The Tooth Saga: Cavities, Root Canals & Crowns, oh my!

Sometime in January 2017, while crunching some very hard candy, I noticed that there was a slight twinge in my left, rear, bottom molar. I made my first dentist appointment for a day in February when the students were not in class. It has taken 15 months to finish the work. Inspired by the “letters home” from early explorers on long and challenging treks into the unknown, or log books from ship’s captains lost at sea, I have assembled this saga as a series of Facebook posts, unearthed by future historian me.

Dentistry is not exciting, but this experience has shown me the solid consequence of the American health system that kept me financially barred from adequate dental care after I became an adult. I’m sure I could have found a dentist in the US who could have dealt with my issue more quickly and less painfully, but I would never have been able to afford it. However much of a struggle this was, I didn’t loose any teeth because I couldn’t afford to go, nor did I end up financially ruined because of a painful emergency. And if you don’t believe Americans go bankrupt from dental care, just ask Google.


20 February 2017
Dentist. ugh.
X-rays, told I need a root canal in one tooth and an inlay in another. Told the root canal will take 3-4 visits (not counting this one) and while it will be mostly covered by insurance, the crown will not be.

22 February
First root canal session.

28 February 2017
Root canal session 2: dentist agreed that I shouldn’t have felt pain the whole time since last appointment. Not sure what the problem was, but hopefully it it’s addressed. Only 2-3 more of these to go.

28 February 2017
I spent the week between in horrible terrible pain and when I got to the dentist to explain this, they went back in and found a second “root” of nerves that needed to be cleared out. They assured me it would be better after this, but that this would add some time to the process.

2 March 2017
I can’t find a record of the my thoughts from this visit. Perhaps it was unremarkable? All I have found is the text from the hospital confirming the appointment.

7 March 2017
Root canal session 4: actually the 5th visit to the dentist because the first was consult. We’re finally finished with the “root canal” portion of the procedure and although it hurt mucho ouchies, I was assured this is normal. I’m getting pretty fed up with this pain. Next week, we will start the crown procedure, minimum three visits, first visit extra long, show up an hour earlier.
14 March 2017
Dentist visit 4,378… I don’t know, I’ve lost count. Root canal is done but due to persistent pain, they did not start the crown process today. They put a temp back on and want me to wait two more weeks while I take some antibiotics. Yay.
29 March 2017
The root canal that would not end. They don’t want to do the crown until the pain stops, which is reasonable in case there is a real problem and they need to go back in. So after waiting for the last 2 weeks and having a decrease but not a cessation of pain, they topped up the temp crown and said to wait 3 more weeks. It’s a new form of hell.
19 April 2017
Remember that root canal I’ve been getting since February? Well, the pain in the tooth finally stopped and today we began the process toward a crown. This involved the dentist filing the tooth to a tiny square, then the dental tech making a temp crown of acrylic by hand. My gums are sore, but I’m happy to be making progress again. However due to the upcoming holiday, I have to wait about 2 more weeks to get the final crown installed. #longestrootcanalever
*From February 22 until April 19, I was in daily pain.
8 May 2017
This dentist… Same procedure from February… Turns out they weren’t making my crown at all, but just stuck a temp in there too kill time or something. So instead of getting my crown and being done with this ordeal like I expected, I have two more visits after this one to finish one forsaken root canal. I’ll be taking dentist recommendations for the other cavity.
17 May 2017
I have a crown!!!!! Let the normal chewing commence!
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From April 19 to May 17 is the time it took them to install the crown AFTER the pain had stopped. Although the pain in the tooth was better, there was still regular discomfort and irritation that would last 2-3 days after each visit when they poked and prodded me. Each visit I told them what hurt, when and for how long, and they continued to insist it was normal. 

Within 2 weeks, the tooth began to hurt again. I had read online that a crown could cause sensitivity as well and that some people had intermittent pain for up to 6 months after a root canal. However, as June continued, it became apparent that the pain was neither mild nor intermittent. It went from an occasional twinge at mealtimes to a constant dull ache with sharper pains when brushing my teeth or chewing.

16 June 2017
I couldn’t believe this pain was normal, regardless of how clear my exit x-ray had looked. I called the hospital but was told they were booked solid for the next 10 working days. When I told the nurse about the pain, she suggested I find another dentist. I don’t know if she was being helpful or trying to get rid of me, but either way, I didn’t feel like I had a choice.

