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Scared of emergency dentist appointment. What will they do?

M

matty007

Member
Joined
Dec 28, 2012
Messages
23
#1
Hi everyone, I’m hoping somebody can give me some support.

Almost exactly a year ago, I had a filling come out of a molar, and at first it gave me no problems. Then about a week later I noticed sensitivity to cold, and a dull ache, not severe by any means, but there.

So I went to the Dentist and he said that I needed a crown. He said he could fill it but wasn’t certain it would be successful so wanted to crown it. At first I agreed, but once he told me it would be £450, I didn’t get it done. I didn’t have the money at the time. Instead of insisting on the filling and moving on, I left it with a view to getting the money for a crown (he said I could leave it for 2-3 months). But I never got it done.

Then about three days ago I noticed a dull ache in my tooth again, more severe than last time. Not debilitating, but quite noticeable. Strangely it seemed to be alleviated by biting down, and chewing food (something I noticed when I originally had it fillled it about five years ago). But on Saturday it became more intense and while chewing made it feel better at first, it suddenly became very sensitive to touch and biting. So it went from zero sensitivity to very sensitive.

I have been taking a combination of ibuprofen and paracetamol which has kept it nicely under control. And I have noticed the sensitivity has greatly reduced. I can touch it now without a sharp pain, and can chew (albeit softly) again.

I have booked a emergency appointment for tomorrow (I am scared stiff of getting a abscess) but I am absolutely terrified of going to it. A few years ago I got very used to going and my phobia basically vanished. Dental work was a doddle, and checkups showed no decay etc and I needed no work done. Going to the dentist was like visiting the barbers. But now I’ve let it slip, I’m terrified again.

I’m sorry for the long post but wanted to maybe get advice on what to expect? Do you think it requires root canal or even an extraction? Or could I still possibly get away with a filling?

The tooth while achy, is manageable with OTC meds and has never been sensitive to hot/cold, and still isn’t

I suppose I just want comfort that a filling
Is still possible ?. But I do remember the dentist saying when he filled it 5 years ago that it was very deep so I’m not sure.

Thanks
 
krlovesherkids777

krlovesherkids777

Well-known member
Forum Buddy
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Jul 26, 2017
Messages
1,042
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Minneapolis, MN
#3
Matty007,


Well, today is the tomorrow ... so. just wanted to say you are seen and thought of and hope this all goes well and they take good care of you . Sounds like you had momentum going that was good, but I so understand once that momentum stops and you don't go for a while, its takes a while to build trust somewhere again and be comfortable especially going to a brand new place and an emergency place.

What I can say is my dentist works at an emergency place a few days a week and he has been the best I've ever had in gentleness and painfree great care, and....has given me the best 3 crowns in my mouth. so heres to hoping you get the same type of treatment.

I really hope they can help relieve pain and treat you very well. please let us know how it went.
 
M

matty007

Member
Joined
Dec 28, 2012
Messages
23
#4
Hi everyone,

Just thought I’d update for those that are interested.

I went to the appointment absolutely anxious but the dentist was very very calming indeed and was caring. She lectured me about my Coca Cola habit that has caused me a few cavities, but during the exam she was very comforting indeed and seemed very experienced.

She looked at the tooth and remarked that there was an extensive cavity. She tested my tooth with cold and hot stimuli which had no response, so she suspected an infection. She took two Xrays. Both of which showed decay extremely close to the nerve. With one X-ray she commented that there was possibly the start of an infection/abscess. However the other X-ray seemed normal so she remarked that it’s just possibly nerve inflammation. She was 50/50 as to whether it was infected or just aggrivated.

She then used a very cold stimuli, which she described as like ice cream, to see if the tooth reacts. She did this three times. The first two times I felt nothing, the last time I felt the coolness, not very much, but felt it in the tooth.

Because of this she chose to go ahead with a filling, a composite one. It was very deep indeed and and she said it’s as close to the nerve as you can possibly get. I had two injections and despite it being a huge cavity, it was over fairly quickly. (Injections don’t actually bother me, it’s more the fear of the unknown)

However, I am now starting to get a little worried. Upon the injections wearing off, I had no pain and thought the treatment had been successful. However over the last hour I have been in gradually more pain again. A very similar pain to what I had before the treatment. A deep gnawing ache. Not horrendous, but certainly uncomfortable.

Could this possibly be just down to the deep filling procedure? Or is it what I fear most, a infection all along that will soon manifest into an abscess?

Would really appreciate some comforting and experienced words,

Thanks
 
Last edited:
grumpybear

grumpybear

Member
Joined
Aug 30, 2018
Messages
65
#5
I had to get a deep filling in a molar last year. The cavity wasn't large, but just in a position that is very deep and close to the nerve. In fact, close enough that when my dentist drilled out the decayed tooth structure, she was able to see the nerve.

