection, but I still need the root canal in order for my mouth to heal. I guess if I don’t have the root canal, I could lose the tooth in which I’ve invested so much money.

I should have had the fucker pulled in the first place.