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Old 27th July 2009, 07:22 PM   #1
Debaroo
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Marathon Man? Dentists should refuse the patient.

I had my teeth cleaned last Thursday and much to my disdain on Friday night a filling on my front tooth fell out. I could not keep my tongue off the area - it was jagged and of course it felt like it was 2 feet wide. Looking at myself in the mirror I could not help but think of "hick".

Anyway - I phoned my dentist this morning and was able to get in today to have it repaired. I was expecting the "needle" - and those needles to the front of the tooth are PAINFUL! Feels like it's coming out your nose. The dentist says - no, it's only enamel so no need for freezing.

So - we get into a short conversation about freezing and he tells me about a couple of patients who are into "natural" and "holistics" who refuse freezing (because it's so TOXIC). I say - wow - they must have really good pain tolerance. He says, no. And I say - but, how can you work on someone who is jerking their head around? He says it's really difficult and hard to do a good job.

What is it with these natural-no drug people anyway? Perhaps, before the dentist starts to drill they should be duct taped to the chair so they cannot move.

I am no stranger to the dentist chair and most of the work done on my teeth invovles extremely deep drilling (all my molars are crowned). I could not imagine having that work done without freezing.

I had a wisdom tooth extracted one time - the freezing didn't work - OUCH, OUCH, OUCH.

I think if I was a dentist I'd refuse to work on a patient who refused anesthetic, especially with a deep filling. Imagine drilling into a nerve and the person jerks and flails and the drill could go anywhere. I'm not talking about little bitty cavities - but ones that go into the core of the tooth.
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Old 27th July 2009, 08:53 PM   #2
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I dont know how they could sit through that without being tied to the chair.
Ive had the other side, where the dentist had beliefs. I had a very painful abscess and he didnt believe in antibiotics Doctors tell you to see your dentist, they dont like treating dental problems. He gave in when I cried and howled to get some relief! That dentist was telling me how his wife hypnotised her patients to not bleed during an extraction ..voila, they didnt bleed anywhere near the usual amounts. (His story..not mine'.
Needless to say I never went back there!
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Old 27th July 2009, 09:02 PM   #3
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My teeth hurt now. Thanks a lot!
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Old 27th July 2009, 09:06 PM   #4
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I have been to the doctors several times for biposies and the suchlike where usually an anesthetic is required and I have always refused them. My doctor isn't phased in the slightest, she reminds me that it is not NHS policy to offer an injection before such a procedure but NHS policy to give one and jabs me anyway.

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Old 27th July 2009, 09:13 PM   #5
Debaroo
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Originally Posted by Marduk View Post
I have been to the doctors several times for biposies and the suchlike where usually an anesthetic is required and I have always refused them. My doctor isn't phased in the slightest, she reminds me that it is not NHS policy to offer an injection before such a procedure but NHS policy to give one and jabs me anyway.

Then you have a lot more fortitude than me. By golly...that drill hits my tooth nerve and I will jump in the chair.
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Old 27th July 2009, 09:22 PM   #6
Debaroo
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Originally Posted by Marduk View Post
I have been to the doctors several times for biposies and the suchlike where usually an anesthetic is required and I have always refused them. My doctor isn't phased in the slightest, she reminds me that it is not NHS policy to offer an injection before such a procedure but NHS policy to give one and jabs me anyway.

Just curious - but why do you refuse the anesthetic?
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Old 27th July 2009, 09:54 PM   #7
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Originally Posted by Debaroo View Post
Just curious - but why do you refuse the anesthetic?
If he means skin biopsies, then I'm guessing he has a high pain tolerance. Something like that wouldn't bother me at all, but teeth are a different story.
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Old 27th July 2009, 09:55 PM   #8
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I used to go without anaesthetics because I'd somehow gotten it into my head that they keep your mouth semi-paralyzed for about a day afterwards, and it always turned out such that I had some important speaking (or actually singing) occasion later that day. I think those shots used to be that way when I was a kid - I remember my brother walking a around like a drooling chow-chow for hours afterwards...
Anyway, I always stolidly refused the needle and sat it out (learnt some interesting things about pain thresholds that way). On the last occasion the dentists finally enquired why I was doing this to myself. Turned out shots are a lot more user-friendly these days and leave no trace after an hour or so - duh.