19 June 2017
First visit to Dr. Kwon. It’s official. 2017 is the year of the dentist. Pray with me to the tooth fairy that the simple fix works because the alternative is redoing the root canal.

Dr. Kwon was a friendly if somewhat nervous man who spoke competent English. His suggestion was to grind down the crown a bit so that it wouldn’t hit the upper tooth anymore, thus relieving the pressure. He also gave me antibiotics and painkillers, and told me to wait two weeks.

It didn’t work.

27 June 2017
The tooth saga is not over after all. The pain resurges. The crown must go. Rage.
29 June 2017
Well, there goes 350$. The crown was cut off my tooth today.
6 July 2017
*This is a long rant about dentists and teeth. You have been warned.*

Trying not to nuke the dental industry at large. New dentist seemed so kind and helpful but keeps changing his mind, which is NOT reassuring… has changed the plan several times since the first time I visited, and I don’t understand why. He went from telling me that if altering the crown didn’t work, the next step was another root canal. Then today, asked me if I wanted to do another root canal or skip to the extraction… I don’t f*n know, I’ve never had this problem before ever, I go to medical experts because YOU’RE supposed to know. Extraction seems like it would suck if it’s anything like having my wisdom teeth out was, so hey maybe we should try the less invasive and less painful and less expensive thing first? But also can you please tell me what you’re going to do differently from the first dentist who clearly didn’t actually do it right? Now I’m being referred to a specialist who may or may not speak English…

The tooth has been hurting 80% of the time at least since Feb.

The referral of July 6:

Screenshot_20180320-192935

“He is a professor at Pusan National dental hospital”… I know English is not Dr. Kwon’s first language, but this sounds an awful lot like he knows a guy. Right?

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When Dr. Kwon finally texted me back, it was with a photo of a computer screen showing the website to Pusan National University Hospital…

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When I asked for the name of the specialist, Dr. Kwon said he didn’t know. When I asked about the referral, he simply sent the picture again and said “all the best and hope the treatment goes well”.

7 July 2017
Today the pain became so bad I couldn’t work. I got an appointment at the dental university hospital and started out seeing a resident, but got bumped up to specialist. She worked on the tooth for about 2 hours and found many more hidden nerves. She is pretty sure she got them all today. I’m still numb from the anasthetic, and my jaw is sore af from being open so long, but they think I should be pain free in a day or three. I’m going back on Tuesday and one more time after that. She’s trying to finish up before I go on vacation. It’s too soon to call it, but so far I feel like this is progress. Cross your everything.
8 July 2017
The good news is that the parts of me that hurt yesterday seem to have calmed down. The bad news is everything else hurts instead. My jaw aches, I can’t yawn. I bumped my front teeth with the rim of my water bottle and it hurt. I bit down too fast, it hurt… Oh yes and every muscle in my core and shoulders hurts from being clenched in pain and anticipation of pain for several hours yesterday. But nah, the dentists here are sure I’ll be fine with just Tylenol. -.-
11 July 2017
The dentist was surprised to hear I was still in pain. Surprised the Tylenol hadn’t helped. Surprised I was in pain even while sitting there not moving. They tried to begin *without anesthesia* and I nearly jumped out of the chair when she touched the tooth. It was clear to me that this is not what they were expecting.She used more lidocaine and after getting the tooth clear again, a microscope to see the smallest parts. She cleaned more, found more places that seared and stabbed through the local anesthetic.

Still in pain with the local anesthetic. Dentist finally agreed to pain meds, 3 days… My next appointment is in 7 days. Talked them up to 5 days of meds. Checked the medicine they offered. It’s a low-grade NSAID used for “mild to moderate pain” and not common in the US because if the side effects… Also 5 days worth of antibiotics and antimicrobials. While we wait. Again. To see if they finally got it all or if I have to lose the whole tooth.

