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Bastet's Journal

krlovesherkids777

krlovesherkids777

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Bastet,

Well, you can't say you didn't try for the cat at least.. never know until you try.

I so hear you this. You're anxious and want a little more comfort and maybe a bit of warmth/encouragement but it seems like it was met with politeness maybe but not a lot of connection . which could be many reasons.

So often , its so easy to feel like , if I ask I will be a burden and bother. and they will be annoyed and the inner critic goes on. so you just don't. I pushed myself a little last time to say , 'you know I think if you CAN still give me the local it would help" because that is what they usually do for crowns and what I was used to and he said I might not need it.. in anxious pt mode.. to me ". could have meant. lets do this quicker and get you out of here " but.. I have history with my dentist so can pretty much guess that isn't the reason, he's been very caring and taking his time with me every other appt in the past.. but the same way.. the "I'm a burden , I'm a bother". part of anxiety really likes to speak loudly. So its really really hard to ask for what we want .. its hard to ask for anything..

Glad you made it through the impressions.. even though it wasn't the best experience , like you say, it proved you surely could do it and make it through. those times are great to store up and remember.

"I was hoping for some words of encouragement, but he was silent. That really got to me for some reason. I felt bad for even asking. It turned out the impressions were fine. It wasn't the kind of material that oozed down my throat. I don't know why it's bothering me so much. I guess because he didn't say anything to help me out. Most assistants tell me something they'll do to make it easier for me or coach me on breathing. I wish I could put into words how I felt. I guess I felt like I asked for help, and it wasn't acknowledged. I did thank him for not gagging me.


He asked if I needed nitrous for the second half of the appointment, and I said no. It was a mistake, because I had kind of a hard time, and in the state I was in, I didn't want to ask for anything again. I know that was my issue and had nothing to do with the dentist. I got through it though, and it's good to know that I can."
 
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Bastet

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Nov 10, 2014
Messages
112
Location
Illinois, USA
Thank you krlovesherkids777. I think you know just how I felt. I even went home that night and searched nitrous oxide and gagging just to make sure what I had wanted wasn't out of line. If the dentist had been in the room, she probably would have said something comforting, and it would have been easier for me. The silence was rough though.

Moving on. Next week is the endodontist.
 
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Bastet

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Nov 10, 2014
Messages
112
Location
Illinois, USA
Monday I had my root canal appointment. I miss the endodontist I had before, but this one was very nice as well. Her injections aren't as comfortable as his were, but they work as well as his did. She also used more technology than he did. Rotary tools, apex locator, microscope. I don't know if all of that equipment leads to better results, but it was interesting. I'm assuming it makes it physically easier for the dentist which is always good.

The tooth is sore when I bite down too hard, so I have to be careful. At least I don't have the temperature sensitivity anymore.

Overall a positive experience, and if I ever need an endodontist again, I will definitely request her.
 
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Bastet

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112
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Illinois, USA
This week I had an appointment to fill the access from my root canal and get my implant crown. It didn't go as I had hoped.

I thought the appointment would be fairly easy, so I opted not to have nitrous oxide. I did OK without it, but with the Isolite, I think I would have been happier with it.

The problem came with my implant crown. The dentist started to cement it in, and she told me to bite down as hard as could for five minutes. I remember thinking the first dentist wouldn't have asked me to do that. He would have remembered my past jaw issues and helped me.

Anyhow, I didn't do very well, and the crown shifted. The dentist had to section it off, and now it has to be redone. She didn't blame me, but I still feel bad about it. My dentist hopping led to this problem. I just couldn't stay with him though. I have a temporary crown there now. I'm glad to have a tooth there again.

On a lighter note, I saw a Facebook post from my dentist's office asking "have you ever wondered about getting a tooth tattoo?" Yes, I have actually, but your lab wouldn't do it. Haha. I'm guessing they use more than one lab, and the one they use for implant crowns doesn't do tooth tattoos.
 
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Bastet

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Messages
112
Location
Illinois, USA
Last week I went for my implant crown. I didn't get nitrous oxide, and the Isolite was hard for me again. I think for any appointments requiring the Isolite, I'm going to request nitrous oxide no matter how simple the appointment otherwise is. They can call it a tool to help me keep my mouth open all they want. To me it will always be an implement to force me to keep my mouth open.