I'm sure it was character-forming, though.
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Old 27th July 2009, 10:16 PM   #9
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I can think of only one adult I know who is so afraid of needles that he undergoes dental work without Novocain.

He is, believe it or not, a dentist. I kid you not... He has no trouble injecting it into other people, as I know from firsthand experience.
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Old 28th July 2009, 12:33 AM   #10
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Did you hear about the Buddhist who refused Novocain? He wanted to transcend dental medication.
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Old 28th July 2009, 02:58 AM   #11
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It varies a lot. The dentist I had as a child was rather inclined to freeze your whole face, and "SOP" in our family was not to have the anaesthetic. I had quite a lot of fillings as a child without anaesthetic, and it was painful, but I put up with it and didn't jerk my head around. If I had, I believe the dentist would have given me the anaesthetic anyway. For some reason, though, I was more scared of the needle than the drill.

Then when I was in my late 20s, I moved house, and coincidentally my new dentist was my old dentist's daughter. She persuaded me to try the anaesthetic, and it wasn't so bad really. I commented that she seemed to be giving much less anaesthetic than her father did, so it was much less painful and intrusive. She laughed and said "oh, Daddy!" It was a generational thing. I've always had the anaesthetic since then, even when I moved back to the original practice 25 years later.

There's no "NHS policy". You can have the injection or not, as you choose. Most dentists will assume you want it unless you decline though. (One of the "NHS horror stories" trotted out by someone on one of the healthcare threads was a woman telling a right-wing interviewer that NHS dentistry was all done without anaesthetic. Which was of course a lie.)

My mother went right on not having the injections right into old age. So much so that when she had root canal work done, the dentist (a new one, the original guy having retired) didn't offer her an anaesthetic. Which in my opinion was insane. My mother sat through the whole thing, and only told me afterwards how extremely painful it had been. I castigated both her and Karen (the dentist) as a couple of idiots. I could have complained to Karen, but really, my mother should have had the sense to say something herself.

However, it does illustrate just what a patient can put up with. And bear that in mind the next time someone tells you how great acupuncture is.

Rolfe.
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Old 28th July 2009, 05:59 AM   #12
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I had a vasectomy once () and I can only imagine the doctor had fallen asleep in the anaesthesia lectures. Jab this side, jab that side, set to work .... OH DEAR LORD.
Then he complained it was like trying to operate while on a North Sea fishing boat in a gale. HE complained !
When it comes to teeth I would anaesthetise myself rather than do without. I tried it once for a shallow filling as a kid. Never again.
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Old 28th July 2009, 06:44 AM   #13
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I once met someone who was a senior officer in the army (in one of the countries of the former Yugoslavia), who had a toothache but couldn't face going to the dentist because he was too scared.

He wasn't scared of combat, but he was terrified of the dentist.
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Old 28th July 2009, 07:43 AM   #14
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Originally Posted by GlennB View Post
I had a vasectomy once () and I can only imagine the doctor had fallen asleep in the anaesthesia lectures. Jab this side, jab that side, set to work .... OH DEAR LORD.
Then he complained it was like trying to operate while on a North Sea fishing boat in a gale. HE complained !
When it comes to teeth I would anaesthetise myself rather than do without. I tried it once for a shallow filling as a kid. Never again.
Thanks for reminding me of the 2 most painfull moments of my life.

"Just a little prick", (hey watch your words there doc) to freeze one...

And then a while later.. and now the other side... and now I knew what was coming... aaaahhhhhhh!
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Old 28th July 2009, 08:14 AM   #15
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Both my top, front teeth are crowns(I ground them down in my sleep as a child). Those of you who have never had crowns perhaps don't know the procedure, the dentist uses a small, coarse, rotary powertool to grind the teeth down to triangular nubs to fasten the crowns on. It takes about 20 minutes of grinding.

