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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 :)

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.

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?

I_Has_A_Hat ,

No one here recommending Orajel? Literally designed specifically for mouth pain.

MelodiousFunk ,

Just empty the whole tube in there and swish it around. I’m sure it’ll be fine.

Poe's LawPlease don’t do this

intensely_human ,

Seriously just don’t even say it. Your Poes Law thing requires an active click to see.

OP is a person in pain, whose head is in a new configuration (which is disorienting, reducing their cognitive capacities until the proprioceptive remapping is complete).

The danger of a misread is just too great.

pigslop ,

I think orajel shouldn’t be put on fresh wounds (not 100% on this but I put it on an open sore in my mouth and the pain was excruciating)

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

cheese_greater ,

DXM’s a decent anaesthetic, may be time for a trip

intensely_human ,

jesus christ

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.

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?

grasshopper_mouse ,
@grasshopper_mouse@lemmy.world avatar

Omg, this sounds awful, you have my deepest sympathy. Didn’t they give you anything for pain management!?

lgmjon64 ,

Max dose of acetaminophen and max dose of ibuprofen does a good job with oral pain. Usually with that baby extractions the Dr will write a prescription for some opioid or at least toradol for a few days.

intensely_human ,

Just so long as you don’t take them at the same time. Alternate them

TheWilliamist ,

Have you contacted your dentist to see if they will prescribe you something for pain? I had a wisdom tooth pulled yesterday (in the United States) and had the ability to request a pain medication if I needed it.

The handout I was given recommended 500 mg of acetaminophen then three hours later 600 mg of ibuprofen, repeating that throughout day. The last dose of the day (before bed?) taking both 500 mg of acetaminophen and 600 mg of ibuprofen and six hours later start alternating again. You can give this a try but, I am just describing what I was given.

I hope this helps, good luck, and feel better soon.

SexualPolytope ,
@SexualPolytope@lemmy.sdf.org avatar

Try to get some prescription painkillers, ideally opioids. None of the over-the-counter stuff even comes close. Tramadol helped me manage pain after my surgery.

oxjox ,
@oxjox@lemmy.ml avatar

Did you and your doctor not have this conversation!?

Or are you more inclined to listen to the internet over the person who’s job it is to pull all your teeth out of your head?

Answer: Oxy.

Carighan ,
@Carighan@lemmy.world avatar

Yeah first thing I thought, too. “Have you tried asking somebody who does this professionally? Like, oh I don’t know, THE SURGEON?!”

Poot ,
@Poot@discuss.tchncs.de avatar

Entirely this. Where is your health care provider in this conversation???

You should have been sent home with antibiotics, pain killers, and a ream of after care instructions.

whynotzoidberg ,

It was probably Aspen Dental.

erusuoyera ,

Neat whisky. You don’t need to drink it if you don’t want, just gently swirl it around your mouth for a while and spit it out.

the_post_of_tom_joad ,

Now this sounds like a good antiseptic but wouldn’t that be very very painful?

Kyrgizion OP ,

I was actually warned against this since it can apparently cause actual burns if the liquor is high proof.

the_post_of_tom_joad ,

Lol good, glad you’re getting some good advice. Sorry you are dealing with this op, i dunno what you had to do but i have had a tooth extracted at a dental ‘training facility’ and my body won’t forget that, ever

Carighan ,
@Carighan@lemmy.world avatar

Do not actually do this, if someone is reading this. Alcohol after dental surgery is a risk, as it can mess with wound healing.

intensely_human ,

DO NO DO THIS; IT WILL DISSOLVE THE BLOOD CLOTS WHICH MUST REMAIN IN PLACE

BudgetBandit ,

I don’t know where you are, but if you’re in Europe I’d get my hands on some Novalgin (illegal in the US because it isn’t addictive) other than that there’s some kind of pads for jaw operations that you put in the freezer.

I personally find pain more bearable than the cold, so no ice and a lot of sleep for me

TheWilliamist ,

Word of warning. Novalgin (Dipyrone/metamizole) will completely fuck your white blood cells.

…lww.com/…/is_it_time_to_restrict_the_clinical_us…

Carighan ,
@Carighan@lemmy.world avatar

Yeah but we’re talking about a single-incident use here, the article seems to analyse reports about clinical stay usage, as in, over longer bouts of time.

ZagamTheVile ,

I’ve never gone through this exactly but have had stints of prolonged pain. I really hate painkillers. I try to meditate. I try to remove my self from the pain and see it externally. Not make it disappear, just see it as separate from myself. And I try to focus on the temporary nature of it. It will pass. In time, I won’t even remember how intense it was. The memory will be there, but not the detail.

intensely_human ,

Basically, one can avoid being traumatized by a thing by choosing to willingly embrace it.

Trauma comes when the mind is recoiling.

The pain will still hurt when being embraced, but it won’t “scar” a person the way pain experienced on retreat will.

MissJinx ,
@MissJinx@lemmy.world avatar

Dude, meds. Just rejoice in all the medication possible. It wont last long, hang in there

the_post_of_tom_joad ,

Im assuming if op had to get all his teeth removed he also can’t afford the meds or the anti-drysocket paste that dentists should use to help with this pain. I could be wrong

MissJinx ,
@MissJinx@lemmy.world avatar

oh man sorry i forgot about this (not american) but maybe do a donation page? Having pain, in the head nonthe less, is fucking horrible no one deserves it

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