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Nervous About Possible Re-Treatment Of Root Canal

  • Thread starter Thread starter JJones86
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JJones86

JJones86

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Jun 23, 2015
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486
Location
New Mexico, USA
Hi all.

I have an appointment this Friday to get my permanent crown put on by my new dentist. I'm really nervous as I've had numerous problems with this tooth in the last month and a half. I have a temporary crown on the tooth now and am supposed to get my permanent on Friday.

My last dentist saw and diagnosed this tooth first. He diagnosed it about a month and a half ago. He has my complete history and x-rays. This is a molar (not wisdom tooth) that had a root canal treatment done on it about 2 years ago. I wasn't able to get a crown on it until recently due to adult braces. I bit into something a month and a half ago and went to see my dentist at the time. He said the tooth was chipped and needed a crown. After looking at the x-ray he saw that one canal had not been treated and suggested the possibility of a re-treatment on the tooth. He didn't say for sure that I needed it. He thought my pain might be from the chipped tooth. About a week later the tooth broke more. I went to see him again and he said that it was fractured and I needed a crown ASAP. Well, bad timing happened and I lost my job and my insurance so I had to find another dentist. My dentist would've continued seeing me without insurance, but I couldn't afford his rates and he wouldn't work with me on payments.

Worried about my fractured tooth I found a discount dental plan and an office that accepted it. I called to make a new patient appointment and the soonest they had was a month later. The tooth continued to be painful, along with another tooth that had an untreated cavity. Between the two of them I couldn't take the pain anymore so I called my new dentist's office to see how soon I could go in. They got me in the same day for an emergency appointment. I saw a dentist there who is not to be my normal dentist at this office. We went over the problems and the basic dental/medical history. I was an absolute nervous wreck and wasn't thinking straight or coping.

I had made the appointment for the tooth that needed the cavity because it was bothering me the most at the time. I told the doctor that was the issue and didn't mention the fractured tooth, assuming they wouldn't have time to work on it being that this was an emergency appointment. The doctor noticed the fractured tooth and asked me about it. I said that it was a tooth with a rct treatment that had chipped recently and that I knew it needed a crown. So, the doctor proposed the treatments I needed, 1 deep filling and 1 crown. I consented and said I'd do the filling that day, but they told me we could do the crown that day too if I wanted. Concerned about both teeth I consented to have all the work done the same day.

I knew that the office had nitrous oxide available which I've found to be a necessity in the past and asked to have it that day. I was unable to because the doctor couldn't administer it. I don't know why. When I found that out I panicked. I wanted to get the work done and be out of pain, but I was terrified of trying to do treatment without it. I told them I'd try. I figured if they did the filling and I freaked out I could have the crown done at a later time. I was able to get through the appointment, but was a nervous wreck the entire time. I was physically shaking and had to focus on my breathing to keep my anxiety and fear more or less in control.

So, my emergency appointment was also a new patient appointment of sorts with this office. They took x-rays of the two teeth to be worked on and examined them both. I told both the doctor and the assistant that I was extremely nervous and they did their best to put me at ease.

I didn't realize until after the fact that I didn't tell the doctor about my previous dentist suggesting a root canal re-treatment on the tooth that was getting the crown. My previous dentist had suggested to leave the temporary for awhile to see if the tooth settled and if it didn't then he'd either do the re-treatment or refer me out. I realize that it was careless of me to leave out, but I was so nervous that I just wasn't thinking straight. I'm going to ask about it at my appointment this Friday, but I don't know what to do.

My previous dentist knows all of my history including my phobia and anxiety and now I'm going to have to explain this to a new dentist on Friday. I think my previous dentist was hesitant about the re-treatment due to my history with dental procedures and dental phobia. Basically, I've had 4 root canal treatments done in my life, all on molars, all within the last 2-3 years.

To make a long story short I had one rct done by a general dentist (the one on the tooth that needs a re-treatment) and 3 done by an endodontist. The endodontist absolutely traumatized me during my last 2 rcts that he did for me. He had very poor chair side manner. He ignored stop signals, unless I told him I was in pain, he rushed me through and basically forced me through procedures. I have jaw pain and during my last treatment by him I was in agony from my jaw pain and he wouldn't stop to let me rest. He didn't even care and I was moaning in pain. I was nearly in tears at this appointment and needless to say I was in no way coping.

That last treatment was in March of 2015 and it almost made me stop going to dentists altogether. I seriously considering stopping all dental treatment after that. I told myself that I'd get my braces off and do the best home care I could and never go into a dental office environment again.

