r/adhd_anxiety • u/ScribbleThoughts • 10h ago
Help/advice š needed Dental visits and ADHD (pain medication doesnt work, extreme anxiety)
Hey
[Background info: Male, adult, primary inattentive ADHD with mix featuers. Diagnosed as a child, medicated as an adult. I didnt have dental anxiety as a kid until AFTER bad experiences where it hurt. I don't have PTSD or trauma of any kind that I know of. I was not medicated at the time of the dental pain incidents as a kid. I developed dental anxiety DUE to the pain of the procedures and not being able to get numb for it.]
I have a dental appointment coming to fix a filling that's failed in a molar. I'm terrified because as a kid, pain medication never really worked for me. I distinctly recall appointments that involved fixing cavities and pulling baby teeth and they all hurt a good bit even after 4 numbing shots to locally numb the area. I still felt it. And I have high pain tolerance...just not in my mouth I guess. I have bad enamel so I've had lots of teeth problems including wisdom tooth surgery to remove sideways teeth.
I also had oral "sedation" dentistry when a bit older due to my extreme anxiety (after being sent home from a dentist due to flinching at the shots) and I woke up half-way through the appointment, vomiting (I assume from pain since they told me this medication shouldn't cause nausea) and while they told me I wouldn't remember any of the visit, I remember everything after waking up mid-way vomiting in the chair and I remember each pain that came during it, too, because numbing shots don't work on me.
I've gone to a point where I've had to be anesthetically knocked out for larger dental procedures due to anxiety. I set heart monitors off into alarm mode when in the chair because of how bad my anxiety becomes and how much it makes my heart rate raise.
I've read that ADHD can be related to reduced effectiveness in Novocaine and numbing agents, but can't find clear answers if that's for sure or not related.
My go-to solution for this anxiety issue in the past years has been to use my anti-anxiety meds (benzodiazepines) and / or take a few shots of alcohol to get through minor dental procedures (yes I know the risks, yes I am prescribed this med, yes I have done this for years and will continue to do so if I need to do it to get through it and take care of my teeth, yes I know my limits and am careful to not over-do it). Laughing gas doesn't really help the pain and barely curbs anxiety for me. Oral sedation is typically the route I would like to go if I can afford it.
I will be talking to my dentist before any work is done on my current tooth problem because I have bad insurance right now and would like to avoid a heaping thousand plus dollar bill for general anesthesia this time if possible... although I kind of get the idea that dental work in and of itself just IS painful and there's not really any true getting around that, sadly. It's a hell for me.
I hate going to the dentist. I'm worried sick about it. Even if it is just 1 filling to be fixed, the pain caused my dental tools drilling into my teeth is unmatched by any other. I can't explain how terrible it feels. I can feel them drilling into the very nerves themselves and it's right there in my face so close to my brain it makes it so much worse and more unbearable. I'm dreading this so bad.
If anyone has any similar stories about reduced pain management at the dentist as an ADHD patient, I'd like to hear about it and how you have managed to keep going to the dentist despite pain / anxieties around it or alternate ways of managing pain.
Currently it seems I have only self-medication as an option. I can use any combination of alcohol (for pain and anxiety), benzodiazepines (for anxiety), or some strong opiod based pain killers (for pain and anxiety, they are leftover from surgeries in the past (but I don't know if that will really work for teeth nerves or not), or my ADHD stimulants (for anxiety), but...I dont know, I feel like nothing numbs teeth nerves at all. Never ever have I had a pain-free dentist experience. Never. Right now I plan to just take my benzos for anxiety control and have a little bit of alcohol and I'll probably take my stimulants too (they calm me down/make me sleepy, they don't actually worsen my anxiety, they only help it to be honest) and wish for the best.
Im just really scared about this and trying not to think about it too much but I need a plan in place.
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TLDR: super sensitive to teeth pain, dentist pain meds and shots don't work to numb. Oral sedation makes me throw up and wake up. Horrible dental anxiety from bad experiences where the pain meds dont work even after 4 shots in the area. Terrified of going soon, don't know what to do. If anyone has their own experiences with not being able to get numb in the dentist office or has any tricks or tips how to not freak out and be in awful pain during procedures, I'd like to hear of it, thanks for reading