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Well, it sounds like those are pretty real, especially the visible cavities.
For me, the shot for the extraction wasn't any worse than for fillings; in fact, I always know that it stings more in the first few seconds. After that, the numbness actually starts setting in and it's not as painful!
Good luck with dental health in your remaining years. I'm 66 and am really scrupulous- cleanings 4X/year due to my implants and I use a Sonicare, dental floss, a WaterPik and prescription toothpaste. I had good dental care all my life but lots of cavities anyway as a kid. The preventive care has paid off although, with a mouthful of fillings and crowns and a bridge, Stuff Happens. Decay under a crown or a bridge can go undetected till it's too late, a tooth with deep fillings is more vulnerable to cracking, etc. So, last year I needed a root canal in March and an implant in October.
I'm still grateful to have working teeth and implants- my diet is very heavy in fresh and stir-fried vegetables and I need those teeth. You're off to a good start- but work on prevention, too!
Is the shot the same as the shot you would get when you have teeth drilled and filled? Or do they have to inject deeper into the gums or something? !
The local anesthetic is the same that is used for drilling and filling.
Honestly, you are overthinking this, and making yourself more nervous. Asking question after question here isn't relieving your anxiety, it's just feeding it and making it worse. Think about something else to distract you, like politics or religion.
"Worrying doesn't take away tomorrow's troubles, it takes away today's peace."