Oral Surgeon Insists on Drilling for Wisdom Tooth, No Options — Any Thoughts?

Discussion in 'Support' started by shasta0863, Mar 31, 2022.

    1. shasta0863

      shasta0863 Member

      Tinnitus Since:
      11/2007
      Cause of Tinnitus:
      Noise Induced
      I have an upper right wisdom tooth that broke from decay at end of 2019. I started actually having pain recently, which just so happens to align with the fact my BOTTOM left also broke off, a side/center piece of it. From decay as well. Idiocy on my part for allowing this to happen and not going into a cleaning for last few years due to fear of tinnitus worsening from cleaning, which is just stupid.

      The news was broken to me, from a very good oral surgeon where I'm at that unlike the top, the bottom must be drilled to be taken out. No other way. It's fully exposed like all my wisdom tooth, but because of the decay in the middle I guess it makes it hollow and a problem with how rooted wisdom tooth can be at 25+ years old and tightly conjoined to the jaw muscles/nerve.

      So now I sit here, with tinnitus/hyperacusis that I've gotten to a bearable place, with recently (last few years) acquired Middle Ear Myoclonus vibrating which has taken over as the hell on earth for me, NOW have to get the tooth drilled and sectioned.

      I KNOW this is going to make my tinnitus worse and damage me. It's not possible not to. My ears are in bad shape, genetically I'm prone to noise damage. Got my original tinnitus mind you from ONE musical festival at age 18, worsening at age 24 or so from a wood saw outside my window when I was asleep. So that's how bad off my ear resilience is.

      I don't know what to do. The oral surgeon knows nothing about tinnitus really, thinks just plugging the ears with earplugs can perhaps help. Which would make it sound 10000x worse through bone conduction. He also wants to put me out. So, I wake up with the worst tinnitus imaginable? I'm already worried about the nerve getting nicked and having permanent numbness and nerve damage in the jaw and lip. Now this.

      Is there no other procedures in 2022 with oral surgery to take out bottom teeth that are broke without drilling to section it? This guy isn't a tinnitus expert, but he's a really good oral surgeon, one of the best in the area. He doesn't believe there is any other way.

      I feel absolutely screwed here, all self-inflected.
       
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    2. AUTHOR
      AUTHOR
      shasta0863

      shasta0863 Member

      Tinnitus Since:
      11/2007
      Cause of Tinnitus:
      Noise Induced
      Has anyone had an electric handpiece used to split a wisdom tooth? Is it typically fast? I can't find an oral surgeon that will do it without splitting, as the root curve and closeness to nerve makes it impossible to use a manual tool.

      I feel like I have no options here.
       
      • Hug Hug x 1
    3. Mister Muso
      No Mood

      Mister Muso Member

      Location:
      Scotland
      Tinnitus Since:
      2011 / April 2019
      Cause of Tinnitus:
      Loud music
      I haven't, but I have two sets of implants from before I had tinnitus. The thought of drilling into the bone would be daunting, but it sounds like you've got no alternative really, just make sure he agrees to drill for no more than 5 seconds at a time, then a ten second gap.

      Also some dentists are starting to use laser drills rather than conventional ones. Laser drills are quieter and probably faster as well, and are effective at removing bone. I found a dentist in my city using them and they are much quieter and more comfortable.

      I think @Greg Sacramento has knowledge or experience of dental treatment and its effects on tinnitus, so tagging him here.
       
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    4. Greg Sacramento

      Greg Sacramento Member Benefactor Ambassador Hall of Fame Advocate

      Tinnitus Since:
      04/2011
      Cause of Tinnitus:
      Syringing + Somatic tinnitus from dental work
      I like - agree.

      Use a small pillow on headset and keep head on it during entire procedure. Doing this will protect jaw and neck.
       
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    5. Lane

      Lane Member Hall of Fame

      Tinnitus Since:
      02/2018
      Cause of Tinnitus:
      Single 25 mg dose of (anticholinergic) drug Promethazine
      Hi @Mister Muso -- This is great information, thanks for sharing it!
       
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    6. Exit

      Exit Member Benefactor Hall of Fame

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Noise
      The laser is quiet but the compressor driving it makes some noise. Earmuffs would take care of that.

      Don’t know if they can use laser for prepping a tooth before crown or in this case splitting it.

      Should be checked out.
       
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    7. Mister Muso
      No Mood

      Mister Muso Member

      Location:
      Scotland
      Tinnitus Since:
      2011 / April 2019
      Cause of Tinnitus:
      Loud music
      I've not had a problem with noise from the compressor. As long as the dental surgery isn't too small it should be possible to position it at a comfortable distance.

      There are some tasks for which my dentist tells me it's better to use a conventional drill. I don't know what they are, but there are dentistry forums where I'm sure you could ask for more information. I've certainly read that laser drills are effective for removing bone, which I'd have thought isn't so different to splitting it though I could be wrong there.
       