The novocain didn't take at all, despite three applications; all it did was make my face feel numb and droop in a comical fashion(at least it was symmetric). I heartily recommend the procedure to aspiring "enhanced interrogation" practioners everywhere.

It barely bothers me to drill out a cavity without anasthesia now.
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Old 28th July 2009, 09:13 AM   #16
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I've had so much work done that at times I've fallen asleep in the chair while he's working. With Novocain, but not nitrous oxide - that's the only downside of this dentist. Even though I rarely needed it, I sure liked it.
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Old 28th July 2009, 07:02 PM   #17
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I'm not telling the story of my wisdom teeth being removed again, but suffice to say, it took five shots before she simply held my head down and yanked it at the right angle since the root was curved.
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Old 28th July 2009, 07:13 PM   #18
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My dentist is "bountifully endowed".
When she's working on my teeth, there's other nice soft things that divert my attention.
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Old 28th July 2009, 07:33 PM   #19
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Originally Posted by LostAngeles View Post
I'm not telling the story of my wisdom teeth being removed again, but suffice to say, it took five shots before she simply held my head down and yanked it at the right angle since the root was curved.
Another reminder I could do without! I've had more teeth pulled than I care to admit. Every single freaking one of them had the roots take a 90 degree turn below the gumline. As a result, every freaking one required the dentist to chisel away some of the jaw bone to get that last bit of root out.
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Old 28th July 2009, 10:54 PM   #20
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Originally Posted by Debaroo View Post
Just curious - but why do you refuse the anesthetic?
When I was younger (teens into my 30s) I used to refuse it solely as a test of my self control. Back then I figured out that pain was just a warning from your body that something was wrong. Mentally if you acknowledge this you can tolerate quite a bit of pain before the warnings become too intense to resist. Athletically you can accomplish quite a bit with that attitude. To this day I can withstand a lot of pain.

In my early teens I also ran a mile in the summer heat with a mouthful of water just to see if I could. Another thing I did turned out to be really stupid. I didn't like that my body reacted to getting burned before I actually felt any pain, so I taught myself to overcome this reaction. To this day I don't automatically jerk my hand away when accidentally grabbing something hot. The pain has to register first, which means I get burned.
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Old 28th July 2009, 11:15 PM   #21
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Originally Posted by Debaroo View Post
I had my teeth cleaned last Thursday and much to my disdain on Friday night a filling on my front tooth fell out. I could not keep my tongue off the area - it was jagged and of course it felt like it was 2 feet wide. Looking at myself in the mirror I could not help but think of "hick".

Anyway - I phoned my dentist this morning and was able to get in today to have it repaired. I was expecting the "needle" - and those needles to the front of the tooth are PAINFUL! Feels like it's coming out your nose. The dentist says - no, it's only enamel so no need for freezing.

So - we get into a short conversation about freezing and he tells me about a couple of patients who are into "natural" and "holistics" who refuse freezing (because it's so TOXIC). I say - wow - they must have really good pain tolerance. He says, no. And I say - but, how can you work on someone who is jerking their head around? He says it's really difficult and hard to do a good job.

What is it with these natural-no drug people anyway? Perhaps, before the dentist starts to drill they should be duct taped to the chair so they cannot move.

I am no stranger to the dentist chair and most of the work done on my teeth invovles extremely deep drilling (all my molars are crowned). I could not imagine having that work done without freezing.

I had a wisdom tooth extracted one time - the freezing didn't work - OUCH, OUCH, OUCH.

