You are going to need to remove your distributor and tip it upside down. That is the reality.
The unfortunate part of that reality is that if you put it back one-tooth-off, your truck won't run. Well, it might, but it really won't want to.
More specifically, unless you get the teeth of the gear at the bottom of the distributor column(lower left
http://bit.ly/R7wO9y) to match up with the distributor drive gear in the block(
http://bit.ly/1nnL0Ge (not a luv engine pictured)) exactly as they were, you will have to trial-and-error your way back to a running truck by advancing 1 tooth or retarding 1 tooth. Heh.
And starting the engine with a loose bolt in the distributor is more of a good metaphor than a good idea.