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i'm 40 years old and just had ALL my teeth extracted in one go. The pain is excruciating. Any tips for pain relief?

EDIT; I can’t reply to everyone individually but thanks for all the suggestions! Opiates are out of the question, doctors here will only prescribe those in terms of absolutely extreme suffering or end of life care. I also don’t particularly feel interested in developing a hard drug habit. Diclofenac and such are available but also only on separate prescriptions, I’d have to visit another doctor for that. I’m well stocked on paracetamol & ibuprofen, and apart from that, lots of ice cream, pudding & soup :)

demesisx ,
@demesisx@infosec.pub avatar

Weed

ryathal ,

If you can get your hands on some old viox that would help. It was amazing for tooth pain.

Akasazh ,

I don’t know what your dentist is on (he must be high on something) to agree to remove all your teeth at once.

I had all my wisdom teeth pulled and they did that two per side, as otherwise the sedative would relax the tounge muscle, which might cause you to choke. After that I got sent home with a big stack of painkillers (NSAIDS, no opiates).

I’d look for a different dentist tbh, but thats a bit late now.

BaroqueInMind ,

OP likely had a disgusting rotting mouth, with deep gingival pockets-of-pus, from never flossing and brushing their fucking teeth.

My friend is a periodontal surgeon and tells me the most horrendously disgusting shit people tolerate (sometimes with photos) and that level of extraction that OP is complaining about sounds close to one of his very gory horrific descriptions of people neglecting simple oral hygiene.

LaunchesKayaks ,
@LaunchesKayaks@lemmy.world avatar

My stepfather has constant, disgusting mouth infections because he eats terribly, never cares for his teeth, and smokes. Bro had a pocket of puss inside his mouth that made him look like he was keeping a golfball in his mouth. He won’t go to a dentist because he claims his mouth can’t be numbed. He says it just doesn’t work. In reality, he’s just scared. Man never goes to a doctor for anything because he’s scared.

nieminen ,

Sorry about that dude! This doesn’t help with the pain right now, but they’ve just started human trials on a new therapy that re-enables your tooth buds, allowing you to grow a new set of adult teeth. Maybe it’ll be available soonish 🤞

newsnationnow.com/…/tooth-regrow-drug-dental-heal…

xthexder ,
@xthexder@l.sw0.com avatar

I hope this becomes available before my teeth start having problems… Now that I think about it, I think I’ll go brush my teeth now.

tarmac ,

When my wisdom tooth were pulled the only thing that seemed to help was to double up on some otc painkillers and take them together - acetaminophen and ibuprofen together worked the best. Look into it, I’m not a doctor etc etc

intensely_human ,

Just gonna keep repeating this PSA everywhere I see this advise:

DO NOT MIX IBUPROFEN AND ACETAMINOPHEN; INSTEAD ALTERNATE THEM

tarmac ,

That didn’t help me but it’s good to cover all the angles. What are the resulting negative effects from not alternating them?

Hikermick ,

I had an infected tooth and the pain was awful. The dentist told me to take four ibuprofen. When I mentioned the instructions said no more than two at a time he said it was okay for a short period of time.

Mothra ,
@Mothra@mander.xyz avatar

+1 wondering why someone in their 40s had to have all teeth extracted. I’m really sorry.

Kyrgizion OP ,

I’ve had issues with my teeth almost since birth. My parents both had full dentures by ages 25 or so. It was definitely a combination of genetics and bad oral hygiene. I was actually glad to get them all out now because I’ve suffered from debilitating pain for weeks at least once or twice every single year of my life.

Mothra ,
@Mothra@mander.xyz avatar

Thanks for sharing - I’m glad to know this is an improvement for you in spite of everything. I hope the pain eases soon!

TexasDrunk ,

I feel you. I grew up on well water (no fluoride), have a generic predisposition for terribly crooked teeth, and wasn’t taught basic oral hygiene until I was legally an adult.

I’ve had several extractions but every time it has been either an abscess or an impacted tooth, so just the relief from that pain was almost like a drug itself. About half my teeth are fake at this point and the ones that are left are in pretty good shape because they weren’t too far gone when I actually learned how to properly take care of them.

JoYo ,
@JoYo@lemmy.ml avatar

fluoride in water doesn’t do much to prevent tooth decay.

the fluoride in toothpaste is what does all heavy lifting.

TexasDrunk ,

Fluoride in water can help if you’re not taught proper care and feeding of teeth, but you are right. The fluoride in toothpaste is what should be doing the heavy lifting.

some_guy ,

Similar issues (no floride as a kid, natually crooked). I floated the idea of getting mine replaced all together with my dentist a couple months ago. She advised against it, said it would change the sense of taste / food taste. I dunno if that’s accurate, but it put me off the idea for a bit.

