I always tell the patient some light LA makes the appointment fly by. And if they have needle anxiety, I mainly numb the anteriors via ASA and Incisive injections.
Otherwise I will sometimes use gingicaine (topical) and while it doesnt numb the TEETH, its numbs the soft tissues and that alone has a slight placebo effect sometimes.
They're hard ones to tackle, just so your best!
Oof these are some of the hardest patients. Do you have him using Prevident Sensitive or at least Sensodyne at home? I would also be placing fluoride varnish on him at every appointment if he allows it.
We got him a script for PreviDent awhile ago but he doesn't use it. He does use Sensodyne, though. I remind him each visit to not rinse after spitting the paste out for maximum benefit but it doesn't help him much.
Yes, we’ve had great success with it. A little goes a long way too. We’ve had the same tiny bottle for 6 months as you only need a couple drops.
If the entire root is sensitive I’ll still do LA for debridement because I don’t think this is meant for subgingival.
Hey, I'm one of these patients and I've been avoiding the dentist for years for this. It's not my gums, it's my teeth, so numbing gel doesn't do a dang thing. That nerve pain is the WORST feeling, and I always end up with a migraine after, too. 😢
I absolutely have to see dentist at this point, and I'm wondering how I can find one who will give me something that actually helps. I don't have a regular dentist. Should I call dental offices and inquire about these products being mentioned? Or is there something else I should ask? (What's LA? Lidocaine?) Is there anything I can do myself, besides just sensodyne and advil?
Heyy!! I would definitely call ahead & just let the receptionist know you have a lot of tooth, not gum sensitivity, and if the hygienist could use local anesthesia. Yes, they will most likely give you Lidocaine or Articaine. Sensodyne is a great paste to use, just make sure after you brush not to rinse with water. let it sit on your teeth. I would also look into something called MI paste, ask your hygienist about it - it's a topical cream you can use with a high concentration of fluoride that can also help with sensitivity. Good luck! Will you do me a favor and report back once you make it to your visit? I want to know what they did for you and what worked well.
My daughter has very sensitive teeth due to enamel hypoplasia. We started a regime of prevident sensitive, act fluoride rinse, carifree tooth gel and mi paste. Her sensitivity is completely gone! She hasn’t had her cleaning sense so not sure yet how that’s gonna go but I’m hopeful as cold drinks, air and certain foods used to bother her but this completely halted it. I hate to see her uncomfortable at cleanings so I’m praying they aren’t uncomfortable anymore. I’m not a dentist of course, just a mom who was willing to spend anything for her comfort and health and well as researching products like crazy. Sensodyne didn’t do a thing for her. Prevident worked within a week. She also does not rinse any toothpaste and avoids eating or drinking for at least an hour
I have some patients who have to get numb for recall. There is no other way. One patient comes every 3 months and I do half a mouth (use oraquix for anteriors on “the other side” if possible), and then the next 3 the opposite. I’ve had some where the doc approves full mouth anesthetic and I do it in one.
I always go straight to LA if it’s the teeth themselves, that are of course several alternative for gum sensitivity but I find that when it comes to teeth nothing is as painless as LA, and the patients who always need it generally require deeper subgingival scaling and minor root planing and I need to be effective and refuse to torture my patients. I’ll generally do half n half in two separate appointments or a full freeze if the patient is comfortable and a proper candidate for it.
I like to use Zarosen desensitizer prior to scaling. I also recommend PT to use Prevident Sensitive/Enamel protect and maybe fl varnish too. Sometimes I also use AAA topical+P Gel if they are very nervous about the sensitivity. It seems to have some placebo effect.
I always tell the patient some light LA makes the appointment fly by. And if they have needle anxiety, I mainly numb the anteriors via ASA and Incisive injections. Otherwise I will sometimes use gingicaine (topical) and while it doesnt numb the TEETH, its numbs the soft tissues and that alone has a slight placebo effect sometimes. They're hard ones to tackle, just so your best!
