A HOLLOW FEELING
While in Urbana the beginning of the month, I squeezed in a visit to my old dental office for a long-overdue cleaning. The hygienist was very thorough -- to the point of dislodging an old crown during all her buffing and flossing so that the tooth wiggled slightly, making chewing very awkward.
After a week of no improvement back in Torrance, I called the office in Illinois to have them mail me my x-rays so I could show the original state of the tooth to a new dentist (as yet unfound). Another week waiting. Finally, last Saturday the packet arrived in the mail and I was all set to start looking for a dentist the following week. Then Sunday the area began giving me vague pain, then stronger pain, then pain that OTC ibuprofin barely helped. It was a long night. Monday morning I knew it was an emergency situation. But why would a loose crown over an old root canal (i.e. no nerve left) be causing so much pain?
From the Yellow Pages I saw a huge ad for two dental surgeons, USC grads (one of the best dental schools in the state) and called about 7:30 am Monday morning. The receptionist was in. (No Presidents' Day vacation there, fortunately!) When she heard my problem, she put me on hold -- a long hold, which I thought was a good sign because it probably meant they were seeking SOME way to fit me in that day. 10:40 am was available, she said. Perfect!
The office turned out to be located along a high-voltage line corridor with no buildings under it (for public safety?), not a high-rent neighborhood. The bulding (they had warned me it was "under renovation") would have looked sad in a working-class district of Mexico City. "Non-descript" would be more description that it deserved. Workmen were coming and going, and you could hear industrial-strength drills in the background (not the dental variety). Everything was small, cramped and looked temporary, but any dental office in a storm!
The dental surgeon himself generated more trust. Gray-haired Dr. Stalley was the original founder of the practice and had been in business a couple of decades. And he had gotten his DDS from USC. He looked at the day's x-rays and gave me the scoop. And my heart sank. It was not only a cracked crown; the whole tooth was abcessed in the socket area above it (the old root canal hadn't been thorough enough, apparently). Not only that, but the abcess had broken through into the high gum area under my cheek, causing a nice little (painful) packet of infection that "could eventually strip the flesh off your jaw bone," he helpfully pointed out. "That didn't just develop since your cleaning." The tooth would have to come out, the area behind it cleaned out and sterilized thoroughly, and a tiny rubber catchment bag inserted into the infected packet under the cheek to collect pus for a week. Lovely. (And how much, I wondered.)
It was to be a two-step process separated by a couple of months. First, he would remove the tooth and clean out the infection. Then let the gum heal over it (like happens with wisdom teeth). Only after that would he go ahead and replace the missing tooth with an implant + crown. (Two surgeries, two bills.)
But by that point, you just want to be done with the pain and have a healthy mouth, so I consented to the surgery -- far more mentally than I was prepared for that morning. The good news in the end was that the catchment bag wouldn't be needed since he removed the pus another way. At the end of that memorable morning, I walked out of the office one tooth lighter with a wad of wet gauze jammed up into the cavity to hold in place for two hours till it clotted successfully. And a handful of prescriptions for anti-infection antibiotics and, of course, pain killers - a regular one for "discomfort" (Ibuprofin) and another for "intense pain" (Vicodin).
I go back Thursday for a check-up and to remove some sutures, but I'm already feeling relief and am looking forward to more solid food once the area has had a chance to heal more. And I haven't needed the Vicodin yet (knock wood).
I'm thinking one way to profit from this whole situation is by starting a new diet fad: "The Abcess Diet". I wonder if Weight Watchers would approve?
