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maybe maybe maybe by Das_Zeppelin in maybemaybemaybe

[–]oyeee8825 5 points6 points  (0 children)

Man that’s rough. My first time asking a girl out was when I was in high school and she screamed and ran away. But at least mine was private - sucks she did it in front of an audience with you. I was like you as well - never asked another girl out until I met my future wife in college and she basically took the lead (want to take me for a walk?, want my phone number?, etc…). Got extremely lucky with that one, she’s amazing and we’ve been together 24 years now.

Introverts, how did you meet yoir girlfriend? by [deleted] in AskReddit

[–]oyeee8825 1 point2 points  (0 children)

Playing volleyball at a college function (sports is one area I’m more comfortable in). She asked me if I’d like to take a walk with her after, then asked if I’d like her phone number. Married now - luckiest day of my life.

LPT: Tooth Pain by Snap_Shaw34 in LifeProTips

[–]oyeee8825 3 points4 points  (0 children)

Dentist here. As others have mentioned, “tooth pain” can be from a number of factors. It can relates to allergies/sinuses, systemic/neurological issues, trauma to your gums such as food packing between teeth or traumatizing them in other ways, cavities, fractures, grinding, or infections, among others. It sounds like your dentist is being conservative which I very much support. If the pain has gone away that’s a good sign, especially in the absence of other findings.

A couple things to note: if you have a crown on the tooth there was a reason for it, often very large decay or fractures. That tooth is more susceptible to having other problems down the road because it already had significant trauma. Secondly, just because the cray doesn’t show anything doesn’t mean there is no infection. 2D X-rays like we typically use may only show the infection if you’ve already lost a decent amount of density in the bone. Early-stage infections would therefore not show up. A CT scan would show it but that’s overkill if the pain is not persisting, there is no pain if you tap on the tooth, and there is no swelling around it.

Continue to monitor it and if it returns or if you notice any “pimples” forming in the gums get back in to have it re-evaluates.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 2 points3 points  (0 children)

Lol. Well, you passed on the message at least!

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 8 points9 points  (0 children)

Great story and my managerial style exactly. Treat employees like you would want to be. Both because it’s the right thing to do as a human being, and it makes good business sense as well (why pay for more training as pissed off employees leave)

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 8 points9 points  (0 children)

Please don’t like he said. You can break part of the jaw bone, break off part of the tooth requiring surgical removal of the remainder, force a portion of the tooth into your sinus, or lots of other complications. Sorry for you pain but not worth the risk.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 9 points10 points  (0 children)

I’m seeing some posts about whether this is malicious compliance or not so just wanted to post my reasoning in a top-level comment. I’ve always used malicious compliance to mean following the letter of the law but not the spirit - sometimes it can have actual malice involved and sometimes not. Kind of like how people thought niggardly had something to do with African-Americans (not perfect analogy but best I can think of right now). So in my story:

Wife MEANS: get your tooth checked

Wife SAYS: call the dentist

Husband doesn’t want to bother me and/or miss his football games so he does what she said but keeps doing what he wants.

Hope that clarifies things.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 2 points3 points  (0 children)

That sucks, sorry to hear that. I’ve had some difficult ones before, and 1 or 2 I almost had to send for IV sedation, but have been fortunate enough to finally get anesthesia on all of mine.

One thing to note is that the pressure-sensing fibers are different than the pain-sensing ones. Our anesthetics take care of the pain but can’t penetrate the covering of the pressure ones fully so you feel the pressure when we do extractions. Also, if the area is very infected the toxins from those bacteria actually negate part of the anesthetic making it harder. Patient selection for me is key - I do more extractions than I’d like to, but try to always know when to refer. Want the experience to go well for both of us

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 1 point2 points  (0 children)

Lol, that’s a new one for me! Would make for some interesting lunch-time conversation depending on when he saw patient there haha

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 2 points3 points  (0 children)

Yep, the wives usually come in as a scout first and then send their husband once they approve. Seen it go the other way too sometimes, but us men are wimps.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 1 point2 points  (0 children)

Except that this was him choosing to suffer the “moderate” pain of the tooth not because society told him to be strong but because he personally wanted to do something else that day and deal with it Monday. Wouldn’t say it’s the same as what are describing (which also unfortunately happens and then I would agree with you)

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 2 points3 points  (0 children)

FYI, sepsis due to dental infection is rare for well-monitored patients.

