[Thad E Ginathom]

Originally Posted by Irish

3. Duration of surgery
4. Duration of pain I will have to suffer

Patient's point of view...

Had lots of teeth out. My teeth have a tendency to crumble and break, leaving the dentist having to spend time making sure that all the little bits have been removed.

Sounds horrible? Not really. The local anaesthesia should leave you feeling nothing but pressure; if it doesn't, ask for more.

It is at times like this that having an on-going relationship with your dentist is so useful, because if you know he never hurts you when drilling for fillings, you can be sure he'll get the anaesthesia right for the bigger job too.

[Tejas@perioimpl]

Originally Posted by Irish

Pardon my ignorance!


How does it affect a heart patient? Asking you because my mother may also need to go through the same procedure. She is a Heart Patient (angioplasty done, 3 years back) and taking related medicines (Rosuvas 20, Deplatt A75 and one more) .


Cheers!
Irish

People who have had heart procedures done are usually susceptible to certain kind of bacteria which are present harmlessly in the mouth. However, if they enter the blood stream during a denial procedure, they can grow in some part of the heart, usually the valves and cause problems. Thus, the american dental and medical association has prescribed guidelines for treatment of at risk patients and certain antibiotic coverage has to be given prior to treatment.

Recommended reading: http://www.ada.org/2698.aspx

In normal people, there is NO risk. Please DO NOT start gulping antibiotics unless prescribed.

Also, heart patients are on a daily tablet of ecospirin which is a blood thinner. This needs to be stopped a couple of days in advance otherwise bleeding from the extraction socket won't stop. However, this is done ONLY after a go ahead from the physician.

Your dentist will write a consent letter to the physician detailing the procedure, type of local anaesthetic used and drugs he wishes to prescribe. You show the letter to the physician and get a written consent back. Only then will the dentist start the procedure.

Hope it helps.

PS: there's no need to add the first line. We're here to help.

[Tejas@perioimpl]

A friend sent me a funny link, thought i'd share it here. Don't take offense guys, it's all in jest.


Copied from the link:

10 Reasons Your Dentist Probably Hates You Too

1. The first thing you say when you sit down in my chair is, “I hate the dentist.” Really?!? Did your parents teach you any manners? Did they ever teach you that it is impolite to tell someone you hate them the moment you greet them? What I really want to say back is, “aww, I hate you too.”

2. You come to your appointment, and it’s obvious you haven’t brushed your teeth in days. I’ve had some people with great hygiene come in and apologize because they’ve just eaten lunch and couldn’t brush. This is not what I’m talking about. I mean food and thick plaque everywhere. After 10 years of seeing blood and rotten teeth and some really nasty things, this is still the 1 thing that makes me dry heave. You know when you come to us that we have to be in your mouth. Would you clean your home before having company? Additionally, I have spent hours literally bending over backwards repairing your teeth. Could you at least pretend that you are caring for the work that I have struggled to complete for you?

3. After we have spent hours of meticulously repairing your teeth, you complain about the bill. Would you walk out of the grocery store with a bag full of groceries and expect not to pay? I’ve just helped you to continue to smile and eat comfortably, two pretty valuable things that help your quality of life.

4. I tell you that you have a cavity and you need a filling, and you wait months or even years to get the necessary work done. Eventually the tooth starts hurting. Two weeks of pain go by, and you call me on a Saturday night while I am at dinner with friends because your tooth that needed a filling a year ago and that started hurting 2 weeks ago is suddenly an emergency.

5. You come to me so I can help you, but you make it hard for me to do a good job. You wince and make faces when it’s not hurting. The idea that I’m hurting you makes me just as uncomfortable and stressed as you are. If it hurts, please tell me, and I can help you with that. But if it’s because you don’t like the whole experience, you are only causing me to work in undesirable conditions, making it harder to do my best. And when you push your tongue in the way, or you don’t open wide enough, it makes it physically impossible to get my work done. Don’t you want it to be easy for me to do the best job for you?

