Good Rule Of Thumb
Background: I've got a fantastic dentist. He just overestimates my pain threshold, I think.
So...
If your dentist's assistant believes they can remove the temporary crown & adhesive without using local anesthetic, make the suggestion that they go ahead an numb you.
I gave it the old college try.
I wasn't up to the task.
I'm just saying that it's worth the two hours of discomfort while awaiting the numbness to subside than risk that metal hook thing getting close to dental nerves.
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