The syringe in front of the drill

Many have already learned how terribly bad a toothache can be >
When the time comes, you can be sure that the cause of this pain is most likely caries, which has gradually eaten through the enamel and the dentin, so that the nerve tissue of the tooth reacts violently to this attack. – A visit to the dentist is essential if the tooth is still to be saved.
Anyone who has had to go through this knows that drilling is inevitable for this purpose, because the damaged tooth substance must be removed completely before the tooth can be treated further. Regardless of whether a filling is sufficient or a root canal treatment with subsequent crowning of the tooth should be carried out. This is the only way to ensure that the caries does not cause further damage on the spot. Strictly speaking, drilling is therefore a further damage to the tooth and, depending on how far the caries has progressed, the procedure can become extremely painful if, for example, enough tooth substance has to be removed to expose the pulp.

Fortunately, there is an option to have the procedure performed under local anesthesia. In the case of root canal treatments or tooth extractions, it is unavoidable anyway, unless you care to be tortured. In addition to these cases, anesthesia is not mandatory in all cases, but depends on your sensitivity to pain. If, for example, only a small filling is necessary, you can usually bear the pain without any problems. However, you must also take into account the consequences of the painful treatment. You may start to cramp or move jerkily. Both can hinder the dentist’s work. After all, a calm patient is safer to treat than a patient who begins to writhing in pain. In this case, there is a risk that your doctor will slide off with his instrument, which can result in injuries to the gums, among other things.

If you have chosen to be anesthetized, your dentist will inject a local anesthetic, such as lidocaine. These substances block the transmission of excitation in the nerve cells. This means that the pain signal does not actually disappear, it is only no longer passed on to the brain. The remedies work extremely efficiently: the anesthetic appears after a short time and, depending on the dosage, lasts up to three hours. Lidocaine is well tolerated and can also be found, for example, as an active ingredient in lozenges for severe sore throats or in ointments that are used to relieve burning or itchy skin complaints.
Side effects are very rare with local anesthesia, however, as with any other preparation, complications are of course possible. For example, some people are allergic to lidocaine. Cases are also known in which the simultaneous use of other medications limits or completely prevents the anesthetic from working. Incidentally, this also applies to nicotine, which hinders the spread of the active ingredient because it constricts the blood vessels. – If you are being treated with other medications at the same time or are a smoker, be sure to speak to your dentist. This also applies to people who suffer from cardiovascular disease, where there is a risk that the anesthetic will strain the organism too much, as this can lead to restlessness or irregular heartbeat. With this knowledge, your dentist can choose another anesthetic, for example, or adjust the dosage.
However, these precautions are sometimes not sufficient to ensure the success of the anesthetic. The basic anatomy of every person may be identical, but often varies considerably in its characteristics. For example, nerve tracts can run particularly deep, so that the doctor simply does not hit them. It is therefore very important that you, the patient, draw your attention to this if necessary and do not hope that the anesthetic will still start. Your doctor knows what to do in such cases.

When the treatment is complete, your dentist will always instruct you not to eat or to drink very hot or cold drinks until the anesthetic has subsided. There is a simple reason for this: the anesthetic affects the sensation of pain to the extent that you may not notice if you eat something that is too hot or even bite your tongue; Injuries in the mouth are the result. With larger interventions, you must also note that the anesthetic may limit your ability to react. So if you went to the dentist by car, it is advisable to have an accompanying person with you who will take you home later.

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