A member asked:

I need to have a crown done. can you tell me how this is performed? i am scared to feel the pain and i had to be numbed 4 times for a filling.

11 doctors weighed in across 7 answers
Dr. Theodore Davantzis answered

Specializes in Dentistry

Talk to dentist: Many times patients are fearful of the unknown. Once it is explained, you will be prepared for the treatment. It may be possible for your dentist to prescribe a sedative to help you relax, if necessary.

Answered 5/17/2015

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Dr. Michael Lebowitz answered

Specializes in Dentistry

Dental fear.: You need to first spend time with your dentist and have them discuss the treatment and answer your questions. The procedure itself is not the problem it is walking into the office that is the painful part. If you develope a trusting relationship with your doctor it can alleviate a significant amount of stress. The use of meds to deal with the anxiety is also very usefull including nitrous oxide.

Answered 5/17/2015

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Dr. Gary Sandler answered

Specializes in Dentistry

My suggestion: You should be able to be completely numbed up for any procedure. Period. If your dentist can't do that, consider seeing another dentist for treatment. However, before you change dentists, discuss your fear about feeling pain. If i were your dentist i would assure you that this is possible and guarantee you that i will not do anything until your are 100% numb first!

Answered 5/17/2015

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Sleep Dentistry: When you are very nervous about a dental procedure, it can be very stressful. Also your stress level can make it difficult to get numb due to the chemicals which are flowing in your system. You can certainly be numbed, but it may take more injections. You may want to consider sleep dentistry. Take a couple of little pills to reduce your anxiety and have a family member drive you. Ask your dentist.

Answered 5/17/2015

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Trouble Numbing : Being scared - dental procedure is common. To be injected many time before being numbed is the item that needs resolving. Recommend you find a dentist that uses the "onset system" for numbing patients. Dentist using this system may take a number of calls to find, & expect only one injection to be numbed in less than 2 minutes. Onset dentist can answer crown questions & give you confidence.

Answered 12/15/2015

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Anesthesia: Inform your Dentist about your previous untoward reaction so that type, dosage, and administration of local anesthetic can be adjusted to your needs. Tooth will then be reshaped to accommodate a new outside covering, a cap.

Answered 12/15/2015

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Dr. Justin Nelson answered

Specializes in Pediatric Dentistry

Easy: think of a crown as a large filling procedure. 1)numb patient (some areas take more anesthetic but 4 times can be an issue but I don't think that will happen every time for you) & make temp impression 2) prep/prepare the tooth for a crown by shaving down a certain amount of tooth. 3) pack cord (for tissue)..then impression 4) remove cord and make temp crown 5)1-2wks later = delivery of crown

Answered 2/25/2016

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