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Oral Surgery reviews in Rensselaer

  • D
    I didn't find out until I was in the door that this would be a two-appointment situation. I figured that was fine, as 3-4 hours is too long to expect anyone to keep their mouth open as wide as possible without venturing into Guantanamo Bay dental practices (assuming they even provide that type of care).
    The first appointment was generally fine. The waiting room felt like 90 degrees, so I was pleasantly surprised by the relative large area of the two stations, with large windows and a more comfortable temperature. Let me explain something before I go further. I am not afraid of pain. I expect it in certain situations, and have been through multiple surgeries in my lifetime that provided plenty of discomfort. I have also learned that I tend to have a higher sensitivity to pain, which was all the more accentuated by another review for Dr. Langan, from someone who said their root canal was relatively painless. While I didn't expect a painless procedure, I do know that in this day and age, we can manage pain. It is these advances which have allowed many procedures which in the past were unthinkable.
    I made it clear up front to Dr. Langan that:
    a) I was extremely sensitive to pain, at least more than the average person, and
    b) I have a high tolerance for pain meds and other substances (alcohol) in general, meaning I usually need more than the average person to get the intended results. I'm a big guy (250 lbs.) and my liver is in excellent condition.
    I know many doctors try to "CTA"  (Cover Their A$$) by trying to stick with pain management methods with the least risk, both to body and legal exposure. Either because they were swindled by someone who doctor shops around to get pain meds (or something along those lines), or because they believe that "Aleve" or other Ibuprofun-based products are the safest recommendation because, they believe the side-effects  of narcotics tend of outweigh the benefits, and hence avoid writing scripts for anything closely recognizing a pain medication. (See note at bottom for why this is unfounded science).
    This wouldn't have been a big deal, as the first round and the associated pain I experienced was unpleasant, but manageable.
    Round 2 however, was a completely different story.
    Part of the process of a root canal involves the removal of all nerve and pulp material from the canals themselves. This bulk of time in both appointments involved the insertion of filing (metal) wires being inserted into the canals similar to using a wire (not brush) pipe cleaner to clean out dirty, narrow openings in a clogged pipe. It is important that the material be removed down to the very bottom of this canal. As important as this is, it is also potentially very painful.
    So even after topical anesthetic and needle injections (what I assume to be Novocaine), and repeated applications of both, into both the gums and into the tooth itself, let's just say that my body jerks in reaction to the pain should have been a clear indicator to everyone present that the pain was NOT being managed. My gums and all topical areas were anesthetized, but the conditions at the bottom of two of these canals was far from numb.
    I realize this is not supposed to be a pain-free experience. What I do expect from my medical provider is to minimize the pain so that the procedure can be done as quickly and perfectly as possible. I want to hear that a root canal needs to be redone as about as much as I want to hear that my house burned down.
    Given the acute pain of Round 2, but given the expectation by Dr. Langan that the first round would be the worst, I was really close to putting an end to the procedure, had I not already paid for it in full. And the pittance offering of a couple Advil only made the pain, and my mood, less than forgiving.
    I ended up having to call off from work because of the amount of pain I was in. Otherwise like after Round 1, I would have made it to the office with no question. Luckily I had some real pain meds at home, and was able to bring the discomfort to manageable levels, but only after calling my boss to tell him I wouldn't be in. Just a "minor" snafu in my day.
    The moral here is, ask up front what how the Doctor/Dentist intends to manage your pain. In this case, I understood that saving the tooth and being able to crown it was preferable to removal and a bridge. But if the medical provider has a bias against pain medications, and you are at all sensitive to pain, seek out an alternative provider.
    I'm sure the root canal itself was done well, and I expect it to be a permanent fix to a tooth with the understanding that regular brushing and flossing will be required. I just wish more attention was given to my needs as an individual, which I believe is severely lacking in most healthcare interactions in the United States.
    Note: The so called "danger" of prescribing pain medications because they can lead to addition is false. Like so many other studies' incorrect conclusions , correlation does not prove causation. The concept of chemical hooks in narcotics and other substances that we have been told time and time again are gateway drugs or in some way paths to addiction, is untrue. Why do so many veterans, hospital patients, and others get treated with these drugs and then somehow magically do not become addicts? It's because addiction is not based on the drugs themselves, but on external and environmental causes.
    Read: http://goo.gl/VoYnCY

    - Daniel L.
  • A
    The root canal was painless! The service is great and very quick. I have a crown that is just like my natural tooth. He is a great dentist. He's great at cosmetic dentistry. He accepts all insurance plans. Dr Edmunds is very professional, really listens to you, and has a great staff.
    - JACKIE A.
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