Thank you Terrified_i_T (your name really doesn't initialise well, lol), writing the journal on here has helped me so much to cope with the journey. If I'm feeling down about where I am, or what I'm about to have done, then I re-read it and along with the responses from people, it helps so much to see how far I've come along. If it helps other people than I'm more than happy to share it. I may have gone very slowly but I am getting everything done that I need.
Well today went very well. I thought I was calm about this appointment but I haven't slept well the past two nights, possibly from my unconscious anticipation of todays uncertain treatment. I even woke up with my teeth pushed together, not hard like I have in the past but together none the less.
Todays appointment was an early morning one and I went in spot on time. The dentist and I talked sitting at her desk before I sat in the chair. I explained that the RCT took about a week to settle down which she assured me was normal. I said that the top she had put on was great and I was happy with it, she said it would last a long time as I don't tend to chew on my back teeth, (I have never really done chewing), but a crown could be fitted to it instead in the future to give a proper long lasting tooth for me.
We also talked more about the rubber dam. She explained that it allows stronger chemicals to be used without the danger of them getting in my mouth. It keeps an open tooth dry while she works on it to prevent bacteria getting in there. Another benefit is that it removes all distractions for her so she can really concentrate on the trickier parts. I said I found it a bit harder for me to communicate with her and that I didn't want her to use it for everything, only if it had a benefit to my treatment. She was fine with this, we agreed that it won't be used routinely but will be when it benefits us both.
We look at my x-ray of todays tooth, she points out that there is a lot of decay visible and it looks close to the nerve so a root canal may be on the cards. If there isn't then she will clean it out, fill it and then leave it for a while. Working that close to the nerve may distress it too much and I need a RCT anyway. Either way I will leave today with a temporary covering on the tooth and I'll either be back neck week for the second part of the RCT or back much later to have a crown put on. Time to get in the chair.
First off she wants to see of there is any sensitivity on the tooth. She gently blows air on it to see if I can feel it, nope nothing. Then she puts a pad of cotton wool on the tooth with a cold liquid in it, do I feel anything? A slight something but its not pain or cold, I'm just aware of something there. She tells me that if I can't feel cold, then the nerve is probably dead and a root canal will probably be needed. I'm fine with this, just means more drilling, oh and a bigger bill.
She gives me a blocking LA, explaining that it is deeper acting so that if I need the root canal then I'll be ready. I take a deep breath and she give me the shot. I do feel the initial sting but its only brief. I rinse out and the anaesthetic is bitter, ugh! the mouthwash has changed to a raspberry flavour instead of its normal orange. I comment on the bad taste of the mouthwash so she changes it for mint. The nurse says she will make a note that I like the orange so that in future she make sure I have that. Now that is customer service!
Once some time has passed for the anaesthetic to work she takes off the dressing from the tooth. A few times I feel an uncomfortable feeling almost pain but not quite. I stop her and tell her. This is good, it means that the nerve is still functioning in there. She then gives me some more LA, but this isn't the deep one it will just numb the tooth up for a regular type filling.
After this anaesthetic kicks in she proceeds slowly in clearing the decay from the tooth, as she doesn't want to expose the nerve now she knows its alive. She swaps tools and at one point a shot of water hits me in the back of my throat, I have to stop her as I need to cough, its not a problem though, its the first time this has happened. After the second lot of LA I don't feel a thing, I hear the drilling and feel her fingers in the corner of my mouth, but nothing on my tooth.
She tells me that its not as bad as the x-ray showed, the deeper decay is along the edge, not in the middle so there is no need for the root canal. This is great news.
I'm soon filled back up. She uses the harder material which is set by the blue light. A quick rinse out and I'm done.
Out of the chair and back at her desk I ask her to go through the remaining work needed. I make a point of asking her to try and save the top tooth instead of extracting it as I really can't cope with that, I'll put up with any amount of drilling over an extraction. She agrees to try, warning me it will be a root canal unless I'm really lucky. There is one tooth on the bottom left to do, the one between the two extracted ones, that is also looking like a root canal. The only other thing is a front edge filling needed on my top left wisdom tooth. I could do with four crowns being put on the RCT'ed teeth, but that is not urgent and can wait six months or a year. Wow, I'm getting so close to achieving a healthy mouth again.
The last thing is I ask if I can make a block of appointments for the next few weeks, so she schedules me in for two hour long appointments and a half-hour one. She also goes through my remaining list of treatments and deletes both the extractions on there. YES!!!!!
This is even better than the much reduced bill for todays work, just £41 for the filling instead of £302 for a root canal.
I've now been home nearly three hours, the numbness has worn off and there is very little ache on that side of my mouth. I am so relieved that I am going to get through all this.
Sorry for the long post, but well done for reading my waffle this far.