6. You call and say, “my tooth didn’t hurt before you worked on it.” You came to me with a cavity. I did not put it there. You did. I am simply fixing a rotten hole that was in your tooth. To do so, I must use a tiny drill to cut the rot out of your tooth. If I took a drill, cut a hole in your femur bone, and then filled it in with a foreign material, don’t you think it might be sore for a while? Same concept.

7. When we try to take an x-ray, you won’t bite down on it. We have to do this to see what is going on with your tooth. Without knowing the problem, we can’t properly treat you. I know, in some cases some people really can’t do it; but some people could and won’t just suck it up for 15 seconds. I’ve had x-rays too, and they hurt and dig into my gums, but I just do it.

8. You tell me that you bought my car for me after having a crown done. Contrary to how it seems, you actually didn’t buy me a car. You bought yourself a crown. I have spent hundreds of thousands of dollars on an education, and have spent hours making this crown fit precisely in your mouth, so maybe you helped me make a portion of a student loan payment. But you certainly didn’t buy my car.

9. You no-show an appointment or cancel last-minute. Some things are unavoidable, but when it’s because your hairdresser got a last-minute cancellation and you had to take that appointment instead, this is just rude. Not only am I unable to fill the 2 hours of my schedule that I reserved specifically for you, but someone else who wanted to get in had to wait 2 weeks for his/her appointment. And on that note, when you have the first appointment of the day, and you show up late for your appointment, I am late for every other patient the rest of the day.

10. When I tell you that you grind your teeth, you deny it, as if I am accusing you of having a horrible disease or being a baby murderer. It’s not that bad to be a tooth grinder. I’m just pointing something out and maybe offering a way to prevent more problems in the future. This observation is concluded from signs or symptoms that are based on real science, not myth.

And along those lines… bonus #11. You tell me a diagnosis I make is simply wrong without listening to me. If you know so much, why are you coming to me? You do the filling or root canal yourself. You obviously don’t need me.

Aaahhh… I feel much better now.

If this isn’t you, I am sure your dentist loves you. You are probably the bright spot of his/her day. But it makes you wonder, how do you behave when you go to the dentist? And most importantly, are you making it easy for your dentist to give you the kind of care you want and deserve?

Source:
10 Reasons Your Dentist Probably Hates You Too | Lolabees

[Thad E Ginathom]

Thank you for that information, which I never knew before ... and for the absolutely wonderful typo, a hot contender for typo-of-the-year

I like the ten reasons too. I once heard that dentists and psychiatrists have high suicide rates. Even the best of us are often afraid when we walk in the surgery. It must take its toll.

[Tejas@perioimpl]

Originally Posted by Thad E Ginathom

Thank you for that information, which I never knew before ... and for the absolutely wonderful typo, a hot contender for typo-of-the-year

I like the ten reasons too. I once heard that dentists and psychiatrists have high suicide rates. Even the best of us are often afraid when we walk in the surgery. It must take its toll.

Hahahaha... just caught the "denial" procedure. Damn the autocorrect!

[Eddy]

Originally Posted by Irish

1. The best dentist in Delhi/NCR to visit

Which part of Delhi ? I recommend Dr & Dr (Mrs) Verma in Janak Puri. They charge maybe 10-15% higher than other dentists, but I always go to them. All my references are pretty happy with them too.

[shipnil]

Dr. Tejas, I am having some pain in the last molar (the one before the wisdom teeth) on lower left since last few days. I went to a dentist today and he said the angle at which the wisdom tooth has come up is a problem and it is pushing against this second molar. Also, he said he'll have to do a root canal treatment for this molar and he'll remove the wisdom tooth through a surgery.

My questions are
1. Can't it be done without a surgery? He had listed non-surgical wisdom tooth extraction as one of the things, in the list of things he performs.
2. He was saying, he'll need to fit a cap over the second molar after root canal treatment. I have had couple of root canal treatments performed in 2003, but no cap was placed on those molars. And they are holding up good so far. So is the cap really needed?

