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Dental appointments

Smilescountry
Smilescountry Member Posts: 109
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Hello! I am in the process of stopping some medical appointments for my dad, but others I am not quite sure about. I took Dad to the dentist this week, and he has a cavity on one of his front teeth. Dad is very aware of the cavity, and it bothers him to feel the rough spot. We scheduled an appointment for a filling for next week, but I am not sure that he will tolerate the procedure. His dentist was not in this week, but will be there to fill the tooth. I am going to call Monday to try to talk if over with him. I don't want a cavity to cause more problems, but I also don't know what we will be facing with a procedure to fill a tooth. Dad got through most of the dental cleaning okay this week, but toward the end he was having some problems following instructions.

Comments

  • JDancer
    JDancer Member Posts: 473
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    My DH tolerates dental cleanings easily. The hygenist is very good with him. That said, he struggled with a filling last year. It was a minor filling, but afterwards I was told they didn't think he could tolerate anything more serious. I dread the day.

    Is the cavity causing pain, or just irritation? Will they used novacaine? Is there a plan B, if things don't go well?

    I'm interested to hear from others, as I see this problem in our future.

  • BassetHoundAnn
    BassetHoundAnn Member Posts: 478
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    I vote to take your dad to the appointment, sit beside him throughout, see how he does. During the last dental appointment to which I took my mom she was supposed to have two fillings. She only lasted through one filling. After the first she grew very agitated. This had been a problem during prior dental appointments. The dental staff was very patient with her, very good with her. But after about 15-20 minutes in the chair she'd grow restless and confused, anxiety getting the better of her. During the first appointment I took her to it took nearly an hour to get a complete set of dental x-rays because she kept moving, she was unable to follow instructions and the techs had to keep redoing the x-rays. Prior to one appointment she had an anxiety meltdown in the waiting room. So I said no more dental appointments even though she had several teeth that were rotting and problematic. It's been 3 years since her last dental visit. So far--knock on wood--no pain and she's still eating. So I would suggest taking your dad to the appointment, stay beside him, see how he does. But be prepared to take him home if he can't handle it. I think elderly folk with dementia are just more sensitive, both emotionally and physically, than the rest of us. As with kids one needs to be super-patient and consoling during dental and medical visits.

  • Smilescountry
    Smilescountry Member Posts: 109
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    Thanks! I called the dentist this morning. Our plan is to take him straight from the car to a room. The cavity is large enough that it needs to be filled, if at all possible. However, it is on a front tooth, and the dentist will try to fix it without a shot. If necessary, he can try the shot, but we are thinking that Dad might not tolerate it, and then, if his mouth is numbed, he might chew it up before the numbness wears off. The dentist and Dad get along well, so we are hoping for the best but preparing for any contingencies.

  • BassetHoundAnn
    BassetHoundAnn Member Posts: 478
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    That sounds like a good plan. Sitting with my mom in the waiting room was often the worst part of the dental visit since it was hard to distract her and keep her anxiety at bay. When dentists and dental techs were around she would often "show-time", i.e., put on a happy, cheery facade so she would be a bit better once she was in the dental chair. Good luck!

  • Smilescountry
    Smilescountry Member Posts: 109
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    The appointment today went great. I was able to park in a handicapped spot that allowed Dad to walk in the office, and there were people waiting on us to take him to where he needed the work done without having to wait. The dentist was pleasant, patient, and was able to carefully fill the cavity without numbing Dad's mouth. And then we were able to leave without having to stop at the desk, which I appreciated. A success!

  • BassetHoundAnn
    BassetHoundAnn Member Posts: 478
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    I'm so very glad it went well! Dental clinics are often very thoughtful and accommodating towards dementia patients and I'm so glad that the people that worked with you and your dad were up to the task. I bet you are relieved that it's over. Give yourself a pat on the back. One big caregiver chore successfully completed!

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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