My brother had his removed a few years ago (he spent years dipping tobacco). He looked like he’d been in a car wreck with serious bruising under his eyes. I don’t know how long he had that look as I was visiting and didn’t see the full recovery.

TexasDrunk ,

I just replaced mine as they were abscessed or impacted and I didn’t notice a change, but that was over several years. I would have died in the middle ages.

If you can afford it I recommend getting the worst of them replaced with implants. If you can’t then get some partial dentures to replace whatever you’ve lost. It will help both your confidence and quality of life.

TheRealKuni ,

Are you doing “all on 4”?

lichtmetzger ,

It was definitely a combination of genetics and bad oral hygiene.

I’m in the same boat. 35 and half of them are already gone, my mum had them all removed when she was 40. My dentist is not crazy enough to take them out all at once though, that sounds insanely painful. I hope you’ll get through it soon.

intensely_human , (edited )

I’m so sorry to hear about the pain. Doctors don’t take oral pain seriously enough.

Don’t forget you can ice it too. Alternating ibuprofen/acetominophen thing is your best bet outside of more serious pain meds, but ice is effective for numbing pain.

CascadianGiraffe ,

I’m in a similar situation. Have tried to get where you’re at, but have been quoted in the $30,000 price range. There is no insurance that covers any of that cost, and they all want payment up front.

Any suggestions?

Blizzard ,

Did your dentist not give you that advice?

Kyrgizion OP ,

Actually no, I found the entire process to be incredibly rushed and the communication was bad to nonexistent. But that’s “free healthcare” for you. Even in places where medical issues don’t bankrupt you, the only way to get a truly seamless experience is to go to a private clinic and pay everything out of pocket.

daddyjones , (edited )
@daddyjones@lemmy.world avatar

Just to say - this has not been my experience of free healthcare. Not all of it has been great, but most of it has.

SupraMario ,

Hey, you can come here to the states, pay out the ass for it, even with insurance…and still have the same experience. Long waits, lack of communication, and Doctors that are so booked they give you the once over in 10mins after you have waited on them for hours…

TranscendentalEmpire ,

Dental eugenol, it’s a fairly powerful local analgesic made from clove oil. Some people have adverse reactions to it and so it isn’t used as frequently as it used to. So I would recommend applying it in a small test area before applying it more liberally.

You can buy it online fairly cheaply.

WhyJiffie ,

Are you from Hungary?

intensely_human ,

not any more

geophysicist ,

That’s simply not true, like at all. Classic American

theRealBassist ,

They’re not American??

You do realize that more than one place in the world doesn’t have free healthcare, and that there are legitimate problems with many healthcare systems around the world?

Elitism helps no one.

Dasus ,
@Dasus@lemmy.world avatar

idk man, that’s been my experience in Finland between the public and private healthcare. The public one is completely free, yes, but it’s also sometimes rather shit in some things. It’s usually pretty good for most things, and free cancer care and whatnot. But psychiatry, dentistry, eh… not as great.

Buut… the difference between a public and a private dentist is night and day. I have gotten good care in the public system as well, but I’ve never got bad care from private, whereas I’ve had horrible experiences in the public system. A few good ones, but mostly bad.

I have free healthcare, but I still dropped a grand on dentistry. For one because the public healthcare wouldn’t fix cosmetic issues, and I had a bit of dental calculus in a tooth so it looked like I always had a small piece of oregano stuck on a teeth or something. I was comfortable with money at the time so I payed for laughing gas and to all cavities and whatnot. Good service, pretty expensive. But before that I had avoided the dentist for a few years because of an extremely painful experience with the last public dentist I went to.

tiefling , (edited )

Weed and ibuprofen is how I got through my tooth extraction. Mind you, it wasn’t as severe as yours. But I took a large enough (but still reasonable) dose that I kinda just conked out after

Wolf314159 , (edited )

You probably know this and were referring to gummies or something, but it needs to be said that smoking is not advised after a tooth extraction or pretty much any dental work. Not a great idea before hand either as the weed (in any form) can make the drugs that the dentist gives you less effective and coming down from a large dose of those can be a worse pain than the stitches in your mouth.

intensely_human ,

OP a lot of people are advising you to COMBINE ibuprofen and acetaminophen.

DO NOT MIX THESE TWO DRUGS; INSTEAD, ALTERNATE THEM

You can alternate them, taking ibuprofen, then later taking acetaminophen.

But don’t mix them. I’m sorry for spamming the allcaps throughout this thread but there is very dangerous medical advice being given.

davel ,
@davel@lemmy.ml avatar

I mean you can combine them, if the pain is expected to be short term, but in OP’s case the pain is likely to be longer term, where alternating may be a better choice. For example Excedrin is a combo of acetaminophen, NSAID (aspirin), and caffeine.

