Dental experiences with O.City

[O.city]

Had a pretty interesting day today at the office. Morning was pretty normal, drill and fill, check hygiene, extract a tooth etc. Nothing too out of the ordinary.

Pretty normal lunch. Trolled around on CP, ate an apple and a handful of wheat thins.

Then the afternoon hit.

I see inmates from the county jail here in town if they have a tooth ache or something, sheriff or deputy will call up and bring them up in shackles and the whole bit. It's not big deal, most of them are just happy to get out of pain and it's not a problem. So dude comes in, my assistant goes in to ask the normal "which tooth is bothering you, let me get an xray, blah blah". I was in the lab doing something so I wasn't really paying attention. She comes in and says "doc, you will need to come look at something" to which I responded "he need a tooth out, which tooth is hurting"?

"All of them". Huh, ok, weird response but lets go check it out. Sure enough, continued meth use pretty much causes things to not go so well intraorally, so he was pretty much decayed out and most teeth were broken off to the gumline (google meth mouth if you want to see it, i'm not messing with photos). Asked if I could extract all 26 teeth he had left in the 30 minute block we had on the schedule for him.

I laughed, said "nah, which one hurts the worst, we'll take that out". He pointed to one, I numbed it up, used an elevator to take it out, about 30 seconds worth of pressure and it was pretty lose. 2 teeth next to it are super mobile and infected (which starts draining as I get this one out, that smelt nice) so I told him he was getting 2 free extractions since he was already numb in that area and they were loose and I was right there, no harm no foul.

It's always fun when we see the inmates, the Sheriff comes up and sits in the room with them all serious, then when I come in the room we talk about hunting or why the Chiefs always break hearts or something.

He breaks down and starts crying thanking me, that he already felt better (if you saw the amount of infection I drained, you'd see why) and asked if he could make an appointment for when he got out. "Sure, how long you think you'll be in this predicament".

"I figure 4 or 5 years, you scheduling ahead that far yet"? Told him nah, just take care of himself and come see me when he gets out.

Next patient is an amish guy (we have a fairly big amish community near us), super nice guy, needs a crown. Asks if he can barter instead of pay, I ask what is in it for me, said he'd bring me a dozen eggs every week for 6 months (they have chicken barns or something) or I could have a quarter of one of the cows they're butchering. Sold, eggs and beef for a crown, sign me up.

Only problem with that is he scheduled an appointment for himself, but brought 4 other family members who all needed work done.

So we had a waiting room full of inmates and Amish this afternoon. Thought that might be a good name of a band or something.

[FlaChief58]

Originally Posted by O.city

Like, from the outside?

No, from the inside. I was having a shitload of dental work done

[O.city]

Originally Posted by FlaChief58

No, from the inside. I was having a shitload of dental work done

Ah yeah, thats what I figured.

It's called a nerve block. The lower teeth are innervated by the Inferior Alveolar nerve, which runs in the mandible just below the teeth. The problem with getting it numb is you can't easily penetrate bone so you have to do what's called an IA nerve block.

Basically, you get anesthetic to the nerve in the spot it goes into said bone, way back by the "jawbone" in the posterior of the mouth.

I'll see if i can find a video.

[Pepe Silvia]

My teeth are fine but I’m going to get them all pulled out anyway so I don’t have to deal with them anymore.

[O.city]

Originally Posted by O.city

Ah yeah, thats what I figured.

It's called a nerve block. The lower teeth are innervated by the Inferior Alveolar nerve, which runs in the mandible just below the teeth. The problem with getting it numb is you can't easily penetrate bone so you have to do what's called an IA nerve block.

Basically, you get anesthetic to the nerve in the spot it goes into said bone, way back by the "jawbone" in the posterior of the mouth.

I'll see if i can find a video.

https://youtu.be/hOVtwtC6pck

[OnTheWarpath15]

Originally Posted by O.city

https://youtu.be/hOVtwtC6pck

I don't know why the **** I clicked that link, but thank you for it being animated and not the real deal.

[FlaChief58]

Originally Posted by OnTheWarpath15

I don't know why the **** I clicked that link, but thank you for it being animated and not the real deal.

Just hope you never have to go through it. They did both sides on me, and let me just say, it hurts like a mother trucker. Thankfully the pain goes away fairly quickly.

[ptlyon]

Originally Posted by O.city

ITS ****ING WATER, IT'S NOT TOXIC TOOTH JUICE. FOR ****S SAKE JUST HOLD IT IN THE BACK AND THE LADY WILL SUCK IT OUT WITH THE SUCTION.

****!!!

Now yer talkin

[O.city]

Been a while so lets have a dental roundtable!!

What a Friday so far.

First guy this morning broke a tooth under a partial and needed a crown on it. There's metal clasping, which also broke. So Dr. O.city got to try his old solder skills. It should hold but we'll see.

Anyway, it went off without a hitch. No problem.

Next patient is a friend of my assistant. Spent an hour and a half cutting out an upper molar. Dude is a short little African American guy. They (AFrican Americans) are known to have super dense bone, this guy was no exception to the rule. I went thru multiple drills as they kept getting dull.

Finally got the palatal root out. Not sure who was more relieved him or me.

[O.city]

Pulpotomy (basically a root canal) on a 6 year old to kick off monday morning.

Awesome.

[RunKC]

Boy do I have some questions for O.City. Not a fun morning when your dentists says “start saving” for your 6 year old kid. Agh

[O.city]

Originally Posted by RunKC

Boy do I have some questions for O.City. Not a fun morning when your dentists says “start saving” for your 6 year old kid. Agh

Saving for like, orthodontic stuff or what?

[RunKC]

Originally Posted by O.city

Saving for like, orthodontic stuff or what?

Sent PM

[Titty Meat]

Hey O I ate some fruit before bed last night. Woke up this morning gums on that side I ate inflamed and feels like a bump behind tooth. No pain. Abcess right?

[O.city]

Could be. Might be some kind of reaction to the acidity of the fruit.

[Buehler445]

Originally Posted by Titty Meat

Hey O I ate some fruit before bed last night. Woke up this morning gums on that side I ate inflamed and feels like a bump behind tooth. No pain. Abcess right?

Did you floss? I get fiber from apples in my teeth if I eat them. If I left it over night it would be unhappy.

Floss, folks

(O I need to be on your payroll I’ll even be a 1099 contractor. W-9 is in the mail)