OT-Dental Question

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tjf
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Date Joined Dec 2005
Total Posts : 3238
   Posted 1/28/2008 12:58 PM (GMT -6)   
Hey guys! Since I already come to you for health advice why not dental. Went to the dentist today and I have to have two partial crowns. I HATE the dentist (major childhood anxiety issues). We talked about Imuran and he said there were no worries infection wise. Just made sure I wasn't on steroids. Is it going to hurt? I am totally a baby at the dentist. Not to mention even w/ insurance the cost is scary.
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

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hekela
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Date Joined Nov 2006
Total Posts : 731
   Posted 1/28/2008 1:04 PM (GMT -6)   
i also have painful childhood memories of the dentist and recently had to get a root canal and a temporary crown put on.
it's all about the novocaine. lots and lots of novocaine. i didn't feel a thing.
the worst part for me was the nerves made my UC act up that morning and then i couldn't really eat until the novocaine wore off hours later. so i was good and hungry by then.

otherwise it was a total piece of cake. i had to go back later because he didn't sand down the temporary crown enough so there was a high spot and that was causing some pain. but he fixed that up quick and no problems.
28, happily married, stay at home mom to 2 year old son. due to have baby #2 9/17/08
UC (probably pancolitis, but no c-scope yet), diagnosed June 2006, started having major symptoms sometime in January 2006, about 3 months after childbirth. 2nd flare (minor) may 2007 after taking caprylic acid for 2 weeks.

-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-Asacol, probiotics, ground psyllium husk, fish oil, prenatal

may you live all the days of your life.


Red_34
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Date Joined Apr 2004
Total Posts : 23551
   Posted 1/28/2008 1:11 PM (GMT -6)   
I had 2 wisdom teeth removed while on 6mp and I had no issues whatsoever and very little pain to tell the truth. I've also had several crowns done and it never bothered me. My gums where a little sore afterwards though. I used to be a chicken too when it came to the dentist so I always used nitrous oxide in addition to the novacaine to help alleviate my anxiety. I even had to take a few valiums once too. Now I'm an old pro at dental work! :)
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc -'92 - Colazal (9 daily), 6mp (50-100mgs), Colocort, Prilosec, Biotin, Forvia, Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa** ~Allergies - Allegra & Singulair
~Secondary Reynauds Syndrome - '04 - Norvasc~Fibromyalgia - '06~No meds
To help Healingwell - click here: DONATE
http://www.myspace.com/82595818
"The quality of my life depends on the quality of my thoughts."
 
 
 
 

 
 


tjf
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Date Joined Dec 2005
Total Posts : 3238
   Posted 1/28/2008 1:12 PM (GMT -6)   
Oh gosh me too. I wore braces for 5 (yes 5 years!). I had to have this thing in the top of my mouth where you turned a key to make my bite wider. Then I had to have about 5 permanent teeth pulled b/c my mouth is so small (not that you can tell by how much I talk...ha ha!). Anyway beyond traumatic. My son has his first dentist appt. tomorrow. I'm going to put on a super happy face. I never want him to experience what I did.

Thanks for your reassuring words. I needed to hear that!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

http://www.healingwell.com/donate
Co-Moderator UC Forum


dakotagirl
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Date Joined Apr 2006
Total Posts : 3402
   Posted 1/28/2008 1:21 PM (GMT -6)   
Just had a build up for a crown done about 2 weeks ago. No problemo! My jaw was sore (just achy) from having my mouth open so long and having him press and drill - no fun. But it wasn't bad. I just wish I would have remembered my iPod! My gums on that side were sore for a couple of days - but not super sore - just the sore where you could tell work had been done.

My braces adventure was a piece of cake compared to yours. For that I will be thankful. I also had dental problems as a child and thank goodness for the awesome dentist I had - he saved me from many painful things in the past. I won't even go into detail with those.

Just remember to breathe through your mouth and think about other things :)
Pan-colitis and GERD diagnosed May 2003
 
Asacol 12 per day,  Azathioprine 75mg, Aciphex, Effexor XR, Forvia and a Probiotic
Osteopenia (hip and spine) from prednisone use.  Started Azathioprine because I was steroid dependent.
 