I think if I was a dentist I'd refuse to work on a patient who refused anesthetic, especially with a deep filling. Imagine drilling into a nerve and the person jerks and flails and the drill could go anywhere. I'm not talking about little bitty cavities - but ones that go into the core of the tooth.
I once had a tooth drilled without any anaesthetic. I didn't refuse the drugs, though. The dentist asked me whether I wanted any or not, and I was fascinated that he'd asked since always before he'd simply given me the shot without asking. Also, I happened to be taking Daniel Dennett's Philosophy of Mind course that semester, and we had just finished reading "Why You Can't Make A Computer That Feels Pain". Afterwards, I asked him why on earth he'd given me the option and then allowed me to go through that torture. He said he'd intended the question sarcastically and never expected I'd actually forego anaesthesia, but once I said that's what I wanted he was required to accommodate me. Even twenty-something years later I remember that searing pain like it was yesterday.
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Old 29th July 2009, 03:39 AM   #22
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And yet, I had quite a lot drilled without anaesthetic when I was a child and a teenager, and although I agree it was painful, it hasn't exactly scarred my memory.

Rolfe.
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Old 29th July 2009, 05:17 AM   #23
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Gordon Brown had root canal work without anaesthetic because he had a speech to give later in the day and he didn't want to be dribbling during it.
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Old 29th July 2009, 07:29 AM   #24
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My cheap butcher of a dentist always gives anaesthetic. Then she gets straight to work. Ouch ouch ouch. The only thing I can say is she's quick. I'm usually all paid up and on the way home in the car before my face starts to go numb.

Once I needed emergency treatment and went to a very expensive dentist. He gave anasthetic too. First a gel, which he allowed to soak in so I wouldn't feel the needle. The he waited ten minutes for it to take effect and checked I couldn't feel anything before he started work. He cost more than five times as much and I can't say it was worth the extra (because I just don't have much spare cash) but it was a revelation as to how things should be done.

Next time I was at the "butchers" I asked if she could wait a while whislt the anaesthetic kicked in. Made a huge difference.
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Old 29th July 2009, 07:52 AM   #25
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I didn't know "no anaesthetic" was an option until a few years ago, when a dentist offered me the choice. I'll try almost anything once, so I gave it a go.

Now, I routinely forego the shot when getting a cavity filled. There are no nerve endings in enamel, and I really don't want the dentist who's drilling the enamel to drill down to where there ARE nerve endings. I like being able to walk out of the dentist's office and eat or drink without drooling all over myself.
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Old 29th July 2009, 07:53 AM   #26
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Pardon me while I

faint.




"Quick, Doctor, the needle!" is my rule of life in the dentist's chair.
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Old 29th July 2009, 08:53 AM   #27
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My current dentist is fantastic. He has a method of getting the Novocain in without it causing any pain at all. With my previous dentist the shot always hurt more than the drilling.
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Old 29th July 2009, 09:07 AM   #28
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My stepdad is a dentist. He met my mom through a dental appointment she made for all of us... great guy.

Anyways, he needed to remove a couple of teeth from my mouth.

The first, that was easy enough. Having this dude climb halfway into my mouth, me feeling skittish and claustrophobicky... number two has been the stuff of nightmares all my life. The root, you see, was so long it had wrapped around my jaw in a strange way, and he broke the tooth to remove it.

The *caaaaaarunch!!!* as heard inside my skull was terrifying. When the tooth broke, it exposed the root, and fine streams of my blood shot out of my mouth, making lines down his smock as he worked. I never had him work on my mouth again; I'm sure he didn't want to either.
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Old 29th July 2009, 11:32 PM   #29
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I had a cavity filled in Brazil a few months ago with no novacaine, or anyhting else for pain.

My Wife's sister is a dentist and she said "It's a small cavity and there is no nerve near the area." The location was one of my top front teeth, kind of in between that one and the tooth next to it, near the gumline.

I was freaked when she told me no novacaine, but I felt nothing. In fact she did another small one in a similar location, opposite side of my mouth.

My $.02
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Old 30th July 2009, 12:29 AM   #30
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Originally Posted by Molinaro View Post
Another reminder I could do without! I've had more teeth pulled than I care to admit. Every single freaking one of them had the roots take a 90 degree turn below the gumline. As a result, every freaking one required the dentist to chisel away some of the jaw bone to get that last bit of root out.
I see I am not alone in having had that particular life-enriching experience.

