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Fear of pain during root canal treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
Doctor :   hi
Doctor :   DR. XXXXXXXX here.
Doctor :   what is the current problem that you are faced with?
Doctor :   please describe your symptoms
Doctor :   if the anesthesia is given well and in right dosage, it will not hurt.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
User :   it hurt alot
User :   and i aint good with pain at all
Doctor :   ok. you can discuss about the previous experinece with your present dentist
User :   and did dentist use to use tweeres to get the nerves out
Doctor :   such that he/she is extra careful not to hurt you
Doctor :   no, the process consists of giving you anesthesia first
Doctor :   and then slowly carrying on the process of root canal treatment
User :   i know that the dentist use files now and i cant afford to have the root canal and i cant have the tooth pulled as i have braces on my teeth and the achour is on the tooth that needs help
Doctor :   ok. for what purpose the root canal treatment was advised to you?
User :   it hurts and i dont know how i am going to go as i also have anxitey
Doctor :   root canal treatment is never done without giving you anesthesia to block the pain sensation. so do not worry about the pain.
Doctor :   are you on medications for anxiety?
Doctor :   if yes, then take your medicine before going for the process
User :   one nite when eating dinner i got soreness in my tooth and then 5 mins after dinner it really really hurt like the pain was bad like the tooth was being pushed out of its socket and i went to see a dentist not my own dentist and he told me i have a very very big hole in the tooth and that it would need root canal
User :   not on meds as yet for my anxitey
Doctor :   then in that case I would advise you to go to your treating dentist (your own) such that he gives you a second opinion on it as you have got braces
User :   and the big hole is on the side of the tooth where my tounge is
User :   so if i have root canal then woul the tooth be weak at all
Doctor :   also consider getting put on teh anxiety relieving medications after careful evaluation by your doctor/GP, and then go ahead with the procedure if indicated after repeat examination.
Doctor :   no, tooth will not be weak, it will be strengthened usually by putting cap on it to prevent further decay and weakness
User :   could the tooth be fixed with just a filling as i hve a big filling in the top of that tooth.
Doctor :   ok. then as I said earlier you will need a reexamination along with x-ray to see if the pulp part of tooth is exposed
User :   i do have pain in the tooth now and then
User :   if it is exposed then what happens
Doctor :   if the pulp part is exposed then even your original dentist will advise you to undergo root canal to solve the problem
Doctor :   if the filling is intact and pulp is fine
User :   if i have a very big hole in that tooth then wont the dentist crack it more at all
User :   i am so so scared about going to the dentist as from my first experince with a root canal
Doctor :   the decision will depend on the amount of damage already done to it.
Doctor :   as I said if the x-ray shows pulp exposure then only root canal would be advised
User :   i dont have very bad pain but i had to take aspro to get rid of the pain that nite when i had the bad pain
Doctor :   so go ahead with the repeat examination by your dentist, and see what the results are. get an x-ray of affected tooth done
Doctor :   ok. continue on pain medications for pain reilef, but do not delay your visit to your dentist
User :   the other dentist did a xray on it and said that it needed a root canal
Doctor :   the delay might lead to more damage
Doctor :   and ultimately results in root canal treatment
Doctor :   ok.
User :   i am very very worried the infection will go to my chest and or to my brain
Doctor :   no, it will not happen such ways if adequate treatment is done rightaway
User :   the dentist gave me aintbotic and i take 1 3 time a day
Doctor :   do go ahead with repeat examination and second opinion on teh x-ray ale\ready done
Doctor :   before deciding on the procedure. continue to take medications as prescribed
User :   do u think it will be able to be reperied
Doctor :   yes it will be repaired/corrected.
User :   how long have i got b4 it goes to the brain and chest
Doctor :   do not delay more. it can take anytime between 3-5 days to 15 days or more
User :   i am getting pain that goes in my neck
User :   as it is a lower back tooth
Doctor :   it depends on the extent of damage and infection
User :   and if a dentist taps on your teeth and it dont hurt then does that mean that the nerves are still alive or are they dead
Doctor :   it can mean two things: either the nerves are not yet exposed and sensitive, or that there is no problems
User :   are you a dentist
User :   as the other dentist tapped on the tooth with the end of his mirror and i didnt really feel any pain at all
Doctor :   no, I am a general practitioner.
