EDIT; I can’t reply to everyone individually but thanks for all the suggestions! Opiates are out of the question, doctors here will only prescribe those in terms of absolutely extreme suffering or end of life care. I also don’t particularly feel interested in developing a hard drug habit. Diclofenac and such are available but also only on separate prescriptions, I’d have to visit another doctor for that. I’m well stocked on paracetamol & ibuprofen, and apart from that, lots of ice cream, pudding & soup :)
Also, since a fair few people seem to doubt the veracity of my story, here’s the 22 extracted teeth (the other 10 were already gone in previous extractions).
Hi. You’ve gotten a lot of comments already. I hope this one is not lost in the pile.
When I was 39 I had all my remaining teeth extracted in one go. There were somewhere between 12 and 18, since many were remnants and not whole teeth.
Due to the fact that previously in my life I had addictions of many kinds, mostly alcohol and meth related, I was not prescribed opiates. When the procedure was done, I was awake and given only a local anesthetic.
After they were removed, I was given Amoxicillin (antibiotic) and Prednisone (steriod). They recommended I take Ibuprofen and to avoid acetaminophen (same as paracetamol i think). The latter due to many over the counter versions of it have caffiene. That brings me to my first advice.
Avoid caffeine at all costs. It will increase your pain, make you edgier and you may grind your gums in your sleep. Check your paracetamol packaging, make sure it does not have caffeine. You might want to avoid it regardless because it can irritate your stomach lining and you’ll be swallowing a lot of blood which increases your chance of vomiting.
If you vomit, you will almost certainly get dry socket.
You do not want dry socket.
Ice cream is painful. Anything too cold or too hot is painful. Soup should be room temperature.
Bouillon cubes aren’t bad, if you can get liquid soup stock or broth, it works better.
Do not eat breads for at least a week or two. It sticks to you clots. That can easily lead to dry socket.
You do not want dry socket.
Same thing with (american) bananas. They might seem perfect but they can cause dry socket potentially from their stickiness.
I have had dry socket. Once from smoking cigarettes. Once from being clumsy with a spoon. It was the worst pain of my life until I had to pass a few kidney stones.
Avoid foods that require cooking. You don’t want to cook.
One a day shakes should be your new best friend. Meal replacement shakes. Here in the states they come in chocolate and vanilla and don’t taste terrible. Brands include Ensure, Boost, Slimfast and a ton of others. They are packed with protein. They often have vitamins in them too. You can just pour the shake right into the back of your gullet. Bypass your gums and tongue entirely.
Another medication to consider is sleeping pills. I’m spelling them wrong but see if you can get Amitryptaline or Tramadol. Sleep as much as you can while your body heals.
Water, water, water.
Drink at least 2 liters a day. Never drink more than 1 liter in an 8 hour period because water poisoning is very uncomfortable. If your pee is clear, you don’t need to drink water for awhile. The better hydrated you are, the faster you will heal. Drink a lot of water after drinking one of those meal replacement shakes if you can find them. Your body will absorb the water better. Same applies to the soup stock.
On that note, shower. If it is too painful, take a bath. Again, this helps you stay hydrated, plus is will improve your mood possibly, which in itself can ease the pain.
Move. Walk around the block if you can. You want to get your heart rate up and keep it up for about 15 minutes, twice a day. Again, this helps your body heal faster. Walking is great unless you are a daily runner, in which case run. Walking is enough for most people.
A perfect routine would be:
- Wake up. Drink some water.
- Drink a protein shake and some water. Take your medications with them.
- Walk around the block. Or if unsafe or to pained, walk in place. Get that heart rate up.
- Shower or bath.
- Go back to sleep.
- Repeat 3-4x per day, depending on how much you can sleep. It gets harder to sleep the more your do it. The exercise helps a lot.
I am not a dentist or medical professional.
I am not a professional of any kind.
This advice is all from personal experience.
Here’s some useless personal information that can be skipped:
December of 2021 when my teeth were all removed. Since then I have gotten dentures. They didn’t fit and hurt to wear and needed adjustments, but the dentist that made them quit the business a week after I got them. Other dentists would not take my insurance or work on them for liability purposes. Sucks being in america. I opted to get implants instead. I’m supposed to have a full set of teeth in about a month, at age 42, for the first time in my entire adult life.
Good luck. May dry socket never happen to you.
Edit after reading a few of the comments here.
Fuck these naysayers that think you’re making this up. Even if you are, fuck 'em. Trying to shit on a person while they are already down. No benefit at all, just cynics, they’re disgusting.
I’m going to add that my teeth were in terrible shape long before I had addiction problems. My dental problems were due to braces getting fucked up and mangled beyond belief by a scammy dentist/ortho.
Medicaid and Medicare can be free healthcare in the states. While I don’t think OP is in the states, it is a thing that the poorest of people can receive and the care is exactly what you pay for. All the questions about speaking to a doctor or the dentist about pain management are laughable, knowing that for the poor in the states, that simply doesn’t happen in many areas.