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jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10407
   Posted 1/28/2008 1:26 PM (GMT -6)   
I've had a root canal and crown in the past year. (Thank you, Pred) There was no pain involved, the worst was the pressure when he put the permanent crown on. They have to push hard because it fits tight. It didn't hurt a bit, but just a lot of pressure.

If you're really worried, ask for a pre-medication and have someone drive you. No sense in being all anxious.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Asacol, Rowasa, Pentasa, Prednisone, Entocort, Azathioprine
Colazal,  Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
 
Co-Moderator UC Forum


hekela
Veteran Member


Date Joined Nov 2006
Total Posts : 731
   Posted 1/28/2008 1:38 PM (GMT -6)   
tjf- i had the same roof-of-the-mouth thing with the key to turn every so often. wasn't that awful?! mine was part of a horrible plan to correct my underbite.
28, happily married, stay at home mom to 2 year old son. due to have baby #2 9/17/08
UC (probably pancolitis, but no c-scope yet), diagnosed June 2006, started having major symptoms sometime in January 2006, about 3 months after childbirth. 2nd flare (minor) may 2007 after taking caprylic acid for 2 weeks.

-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-Asacol, probiotics, ground psyllium husk, fish oil, prenatal

may you live all the days of your life.


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 1/28/2008 1:40 PM (GMT -6)   
AWFUL! I was so young too. In middle school. Remember food getting stuck in it and stinky breath? Double yuck!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

http://www.healingwell.com/donate
Co-Moderator UC Forum


tooth fairy
Regular Member


Date Joined Jan 2008
Total Posts : 98
   Posted 1/28/2008 7:23 PM (GMT -6)   
Tab, I can assure you that imuran won't be a problem for your crowns or onlays. If you hadn't guessed already from my screen name, I'm a dentist! (and no, I am not scary, I promise!) Even pred isn't a problem for most dental treatments-the only thing I can think of that could potentially be problematic would be dental implant surgery, and even that is still ok to do, so long as you montior the patient closely for rejection.

Sorry you guys had some tough experiences in the dental chair. It's not the most natural thing, is it-having some relative stranger poking around in your very personal space! I used to think how awful it would be to be a GI doc, looking at rear ends all day. The funny thing is, now that my GI and I have gotten to know each other better (all these flares are good for something, right?) he told me he didn't know how I could stand looking at teeth all day long!
Erica, 31
Diagnosed July 2006, 3 days after birth of second son via colonoscopy/upper endoscopy at age 29
Currently doing well with:
125mg imuran
Asacol as preventative for cancer (does not ease symptoms)

Now in a prednisone taper (20 mg until next week)

Experimenting with:
a modified low residue diet
live culture yogurt and probiotics


Lonie
Veteran Member


Date Joined Feb 2005
Total Posts : 6448
   Posted 1/28/2008 7:42 PM (GMT -6)   
Hi Erica (tooth fairy) and welcome to the forum! I loved the story about your GI...guess there's always a different way to "look" at things.
 
Tab, good luck with the dental stuff; sounds like you had it rough at the dentist when you were younger. I too have always had a lot of dental work, but the dentist I have now is awesome; he really knows how to give a good novocaine shot(s)! Once you have that it's a piece of cake. Take care, let us know how your little guys dental appt. goes too!
Carol

Remicade - will have my 20th infusion on February 21.
Imuran - 100 mgs....taken before bedtime
Vitamin B-12/Biotin, Probiotics

"Life is short -- make fun of it"
 
Co-Moderator for the UC Forum
 
 


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 1/28/2008 8:06 PM (GMT -6)   
Thanks Carol and Erica! I'm starting to feel better about it. I appreciate all the support! I had some chocolate cake tonight which made everything better....ha ha!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

http://www.healingwell.com/donate
Co-Moderator UC Forum


quincy
Elite Member


Date Joined May 2003
Total Posts : 30591
   Posted 1/28/2008 8:47 PM (GMT -6)   
Hi..I just had a crown replaced...you'll be frozen for a while, but that will pass..lol (takes me 4 - 5 hours for the freezing to leave)! One appointment for priming and casting. A temporary crown will be put on, and then the next appointment the following week will be to put on the shiny new crown.

What kind are you getting? Gold, white or silver?

It's no biggie.
 