User :   as the other dentist tapped on the tooth with the end of his mirror and i didnt really feel any pain at all
Doctor :   ok. then it can mean two things: either the nerves are not yet exposed and sensitive, or that there is no problems/exposure of pulp
User :   so it can mean that the pulp is exposed
Doctor :   if you did not have pain, then it just means that either the nerves are not yet exposed and sensitive, or that there is no problems/exposure of pulp yet
Doctor :   what explanation was given to you for the recent x-ray taken by the dentist?
User :   so it can be fixed without a root canal. but getting abit of pain now and then tho
Doctor :   did he/she say that pulp exposure is present?
User :   he told me that i would need a root canal as there was abit of an abessed
Doctor :   if pulp exposure is not present, then a refilling of the tooth might help with medicated filling
User :   no they didnt say it was exposed
Doctor :   after the abcess is drained out
Doctor :   have you followed what I have said?
Doctor :   the decision whether treatment can be done without root canal and with some other procedure, will be depended on your repeat examination results.
User :   i am so so worried as i have had heaps and heaps of ct scans and dentist xrays that i am scared i could get lukimia
User :   if my tooth is sore just like abit of pain then could the neves be exposed at all
Doctor :   why? what symptoms and signs do you have to suspect leukemia?
Doctor :   no, it is not necessary that all pain could n\mean nerve exposure.
User :   none but worried i could get it as had heaps of scans
Doctor :   is there family history of leukemia for you to suspect getting it?
Doctor :   what other symptoms do you have?
User :   no
Doctor :   since you are very anxious about everything, I would suggest you to get evaluated for the anxiety, and get started on medications. it will help you in your decisions regarding medical acre and further solving of your existing health issues
Doctor :   when was anxiety diagnosed for you? how k\long back?
User :   so if i have pain in my tooth abit during the day then could the tooth have the nerve exposed at all
Doctor :   were you medications for it earlier?
User :   6 years ago
User :   no
Doctor :   were you medications for it earlier when anxiety was diagnosed? if yes how long did you take the medications? and when did you stop taking them?
User :   i see a pshristis on the 13th of october
User :   no not on meds
Doctor :   ok. then I would recommend a re-evaluation for your anxiety
User :   if the tooth cant be saved with just a filling then would i have to have a root canal or get the tooth pulled out
Doctor :   since there is no symptoms or family history to sugest leukemia
Doctor :   it wil also help to allay down your fears for dentist and root canal
User :   i know
Doctor :   if the tooth cannot be saved with just a filling then you might have to have a root canal or get the tooth pulled out
Doctor :   getting tooth pulled out makes jaw bone vulnerable to fractures
User :   do u say that my tooth would beble to be fixed when my dad looked at my tooth the other nite he couldnt see any cracks or anything and the dentist ask if i could feel it with my tounge and i said no
Doctor :   to it is usually not advised by dentists
User :   would i be in heaps of pain if the pulp was exposed at all
Doctor :   yes, pain would be excruciating and severe, lasting almost entire day
User :   i can touch the tooth with my tounge and it dont hurt
Doctor :   ok. that is a good sign
User :   well my pain aint really bad at all it is mainly a dull pain it mild pain which would come and go for 5 to 10 mins then go away
Doctor :   it will make more sense to you when you go for a repeat examination of teh affected tooth
Doctor :   to see for visible cracks, and pain sensation.
User :   do u think it could be repaired as the only pain was after dinner that nite it was very very baad pain but now it aint thgat bad i can chew on that tooth and it dont hurt but soft stuff
User :   what u mean visible cracks and pain sansations
User :   time is running out
Doctor :   well if the tooth does not hurt on soft foods, then the problem might not be severe
Doctor :   i meant to say about examination findings on your tooth.
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