Why do humans have these problems?
I refer to the grotesquely twisted roots and wisdom teeth growing in any direction except where they are 'meant to'.
Cavities=sugar+inadequate cleaning, so I understand.
But the roots and wisdom teeth situation I've never properly understood.
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Old 30th July 2009, 05:27 AM   #31
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Originally Posted by Debaroo View Post
I had my teeth cleaned last Thursday and much to my disdain on Friday night a filling on my front tooth fell out. I could not keep my tongue off the area - it was jagged and of course it felt like it was 2 feet wide. Looking at myself in the mirror I could not help but think of "hick".

Anyway - I phoned my dentist this morning and was able to get in today to have it repaired. I was expecting the "needle" - and those needles to the front of the tooth are PAINFUL! Feels like it's coming out your nose. The dentist says - no, it's only enamel so no need for freezing.

So - we get into a short conversation about freezing and he tells me about a couple of patients who are into "natural" and "holistics" who refuse freezing (because it's so TOXIC). I say - wow - they must have really good pain tolerance. He says, no. And I say - but, how can you work on someone who is jerking their head around? He says it's really difficult and hard to do a good job.

What is it with these natural-no drug people anyway? Perhaps, before the dentist starts to drill they should be duct taped to the chair so they cannot move.

I am no stranger to the dentist chair and most of the work done on my teeth invovles extremely deep drilling (all my molars are crowned). I could not imagine having that work done without freezing.

I had a wisdom tooth extracted one time - the freezing didn't work - OUCH, OUCH, OUCH.

I think if I was a dentist I'd refuse to work on a patient who refused anesthetic, especially with a deep filling. Imagine drilling into a nerve and the person jerks and flails and the drill could go anywhere. I'm not talking about little bitty cavities - but ones that go into the core of the tooth.
On a related note, my ex is a nurse who works on a neuro ward. One time a tai chi guy that made instructional vids came in with some kind of brain tumor that was easily removed. He insisted that the doctor wash his brain with hydrergen (sp) peroxide as part of some new age philosophy. Very reluctantly the surgeon agreed.

When the guys skull was open and the surgery completed, the doctor began washing with HP when all of a sudden the guys heart stopped and code blue measures were required to bring him back. My ex said that the surgeo was very shaken and upset and vowed to never again listen to a patient making unorthodox requests.

Yes, I think docs/dentists should have a protocol that is followed by the patient. It's for the good of both parties. Even if the 'freeze' stuff might be in the realm of not good for you, I would ask the patient if he's ever been drunk or smoked pot, etc.
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Old 30th July 2009, 05:37 AM   #32
Professor Yaffle
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Originally Posted by jakesteele View Post
On a related note, my ex is a nurse who works on a neuro ward. One time a tai chi guy that made instructional vids came in with some kind of brain tumor that was easily removed. He insisted that the doctor wash his brain with hydrergen (sp) peroxide as part of some new age philosophy. Very reluctantly the surgeon agreed.

When the guys skull was open and the surgery completed, the doctor began washing with HP when all of a sudden the guys heart stopped and code blue measures were required to bring him back. My ex said that the surgeo was very shaken and upset and vowed to never again listen to a patient making unorthodox requests.

Yes, I think docs/dentists should have a protocol that is followed by the patient. It's for the good of both parties. Even if the 'freeze' stuff might be in the realm of not good for you, I would ask the patient if he's ever been drunk or smoked pot, etc.



He did something on the request of the patient, even though he had no idea what the effect would be?

ETA:
Quote:
HP irreversibly damages mesothelial and neural tissue. Although HP appears to have tumoricidal effects in vitro, it should be used with caution in humans because of risks of collateral injury to surrounding normal brain. HP may prove most beneficial for discrete lesions, such as pituitary tumors and metastases.
http://www.sciencedirect.com/science...b072c824ab0670

Though it does also say:
Quote:
Hydrogen peroxide (HP) is routinely used during neurosurgical procedures to augment hemostasis after intracranial tissue resection.
So I am a little confused by the story...
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Last edited by Professor Yaffle; 30th July 2009 at 05:45 AM.
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Old 30th July 2009, 10:21 AM   #33
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Originally Posted by Professor Yaffle View Post
Gordon Brown had root canal work without anaesthetic because he had a speech to give later in the day and he didn't want to be dribbling during it.
Eep. Is this Impressive Fortitude or Bad Scheduling?