Foreigner ,

Yeah Combogesic is an example of combined ibuprofen and acetaminophen. Advil also makes a combo of the two as well. The main issue to keep track of what you’re taking and take care that you don’t exceed the daily dose for each. That’s something to watch out for whether you take them separately or in combination with one another.

davel ,
@davel@lemmy.ml avatar

This is why I buy drugs individually instead of combined whenever possible—for greater control over what exactly I’m taking.

Croquette ,

They sell ibuprofen with acetaminophen at the pharmacy, off the shelf, so that’s not an issue.

It is recommended to alternate between the two so that you are always under the effect of either one and it reduces the pain throughout the day, instead of having big spikes of pain/no-pain.

ngwoo ,

It’s perfectly safe to take them at the same time and was the exact advice given to me after having my wisdom teeth extracted. You can even buy medication that has both ingredients, like Excedrin. One is metabolized by the kidneys and the other by the liver.

This combination is actually shown to work better than opiates for dental pain

bobagem ,

It once worked magically for me to watch television.

crawancon ,

everyone has answered your pain management stuff.

what about your condition - how does one end up needing all teeth extracted ? (you know, so other can avoid this fate)

are you getting veneers put in?

Kyrgizion OP ,

Bad teeth since my early youth - mostly genetic coupled with insufficient oral hygiene.

I’m not getting veneers or implants since I can’t afford those (I was quoted 34K €, which is just slightly below my annual salary). Once my gums heal, it’ll be the cheapest dentures I can find since nothing is covered until age 50.

crawancon ,

sorry to hear man. I hope getting them removed ends up being better for you overall.

sparky ,
@sparky@lemmy.federate.cc avatar

34k?!, not sure where in EU you are but maybe consider looking at price to have it done in a cheaper country, somewhere in eastern or southern Europe?

Xyphius ,

I had 8 teeth pulled at once, many years ago. I couldn’t take Tylenol 3s as they made me sick. I did my best with ibuprofen and acetaminophen (one Motrin, one Tylenol extra strength). My father kept me distracted as much as possible. His advice was to keep your mind distracted as it can help with the pain.

pr06lefs ,

Yeah this is a good option - too much ibuprofen is harmful, as is too much acetaminophen. But you can take both together and get double the pain relief.

intensely_human ,

NO DO NOT TAKE THEM TOGETHER.

You need to alternate them. Taking them together creates negatively synergistic effects which ruins your health.

FOR ANYONE READING DO NOT MIX IBUPROFEN AND ACETAMINOPHEN

Foreigner ,

As I said lower down, you can take ibuprofen and acetaminophen (paracetamol) together . It’s advised you wait an hour after you take one type before you take the other to see if the first medication works well enough. There are even medications sold as a combination of both. What detrimental “synergistic effects” are you talking about?

Aevironis ,
@Aevironis@lemmy.world avatar

Not sure what’s available where you’re at without a prescription, but I recommend Orajel or any equivalent ulcer/tooth ache gel.

In addition to the other things you’re already using, you can steep black tea bags in warm water and gently bite on that. The tannins help with bleeding and inflammation.

A mouthwash or spray with Cetylpyridinium Chloride in the ingredients list will help with healing, but don’t buy a mouthwash that has alcohol/isopropyl in the ingredients. Dentyl, Oral B Gum detoxify, Parodontax, Biotene Dry Mouth Spray are all good.

I had several teeth removed from my inside my jaw that never came out and had a bone graft placed in the area that had to heal for 6 months before dental implants were placed. The mouthwash definitely helped me heal faster from that surgery than when I had my wisdom teeth out the year before and didn’t use any. Just do a gentle rinse dont swish it around hard! You don’t want to disturb the blood clots and get dry socket.

I hope you start to feel better soon!

RememberTheApollo_ ,

Combined Tylenol and ibuprofen is probably your best bet otc.

Like Motrin.

intensely_human , (edited )

No!

DO NOT MIX ibuprofen and acetaminophen!

You need to alternate these in schedule:

  • Take 600-800 mg ibuprofen
  • Wait six hours
  • Take 500-1000 mg acetaminophen
  • Wait six hours
  • repeat

Note that the upper end doses I mentioned are SHORT TERM dosages. Don’t do that more than a couple of days.

Foreigner ,

Where have you been told this? Are you perhaps confusing acetaminophen for something else? Doctors will tell you that you can take ibuprofen and acetaminophen (paracetamol) together . It’s advised you wait an hour after you take one type before you take the other to see if the first medication works well enough. There are even medications sold as a combination of both. What you shouldn’t take ibuprofen along with other Non-steroidal anti-i inflammatory drugs (NSAIDs) like aspirin.

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