Last week I had an appointment to deal with a filling on a molar because a cavity had formed underneath the filling (don't ask me how I just work here... something something margins or I dunno....)
It had been visible on my last couple of X-rays I guess but when I had my cleaning and checkup in January the dentist was like "yeah ok it's time to deal with this here are your options - a filling or a crown."
I don't know anything about dentistry so asking me to choose feels kind of unfair, especially when it was at the end of my appointment and kind of a shock and so I tried to ask questions, all the while fighting the panic of "I don't want to do this" and after some conversation we decided to go with replacing the filling with a new one knowing that it would need to be come a crown "at a later time" but that this option would put less stress on the tooth. So that I could mentally prepare myself, I asked how long this appointment would be and he said it would be about ninety minutes. Ok, so an hour and a half. Ok. Sigh.
I took the day (well, half day if we're being picky) off of work (I only work three half days) and showed up and was kind of nervous/anxious but that's par for the course for me.
The dentist came in and put in the freezing. He's very slow and steady doing this because I have had pain from the needles before (they numbed the injection spot too though) but I don't know why (I really need to look into this but google searches haven't given me any answers) but something about the position of being back and tipped down for the shot makes it so I feel like I can't breathe. I had taken an allergy pill JUST IN CASE my nose got stuffy and so I knew it wasn't a "can't breathe through my nose due to sniffles" situation but I don't know how to explain it other than I felt like I couldn't breathe well or properly. I hate this. It causes panic and intense extreme anxiety. I do my best to just get through it and remind myself that I am actually breathing and getting air and that it's all ok, but it's a miserable time for me and there were three injection spots this time so it took seemingly forever and I was very very not ok. Yes the dentist checks in while he's doing this and after he asked if it was ok and I said that while I hadn't felt the injections, I was dealing with some sort of breathing issue and he nodded and said "remember to breathe through your nose" which I'm pretty sure I was? But then he went to do dentist things and I started to cry. I wasn't ok. The dental helper person (I don't know the proper name, sorry.. assistant? Yeah it's probably a dental assistant) came in and was like oh no and got me Kleenex and sat me up and comforted me but I was so upset and couldn't hold the tears back and like ok, the rest wouldn't be so bad right? Sure. That was the worst part, right?
Then the dentist came back and said "we need to have a chat". I was confused.
He then asked me what we were doing today. I was confused.
But I was also thrown off and clearly emotionally upset by the nearly dying feeling and so I didn't sort of think to say "we already discussed we were redoing the filling?" because I just assume the dentist knows more than I do in these situations but I was confused.
He explained a few things, like how the cavity might be too deep and when he got in there it might actually be at the root and then we'd have to do a root canal (a huge fear of mine from what other people have said about them) and so the options were presented and explained to me. A filling... pros and cons... a filling with a special type of material... pros and cons (slightly stronger) or a crown (strongest but again not sure what'll be down there when he gets in to look and something about thin sides or something, I don't know. There were drawings. I was supposed to decide. He left.
Someone came in and took scans (in case of a crown) and the dentist and I went over the options again and how if I chose crown this and this and I'd have to come back anyway and so what did I want to do?
This, you guys, was an HOUR in to what I knew was an hour and a half appointment. And hour of freezing and you're asking me what I want to do? HOW DO I KNOW?
I pointed out that my scheduled time was nearly already up. And that I would be upset if I was sent home with freezing in (since it was SO awful for me) and then had to come back and do it all again. I was mad (inside, not showing that I hope) that I was put in this position AFTER I had been frozen.
I tell myself he was looking at records and saw things he hadn't seen on the quick check up but still, I didn't know what the "best" choice was. So I said as much.... "I'm not a dentist, I don't know."
I also said that I knew we didn't have time. And that I just didn't know. "What would you do?"
He said that option two was more conservative but better than option one but that of course if he got in and the cavity was deeper than the X-ray showed, all bets were off.