16 July 2017
What a weekend. The tooth pain has receded from “OMG I’m gonna die” to “annoying persistent pain” which is nice because it allowed me to enjoy Pride yesterday and even march, but scary because I’ll take my last dose of meds today and see the dentist Tuesday and try to figure out a) why it improved, b) if it’s likely to keep improving, and c) how long we should wait to answer the question of whether or not to remove it…a week before I get on a plane to Seattle.
18 July 2017
My tooth of course did the most awkward thing if neither fully recovering nor staying bad. This half recovery led the dentist to want to try *one more* root canal cleaning to see if she can save the tooth. This was much better, no pain through the anesthetic. They still won’t give me pain meds because they think the meds aren’t what worked last week, and they said after a day or two of soreness from the procedure, I should be ok. One more appointment next week the day before I go on a trans Pacific flight. Down to the wire.
25 July 2017
Filled and temp capped the tooth today. It gets to rest 3 weeks while I’m on holiday then we check it when I get back. And if all is well we wait 3 months with a temp crown because of what happened last time. Still a game of wait and see but at least it hurts less and less often.
Went on vacation to North America for 3 weeks. Tooth pain was pretty rough for the first week, but Canadians have good meds.
16 August 2017
Theoretically, the last root canal procedure was done today (again), sans anesthetic and not that bad. Now we wait a healthy time before committing to another crown, I’m thinking a few months…
But wait! There’s more than one cavity! The original x-ray back in February showed ANOTHER problem on the upper right side of the jaw. No dentist wanted to deal with it, I later was told because they didn’t want me to be on a liquid diet since having work done on left and right at the same time would make chewing impossible. Considering I spent a few weeks not being able to chew anyway, this seems like a poor excuse… nevertheless- a new dentist must be found.

But first? LASIK and my bi-annual gov’t sponsored health check. After all, a girl can only visit a healthcare professional so many times a week without going crazy.

Had LASIK and recovery time, and managed to get lymphadenitis (Latin for “your lymph node is swollen but we don’t know why”) which got in the way of timely dental care while still keeping me in constant pain and regular hospital visits. Yay!

2 September 2017
Went to dentist number four to start on cavity number two. She says she’ll try to treat it by filling first but my fear that waiting and waiting (not my idea, every dentist I saw told me to finish root canal 1 first) now means it’s gotten worse and might need another root canal. She also found at least one maybe two other tiny cavities. And told me that I needed to do a full cleaning today (covered by insurance) before having more work done. Gentlest cleaning ever, tho. Now my teeth feel funny as almost 20 years of hardened plaque are gone, and next Saturday we’ll start on the problem tooth. The moral of this story is don’t wait two decades to get your teeth checked.
21430546_10154735440586646_8388881086024860598_n9 September 2017
Well, the bad news it’s another root canal. Good news, this is the gentlest dentist ever. Even the tool to administer the anesthetic was painless, and it didn’t numb half my face, and they let me hold this cute Teddy Bear. Still have 3-5 more visits for t
his root canal. Then the smaller cavities and the crowns. The year of the dentist continues.
12 September 2017
Supposedly the roots are eradicated. Now I wait 3 more hours for the anesthetic to wear off and find out if they missed any.
13 September 2017
Root Canal 2: My teeth seem to enjoy being ambiguous. This is just enough pain that I can’t be sure nothing is wrong, but not so much pain that I can be sure something is wrong… #dentalpainwaitinggame

18 September 2017
Although this is going much better than the first tooth, still some pain and she went looking for more nerves today. The anasthetic is somehow affecting part of my nose and right eye. It feels very strange. Next appointment, one week unless it hurts to much.

25 September 2017
My teeth hate me. Good news: still hurts less than the first one. Bad news: still hurts. Dentist 4 can’t figure it out and wants me to go back to Yangsan. But she’s writing an actual letter of referral so I can go straight to the specialist, and they’re refunding money since they can’t finish it there. Also, I am a dental mutant, my teeth are funny shapes. *Sobs quietly.

26 September 2017
Day 7/7 black and white photo challenge complete.

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It takes a long time to get in to see a specialist if you don’t have emergency level pain.

26 October 2017 
Finally got the the cavity filled today. Third (and easiest) tooth problem. Hooooraaaaay! Next week I start on getting the crown for root canal #1. I’m down to like 1.5 teeth problems!

31 October 2017
The second crown on the first root canal has been initiated. These folks are not kidding around. The amount of attention to detail is reassuring. Plus, when they made the impression, instead of multiple attempts with squishy molds, they waved a magic wand over me then and made a digital 3d image! I’m feeling pretty good about the fairly minor price bump over my last crown install.

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9 November 2017 
All the dentist. Got the crown, but extensive bite testing revealed it to be 4 micrometers too short. While waiting for this to get fixed, I got more lessons in oral hygiene including brush each tooth ten times, brush 4x a day, and use this metal mini bristle to harden your gums. Got the crown back with a temporary fixative and I get to test drive it for a week before the permanent upgrade. I can see the finish line (for one more tooth anyway).

