Any Dentist Dopers?

Before I get in trouble - yes I have an appointment with the dentist!

Okay, so about a week and a half ago I noticed a small brown spot on one of my molars. I’ve never had a cavity before (I’m 25), but I know this is one. I made an appointment with a new dentist.

Here’s the thing - I’m terrified of having it dealt with. Anyone I’ve asked says I’m being a wussy, but I have no real idea what to expect. Also, lots of people have told be that they often have cavities that they didn’t even know about before they went to the dentist - no pain, no nothing. So now I’m paranoid that I actually have about 20 cavities and I can only see one!

Anyways, I’m feeling really worked up about it all, and worse, I feel really embarrased about my fear of dealing with it. The appointment is on Friday, but I’m hoping to go with an idea of what might happen so I don’t totally freak out. Anyone a dentist/hygenist?

I’m not a dentist or hygienist, but I have had about 30 cavities filled (I’m on round two for most of them, now). Let me reassure you that loads and loads of people are apprehensive of dental work, including me. Dentists work fast - you’re out of there before you know it! The anticipation is usually the worst part.

Here’s what to expect - you’ll go in, they’ll take a peek in your mouth, then they’ll take x-rays of all your teeth, to catch any hidden cavities. The x-rays might be painful because of the film that you have to bite down on in your mouth (not too bad, but no picnic, either). Then the dentist will look at the x-rays and go over your teeth with a sharp metal object. She will poke into your teeth and gums with this sharp metal object. Sometimes it will hurt, and that is a cavity. She will also probably look at your gums and see if you have any gum disease yet (at 25, you probably will - take any advice they give you on how to combat it while you’re still young).

The dentist might make appointments with you to have your cavity(ies) filled at a later date, or they might fill it right away, if there is just one small one. When you have the fillings done, the dentist will numb the area of your gum first with a topical anesthetic (which smells terrible), then she will inject the area with an extremely fine needle and novocaine. This is usually the part that gets people. The best thing you can do while you’re getting frozen is keep breathing steadily - don’t start hyperventilating and freaking yourself out. The needles take maybe a minute at the longest - that’s not so bad, is it?

After you’ve had your needles you should be frozen solidly in about ten minutes. When the dentist starts drilling, you shouldn’t be able to feel anything. If you still feel any pain, tell the dentist and she’ll freeze you some more (another needle in the roof of your mouth, usually. This is the worst one, that pinches pretty badly, but again, over quite quickly). Once you’re frozen solid, the dentist will drill out the cavity with a very high-speed, high-pitched, whiny sounding drill. This usually takes maybe five minutes. Then she will cram a bunch of filling stuff in the drilled out area (it might be the white resin stuff, or it still might be silver-amalgam, depending on the dentist). She will then shape the filling if using a silver amalgam, or cure the filling if using the white resin. This takes a couple of minutes, too. The dentist will usually polish the filling up a little also, with what looks suspiciously like a Dremel tool. :smiley:

The dentist will then administer some bite tests, to make sure your bite is still okay. These consist of just having you bite down on some inky paper and checking where your teeth are hitting each other. You might need to get your bite adjusted slightly once the freezing’s out - it’s hard to tell how you’re biting when you’re still frozen. Once your bite is good, you’re outta there, baby! I’d say getting a couple of fillings on one side of your mouth takes about half an hour, and I’m hard to freeze, so it takes me even longer than it might take you. Don’t worry! It’ll be fine!

But go have it dealt with. One small cavity now is a helluva lot better than twenty big ones later.

Hmmm - well, none of that SOUNDS so bad. I should clarify that I have been to the dentist before - regularly I might add. Last time was about 14 months ago. I just always had a clean bill of health before, but now I’m pretty sure I won’t. :frowning:

I think whats really getting me is thinking that I could have more than one. I recently discovered that even Diet Soda can erode, so now I am trying to just drink water. I have been poking around the web and reading stories of people having 19 cavities in one visit :eek:

I had a very tiny cavity, and it appeared that the dentist picked aroundinserted some sort of paste. There was no anaesthesia involved, and it was wholly painless. I think it depends on severity of the cavity.

I don’t think you’ll have 19 cavities - and even if you do, they won’t fill them all at once. Four appointments, tops. :smiley:

Yeah, I know 19 is unlikely - even the most dentally deficient of my friends seems to max out at around 3 at a time. I have this tendency to blow these kind of things way out of proportion. I guess I’m a bit of a hypochondriac, when you get right down to it.

Thanks for you responses so far - I do feel a bit better. I especially like the one about the filling that didn’t even need drillng. That’s like a bedtime story for me tonight!

Certain specialist dentists will do it. . . mine does. He specializes in people with severe problems who regular dentists won’t treat. Mentally disabled people, people with Alziemers, seizure disorders, catastrophic mouth problems, and severe dental phobics. I am the last category-- tack on a near-immunity to local anesthetic, which spawned said phobia in childhood. (Don’t freak out-- it’s very rare, but it does run in my family). Procedures are done under general anesthesia, some of them taking as 8-10 hours.

I had 3 root canals, 2 fillings and 2 teeth pulled in one visit. I was not awake for this.

If you’re really nervous about things, ask for nitrous oxide. Trust me, you won’t care WHAT they do when you’re on that stuff. They could come and tell you that they need to cut your left arm off and you’d happily say “OK, whatever needs to be done!”

I second this. When they put the little nose mask on you with the nitrous, breathe deeply. Hell, I like nitrous so much that I’d ask for it for just a cleaning! Good stuff.

Third this.

Moon Unit needed to have a tooth extraction about a year ago. She was really crying and terrified of the procedure but we assured her she would get “happy gas” and even demonstrated how loopy it would make her by having me breathe through the nasal mask (not connected but she didn’t know that). We got her hooked up and she was hysterically funny.

She has 2 other baby teeth that need to go, and she’s begging to go to the dentist. Yes, I have a 9 year old drug-seeker! :eek:

That is pretty funny! Careful, before you know it she’ll be hanging around Med school students, taking hits right from the tank…

Anyways, I am feeling a little better about the whole deal. I still think I might freak on Friday, but we’ll see. I keep looking in the mirror - is that one? What about that? Ahhh! But, nothing hurts right now, so I’m hoping for the best.

I’ve only been to the dentist twice in the last 5 years. The first time I had 3 cavities, the first three in my life. Now I have four, and they say I have the beginning stage of periodontitis and I need a deep scaling. The pockets are 3mm, 4mm and a few 5mm.

I’m getting insurance which won’t cover any of that for at least six months, but it gives me a free exam & cleaning every six months. Should I wait for the insurance, get an exam and a second opinion before having these procedures done, or just go ahead? Should I hope a month or two of flouride rinse might remineralize anything?

Okay, now I’m back to being freaked out again. What the hell is a deep scaling? Do all these cavities hurt, or was this a “surprise! You’ve got 3 cavities!” kind of thing?

I’ve only ever had 2 cavities and I didn’t know I had either. The first was in the rear-most molar on the lower jaw. A little bit of pain at the injected numbing agent and then the annoyance of people’s hands and tools in my mouth. The other one is so benign that they found it a month ago and are going to fill it right in time for New Years. I had excellent dental care through my childhood, teenage years, and college years. Then I got lax in grad school and put off going in to the dentist for a year or so afterwards. I had some gum irritation, and some really sever tartar build-up, but nothing drillable and fillable. If your teeth and gums aren’t bothering you, you probably won’t have any major suprises.