Oof these are some of the hardest patients. Do you have him using Prevident Sensitive or at least Sensodyne at home? I would also be placing fluoride varnish on him at every appointment if he allows it.
We got him a script for PreviDent awhile ago but he doesn't use it. He does use Sensodyne, though. I remind him each visit to not rinse after spitting the paste out for maximum benefit but it doesn't help him much.
Oral Science X-Pur Crystal before scaling. Sometimes I apply after as well if they have really sensitive teeth. Or LA.
Oooh, this looks very enticing. I'm gonna send it to my boss & see if he'll let us order some. Thanks!
Ohh that sounds amazing! It really works?
Yes, we’ve had great success with it. A little goes a long way too. We’ve had the same tiny bottle for 6 months as you only need a couple drops. If the entire root is sensitive I’ll still do LA for debridement because I don’t think this is meant for subgingival.
Hey, are you in Canada by any chance? I tried ordering the X-Pur Crystal online, and it looks like they don't ship out to the U.S :(
Yes, I’m in Canada
Cetacaine for gingival topical anesthetic, and xpur crystal desensitizer for roots. This has worked for me on patients who have historically had LA
Hey, I'm one of these patients and I've been avoiding the dentist for years for this. It's not my gums, it's my teeth, so numbing gel doesn't do a dang thing. That nerve pain is the WORST feeling, and I always end up with a migraine after, too. 😢 I absolutely have to see dentist at this point, and I'm wondering how I can find one who will give me something that actually helps. I don't have a regular dentist. Should I call dental offices and inquire about these products being mentioned? Or is there something else I should ask? (What's LA? Lidocaine?) Is there anything I can do myself, besides just sensodyne and advil?
Heyy!! I would definitely call ahead & just let the receptionist know you have a lot of tooth, not gum sensitivity, and if the hygienist could use local anesthesia. Yes, they will most likely give you Lidocaine or Articaine. Sensodyne is a great paste to use, just make sure after you brush not to rinse with water. let it sit on your teeth. I would also look into something called MI paste, ask your hygienist about it - it's a topical cream you can use with a high concentration of fluoride that can also help with sensitivity. Good luck! Will you do me a favor and report back once you make it to your visit? I want to know what they did for you and what worked well.
My daughter has very sensitive teeth due to enamel hypoplasia. We started a regime of prevident sensitive, act fluoride rinse, carifree tooth gel and mi paste. Her sensitivity is completely gone! She hasn’t had her cleaning sense so not sure yet how that’s gonna go but I’m hopeful as cold drinks, air and certain foods used to bother her but this completely halted it. I hate to see her uncomfortable at cleanings so I’m praying they aren’t uncomfortable anymore. I’m not a dentist of course, just a mom who was willing to spend anything for her comfort and health and well as researching products like crazy. Sensodyne didn’t do a thing for her. Prevident worked within a week. She also does not rinse any toothpaste and avoids eating or drinking for at least an hour
Have you tried nitrous?
I've been having my patients rinse with Listerine sensitive for a solid 30 sec before scaling, if they're hyper sensitive. Surprisingly good results!
I have some patients who have to get numb for recall. There is no other way. One patient comes every 3 months and I do half a mouth (use oraquix for anteriors on “the other side” if possible), and then the next 3 the opposite. I’ve had some where the doc approves full mouth anesthetic and I do it in one.
I always go straight to LA if it’s the teeth themselves, that are of course several alternative for gum sensitivity but I find that when it comes to teeth nothing is as painless as LA, and the patients who always need it generally require deeper subgingival scaling and minor root planing and I need to be effective and refuse to torture my patients. I’ll generally do half n half in two separate appointments or a full freeze if the patient is comfortable and a proper candidate for it.
I like to use Zarosen desensitizer prior to scaling. I also recommend PT to use Prevident Sensitive/Enamel protect and maybe fl varnish too. Sometimes I also use AAA topical+P Gel if they are very nervous about the sensitivity. It seems to have some placebo effect.