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Medical Forum / General / Dentistry / May 2006

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Seeking advice on dental situation.

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m3nn0_s4r@salmahayeksknockers.edu - 27 Mar 2006 20:35 GMT
My wife recently started going to my dentist.    In general, she has perfect
teeth, but an old filling in a molar was bugging her - slightly.

The dentist recommended replacing the filling with an inlay, which he did at
a cost of ~$400.  

Within a day, it was obvious that the inlay was too "high", and my wife went
back two more times for adjustment.   The first return visit, the opposing
tooth was ground down to make room, and the next visit, the inlay was ground
ground down.  

After each visit, her tooth has hurt more.    Now, a month later, it's
excruciating, and the dentist says that she may need a root canal.

1)  Is it normal for a filling replacement to escalate like this?

2)  Should she be expected to bear all of the costs?

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Colin B. - 27 Mar 2006 20:48 GMT
In calgary.general m3nn0_s4r@salmahayeksknockers.edu wrote:
> My wife recently started going to my dentist.    In general, she has perfect
> teeth, but an old filling in a molar was bugging her - slightly.
[quoted text clipped - 13 lines]
>
> 2)  Should she be expected to bear all of the costs?

On the one hand, dental work is never 100% certain. Lots of things can go
wrong, even if fair precautions are taken. On the other hand, this is
starting to sound like poor work on the part of the dentist.

Ask the dentist why this happened. I had several problems with my dentist
in Calgary, and am now looking for someone else to fix a root canal he
botched. He also botched a root canal on my wife, and paid for the repair
work that time.

Colin
fl0w3r_w13ld1ng_$0ld13r@salmahayeksknockers.edu - 28 Mar 2006 01:44 GMT
In calgary.general Colin B. <cbigam@somewhereelse.nucleus.com> wrote:

> On the one hand, dental work is never 100% certain. Lots of things can go
> wrong, even if fair precautions are taken. On the other hand, this is
> starting to sound like poor work on the part of the dentist.

> Ask the dentist why this happened. I had several problems with my dentist
> in Calgary, and am now looking for someone else to fix a root canal he
> botched. He also botched a root canal on my wife, and paid for the repair
> work that time.

> Colin

Jeeezus Keerist, Colin.   Sounds like you and your wife have had a heck of a
time of it.  Hope it works out.

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Boy Toy - 28 Mar 2006 02:37 GMT
On Mon, 27 Mar 2006 19:35:21 GMT, m3nn0_s4r@salmahayeksknockers.edu
wrote in message <Z7XVf.10197$B_1.103@edtnps89>

>My wife recently started going to my dentist.    In general, she has perfect
>teeth, but an old filling in a molar was bugging her - slightly.
[quoted text clipped - 13 lines]
>
>2)  Should she be expected to bear all of the costs?

I hope you won't be going back to the same dentist for the root canal.
You might consider getting a second opinion.
TURBANWARRIOR@horizen.net - 03 Apr 2006 01:14 GMT
> On Mon, 27 Mar 2006 19:35:21 GMT, m3nn0_s4r@salmahayeksknockers.edu
> wrote in message <Z7XVf.10197$B_1.103@edtnps89>
[quoted text clipped - 23 lines]
> I hope you won't be going back to the same dentist for the root canal.
> You might consider getting a second opinion.

www.boytoyvideos.com
nasty toys 4 nasty boyz!

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Joel344 - 28 Mar 2006 03:14 GMT
Unfortunately it does happen and the
dentist has no control or little control of why.

Sorry ....

Joel

m3nn0_s4r@salmahayeksknockers.edu Wrote:
> My wife recently started going to my dentist.    In general, she ha
> perfect
[quoted text clipped - 32 lines]
> dswan@m3m3t1ccand1ru.com                      
> http://www.memeticcandiru.co

--
Joel34
White Phosphorus - 28 Mar 2006 03:33 GMT
> My wife recently started going to my dentist.    In general, she has
> perfect
[quoted text clipped - 17 lines]
>
> 2)  Should she be expected to bear all of the costs?

I've got a great dentist and during a recent filling removal / cap,
they were upfront about the possibility of a root canal.   He / she
should have mentioned that there was a possibility of a root canal.

I was also told that if the filling is very deep, once it's removed
bacteria "floods" in immediately and heightens the odds of a root
canal as infection can occur. This isn't always the case,  but can
happen...

Tooth pain sucks,  sorry to hear about it.  I found good ol' Advil
was better suited than a more "potent" pain killer.
diabe19@hotmail.com - 29 Mar 2006 02:53 GMT
400 dlls for a filling? its too expensive!!!

On my work, the cost are $45 to $65 for each tooth... but ny work is in
Tijuana, Mexico.
Joel344 - 03 Apr 2006 14:08 GMT
Gimmie directions ... I am coming down
(but bringing my own water).

