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Old 09-01-07, 12:57 PM   #1
ax0n
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I think I need a root canal.

Back in march, I was run off the road and broke two front teeth. I had them temporarily capped, which set me back a good $400 that I'm still not quite done paying on.

Last month, one broke off. The tooth wasn't sensitive though, so I just brush the broken surface really well a few times a day when I normally brush my teeth, and I've had no problems... until early Thursday morning.

I just finished a really long (for me) ride that ended at about 1:00AM. When I came inside, the roof of my mouth was feeling uncomfortable. A few hours later it was almost intolerable. All of thursday and friday the pain came in waves. Last night, the tooth with the broken cap started to hurt as well and the pain became constant. The tooth is loose and the gums around it are tender.

I'm kind of surprised that there were no warning signs. I've never had a cavity before, but I'd expect a toothache and sensitivity to sweet stuff to precede a full-on abscess like this, assuming my tooth is actually abscessed.

Of course this has to happen on a holiday weekend, too. No one will see me and I'm NOT going to the ER for something like this. My wife has some Ty3 laying around, but it didn't help.

Anyhow, it's pretty excruciating right now. It's a strong, obdurate ache from the base of my tooth to the soft pallatte in the roof of my mouth. Mind-bogglingly relentless.

Any other ideas what it could be? Anyone have an abscessed tooth just materialize out of nowhere without warning?
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Old 09-01-07, 01:03 PM   #2
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Take two ty3 with s generous shot, repeat till no pain is felt. Get your ass to a dentist, yesterday.
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Old 09-01-07, 02:28 PM   #3
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+1 what Stacey said...

(not necessarily a root canal, but the longer you wait the more damage can occur)
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Old 09-01-07, 03:31 PM   #4
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Root canals are not fun. My condolences
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Old 09-01-07, 03:36 PM   #5
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Root canals are not fun. My condolences
my dad seems to enjoy doing them
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Old 09-01-07, 06:36 PM   #6
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From what I hear the worst part of a modern root canal is the needle. And boy, do I hate needles.

BTW Stacey, two Ty3 plus a nice strong local microbrew worked for a few hours. With the on and off pain in the roof of my mouth, I wrote it off as a minor sinus infection which I'm pretty good at fighting off. By the time it was evidently tooth related, it's the holiday weekend. I'm taking Tuesday off to get it gawk'd at and hopefully worked on.
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Old 09-01-07, 07:09 PM   #7
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I've had two about 5 years ago. The worst pain is what your feeling now. That pain comes on quick and without too much warning. The actual root canal wasn't too bad. T
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Old 09-01-07, 07:13 PM   #8
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From what I hear the worst part of a modern root canal is the needle. And boy, do I hate needles.

BTW Stacey, two Ty3 plus a nice strong local microbrew worked for a few hours. With the on and off pain in the roof of my mouth, I wrote it off as a minor sinus infection which I'm pretty good at fighting off. By the time it was evidently tooth related, it's the holiday weekend. I'm taking Tuesday off to get it gawk'd at and hopefully worked on.
Modern dental needles are almost microscopic in width.
Like Stacey said get to the dentist yesterday. Take out a loan if you have to. You know you don't want to end up with an inch wide spit gap.
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Old 09-01-07, 07:21 PM   #9
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I could be wrong but this is what I'm thinking...

If the tooth was temporarily capped, why didn't they put on the permanent one soon after? A temporary cap is just that, temporary. No wonder it fell off. I understand that the temp one should not be on longer than a month at the most, because the glue they use is not the super strong stuff they use in a real cap. They need to remove the temp cap someday and don't need permanent glue.

When they put on a cap, they usually go at it with a buffing of the surface...kinda like how you sand a surface before you paint it, so that the paint sticks. They do this so that the glue they put on doesn't "slide" off of your existing tooth. Notice how things really don't stick to your real teeth....it won't really adhere for long.

What they buff is the outer surface of the tooth, the enamel. When the surface of the enamel is compromised, then the Dentin (the main part - think white) is exposed.

When the temp cap came off, the Dentin was subjected to food, your acidic saliva and the brushing you took such care in administering. The protective enamel was not able to do it's job so well. It's like peeling off your skin and then trying to do your everyday things.