My dentist told me that because the decay is so near the nerve, it's only a matter of time that the nerve dies or start to die because of the trauma of the drilling this close to the nerve plus the likelihood that the bacteria from the decay has already travelled to the nerve beyond the site of the decay.

A deep filling may take awhile to settle down if it does at all. Personally, mine took close to 3 months to settle to an occasional ache every now and then. I remembered my tooth pain was quite bad, I had pain on chewing and pain that flares up from having cold and subsequently to hot foods/beverages that would eventually dull into an ache. Thankfully the pain was manageable with some ibuprofen. I would say just monitor and wait it out abit and go back to your dentist if the pain does not improve or gets worse.
 
M

matty007

Member
Joined
Dec 28, 2012
Messages
23
#6
I had to get a deep filling in a molar last year. The cavity wasn't large, but just in a position that is very deep and close to the nerve. In fact, close enough that when my dentist drilled out the decayed tooth structure, she was able to see the nerve.

My dentist told me that because the decay is so near the nerve, it's only a matter of time that the nerve dies or start to die because of the trauma of the drilling this close to the nerve plus the likelihood that the bacteria from the decay has already travelled to the nerve beyond the site of the decay.

A deep filling may take awhile to settle down if it does at all. Personally, mine took close to 3 months to settle to an occasional ache every now and then. I remembered my tooth pain was quite bad, I had pain on chewing and pain that flares up from having cold and subsequently to hot foods/beverages that would eventually dull into an ache. Thankfully the pain was manageable with some ibuprofen. I would say just monitor and wait it out abit and go back to your dentist if the pain does not improve or gets worse.
Thanks for replying Grumpybear,

I must admit that I have been quite lucky with fillings. I had one virtually the same depth done a couple of years back and I didn't have any symptoms after. It cured it straight away. In fact, I've never had toothache after any filling which is why this one worries me slightly. Especially as the pain is pretty much exactly the same type of pain as before I had it filled.

I am not too much of a worrier and cavities and toothaches don't send me into fear typically. What I am worried about is infection/abscesses. My father suffered with them horribly and always said the pain was worse than breaking bones. Luckily I've escaped abscesses.

I was not worried at all today once I was in the chair until she mentioned a possible infection on the X-Ray. One X-Ray showed a slight anomaly, while the other was normal. I just can't get past the feeling that what if it is an infection and she's chosen to fill it and it's simply a ticking time bomb until I get an abscess? I must admit that my neck glands under my jaw on the side of the offending tooth are a little sore and tender.

Anyway, can manage with ibuprofen for the time being and see how it is in a couple of days.

Thanks again.
 
M

matty007

Member
Joined
Dec 28, 2012
Messages
23
#7
Well the tooth is certainly still achy, but I have kept it at bay by taking a paracetamol. I get relief with just one so it's not a bad pain by any means, but still there if I don't take it regularly.

I do have a strong inkling that's it's somewhat infected and will require a root canal. Maybe wrong, but it's a feeling I get.

My next appointment isn't until March so really not sure if it's safe to leave it that long. However, I don't have the funds for root canal and/or crown now anyway.

I'm in a bit of a quandary with this particular tooth. On one hand, it's not bothering me too much and is reactive to pain medication. On the other hand, I have a suspicion it's a ticking time bomb and it's only a matter of time before it explodes and brings me extreme pain.

Not sure what to do. Advice from a dentist/experienced person would be appreciated.
 
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M

Mugz

Well-known member
Joined
Jul 21, 2014
Messages
997
Location
Anywhere but "The Chair"
#8
Hi Matty,

Thank you for sharing info about your trip to the emergency dentist. I’ve never been so it was interesting to read. Happy to hear you were able to get away with a filling for the time being. I’m not a dentist but found myself in a similar situation. I had a cavity filled “as close to the nerve as you could get” according to my dentist. Took weeks for it to feel better and settle down but eventually it did and the filling worked great for about two years...then a big chunk of filling fell out.

Had I gone back in then and done the root canal I might have saved the tooth. Unfortunately, I couldn’t get a handle on my fear and I waited 2 full years until I couldn’t take the pain and finally had the the root canal.
By then the tooth abscessed and we did another root canal and when it abscessed again I was told it had to come out. Lived with the abscess 3 more years before working up the nerve to have it extracted. All this to say, you’ll totally know if it is infected or abscessing and please don’t wait to get it treated should that be the case. I know it is hard not to fixate on the “what ifs” and every patient’s experience is different. I will keep my fingers crossed that your tooth settles down quickly and the filling does the trick.