Joel

diabe19@hotmail.com Wrote:
> 400 dlls for a filling? its too expensive!!!
>
> On my work, the cost are $45 to $65 for each tooth... but ny work i
> in
> Tijuana, Mexico

--
Joel34
alberta_girl - 29 Mar 2006 03:00 GMT
I've had several deep filings replaced, and that resulted in the teeth
needing root canals, and then eventually a crown.
I think some people's teeth are more irritated by work done on them. Pretty
much if the root gets exposed during the replacement of the filing it needs
a root canal automatically because of the bacteria invasion. If the tooth is
bothering her it could be an infection/abses and you could ask to try
antibiotics before a root canal. If the antibiotics can settle the tooth
down then you can avoid the root canal.... but it could flare up again.
If the dentist does a root canal, this will make it a "dead tooth", and
eventually it will become very brittle. Almost every tooth that gets a root
canal will need to be capped (get a crown) within a year or so, if not
immediately, or it will crack and fall apart.
The worst part is that most plans only cover 50% of root canal work, and 50%
of crowns, and each of those procedures costs about $1000, so you might be
looking at $1000 out of your pocket just because she had to replace a simple
filling. It has frustrated me time and time again, but apparently such is
life, and the dentist will probably not ofter to lower the charge for you,
even though it is probably his/her fault for upsetting the tooth in the
first place by not doing the filling properly.
One other point, make sure that before the dentist preforms a root canal or
a crown that you send in an application to your insurance company, getting
them to authorize the work.... or they could refuse to cover their share (%)
of the cost.
Good luck with this.

>> My wife recently started going to my dentist.    In general, she has
>> perfect
[quoted text clipped - 30 lines]
> Tooth pain sucks,  sorry to hear about it.  I found good ol' Advil
> was better suited than a more "potent" pain killer.
Bernie - 29 Mar 2006 17:34 GMT
Almost the exact same thing happened to me... the first dentist replaced the
old filling with a white inlay.  That one didn't fit properly, eventually
causing me to crack the tooth by biting down wrong while chewing because the
teeth didn't 'fit' together.

The new dentist told me I would need a crown because of the cracked tooth.
I left it, for a few months, and eventually the cracked part of the tooth
fell off...below the gumline.  The same new dentist said he could now fill
it.  He did a 3 surface filling and charged me $150, which I thought was
very reasonable.  So now that tooth has two fillings beside each other.  He
really made sure to make the teeth 'fit' after the filling, since this is
what caused the problem in the first place.

Now the tooth is fine...no pain, no chewing problems.  Eventually I might
need a crown if it cracks again.  He told me that gold is better than white,
because it is flexible, and softer.  For a back molar, I would probably go
with that.  He told me around $800 for a gold crown.

This new dentist is awesome....not a fancy office, but he really has a great
manner, and is also great with kids.

Dr. Pete Rendek.  Elbow and Heritage.

Bernie

> My wife recently started going to my dentist.    In general, she has
> perfect
[quoted text clipped - 17 lines]
>
> 2)  Should she be expected to bear all of the costs?
mamounjo3@yahoo.com - 08 Apr 2006 19:06 GMT
If the tooth was bugging her to begin with it might have had a pulpal
problem, in which case it would have needed a root canal from the
beginning.  The dentist should have tested the tooth and looked
carefully at a complete x-ray of the tooth to determine if it had a
pulp problem. The dentist might have removed the filling, then maybe
removed cavities under the filling, and the cavity might have been big
enough to expose the pulp, which often necessitates a root canal.
Prior to placing a final restoration like a gold inlay in the tooth,
the dentist might have benefitted from putting a temporary filling
first and seeing if the tooth was pain-free.

Of course, if the problem is that the inlay was too high, that can
cause symptoms similar to a tooth with pulpal problems requiring a root
canal.  The solution is to ground down the inlay, not the opposing
tooth.  It is considered inappropriate, academically speaking, for a
dentist to grind down an opposing tooth just to make a new filling fit.
The dentist might not have taken a perfect impression of the tooth, so
that the inlay made from the tooth was too high.  Or the laboratory
that made the inlay might have made it too high.  Or there was too much
cement under the inlay so it was too high, or the cement expanded as it
set, making the inlay rise.  If the tooth bite is okay but the tooth
still hurts, it is best to do root canal and crown.  Sometimes dentists
are too lazy and impatient to adjust the bite perfectly, or are afraid
of grinding down the inlay so much that the inlay will need to be
replaced.  That would cost a remake which is $$$.  Often, if the
dentist felt the need to grind the opposing tooth, the dentist might
have felt that the inlay could be ground down no further, which might
suggest  that the inlay was way to high to begin with.

Also, if the dentist is using an acidic cement like zinc phosphate
cement to place the inlay, that can cause sensitivity in the short
term.

This is all speculation.  Impossible to tell what is really going on
without seeing the case.  may want to get a second opinion from another
dentist.

> My wife recently started going to my dentist.    In general, she has perfect
> teeth, but an old filling in a molar was bugging her - slightly.
[quoted text clipped - 24 lines]
> .............................................................................
> dswan@m3m3t1ccand1ru.com                        http://www.memeticcandiru.com
h1dd3n_h4m$73r@salmahayeksknockers.edu - 19 May 2006 06:19 GMT
In sci.med.dentistry mamounjo3@yahoo.com wrote:
<>

Mamounjo, thank you for the very thorough explanation.

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DarthPollo - 19 May 2006 15:17 GMT
well although i agree with the person that says that dentistry is not
100% sure...but also you have to check your patients bite, the spac
between teeth, know the right space you need for the restoration yo
have, read your x-rays, plan all this situation in order to give a goo
treatment plan, even if it's only one filling..

You can use the best materials in the world but if you don't know thei
specifications or in wich case you can use them and why, the n you ar
not as good..
that's what i think...although things can happen most of the time yo
can find them and prevent the patient..

--
DarthPoll
 
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