 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / October 2005apicoectomy
Hi, I had root canal done by a dentist about 2 months ago (the second time; the first time was 3 months ago), but I continue to have sensitivity on that tooth. Now, the gum around that tooth is swollen with infection. My dentist referred me to see a endodontist who is recommending apicoectomy. According to my dentist, something broke at the tip of the root canal and got stuck in the curve line. According to the endodontist, this piece is why i am getting infection. Now, he made the diagnosis just based on what my dentist told him. I have two questions: 1. Do I really need an apicoectomy? I had root canal done twice for this tooth already, and I worry that apicoectomy is not going to solve the problem 2. Can I ask my dentist for a refund or credit to go toward the apicoectomy produce? Is this customary? The cost of apicoectomy is around $1300. Thank you for your help. Just add to the history of this tooth i chronological order 1. dentist noticed a crack and recommended that I get an Onlay 2. after getting the onlay, the tooth becomes sensitive to temperature and pressure 3. the detist recommends root canal 4. after the root canal, the tooth continued to be sensitive 5. dentist recommends to do the second root canal 6. The tooth continued to be sensitive to pressure (not temperature though) 7. Endodontist is recommending apicoectomy I want to .......... nevermind ....... >Just add to the history of this tooth i chronological order > [quoted text clipped - 7 lines] >though) >7. Endodontist is recommending apicoectomy > 1. dentist noticed a crack and recommended that I get an Onlay > 2. after getting the onlay, the tooth becomes sensitive to temperature > and pressure Good chance the crack has spread into the root and is providing a channel for bacterial to get into the bone. Teeth like this are usually removed. No way to tell if this is your case or not.  Signature/ Amatus / > Just add to the history of this tooth i chronological order > 3. the detist recommends root canal > 4. after the root canal, the tooth continued to be sensitive > 5. dentist recommends to do the second root canal > 6. The tooth continued to be sensitive to pressure (not temperature > though) > 7. Endodontist is recommending apicoectomy >Hi, > >I had root canal done by a dentist about 2 months ago (the second time; >the first time was 3 months ago), but I continue to have sensitivity on >that tooth. Now, the gum around that tooth is swollen with infection. I WANT TO see that x-ray! Now borrow it from the doc and snap a digital piccie! Joely Joel M. Eichen DDS Philadelphia PA >My dentist referred me to see a endodontist who is recommending >apicoectomy. According to my dentist, something broke at the tip of the [quoted text clipped - 3 lines] >I have two questions: >1. Do I really need an apicoectomy? I want to see .......... > I had root canal done twice for >this tooth already, and I worry that apicoectomy is not going to solve >the problem >2. Can I ask my dentist for a refund or credit to go toward the >apicoectomy produce? Is this customary? The cost of apicoectomy is >around $1300. I want to ............ Ummmmmmmmmm, Joel >Thank you for your help. Seem to recall an endodontist on this newsgroup, who knows of helpful advice for apicoectomy However, perhaps he has gone to Sri Lanka. Gail > >Hi, > > [quoted text clipped - 35 lines] > > > >Thank you for your help. It's really impossible to say what's what without examining you. That being said, I would assume that the crack in the tooth extended further than it appeared to the eye. It could be a microscopic crack that is VERY hard to diagnose. Also, if a piece of a root canal instrument broke off and is lodged inside the canal, then it would be almost impossible to seal the tooth; that's why they are recommending the apico. Will the apico DEFINITELY solve your problem? No one can say for certain, but often, the procedure does. The endodontist should be checking to see if there really is a crack and base his treatment on that as well as other information he will obtain. As far as a refund, I don't see why the dentist should provide a refund, assuming he did the treatment properly. Dentistry -- and medicine -- are not perfect sciences. Everyone is not the same, and what will work for you may not work for me. There is not any way to guarantee a treatment -- the dentist provides treatment at the standard of care and we hope that things will work out; sometimes, they don't. Good luck, and I hope the apico will take care of your problem once and for all, but no one can be sure ahead of time, and if someone says they are sure, I'd be suspicious. > Hi, > [quoted text clipped - 15 lines] > > Thank you for your help. Thank you all you your responses! I am asking if I could ask my refund from my dentist for the root canal treatment because when I called the endodontist's office, the receptionist asked me if the dentist already cleared the transaction with the insurance... This leads me to believe that in case like this, the dentist may be responsible. After all, isn't the dentist responsible if a piece of a root canal isntrument broke off? My dentist is a nice person so I don't want to go in and make unreasonable requests. But, if it is a reasonable request then I would like to give it a try, because I am max out of insurance coverage after all the work I did with my dentist. Thank you and I appreciate your comments! >Thank you all you your responses! I am asking if I could ask my refund >from my dentist for the root canal treatment because when I called the [quoted text clipped - 7 lines] >after all the work I did with my dentist. Thank you and I appreciate >your comments! Nice guy or not, you need to negotiate a settlement here. Joel > because when I called the > endodontist's office, the receptionist asked me if the dentist already > cleared the transaction with the insurance... The endodontist office is simply trying to see what billing options are open to them. If your dentist has billed for the procedure (which would be normal), than the endodontist will need to bill you for more of the procedure cost, and possibly write more narrative to the insurance carrier. Files do separate inside canals from time to time. It is a fact of life. Most times, they separate after the canal has been cleaned well, and sealing around it works just fine. Sometimes, a root will have strange anatomy with extra curves and twists which do not show up on the x-ray image. These roots tend to grip the file tips and the ends can then separate despite the dentist using proper technique. Signature/ Amatus / > Thank you all you your responses! I am asking if I could ask my refund > from my dentist for the root canal treatment because when I called the [quoted text clipped - 7 lines] > after all the work I did with my dentist. Thank you and I appreciate > your comments! Can I wait until January of next year then? Does it increase the risk that I may need to extract my tooth? |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.