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 pain-free dental work for clarinetists??
Author: Kathy 
Date:   2001-04-14 19:41

Recently had to have a crown on one of my upper teeth and didn't think twice when I got the
novacaine shot. I had one done on my lower teeth and no problems after a few hours. This latest
one though I still have pain and my upper lip is painful 2 days after.... Difficult to play double
lip embouchure like this. Is there a new patch that anyone knows of instead of the injection so
I don't have to go throught his again. Thanks.

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 RE: pain-free dental work for clarinetists??
Author: Terry Horlick 
Date:   2001-04-14 19:58

You have had a complication. Post operative pain a day or two after an infiltration in the upper lip area is not common. If it doesn't go away soon, call your dentist. To numb that area we often use infiltrations which should be placed up high in the vestibule (up near where the ends of the roots are) and shouldn't cause any discomfort in the lip after the anesthesia wears off.

There is a "patch" which is available now, but it is used to obtain profound topical anesthesia prior to injection, so that is not what you are after.

I suggest finding a dentist using "the wand". This is a high pressure computer controlled gizmo which is a very expensive way of doing local anesthesia (It can be done by hand by a skilled operator). That gizmo allows the dentist to place the anesthetic in the roof of the mouth behind your front teeth and then to get profound enough anesthesia for crown preparation without any injections in your lip area.

That is one solution, however it really sounds like you have had a one-time complication which you and others are unlikely to replicate.

Just IMHO, Terry

(Terry Horlick, D.M.D. board certified Pediatric Dentist and amateur clarinetist)

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 RE: pain-free dental work for clarinetists??
Author: Sandee 
Date:   2001-04-14 22:53

I have to echo Terry here - do check with your dentist. I had a root canal about 3 weeks ago and played clarinet comfortably within a few hours. (I didn't notice a "wand".) Another time I had conitnued pain after a root canal, the dentist prescribe antibiotics that helped a lot.

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 RE: pain-free dental work for clarinetists??
Author: joseph o'kelly 
Date:   2001-04-18 14:39

You really shouldn't use a double lipped emboucher for clarinet playing. Although it is commonly taught in many places I find it to be a weak emboucher. I have in the past experimented with every sort of clarinet playing and found that playing with a double lip is the hardest to produce a desirerable tone.

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