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    8. AUTHOR
      AUTHOR
      shasta0863

      shasta0863 Member

      Tinnitus Since:
      11/2007
      Cause of Tinnitus:
      Noise Induced
      Thank you. I've been trying to find someone that does this, but it's been challenging. Most oral surgeons seem to be doing the same thing. No issue with their conventional drills for cutting jaw bone so why change, I guess is the thought process here. I'm seeking alternatives like a root canal but haven't had luck yet. The decay hasn't reached the pulp, or is just very close to it. I'd prefer to just have it cleaned and sealed. Don't care how it looks, it's just a wisdom tooth. But having trouble finding someone to entertain it.
      Thanks Greg, so you think a small pillow with a headset would be needed? Am I concerned over nothing over the vibration of the drill hitting tooth/jawbone and noise damage that way to the middle ear, and occlusion effect?
       
    9. Greg Sacramento

      Greg Sacramento Member Benefactor Ambassador Hall of Fame Advocate

      Tinnitus Since:
      04/2011
      Cause of Tinnitus:
      Syringing + Somatic tinnitus from dental work
      Dear friend, use a small pillow on headrest and keep head on it during entire procedure. Doing this will protect jaw and neck. Also consider taking a Magnesium tablet one hour before appointment.

      Drilling should be 5 seconds with a break of 10 seconds.
      Dentists are very much against wisdom tooth repair as infection will probably happen at some point and that could spread to other teeth and jaw. A root canal or filling may only be possible if there's very little decay and tooth is still positioned normally. There would be some drilling with a root canal or cleaning to fill. More decay and tooth movement with that wisdom tooth will probably happen after treatment within months to three years if tooth isn't gently cleaned with a soft brush right after every meal or after drinking something that contains sugar.

      How have you been otherwise? I just looked out my sliding glass door from where I'm sitting, and a bobcat was on my porch. It's about midnight, can't sleep.
       
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    10. tpj
      Depressed

      tpj Member Benefactor

      Tinnitus Since:
      08/2008
      Cause of Tinnitus:
      probably noise
      @Greg Sacramento, why do you suggest Magnesium and how much do you recommend?
       
    11. AUTHOR
      AUTHOR
      shasta0863

      shasta0863 Member

      Tinnitus Since:
      11/2007
      Cause of Tinnitus:
      Noise Induced
      I've been attempting to find an endodontist who can use laser to clear the decay/remove tooth portions instead of a drill, but not having a lot of luck. Seems far and few in-between that are using the tech.

      Supposedly laser can take care of decay, cut the teeth and used in root canals. Just need to find one, which is the problem.

      Although I can't seriously entertain it currently, I almost wonder if drilling for a root canal would be better than the drilling a removal would require. To have to drill to section a lower wisdom tooth (if I'm lucky into two pieces) and drill into the jaw bone to create some type of gap area for the section area to easily move into for removal, seems like a lot compared to just removing decay and finishing up with the waterlaser treatment to clean out the root.
       
    12. iAzra
      Curious

      iAzra Member

      Location:
      Croatia
      Tinnitus Since:
      11/2011
      Cause of Tinnitus:
      Acoustic trauma, Stress, Nose hit
      Hi, can you tell us how it all went for you?
       
    13. Heikai
      No Mood

      Heikai Member

      Location:
      Finland
      Tinnitus Since:
      2012, 2022 got worse
      Cause of Tinnitus:
      Unknown. Worsened in 2022 due to noise exposure.
      I hope it went well. I'm also worried about this because I predict I will have a similar procedure at some point.
       
    14. Tweaker
      Transparent

      Tweaker Member Benefactor

      Location:
      UK
      Tinnitus Since:
      05/2010
      Cause of Tinnitus:
      Noise exposure
      Noise-cancelling headphones work for me at the dentist. Earplugs would make everything louder internally.
       
    15. Marcuso22

      Marcuso22 Member

      Location:
      Canada
      Tinnitus Since:
      11/2020
      Cause of Tinnitus:
      Loud prolonged exposure to alarm system
      I also need to see an oral surgeon to have a root canal near top front where my gum is swollen & infected. I haven't even had any drilling since I ended up with reactive tinnitus & hyperacusis a couple of years ago so this is terrifying for me.

      Someone told me to take NAC supplement 2 weeks prior to drilling. I have no idea if that will help with anything.
       
    16. DebInAustralia
      No Mood

      DebInAustralia Member Benefactor Hall of Fame Advocate

      Location:
      Geelong, Victoria
      Tinnitus Since:
      12/2013
      Why not contact a dentist who can do laser dentistry?
       
      • Good Question Good Question x 1
    17. Marcuso22

      Marcuso22 Member

      Location:
      Canada
      Tinnitus Since:
      11/2020
      Cause of Tinnitus:
      Loud prolonged exposure to alarm system
      A regular dentist can not do the root canal that I need & the endo I was referred to, who is considered best in the city, does not do laser either & there doesn't seem to be anyone in my city who is a root canal specialist that does laser root canal.
       
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