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IV-based anesthetic for root canal?
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david_dzikowski@hotmail.c
medicine forum beginner


Joined: 21 Jul 2006
Posts: 1

PostPosted: Fri Jul 21, 2006 1:04 am    Post subject: IV-based anesthetic for root canal? Reply with quote

Any comments would be greatly appreciated!

The history --

A month ago, my wife visited our dentist regarding some pain in one of
her lower molars. Her pain is not acute, but does bother her when she
chews. Our dentist took some x-rays, prescribed 500 MG of Keflex (3x
per day), and suggested she visit an endodontist.

On the first visit to the endodntist, he evaluated her and suggested a
root canal. At the root canal appointment, he attempted to numb her
tooth with a local anesthetic but the tooth would not go numb. He
prescribed 500 MG of Amoxicillin (3x per day) and told her to come back
in a week. This last week he again tried to numb her tooth but it
*still* wouldn't go numb. He is now suggesting an IV-based anesthetic.

My questions --

Is this normal for a tooth to be so difficult to numb (even with the
antibiotics)?

Should we see a endodontist with better anesthetic skills?

Thank you!
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Steven Bornfeld
medicine forum Guru


Joined: 28 Apr 2005
Posts: 492

PostPosted: Fri Jul 21, 2006 2:50 am    Post subject: Re: IV-based anesthetic for root canal? Reply with quote

david_dzikowski@hotmail.com wrote:
Quote:
Any comments would be greatly appreciated!

The history --

A month ago, my wife visited our dentist regarding some pain in one of
her lower molars. Her pain is not acute, but does bother her when she
chews. Our dentist took some x-rays, prescribed 500 MG of Keflex (3x
per day), and suggested she visit an endodontist.

On the first visit to the endodntist, he evaluated her and suggested a
root canal. At the root canal appointment, he attempted to numb her
tooth with a local anesthetic but the tooth would not go numb. He
prescribed 500 MG of Amoxicillin (3x per day) and told her to come back
in a week. This last week he again tried to numb her tooth but it
*still* wouldn't go numb. He is now suggesting an IV-based anesthetic.

My questions --

Is this normal for a tooth to be so difficult to numb (even with the
antibiotics)?

Not too unusual, unfortunately. It's tough to numb a hot tooth.

Quote:

Should we see a endodontist with better anesthetic skills?

There's no way to tell that lack of skill is the problem. I can say
that an endodontist with poor anesthetic skills is in trouble big.
I assume he is suggesting sedation or general anesthesia? I'd sooner
try a third time with local.

Steve

Quote:

Thank you!
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