All this to say, the idea of a root canal re-treatment leaves me feeling more than terrified. I don't even have the words to express my feelings. I can't cope with that. I don't even think the nitrous will be of much help. The dental dam scares the hell out of me. The whole procedure scares me. I want this tooth to be healthy again and not to hurt anymore, but I'd rather have it extracted than go through a re-treatment.

If my current/new dentist tells me on Friday that I need a re-treatment I will be in tears. No kidding here. I feel like I'm out of options. I can't cope with treatment, but I also can't cope with this pain.

What are the chances the tooth will settle once the permanent crown is placed? Is there any way I can avoid having a re-treatment on this tooth or will it just get worse later?

I don't know what to do here. I feel so lost. I feel so overwhelmed. I'm out of options.

Thanks for listening.

JJ
 
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If the tooth needs a re-treatment then it is best to get it done. I know it is really hard but if you can face it it is best to keep the tooth if you can. Your new dentist will discuss with you what he thinks you need and you can decide together how best to get it done.

Don't worry about the re-treatment I went shaking and terrified to have mine done and it wasn't bad at all. I think your new dentist will know how nervous you are but explain to him/her how you feel and why. I am sure they will as understanding as the dentist you saw the other day. :butterfly:
 
Hi Carole.

Thanks for your reply.

This is what I'm afraid of, that I really will need the re-treatment. I don't think I can handle that. I don't want to lose the tooth either, but how am I going to sit through treatment without freaking out. Money is also an issue. If a re-treatment costs as much as a regular root canal, I can't afford that right now. Getting this crown already cost a lot of money.

I'm mostly worried about the psychological side of this though. I'm afraid the nitrous won't even help me this time. The pain is bad though and I need something to make it stop.

JJ
 
My appointment is at mid day tomorrow. I'm a nervous wreck and can't stop thinking about it.

JJ
 
Hi, been there and done that, try not to stress yourself out too much. See what they say tomorrow then you know what you are dealing with.

You will be fine Good luck :clover::clover::clover: :butterfly:
 
Thanks Carole. I just wish I knew what they're going to say and do. This not knowing is driving me crazy. Based on what they say I'll have to make a decision. I'm not ready for that right now.

JJ
 
Hi all.

I'm irritated, frustrated and discouraged. Just got a call from my dentist's office. Apparently they scheduled my appointment today with the wrong doctor. The doctor that put on the temporary crown has to put on the permanent crown for me. I don't know why, but I insisted that it was fine with me to have another doctor do it, but they won't do that. So, my appointment has been moved until September 1st. The doctor who saw me isn't in the office all the time, so I have to wait until then to see him.

I did ask the girl I spoke to about the pain I'm having. She said that it's normal with a temporary crown. So at least I found that out.

The other thing is that I'm hopefully going to be starting a new job soon, so I'm not 100% sure that I'll be able to go that day. They scheduled it for 7 am, so hopefully I can go in and go to work after, assuming I've found a job by then.

I'm just really upset with this office right now. Why can't I go and see another doctor?

JJ
 
Another dentist at the practice won't really want to finish the job that the dentist you saw started. If it was a different tooth and problem then I am sure it would be fine. If you saw another dentist you would probably have to pay again too :butterfly:

The person you spoke to was wrong, it is not normal for the tooth to hurt with a temp crown on, if your gums just feel a bit irritated then that sounds right. The tooth should be symptom free before putting on a permanent crown.
 
Another dentist at the practice won't really want to finish the job that the dentist you saw started. If it was a different tooth and problem then I am sure it would be fine. If you saw another dentist you would probably have to pay again too :butterfly:

The person you spoke to was wrong, it is not normal for the tooth to hurt with a temp crown on, if your gums just feel a bit irritated then that sounds right. The tooth should be symptom free before putting on a permanent crown.

I see. It's still frustrating though. I don't think the pain is normal. I think I'm in pain because I need the re-treatment. After I talked to the girl earlier I called back and asked to have the doctor call me. I don't want to be in pain for another 2 weeks.

Thanks for your reply and support.

JJ
 
They should not leave you in bad pain. Do pain meds help at all ? :butterfly:
 
They should not leave you in bad pain. Do pain meds help at all ? :butterfly:

I've had this pain for over a month now. Before I got the temporary crown it was hurting and now it's worse. I was hoping the crown would help. I wasn't sure if the pain was from the fractured tooth or it needing a re-treatment.

I've been alternating between OTC naproxen sodium (Aleeve) and aceptaminophen (Tylenol) in the days. At night I either take a narcotic like hydrocodone for the pain or just a sleeping pill. Either way it'll knock me out and I'll still wake up during the night, but sleep through for the most part.

I don't take the narcotic during the day because it makes me tired.

JJ
 
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