I've been thinking about the implant and whether or not it was worth doing it rather than getting another bridge. If I had not already had a bridge, I would say, no question, it was worth it. Even as a bridge replacement, I think it was worth it. I wouldn't replace a bridge that didn't need to be replaced just to get an implant, but I'm glad I didn't get another bridge. The biggest pro is that it is a standalone tooth. I can floss it like a normal tooth. I feel like no matter how diligently I used floss threaders for the bridge, I could never do as well as I can now with unconnected teeth.

The biggest con is how light the occlusion is. I really have to train myself to chew over there because the other side is so much more efficient. On the bright side, realizing that has made me stop blaming myself for not being able to bite hard enough to keep the crown from slipping at the first appointment. I was putting so much force on the opposite side trying to keep force on the implant side that I just couldn't keep doing it.
 
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Bastet

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Nov 10, 2014
Messages
112
Location
Illinois, USA
Because getting my implant crown last month was the last thing on my treatment plan, I thought I'd circle back a bit to the beginning of my journal. It took over four years from the start of my journal to the completion of treatment. I never expected that. I was certain I would stick with Dr. #1 and be finished with treatment in about a year. I was in no way prepared for the way I was treated there, and I'm actually still shocked to think about it.

If I'm going to be honest with myself, I have to admit I wish Dr. #1 could still be my dentist. There were always things about his business practices that bothered me even before he hired Miss Charm, but he had a way of being kind and patient when he was treating me, and now I really know how hard that is to find. Back when I started going to him for the first time, years before this journal, he told me some anxious patients like him to work very quickly, and some like him to work nice and slow. He gave me the choice, and I picked nice and slow. He gave me breaks whenever I needed them, and I so much appreciated the opportunity to close my mouth for a second or two throughout treatment.

Dr. #3 is very nice, and I will likely stick with her. With the Isolite, she obviously has chosen to work quickly and does not give me the chance to close my mouth very often. It's hard. I have to do better, so I won't need so much work done or at least not so much at once. Nitrous oxide helps, so I will always request it if the Isolite is being used.

I don't have much to say about Dr. #2. I feel like his interest is more in sedation than in treating anxious patients per se, but at least he gives people who want sedation a place to go without giving a lot of attitude.

One thing I want to address is the beginning of my journal when I said my mom didn't take me to the dentist sometimes. I'm not blaming her. She did the best she could with what she had. If I want to blame any parent, I'll choose my father who abandoned his wife and three children with nothing.
 
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Bastet

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Nov 10, 2014
Messages
112
Location
Illinois, USA
I haven’t been writing because I’ve been feeling whiny, but I decided to put it all down is this journal anyhow. The reason I’m whiny is that while everyone at my dentist’s office is nice and non-judgmental, I don’t really feel a connection with anyone. I’m staying there for my own good, but I feel like something is missing.

Last month, I went for a cleaning. The hygienist said most everything looked really good, but she wants me to pay special attention to my upper left. She went on about it, and I realized that whatever I do, I’ll never be put on six-month recall. She will always find something. So then the little voice in my head was telling me if I look for another dentist, I could maybe find a connection and probably be put on six month recall.

She asked me again how I came to need all the work on my front teeth. I’ve told her on three separate visits that it was childhood neglect, and I just didn’t want to talk about it again. She asked if I had an accident or if I fell. I lied and said I fell. Then she asked me if that’s why I needed the work. I lied and said yes. I feel bad that I lied. I also think that if something that happened 40 years ago is that important, she should write it down. People don’t want to dredge up those kinds of memories every time they get their teeth cleaned.

She said she found a little crack in one of my crowns, but she called it a veneer, not a crown. It’s one of the things that bugs me about dental offices. It’s a full crown over a gold post. When they call it a veneer, it makes me think they aren’t forthcoming when they talk to patients considering cosmetic dentistry about how much tooth structure will be removed. To me, a veneer is much more conservative than a crown.