I LOVE cake....glad you enjoyed it!

quincy


*Heather*Status: mini flare Dec 28... tapered to every second night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 1/28/2008 8:58 PM (GMT -6)   
Last year I had 2 crowns put on at one visit....it was a piece of cake LOL!


:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


DennyRae
Regular Member


Date Joined Dec 2007
Total Posts : 74
   Posted 1/29/2008 2:59 PM (GMT -6)   
Just an hour ago I had a temporary crown placed - I'm on pred 40mg & Imuran 50mg.

Recently I switched to a new dentist for a long list of repairs and restoration work to be done. I've always required nitrous oxide gas for the physical tension and anxiety and electric pain of needles and drills. But the new office only offers oral sedation medication (halcion). I like it better - it keeps me relaxed throughout the procedure. I bring my own eye bag cover, ipod relaxation music, and shawl to stay warm. Plus the halcion doesn't have the side effect of nausea in the hours following that the nitrous did. It does require that you arrange a ride to & from the office.

At my first appointment - I had been on prednisone 40 mg for a month. His only concern was the possibility of infection. Now I am on imuran 50 mg for a week and I am more concerned about infections of all types - not just from dental procedures. During the upward taper of imuran dosage my bloodwork will be monitored every 3-4 weeks. Any red flags should be communicated to the dentist who can decide if there is any new risk to be concerned about. Ask your GI doc to send copies of your serial blood work to your dentist (sign a consent and provide names, addresses, phones, fax #s).

NSAIDS are a NO NO for most of us with UC. So the prednisone is still the numero uno antiinflammatory. Without a large dose of NSAIDs available for post-dental appt pain - You may want to ask for an prescription of pain medication, like plain tramadol, codeine, hydrocodone, or oxycodone (not in combined fomulations with acetaminophen or ibuprofen, or aspirin).

Wish you the best,
Ciao, Miz D in Oregon
47 yo Female in the Willamette Valley, Oregon, USA

Mild-Refractory UC/Proctitis, Dx 2006
Other GI Dx: IBS, GERD, Binge Eater h/o Bulemia, Vegetarian, Hyperlipidemia, Overweight (BMI @29 after 10-weeks of Prednisone)

GI Meds: Prednisone, Mesalamine, Imuran, Probiotic, Vytorin, Famotidine/Prilosec, Tums, Miralax, Senna, Hoodia, Flax Oil, Goat Yoghurt

Other Dx: 1988 Fibromyalgia: Chronic Pain, Fatigue, Sleep Dysfunction, Depression, Anxiety


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 1/29/2008 3:04 PM (GMT -6)   
Piece of cake...ha ha! Yeah I'm getting both of them done at the same time. Might as well drain the bank in one swoop.

Q-getting white. I have a mouthful of silver fillings from when I was little. Slowly getting them replaced.

It was double chocolate fudge by the way. I could have licked the plate...ha ha!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

http://www.healingwell.com/donate
Co-Moderator UC Forum


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 1/29/2008 7:18 PM (GMT -6)   
Didn't read all the responses yet but I find bringing a CD player or MP3 player and blasting music to drown out the sounds of the dentist helps for everything, even a simple cleaning. Its not like you have to carry on a conversation, right?
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 1/29/2008 7:34 PM (GMT -6)   
I'm definitely bringing my Ipod!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

http://www.healingwell.com/donate
Co-Moderator UC Forum


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 1/30/2008 6:17 AM (GMT -6)   
Ohhhh don't you just hate that?? When the dentist or hygeinist try to carry on a conversation with you while they're drilling or suctioning away??? I'm sure you don't do that do you tooth fairy?? :)

For some odd reason, I'm craving chocolate cake now.......hmmmm
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc -'92 - Colazal (9 daily), 6mp (50-100mgs), Colocort, Prilosec, Biotin, Forvia, Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa** ~Allergies - Allegra & Singulair
~Secondary Reynauds Syndrome - '04 - Norvasc~Fibromyalgia - '06~No meds
To help Healingwell - click here: DONATE
http://www.myspace.com/82595818
"The quality of my life depends on the quality of my thoughts."
 
 
 
 

 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 1/30/2008 10:10 AM (GMT -6)   
Our dentist has t.v's hanging near the ceiling and headphones to help keep your mind off the dentistry going on in your mouth.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)

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