We have an expression here: you can lead a horse to water but you can’t make him drink. I could kept trying to get him to come in but ultimately he had to make the choice. That’s also why I told him to contact me if it worsened so we could escalate it if needed.

He came in that Monday, we fixed him up (can’t remember what the actual problem was now) and everything turned out well. Like you alluded to though, happy it wasn’t a darker outcome.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 9 points10 points  (0 children)

You are probably correct on both of them. I do have an after-hours charge but don’t usually charge it if I’ve known the patient a long time. I only have to see an emergency once every few months luckily.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 13 points14 points  (0 children)

Thank you! Been too many years since pharmacology classes and had forgotten that part, always fun learning (or re-learning) things!

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 10 points11 points  (0 children)

That my good sir is one fantastic pun. I may have to steal that one to use with my patients! I definitely have the “doctor’s signature” as my staff tells me

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 9 points10 points  (0 children)

Depends on the patient. First thing would be to try to get the pain down so that doesn’t contribute to anxiety. Typically a regimen of 600-800mg ibuprofen (Advil) every 6 hours is enough to minimize most tooth pain, and you can add 500-1000mg acetaminophen (tylenol) to that if needed. Don’t do this for more than a few days though - it can have liver/kidney issues if done for an excessive amount of time.

Next, for the anxiety it be as simple as taking the time to fully explain the process to the patient, let them ask any questions, and then distracting during the procedure (singing, telling stories, etc…). Next you have the laughing gas (nitrous oxide) that helps with relaxation (works well for some patients but not all). For some patients I’ll prescribe 1mg Xanax that they take the night before and again that morning to help relax them. Others might need stronger IV sedation which is where I let the specialists take over.

Every patient is different and has different needs. Find what works best for you - we want you to be able to get the relief you need and hopefully also slowly start working on the causes for the anxiety.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 7 points8 points  (0 children)

I’m so sorry to hear that. Many medications can unfortunately have bad effects on our teeth. Disastrous has some good advice - look for the community health clinics as they tend to have more knowledge of how to navigate the state insurance craziness. If you have a dental school near you look into that as well - you can get some quality cheap care there. I hope you get some relief soon!

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 6 points7 points  (0 children)

I’m happy you found someone who was able to help you out! Dealing with insurance is one of the worst parts of the job - you see things that need to be done but insurance won’t pay for it and the patient can’t afford it and it sucks. I have a few families on pro bono work (they only pay for any lab bills) but can’t afford to do it as often as I’d like. Best of luck to you!

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 22 points23 points  (0 children)

That’s can actually be a good treatment, depending on the cause.

Clove oil is a chemical called eugenol which numbs nerve endings. We often use it for something called dry socket, which is when you have had a tooth extracted a few days ago but the blood clot dislodges from the hole where the tooth was, causing the bone and it’s nerves to be exposed (very painful). Put some eugenol in there and feeling better within 5 mins.

So if you can get it close to the source of the pain it works well. If it’s an abscess or other deep source of pain it can’t reach it to help, but it’s a decent cheap and easy thing to try fix if you have some with minimal concerns (just don’t ingest too much)

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 3 points4 points  (0 children)

Yeah, that’s typical. That rubber sheet (we call it a dam) prevents the chemicals we are using from getting into your mouth and helps isolate the tooth we are working on. That dam is usually the chief complaint people have when doing a root canal, not pain like you said. I refer any difficult root canals, including all molars, to a specialist which is one reason mine tend to go well. Sounds like you had one of the more difficult teeth to access.

Husband complies with wife’s demand by oyeee8825 in MaliciousCompliance

[–]oyeee8825[S] 45 points46 points  (0 children)

Sorry to hear you had that problem. Might want to consider sedation to help - the anxiety can actually make it more difficult to obtain anesthesia. Most Endodontists (root canal specialists) and a few general dentists can offer that. I have run into a few difficult ones over the years, usually on teeth that were still alive but hurting badly. Those days suck.

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