Numb to Novocaine

Before having a tooth drilled into by a dentist, most people are happy to have been injected by a syringe full of painkiller.  The common name for this anesthetic that inhibits pain is “Novocaine.”

Before the use of Novocaine-type products, dentists administered cocaine as a local anesthetic. It helped initially by constricting blood cells the result of which reduced the amount of bleeding during oral procedures. The downside, of course, was that the drug proved to be exceedingly addictive creating the need for replacement anesthetic.

 

Ready Injection (medicine) 

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By the early twentieth century a synthetic form of cocaine was developed that didn’t include the addictive effects of the original drug. This artificial cocaine was called “Procaine,”  however it has gained notoriety by its trade name, “Novocaine.”  Since that time, however, stronger forms of the anesthetic have been developed giving us such drugs as “Lidocaine,” “Mepivocaine,” and “Septacaine,” though each of these drugs is still referred to as Novocaine.

All of these drugs which are administered through injection work in the same fashion by blocking the nerves that transmit the pain signals to the brain, and in the process create the lack of feeling, or numbness associated with this drug. Typically an injection of this anesthetic lasts between 3 and 4 hours.

Many find the injection itself a bit painful (though compared to the pain they might experience during a dental procedure it is considerably small), however, dentists have made even this more endurable. A topical anesthesia is usually administered in the area where the injection will be given to even deaden this sensation making dentistry about as painless as possible.

 

What is a toothache?

Aching tooth: This guy is in the window of a d... 

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When a person says that they are having a toothache, they are often referring to any pain that they may be having in the area around the jaws and teeth.  This “ache” is usually the result of a dental condition, such as a cavity, exposed tooth root, a cracked tooth, gum disease, an abscess or even a disorder originating for the jaw joint.  Pain associated with toothaches vary greatly from mild pain to sharp pain to excruciating pain, and these pains may be aggravated further when they are irritated  by cold, heat, or chewing.   With an examination from the dentist, the cause of the toothache can often be determined, and subsequently treat it.  However, there are some cases where the toothache is caused from a problem other than those that manifests themselves in the tooth or jaw area.

Sometimes pain in the teeth and jaws can also be representative of a disease of the heart, such as angina.  Angina is a pain or discomfort that is felt when the heart is not receiving enough oxygenated blood because the arteries in the heart have narrowed.  However, some angina patients may never feel heart pain from the disease, and instead may have tooth or jaw pain.

Other diseases that may cause a toothache are internal and external ear infections, and sinus problems.  In all cases, if a person is suffering from a toothache or is having jaw pains, they should seek the care of a doctor or dentist as soon as possible because it can mean that there is a more serious underlying condition that may need to be addressed immediately.

 

What is TMJ Disorder?

Bruxism
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You have two temporomandibular joints (TMJ) – one on each side of your head. The joint connects your jaw to your skull. It is what allows your jaw to move up and down and slightly side to side. Without it, you would not be able to talk or eat.

But in some people, parts of the joint can become damaged or wear out, leading to a host of symptoms including pain in the jaw or around the ear, facial pain, headaches and more. In some sufferers, the joint can even lock up so that it becomes difficult for people to open or close their mouths.

The damage that causes TMJ disorders can come from a variety of sources. Sometimes the joint is damaged because of a blow to the jaw, because of arthritis or because the muscles that support it have worn out. In some patients, there is no clear cause but the condition is more common in people who have fibromyalgia and chronic fatigue syndrome.

For a lucky few, TMJ can resolve on its own without treatment. But when that doesn’t happen, there are many treatments that are available for a physician to choose between. Managing the pain of TMJ is often crucial, and everything from over-the-counter pain medications to muscle relaxants and even botulinum toxin has been shown to work. The treatment selected depends on the severity of the symptoms.

Beyond pain control, a physician may recommend a bite guard to stop teeth grinding – a common cause of TMJ disorder. Behavioral therapy, dental work and even surgery can be used. However, the surgery to replace the TMJ has not been widely accepted and many experts recommend it only be used as a last resort.

TMJ disorder can be painful and frightening. But there is almost no end to the treatments and remedies a sufferer can try. Most people will be able to find relief.

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