Of course with the bacteria in your mouth - we ALL have bacteria (good and bad) your tooth was under constant attack, allowing infection to set in.
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Old 09-01-07, 07:30 PM   #10
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^^^
A temporary cap is used while a permanent crown is being made by a lab, the dentist will order one after payment is secured so as not to be left with a large unpaid lab bill (sadly a common occurrence). Temp caps can last up to several years though (or less).
A permanent crown can be made in office, but the milling machine is over a hundred thousand dollars and new technology. They are not mainstream in most offices as yet.
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Old 09-01-07, 08:59 PM   #11
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What they did was a Multi-Surface Resin procedure that he said was good for as long as it lasted. I know some people who've had the same thing done and years later, it never came off. He said eventually if it gave me problems it'd need to be ground to a stump (ow) and crowned. unfortunately I can't just pay him off right now, so I don't know if he'll even look at me. I'm making small payments, though.

St this rate, I'm calling around to find someone who can do it this weekend. I'm starting to get a pretty good fever, which is not a good thing at all, especially when the infection is basically integral to your skull.
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Old 09-02-07, 04:31 PM   #12
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Overnight, my temp shot up to 102 even (101.4 around 2am and 102 at about 7am) and my face got puffy. I got it under control with Advil, which is odd. Ty3 didn't work, but advil totally did the trick. No more toothache. No more headache. No more fever. Just a little swelling and tenderness in my upper lip remain. No "emergency line" for any dentist I've called this weekend has called me back after I paged, so I'm kind of hosed until Tuesday. If it flares up again really badly, I'll probably have to go to the freaking lame-ass emergency room.

By the way, my wife and I have spent an untold fortune on ER visits, and they never, ever actually help. At least the last few times I've had insurance so it's only $100 a pop, but I have a lot better things to spend money on than a 6-hour stay at the hospital where I get mostly ignored. Even when I broke my face, all they did was give me a 'scrip for pain meds, took some pix of my skull and sent me on my way with a referral to an ENT specialist for a checkup on my maxilliary fractures. The lortab didn't do jack, so it was basically $180 spent ($100 ER, $50 CT scan, $10 meds, $20 ENT followup) just to be told that I'm okay.

And that was THE MOST helpful they've ever been. Don't even get me started on some of my wife's visits without insurance where they hooked her up to a heart rate/O2/BP monitor for 4 hours and sent us home with a $1000+ bill.
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Old 09-02-07, 04:41 PM   #13
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This is really sad. America is supposed to be the wealthiest country and here our people cannot even get proper medical care because the system sucks.

I'm sorry about your suffering AXON. I hope SOON you get attention for it. ((hugs))
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Old 09-02-07, 07:24 PM   #14
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^^^ +1000. Yep- our system sucks majorly. I hope you're feeling better soon, ax0n. Alas, 99% of your average hospital ERs can't do jack about dental emergencies, but you don't need me to tell you that. BTW, the reason the Advil worked better on your pain and on your fever is because it's an anti-inflammatory (and to some extent, an anti-pyretic), which neither Tylenol (acetominophen) nor codeine are.

Better than an ER, you're not far from KC, are you? UMKC has a dental school, and most dental schools have 24-hour services. Have you checked into this?

Good luck!
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Old 09-03-07, 11:40 AM   #15
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What they did was a Multi-Surface Resin procedure that he said was good for as long as it lasted.
"Multi-Surface Resin procedure" is fancy speak for a large filling. Sounds like you may have an infection, and need to make an appointment with your dentist. Tell them what happened and that you are running a fever and are in pain, if they can't work you in right now, find a better dentist. Don't ask for pain meds over the phone, the receptionist will assume you are drug seeking. Dentists have a many of such calls every day from those wanting nothing more than drugs called in, and may consider you a junkie.
Also keep in mind, dentistry is cheep compared to the ER. A filling is effectively surgery in your skull, and ERs know that. What will cost a few hundred bucks at a dentist will have a zero or two added coming from the hospital.

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Old 03-27-08, 01:46 PM   #16
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my dad seems to enjoy doing them
I had one today and it was actually fun :O
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Old 03-27-08, 02:12 PM   #17
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my dad seems to enjoy doing them
Endodontists are sadists.

The only time I've ever felt agonizing pain. "Is it safe?" he kept asking. I don't know what he was talking about.
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Old 03-27-08, 02:35 PM   #18
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I had one today and it was actually fun :O
Hi thecyclist--Welcome to BikeForums!

Uh, are you serious about enjoying a root canal? Most of us have less than outstanding spiritual experiences whilst having this procedure done, unless, of course, you were on some truly mind boggling drugs.

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