A few years ago I had work done that involved slicing through the gum, drilling into the jaw and removing a pocket of infection that was causing the problem. I didn't feel a thing.

Initially.

The procedure took a while, and as the stitches were going into my gum the anaesthetic was all but gone. The last three or four were done with as far as I could tell no anesthetic at all. I damn near ripped the arm off his chair, it was so incredibly painful.
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Old 30th July 2009, 10:38 AM   #34
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When I was in the army in Germany back in the 60s, I had a situation much as Debaroo described. A front filling departed, and it was quite sensitive. I zipped over to the army dentist, who proved to be a rather heavy-set German lady.
She took a look and got out her drill. The whirring bit (no high-speed stuff back then!) was an inch from my thoroughly-undeadened tooth when I grabbed it with both hands.

"Oh, you want zee shot?"

"Yes, I want zee shot!" ( I restrained myself from saying "You Nazi monster!")

I'm convinced she learned her trade in the camps....
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Old 30th July 2009, 10:41 AM   #35
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Originally Posted by arthwollipot View Post
Did you hear about the Buddhist who refused Novocain? He wanted to transcend dental medication.
9/10
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Old 30th July 2009, 10:48 AM   #36
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Originally Posted by pakeha View Post
I see I am not alone in having had that particular life-enriching experience.

Why do humans have these problems?
I refer to the grotesquely twisted roots and wisdom teeth growing in any direction except where they are 'meant to'.
Cavities=sugar+inadequate cleaning, so I understand.
But the roots and wisdom teeth situation I've never properly understood.
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It's all part of the "Intelligent Design".
We are not to question the Designer's purposes.
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Old 31st July 2009, 02:20 PM   #37
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Originally Posted by sackett View Post
faint.




"Quick, Doctor, the needle!" is my rule of life in the dentist's chair.
Are you a redhead?

http://www.cnn.com/2009/HEALTH/07/30...ist/index.html
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Old 2nd August 2009, 05:05 PM   #38
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Originally Posted by Molinaro View Post
Another reminder I could do without! I've had more teeth pulled than I care to admit. Every single freaking one of them had the roots take a 90 degree turn below the gumline. As a result, every freaking one required the dentist to chisel away some of the jaw bone to get that last bit of root out.
A humorous abstract from Neil Stephenson's "Cryptonomicon" tells of Randy Waterhouse's dental nightmare.

ETA: If you come in at the bottom of the comments, scroll to the top of the page to read the quotation.

Cheers,

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Last edited by CaveDave; 2nd August 2009 at 05:11 PM.
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Old 3rd August 2009, 05:17 AM   #39
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For some reason, the bottom left side of my mouth is immune to the local anasthetics (my grandma has the same problem). I've had 3 cavities there since I was 12, fixed by three different dentists(1st in eastern europe, 2nd and 3rd in Canada), and none of them managed to freeze that part of my mouth (one even injected me a second and third time and still nothing). Getting those cavities fixed have definitely been some of the most painful experiences in my life, but I didn't have a choice...I cannot see how anyone in their right mind would voluntarily feel this pain. It literally feels like a drill reaching into your temples and making them feel like they're about to explode.
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Old 3rd August 2009, 11:32 AM   #40
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I hate, hate, hate having my teeth worked on. I have had stitches in and bones set without anesthesia, and dealt, but the dentist better damwell put me to sleep. On almost any other part of my body, I have remarkable pain resistance (or indifference, more like), but NOT my teeth.

For my vasectomy, however, the doc (who was a buddy of mine) set me up with Valium and Tylenol 3 prior to the operation, so I was well and happily stoned when he (assisted by my wife, as a matter of fact, she wanted to be sure the op was valid) snipped 'em.

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