People saying OP deserved it from not brushing or questions about how one could need a full extraction at age 40 are ignorant and can’t summon even the smallest bit of empathy. These types along with the naysayers can go fuck off back to reddit or 4chan or whereever they came from. They are not adding to the conversation.
If you have read all this, anyone not just OP, I hope you have a nice day.
I still don’t understand how a lot of our organs evolved to self repair and generally be so sophisticated but our teeth need so much care to avoid pain and infection.
The human diet changed so quickly and the ability to do things about tooth pain and infection aside from dying means that there isn’t really evolutionary pressure in most of the world for teeth to meet the current “needs”, as it were.
+1 wondering why someone in their 40s had to have all teeth extracted. I’m really sorry.
I’ve had issues with my teeth almost since birth. My parents both had full dentures by ages 25 or so. It was definitely a combination of genetics and bad oral hygiene. I was actually glad to get them all out now because I’ve suffered from debilitating pain for weeks at least once or twice every single year of my life.
I’m in a similar situation. Have tried to get where you’re at, but have been quoted in the $30,000 price range. There is no insurance that covers any of that cost, and they all want payment up front.
Any suggestions?
Did your dentist not give you that advice?
Actually no, I found the entire process to be incredibly rushed and the communication was bad to nonexistent. But that’s “free healthcare” for you. Even in places where medical issues don’t bankrupt you, the only way to get a truly seamless experience is to go to a private clinic and pay everything out of pocket.
Why tf is the OP’s comment to a reasonable question being downvoted so hard?
Lol there’s even people accusing me of making it up or going to an illegal dentistry.
If you really want I can post pictures, but I warn you; they really aren’t pretty. I suppose I could also post the two or three pages of “aftercare” I got.
All in all, it seems a case of “This hasn’t ever happened to me, and it’s not my experience, so therefore, it can’t have happened to anyone, ever”. Whatever floats your boat.
Because they state that free healthcare is automatically bad healthcare. Which, as a general statement, is just wrong.
Free Healthcare is a broad term for dozens of different policies in dozens of different countries. Just because OP’s specific country has problems, doesn’t mean that every single implementation of free healthcare leads to bad healthcare. Also a similar rhetoric is used as a dog whistle by the far right in the USA.
Additionally they are using a specific question about their situation, to rant about a much broader topic. This soapboxing called behaviour is generally frowned upon.
So the comment in isolation is wrong, attention seeking & looks like written by someone who is something between a manchild, that is unable/unwilling to present a nuanced opinion, and a nazi. All of which are imho criteria for a downvote.
Just to say - this has not been my experience of free healthcare. Not all of it has been great, but most of it has.
Hey, you can come here to the states, pay out the ass for it, even with insurance…and still have the same experience. Long waits, lack of communication, and Doctors that are so booked they give you the once over in 10mins after you have waited on them for hours…
Did you and your doctor not have this conversation!?
Or are you more inclined to listen to the internet over the person who’s job it is to pull all your teeth out of your head?
Answer: Oxy.
I don’t know what your dentist is on (he must be high on something) to agree to remove all your teeth at once.
I had all my wisdom teeth pulled and they did that two per side, as otherwise the sedative would relax the tounge muscle, which might cause you to choke. After that I got sent home with a big stack of painkillers (NSAIDS, no opiates).
I’d look for a different dentist tbh, but thats a bit late now.
OP likely had a disgusting rotting mouth, with deep gingival pockets-of-pus, from never flossing and brushing their fucking teeth.
My friend is a periodontal surgeon and tells me the most horrendously disgusting shit people tolerate (sometimes with photos) and that level of extraction that OP is complaining about sounds close to one of his very gory horrific descriptions of people neglecting simple oral hygiene.
My stepfather has constant, disgusting mouth infections because he eats terribly, never cares for his teeth, and smokes. Bro had a pocket of puss inside his mouth that made him look like he was keeping a golfball in his mouth. He won’t go to a dentist because he claims his mouth can’t be numbed. He says it just doesn’t work. In reality, he’s just scared. Man never goes to a doctor for anything because he’s scared.
he claims his mouth can’t be numbed
This is a thing. My wife has to get lots of extra shots of the gum numbing stuff. Her first dentist as a kid didn’t believe her that she could still feel and it caused her huge trauma.
I’m guessing your wife might be a redhead and/or has Ehlers Danlos Syndrome as both groups are resistant to certain types of local anesthesia. I have the latter and novocaine does next to nothing for me without using massive volumes.
Assuming I’m vaguely correct, if she hasn’t done so already, consider trying articaine, bupivacaine, or mepivacaine. I explained my situation to my dentist and he allowed me to trial each before jumping into dental work. Articaine was the first we tried and it works great for me.
Here’s the article I provided as evidence I’m not just crazy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6834718/