This wasn't a good situation for me. I didn't know. I chose the 'special filling' option over the crown, I am no longer sure that I know why other than it seemed like the smartest choice at the time. And then I reiterated my discomfort at the time (he'd mentioned this would take a long time) and that I know how this works and it messes up the entire rest of the day for everyone, nevermind that it was now noon.... lunch. "I'll work into my lunch hour" he said. Well this makes me feel worse. Now the assistant and dentist would be missing their lunch. But also I was there, this wasn't my fault, I felt unhappy. I told him it wasn't my choice. (Because I don't think it should have been.)
He made the decision, said "ok I'll work into my lunch, but also I'll have to leave from time to time to do other things" (those other appointments *my* appointment was now bleeding into right????)
So ok decision made, we're doing this... today... Not a crown but a different than usual filling that will take longer but be "better" than a regular filling, unless the removal of the current filling showed unexpected things that meant "uh oh".
Sigh.
I needed to pee. Assistant asked me if I did, I said yes and went. She then set me up with the dental damn (hate) and the sticking it between the other teeth (ugh) and a new to me thing that helped me keep my mouth open (a tooth block? I forget the term even though I've tried to google it four times... a like curvy thing you put in between the teeth at the other side and it lets you "rest" on it rather than having to maintain an open mouth all by yourself. I'd never had one before. I have jaw issues. I wasn't sure if this would help or not but it felt decent in there so here we go.)
I don't remember what was next but there was a trip to the bathroom again with that thing stuck in my mouth. I went pee about four times, and not little pees, decent pees. Assistant thinks it's maybe the angle of the chair pushing whatever down on my bladder or something but I'm just so super glad she kept checking and asking if I needed to go. Because I did. But I'm terrified of asking WHILE they're doing stuff.
Dentist attached whatevers to the tooth, and put spacers in because the filling was huge (entire surface of the molar) and you don't want the filling stuff to get on the other teeth and whatever. He started drilling away at the material. (I had my phone and earphones to try to distract myself with my own music. But always not too loud so I could hear the "just turn to the left a little?" or whatever.) He'd do stuff and then leave for a while, maybe because my "gums are bleeding and they need to stop" or someone else had an appointment and so on one of these breaks when I was going to the bathroom AGAIN I noticed that it felt like my tongue was trapped in one of the clamps and I thought "well that's going to suck" because with the freezing I couldn't feel it happening and I only discovered it when walking around to go pee and noticing that my tongue wouldn't move fully..... well crap. Yeah that was going to hurt the next day. Ugh.
All in all I was there for three hours. For an hour and a half appointment. When he was done replacing the filling and took off the clips and the dam and I had had breathing issues for the last sucky hour or so again I said "yeah I think my tongue was trapped?" "Salt water, it'll be gone in a couple of days," he replied. (Sigh) He had to file down whatever for my bite and I find this super frustrating because I'm STILL FROZEN, I can't actually tell if I'm biting properly on that side at all! Like really. I'm sure it's fine because my other side was biting but with no feeling on that side I have no idea.
And then he finished up and sat me up (and I said "well that sucked") and he said "ok we need to talk about your bite."
NOOOO I don't want any more information!!!! I was dazed. Feeling shitty.
He explained that when he had gone in the filling had been RIGHT at the root (so I may need a root canal after all if things don't settle.... fuck) and that the "thin" side of my tooth had actually cracked, so he had to adjust the filling material to go around (so now that tooth feels "wrong") and make it so the other teeth around it are taking more of the hit. Well fuck. I have jaw issues. I grind and clench and do terrible things and have cracked teeth doing this. And now I have two other teeth taking on more than their weight for a third tooth that already has a crack? I HATE THIS. Oh and also when he took the spacers out the other teeth didn't go back to where they should have so I have gaps around the tooth now but they might fix but if they didn't and the food getting stuck in there was really bad to just let them know. WHAT? Oh and what he had done works nine out of ten times but if that tooth shows pain or high sensitivity to let them know as that means it needs a root canal. WHAT? Oh just fuck all of this. Fuck all of this so so so much. This sucks.