Finally got the diagnosis on the mysterious lymphadenitis. It’s called “Kikuchi Disease”, a non-lethal, self-healing disease which mainly presents in women so no one bothers researching it, and it’s named after the man who “discovered” it.

17 November 2017
Dentist x2: yesterday I went to the specialist to work on root canal 2. They found a mysterious 4th canal. Follow up in a week. Today I went to get the crown perma attached on root canal one, but when they took it out to clean the temp adhesive and prepare for permanence, the tech dropped and shattered the crown, so now we’re starting over with a new temp crown and they’ll remake the crown again for trial next week. I swear this tooth is determined to be a hassle for the whole year. But at this point, it’s so absurd I can only laugh. Third crown is the charm?

dentist-schedule-e1521543814482.jpgI gave up posting dental updates on Facebook after this, but the third crown was a success, and by early December, I was deemed to be complete on the second root canal. Before scheduling the crown, however, I wanted to wait for the pain to fully dissipate and stay gone for at least 6 weeks. Best case scenario, that would be the end of January 2018.

On top of this, I didn’t know where I would be by the end of February and was hesitant to start what could be a month-long procedure if I would have to leave the country before it was finished.

In late February, I did have to move, but only to Gyeongju where I started a new job and spent all my free time in March handling moving, hiring paperwork, and staying legal in Korea paperwork (employment visa, etc).

The Final Crown

2 April 2018
Finally got all my ducks in a row to the point where I feel comfortable committing to several more weeks of dental work to finish this UNBELIEVABLY LONG PROCESS only to find out that the dentist I want to see has the same days off as me.
*headdesk

14 April 2018
Teeeth. I went in for the crown fitting today. Discovered that the mild pain is not related to the root canal, but instead some gum damage and a tiny cavity on the tooth next door. At least it was easy to fix. 10 days to real crown. Is it too much to hope my dental drama is almost over?

15 April 2018
Expletive deleted temporary crown came off and broke in less than 24 hrs. On bread.

16 April 2018
I think I just unintentionally haggled for dental care.

I had to go to a local dentist in Gyeongju to replace the temporary crown, since going without could change the shape of my teeth/jaw alignment enough to make my permanent crown not fit right. They tried to charge me 50$ and when I declined service and prepared to leave, they hurriedly asked if I had insurance, and then reduced the charge to 5$…

25 April 2018
Oh my fucking Christ. I need hugs now.

Although my next appointment was on this day, this post is not actually about the dentist. I went straight from the dentist office to the movie theater to watch Infinity War and the pain of Thanos was far worse than anything my teeth could muster.

2 May 2018
This dentist thing will never end. Some occasional mystery pain in the tooth and they want to wait two more weeks to see if it goes away. She checked everything today and can’t find any reason for there to be any pain. It’s not bad, and it’s very inconsistent, but they expect teeth to not hurt at all after a root canal is complete.

12 May 2018
Dentistry: my preferred dentist was in town today so I was finally able to see her about this last crown. She made some fine tuning adjustments the other dentist missed, and we did the final setting! The whole area is throbbing because as the tech cleaned the extra glue from around the crown it was rough on the gums. However, barring any further craziness. This saga is finally over! From now on I’ll try to get my regular check ups and catch any cavities before they become root canals.

Finally, my extended dental drama is complete. As long as I live in a country with affordable dental care, I’m going to make it a point to go annually for a cavity check. Here in Korea, an X-ray and basic cavity filling will cost me 50-100$ depending on the quality of dentist. It’s still not chump change, but unlike other health issues, cavities never go away on their own, they only turn into more painful and more expensive procedures. I wish that America would make the annual preventative dental care and basic filling affordable for everyone, because then I might not have put off going for 17 years until I was faced with this insane saga.

However sloggingly long and grueling this was, it is nothing compared to what would have faced me in the US where I would inevitably have waited until the pain was too severe to ignore, then been faced with emergency costs and probably lost both teeth, and just as probably been unable to afford implants to replace them. On top of health and hygiene issues, good teeth are a key to good jobs and good living situations since Americans tend to highly discriminate against visibly bad teeth as a sign of “moral failing” the same way they look at body fat. Yet both are more often a result of financially inaccessible health care. My teeth were visually fine, and didn’t actively hurt me, so I simply ignored them for almost 2 decades. Learn from my mistakes and go find a dentist you like.

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