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At the end of the day it is the dentists inexperience to inject directly to the nerve of the tooth they are working on, some dentists are excellent at injecting pain relief and some dentist are c**p at injecting pain relief. This day and age of dentistry you would have thought they could come up with some better way to relive pain when drilling, as for root canal treatment I had one tooth done and it was like a walk in the park a few years later I need root canal on another tooth, it was a different dentist and during the painful treatment I was thinking to myself decapitation would be less painful and quicker, and I know it was the dentist fault for not hitting the nerve for the correct tooth he was working on not my fault for not putting up with the most excruciating pain.
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I needed a root canal done on tooth #18. The first half of the root canal they had a hard getting numb. They removed the painful swollen nerve the first visit but took 20 shots to finally get it numb enough. The 2nd visit she numbed me and everything was good until she got to the roots and bottom of tooth bone. OMG. I don't cry at the dentist but I did right then. She gave me me a shot direct lot into the tooth( worst tooth pain ever). That didn't work either. So she continued with the root canal and I just had to bare with the pain when she got real deep. She tried to not to go way deep to avoid the pain. After all was done she suggested that I get put to sleep if I need work done on lower back teeth. She told.me I have a different anatomy as far as nerves go for mouth. She tried the best she knew how to get me numb. And I was numb everywhere except the deep tooth bone...the root parts. Ugh.i have 2 other root canals and this was the worst!
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I just had my bottom back molar removed, for an implant at a later date, even after six vials of Novocain (Probably close to 30 separate shots) my tooth would not go totally numb and I felt a very strong localized pain during the removal of the tooth. The doctor said she never has seen anything like it before and that she could not put anymore Novocaine in me. So I clung to the chair and experienced a 8 or 9 pain for a minute or so as she worked it loose slowly (we already determined one huge yank would be way too painful). It actually felt more painful when her steady pull was slowly released, but it eventually came out, yay! Writing this five hours later and I am in no pain now. I'm never nervous at at a dentist and I usually don't even use Novocain when getting a cavity filled, so I'm sort of tolerant of a little bit of pain. Just glad the extraction part is over. This was the first link that came up in a Google search on my curiosity of what I just experienced, so I thought I'd leave my two cents worth of my "fun" for the day.

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Yep it is so painful
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They couldn't numb me either...after like 5 times trying they said they were going to have to wait for another few days, perhaps even weeks. So what did I do? Well I was already in pain so when the dentist came back in and asked if it was numb I replied with a yes. If I hadn't I would have went home and cried myself to sleep (yeah it was that bad) like I had been doing the past three nights. The entire procedure hurt like hell but I never moved a muscle, never complained and pushed forward. But hey if your in extreme pain I think you'd do whatever it takes to take care of the problem.
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Oh my gosh do I understand how excruciating this is, and you're right, what makes it worse is the dentist's reaction. As if you are somehow doing something wrong. You know you need the dental work done, you're there to have it done, but no matter how many needles worth of local anesthetic they give you, you can still feel the pain!!! I had it happen (not for the first time) last week with a broken tooth that had to come out in pieces. The pain was horrific!! I was crying and shaking -like I was in shock. Worse, much worse, they mistakenly left a piece of that tooth in there! Even though there is only another small amount of tooth that has to come out this time, I am going under general anesthesia. Shame that that's the way we have to go, but I certainly can't take that amount of pain and shock again, and I am positive my dentist can't take it either.

So, if you're experience is the same (you are not alone!), and the work absolutely must be done, general anesthesia may be the way to go. It's not a great answer, but for someone who experiences this, it may be the only answer.
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I too am on methadone and went to get a tooth pulled. Not a crown. I wish I had dental, but I don't ( I'm just going to get straight to the point) Well, I went in to get the procedure done just like another tooth that I got pulled, but this time it didn't go numb. I literally felt every bit of that tooth getting pulled. If you don't have dental insurance, I advise you to just get the tooth pulled. The methadone has nothing to do with the Novacaine. That never even crossed my mind. If anything, I thought it would help with the pain. It's because you have an infection in there, so it won't numb. At least not where the infection is. After I got my tooth pulled, I had to take anabiotic's. 21 amoxicillin. If you're done test was my dentist and just tell me "OK we're done". I probably would've slapped him in the face. A punch seems too excessive. But in all reality you would get in trouble for either. I didn't like it but after it was done, it felt better. I can't imagine sitting through a root canal, good for you for doing it that long. You should have just gotten it pulled. That's what happens in a few years anyways after the crown Falls off, or whatever. Filling, etc. You left this comment over a year ago, so I assume you're already done with whatever it is. I just thought I would add my two cents anyways.
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Ps. I'm on methadone tablets, and only take about 2- 2 1/2 tablets at a time. 20-25 mg's
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I went to the dentist to get a bottom tooth pulled today which was a simple extraction with a small cavity. They have me 5 shots and couldn't get numb. She also gave injection off into the cavity and still couldn't numb it. I was on amoxicillin 500mg 3 times a day. She said I will have to see an oral surgeon cause she couldn't get me numb. I'm just lost on why I couldn't get numb.
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Omg im goimg through this same issue n my dentist says come on you can do it so i got 4 teeth pulled in excruciating pain i didn't even think about the methadone possibly affecting it but i don't understand i have never had n issue with novacain be4
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