Anyhow, she said she found a crack, but it wasn’t clinically detectable. Well, obviously it was, or she wouldn’t have detected it. I think she meant she couldn’t feel it with her explorer. She said if it fractures, it’s really important to call them right away, and she went on about that. Yes, it’s important, but hardly the calamity she was making it out to be. She said the long-term prognosis of that type of restoration is not good. Well, the 40 plus years I’ve had it sounds good to me.

She said since I am stable, we can talk about some cosmetic things. I didn’t ask to talk about any cosmetic things. The main thing that bothered me about Dr. 1’s office when I was there the first time was the way they’d sell cosmetic things. They’d point out something they found unesthetic and told me they could fix it. It made me self-conscious. Now I feel like the same thing is happening at this office, though not so forcefully. She said I have visible restorations on my bottom front teeth. I told her no one could see them, so I would leave them. Then she mentioned the crowding in the same spot and said I was a candidate for Invisalign. I am? Two separate orthodontists told me I would need orthognathic surgery if I had orthodontics. Maybe there is a cosmetic option to just move those bottom front teeth, but it hardly seems worth it to me.

She recommended a bite guard. I told her I have an old NTI that I still use, but not always. She told me an NTI can change my bite. Yes, it can, and it did years ago when I got it. It’s not like someone is going to have an NTI then suddenly 15 or 20 years later it’s going to cause a bite change.

As an aside, the NTI is why I have a soft spot for Dr. 1 despite everything that has happened. Before I went to him years ago, I went to the dentist who told me I would either need a root canal or an extraction and implant for my wisdom tooth. I really wish I had questioned that. Anyhow, I got the root canal and after I received the crown, I started having horrible muscle pain in my face. Dr. 1 helped me with an NTI, and I mean he went above and beyond. I was calling there every week with pain, and he always fit me in. I was so miserable, but he eventually got me out of pain. When we were finished, I wrote him a thank you note. I told him I would wake up in the morning and wonder not *if* I would be in pain that day but how much pain I would be in that day. It’s really hard for me that things ultimately turned out the way they did.

Anyhow, my NTI is really old and kind of gross, so I decided to try a conventional bite guard. An assistant took the scan for me. I was so happy when I found out they didn’t need regular impressions, but it turned out the scan was hard for me. The assistant was really great about it, and I appreciated it. The scan does have an advantage for me, because it can be pulled out of my mouth as soon as I start having trouble, and impressions really can’t be.

A couple weeks later, I went back to get the guard. I was told they needed to take a bite registration for the lab. As a highly anxious patient, I was not happy they didn’t tell me ahead of time, so I could prepare mentally. It tells me they don’t take my fears as seriously as I would like. The bite registration was easy, but I was anxious about the unexpected change.

Last week, I got the guard. I had a different assistant, and she said she knew I came in once before, but she had a good feeling this one would work. Yes, I was in before for the bite registration, but they didn’t actually redo the bite guard. It makes me wonder what kind of records they keep. I have to go back next week to have it checked, and I hope that’s it until my next cleaning.

I obviously had a lot to say. I’m nitpicking as much as the hygienist. Ha ha.
 
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Bastet

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Nov 10, 2014
Messages
112
Location
Illinois, USA
I never updated my journal for my bite guard follow up appointment, so I will now. It had been seven weeks since I paid for the guard, and two weeks since I received it when an assistant gave me an informed consent form. Classic.

I told the assistant I was having some soreness. She went to get the dentist. He's not my regular dentist, but when he walked in, he told me it was good to see me. I knew who he was, but he had never met me before.

I started thinking it's no wonder I'm not making connections here. I don't think they really want to. They treat people well, but there's no real connection. Maybe that's better. I felt a connection at Dr. 1's office, and it ended up hurting me. I would never have been so upset if I hadn't connected before.

Anyhow, I liked this doctor, so now I know I would be OK with either of the doctors in the practice. He worked a bit on my bite guard, and I'm doing better with it, but I still prefer the NTI. It's OK though. I'll keep on with this one until I destroy it in my sleep. Haha.

I just ordered a Sonic Fusion toothbrush. I'll still floss manually, but the geek in me wants to see if it works. Next month is a hygiene appointment, so I'll get the hygienist's feedback on it.
 
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