[A M]

Originally Posted by shipnil

My questions are
1. Can't it be done without a surgery? He had listed non-surgical wisdom tooth extraction as one of the things, in the list of things he performs.
2. He was saying, he'll need to fit a cap over the second molar after root canal treatment. I have had couple of root canal treatments performed in 2003, but no cap was placed on those molars. And they are holding up good so far. So is the cap really needed?

Dear Shipnil, after a root canal therapy, the tooth becomes brittle and susceptible to fracture. So a crown is always a recommendation.
And about the extraction bit, any dental extraction is surgical.
Why he mentioned non-surgical extraction is because your third molar may not be impacted. Hence, it may not require bone-cutting to take it out.
However, an X-ray will help making a definite diagnosis.
If you have any query, please ask.

[Guite]

I have prolapse disc in the lower vertebrae. So I avoid bending and twisting at the hip while in a standing position. My son wants to play "cow riding" a lot of times, in which I have to crawl and move on all four while he sits on my back. I have been refusing him. Can I safely oblige him? I would love to.

[Rameshdude]

Originally Posted by Guite

I have prolapse disc in the lower vertebrae. So I avoid bending and twisting at the hip while in a standing position. My son wants to play "cow riding" a lot of times, in which I have to crawl and move on all four while he sits on my back. I have been refusing him. Can I safely oblige him? I would love to.

No,Don't do that for now. I suggest you do regular spinal exercises, make your spine more flexible and trouble free,and then you may attempt those. Things that are bad for your back are bending down,lifting weight and climbing stairs.

[Guite]

Thanks Ramesh. I had thought it just might be safe because bending the hip 90 degrees while laying down had no immediate effect whereas same action while standing gives immediate warning.

I did not know about climbing stairs, so will watch out in future. If you can provide more detail, it will be helpful to understand the background. However please don't feel compelled to explain further.

[ontheroad]

Our next door apartment neighbour is diagonised with chicken pox. Though Iam safe as i already had it once during childhood, my 1 and half year old angel and wife is under risk. Heard that there is some precautionary medicine/vaccinations available though i didnt get the details. Can any bhps help.

[hellmet]

Originally Posted by hellmet

To gastro/ENT doctors (not sure who to go to) on the forum, I need help with a persisting sore throat condition (almost 2 years now) that seems to have snowballed somehow into gastritis. An ayurvedic doctor insists it's candida, a regular doctor insists it is gastritis. I can't put further details on the forum due to personal reasons.

An online consultation is highly appreciated, but I'd love it if I could visit one of you personally (in Hyderabad) and get consulted. It needn't be free, just need a listening ear and some 30 minutes of patience. Please PM me if you wish to help. Thanks!

Anybody? Please...

I'm looking for someone whom I can meet personally and explain my situation.

[JustCause]

I had been experiencing knee pain in my left leg since early 2011. I initially thought it to be because of a hard clutch of my Alto. However, when I went to a physician, he confirmed flat foot, but only in the left leg. I don't have a permanent flat foot. The arch reforms once weight is removed from it. On applying weight (standing), the left foot arch collapses & almost touches the ground. The arch area of my foot swells if I do a loot of footwork. I have been using an ankle binder which helps ease the pain.

I use silicone insoles in my shoes to aid the arch. Of late, I've been observing that my left knee clicks. While walking, I tend to turn my left foot inwards. I am also 15kgs overweight.

I wanted to know if there is a treatment for this apart from wearing insoles & popping anti-inflammatory drugs. I am really worried about cartilage damage in my left knee (have arthritis in the family).

Currently, even the best shoes last me 2-3 months. They wear more on the inside rather than outside. Needless to say that my right foot is perfectly fine & devoid of any swelling.

[superlux]

Dear you seem to be having a meniscal tear in your affected knee. The best thing to do is to visit an orthopedic surgeon who will check the knee clinically and may advise some x rays or an MRI. Being obese will only add to the trouble.