A Dental Memory Dam

in dentists •  7 years ago 

I have the same relationship with my dentist that many people do with family members: I love him and appreciate him, but I don't actually want to see him.

I suppose that's not unusual, but my history gives me maybe a bit more of an excuse. As a kid, I was a "problem" patient. You know, the kind who whines, screams, has to be held down--like I am now if you make me watch "reality" TV. My dentist as a kid didn't like me much at all, and I felt the same way about him that most people feel about Benito Mussolini. (Hitler's so overdone.)

About the time I graduated from high school, a new dentist came to town. After examining the previous dental work, he pronounced it to be the worst he'd ever seen in his life. He understood when I explained that drilling me was like trying to shoot a hummingbird, although who would do that?

Some of it had to be fixed, so he injected me with Novacaine, waited, and was surprised to find I still wasn't numb. So he injected me again.

Then again.

All those times as a kid, when the dentist lectured me and had me held down, and everyone thought I was acting like a baby. I mean, after all, I'd gotten a shot of Novacaine.

Only the Novacaine hadn't worked. It had never worked.

Granted, there was some relief in the discovery that I wasn't a big weenie, after all. And I'm still not entirely sure why it didn't work. My research didn't show cases of people being intolerant to the drug. There are several listed reasons why it might not be effective with some people, including anxiety, which--how many dental patients don't have anxiety? But for whatever reason, including possibly the fact that dentists don't use Novacaine any more (my first trip to the new dentist was thirty-five years ago), I'm better. I can now go to the dentist with only crippling anxiety, instead of whatever would be worse than that.

(A quick note here: While writing this I did a lot of research, and I now wonder if my original dentist wasn't using Prilocaine. There have indeed been cases in which that drug didn't get patients numb. Another possibility is that I am indeed a weenie, and Dr. Hayes is just being nice to me.)

That's why this year I tried sedation dentistry. Honestly, I don't have a clue why I didn't before--maybe because I'm not a fan of taking drugs, especially the ones that put you out. But earlier this winter I went in for my regular cleaning, after which Dr. Hayes announced I needed not one, but two procedures: the replacement of a childhood filling on one tooth, and a crown on another.

I became instantly weenified. It's a real word--I should know, I just invented it.

So for the first time after all that grief, I asked the Doc: "Do you do sedation dentistry? And if not, why the *$#@ not?"

He did, indeed.

I had to pick it up as a prescription; it was a controlled substance, apparently. If it isn't, it should be. I left it in the bag until I got to the dentist's office, because I have a stressful job and was afraid I'd be tempted to use it after work, instead. At the office I discovered it was a liquid. Before letting me take it, the dentist asked, "Do you have a ride home?"

"Yeah, my car's right out there."

"After you take this, you'll forget you ever had a car."

I'm paraphrasing, but still.

At first I was afraid it was just a repeat of the old days. Yes, I felt like I'd just downed a half bottle of vodka (which would taste way better than this stuff, believe me). But I'd been promised forgetfulness, and I remembered most of the procedure and the ride home. The good news: Once he got in there, the Doc was able to do a repair, instead of a full replacement.

But I wasn't done yet. A week later came the crown. And believe me, those are a royal pain.

So I got another dose of the stuff and this time, to increase its effectiveness, I went in on an empty stomach. I wanted effectiveness. A crown involves grinding down your old tooth, and although it's not really that much, it feels as if they're leaving only a needle point, and you wonder why they didn't just pull the darned thing out.

I was about to tell the dentist that, too. And that's the last thing I remember.

Apparently I cracked a few jokes, offered to drive home, and walked like I was in a Monty Python skit. So far as I know, there's no video of this, which would have been crazy funny to everyone but me. After that it was a matter of wearing a temporary crown for two weeks, then the (mostly) painless process of getting the permanent one on. Way more effective than half a bottle of vodka, and for twelve hours I got the best sleep of my adult life.

Hopefully I'll never have to take that stuff again ... but I'm so glad I did.

Bae on Mark during recovery.jpg
This photo is actually from after my sinus surgery, but I have a feeling my expression is the same. Um, I'm the one on the right.

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Yeah, dental treatment is great fun. That is propably the reason why its so expensive. I had my fair share of it, until a few years ago - then I had all teeth pulled and got artificial ones. They have a big advantage: if something is wrong with them, you just hand them over to the dentist. But it was a rough path to come to this point.
A full anethesia sounds like the easiest way to avoid unpleasancies, but it has certain risks, you know. Thats why not every dentist will do it. Even if the modern anestetics have improved a lot, there is always the possibility of complications. And it would really suck to end up in a ER unit because of a filling. Or worse.
The last time I had a full anestesia was from a proctologist. So no treatment in the mouth - more like on the opposite end. Anyway, it was pretty amazing stuff. It knocked me out as if someone had flipped the light switch. And even more surprising: I came back the same way, without headache or dizziness.
However, its perhaps not a good idea to drive a car right after that. Even a local anestetic can affect driving. Over here, they say this when you make the appointment already, to avoid that people come in by car.

You know, a full set of false teeth sounds like it would have a lot of advantages, but the idea of losing my teeth has always terrified me. Despite all my trouble, I still have all of my adult teeth--although a lot of them have accumulated extra metal along the way.

Oh yes, I know about the dangers of anesthesia. I'm due for a colonoscopy, and after my first one the doctor said he had so much trouble that this time he'd put me out (thankfully, I don't remember the trouble). But within the last few months I've heard of two people who died during that procedure! "Medical complications" are a fun way of saying, "you're doomed".

Anyway, I know better than to drive myself. They gave me some heavy pain medicine after my kidney stone, and even though it didn't put me out, I could barely get into the car, let alone operate it.

Well, I would be lieing saying that it was a piece of cake getting the dentures. It tokk me a year or so to get really used to them. But today I'm glad to have them, even if some limitations remain. I cant eat nuts for example, because it hurts if hard little pieces get between the dentures and the gum. And I cant tear on food, so I have to cut it in order to eat it. So no goat meat...
But over all I'm really happy that I left all this trouble with my teeth behind. There was times where I nearly stopped eating, because there was always something wrong with some tooth. Only some soup or pudding or so, and that for month on end. Also I couldn't speak properly anymore and looked like a hobo.
Colonoscopy, yeah, thats what its called I think. Darmspiegelung in german. But that doesn't make it any better...

Actually, "darmspiegelung" makes it sound worse!

You propably just dont pronounce it the right way. :)

you are a good writer..

Thanks! It's important to do one thing good. Um, well.