But I made jokes. I didn't complain at the time. It is so ingrained in me to be compliant and friendly that I wanted the dentist to know I was "cool" or whatever. But I really really wasn't.
Oh and he had forgotten to mention that the cost of each option was blah blah blah but I already had guessed that I'd be paying a few hundred out of pocket so whatever. But $600 (AFTER INSURANCE!!!) later I went home feeling really terrible and unhappy about the whole thing.
I went home. Feeling awful, but still pretty frozen, but knowing the tongue that got pinched for a couple of hours was going to suck. I knew I needed food, but wasn't about to cook, so I knew I'd have a frozen meal and I am so happy I have protein powder on hand so I could get some good sustenance into me without chewing.
But first I had a shower. My plan was, shower, get into comfy clothes, curl up on my couch under my blanket, have a protein drink, and watch whatever show and let the freezing come out. I had the shower. I got out of the shower and that's when my body decided to show me I was in shock.
I nearly passed out, nearly threw up and nearly "other thing". I managed to get my pj top on and nothing else and made my way to my couch to lie down half naked while my body recovered.
Yeah, shock. Go figure.
It took about half an hour before I could sit up, put the rest of my clothes on, and make myself that protein drink. Wow. That was scary and uncomfortable. I have never (as far as I can remember) had a reaction to dental work like that before. I was clearly not ok. Very much not.
I had (frozen) mac and cheese for dinner, nice and soft. And as the freezing came out, the tongue showed how bad it was. Chewing was extremely painful. I was miserable.
When I went to floss that night I was reminded that there is a gap surrounding that tooth... the gaps feel cavernous compared to what I'm used to when flossing.
So I've been taking advil for the pain and rinsing with salt water for the tongue and gum damage and using a peroxide rinse as well. I took myself to exercise class on Thursday (two days later) and was miserable but I hoped it would help with healing or something. My bite is weird. Every once in a while I hit something HARD and I can't tell what tooth or why. The first night my other jaw muscle seized up because I was chewing on that side and it had been open for three hours too.
I haven't been able to close my mouth naturally due to the tongue wound. (It was pretty massive, is smaller now but still not great) I can't actually tell if the tooth is sensitive because I'm avoiding things on that side due to the tongue pain. Talking is uncomfortable, eating is uncomfortable. My jaw/mouth muscles are uncomfortable. Now that the tongue wound is smaller I can feel the gum line issues. They suck too. I have a "pain numbing" spray from when I had strep throat and I put that on my tongue from time to time but the lump is still there so, I'm sort of managing as much as I can as best I can and it's not great or fun or easy. Sigh.
I don't like the dentist. I really don't like having dental work done. I don't like the during or the aftermath. Or the fact that apparently all this suffering may not be the end of it. Things might still need "fixed". Ugh.
While the work was happening I kept telling myself "it could be worse" and yeah it could have been. And the pain I'm in is from an accidental pinch not the work itself (so far.) I really REALLY need to figure out the "can't breathe when I'm tipped back at a certain angle" thing but I don't know where to start on that.
I am considering going back to see my dentist for a "chat" (do they do that?) to see if he has thoughts as I always feel too rushed when I see him at check ups to ask about things and I never feel like I'm making myself clear. I think last time the "can't breathe" thing happened I assumed it was allergies/ a stuffed up nose but this time that wasn't in play as far as I can tell. But that was the worst of the whole thing. Between "not being able to breathe" and the pain of the injury to my tongue, I did not enjoy the situation and am wishing it hadn't happened but it is what it is and this is the first "really bad" time I've had with this dentist so I am not throwing a baby out with the bathwater or anything. Dental stuff sucks for me. But I do it because I do. It seems important and health conscious to do. But I hate it. And I'm trying not not have my dental anxiety turn into a phobia, you know? But yeah that breathing issue needs to be dealt with. I wish I knew how.
And yeah, my tongue still fucking hurts a lot. Even just sitting here typing I can feel it and I don't like it. I probably need to take an Advil or something. Sigh.