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Medical Forum / General / Dentistry / September 2007

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Cotton found in root canal

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David - 30 Aug 2007 18:19 GMT
A crown on tooth 2 broke while I was eating, and I bit down on a piece
of it, breaking another tooth on the opposite side. The dentist who
had done the crown is no longer practicing here, so I went to a new
dentist near my home rather than to one of the other dentists in the
office where he used to practice. The new dentist told me that the
root canal on tooth 2 was never finished, and she pulled a wad of
cotton out of the root canal. This crown is about 7 years old, but it
had come off a few times before, once when I was out of town and had
to see another dentist who took an Xray and also told me the root
canal was not finished. When I returned to my regular dentist I gave
him the Xray and told him what the out-of town dentist said. My
regular dentist said it was finished and he was putting a post in the
tooth and using a different kind of cement so it would not come off
again. Since then it has broken twice, and the dentist replaced it at
no charge. My new dentist said she did not think the root canal could
be successfully done now because the tooth is "too far gone," and
recommended that I see an oral surgeon to have it extracted. She did
the build-up for a crown on the tooth I broke, and I was very pleased
with her work, So I have two questions: First, since I don't know the
new dentist well, should get a second opinion from a specialist on
whether the tooth can be saved, or is that something that I can assume
she is correct about? Second, if the problem resulted from poor
procedures on the original work and the tooth has to be extracted,
should I return to the previous dentist's office and see whether they
would cover some of the expenses of an implant or some kind of bridge
work? I don't think the cotton was a mistake, as my previous dentist
was in the building where I worked and we were on friendly terms,
seeing each other every day. He was from Lebanon and was educated in
Europe, and I suspect he thought the procedure he used was sufficient.
Right now the root canal is open, as my new dentist said I have a
slight infection and it would be best not to seal it up, but I need to
decide what to do  without waiting too long. I would greatly
appreciate any advice.

David
Dartos - 30 Aug 2007 19:18 GMT
This crown is about 7 years old, but it
> had come off a few times before, once when I was out of town and had
> to see another dentist who took an Xray and also told me the root
> canal was not finished.
> David

Seven years old, and done by a dentist no longer practicing there,
pretty much eliminates any thoughts about recouping any money
spent or needed for future work.

I know of at least one dentist who does a lot of shoddy work who
is also as friendly, community minded, and church going as you
have ever seen.  Personality has very little to do with quality
dentistry.

I can't really comment on the feasability of restoring the tooth
without at least seeing an X-ray.  Seven years without a completed
root canal and a crown that has been off several times doesn't
sound very encouraging though.

JMO,
D
Newbie - 30 Aug 2007 20:15 GMT
>I know of at least one dentist who does a lot of shoddy work who
>is also as friendly, community minded, and church going as you
>have ever seen.  Personality has very little to do with quality
>dentistry.

Does that make you the grumpy old dentist down the street ?  ;-D
... that does great work <hehe>

Nah, couldn't be; then you would be an instructor !

>I can't really comment on the feasability of restoring the tooth
>without at least seeing an X-ray.  Seven years without a completed
>root canal and a crown that has been off several times doesn't
>sound very encouraging though.

But then again wierder things have happened.

>JMO,
>D
Newbie - 30 Aug 2007 20:15 GMT
> So I have two questions: First, since I don't know the
>new dentist well, should get a second opinion from a specialist on
>whether the tooth can be saved, or is that something that I can assume
>she is correct about?

To be sure get a second opinion from an endodontist, a
specialist in root canal therapy <RCT>

>Second, if the problem resulted from poor
>procedures on the original work and the tooth has to be extracted,
>should I return to the previous dentist's office and see whether they
>would cover some of the expenses of an implant or some kind of bridge
>work?

Seriously doubt that even if you could find them but you could
try. If you want to file a lawsuit you need an attorney and
a dental expert to testify.

> I don't think the cotton was a mistake, as my previous dentist
>was in the building where I worked and we were on friendly terms,
>seeing each other every day. He was from Lebanon and was educated in
>Europe, and I suspect he thought the procedure he used was sufficient.

That's probably likely. However in the US we want to obturate all
canal spaces.

>Right now the root canal is open, as my new dentist said I have a
>slight infection and it would be best not to seal it up, but I need to
>decide what to do  without waiting too long. I would greatly
>appreciate any advice.

I don't leave teeth open.
Get thee to and endodontist ! Quick !
www.aae.org
American Association of Endodontist
to find one near you.

>David
David - 31 Aug 2007 06:05 GMT
Thanks for the advice. I appreciate the link to aae, but I discovered
I may have some insurance coverage for this, and they gave me a
provider list. I tried to call this afternoon but found they were
already closed. I will certainly try to get an appointment tomorrow.
Thanks again for your help.

David

> > So I have two questions: First, since I don't know the
> >new dentist well, should get a second opinion from a specialist on
[quoted text clipped - 33 lines]
>
> >David
Newbie - 31 Aug 2007 16:05 GMT
Your are welcomed, and best wishes.

>Thanks for the advice. I appreciate the link to aae, but I discovered
>I may have some insurance coverage for this, and they gave me a
[quoted text clipped - 41 lines]
>>
>> >David
David - 01 Sep 2007 12:23 GMT
Yikes! I went to the office where my old dentist used to work to get a
copy of my records, and I was told that he stopped practicing because
his license was suspended, and that a number of lawsuits had been
filed. The receptionist told me the work he had done for her was
similar to what he did for me, and she is also having to have
retreatment. He apparently never  charged anyone a fee when they had
problems with after he had treated them, and he never charted any of
the work for which he did not charge.

It is nice to be able to chew on my new (temporary) bridge on 13-15. I
hope the endodontist can save no. 2, then I'll be in good shape on
both sides.

Thanks again! I've also learned a great deal from reading all of the
other posts in this group. I hope those of you who take the time to
answer these questions realize how much it is appreciated.

David

> Your are welcomed, and best wishes.
>
[quoted text clipped - 43 lines]
>
> >> >David
Amatus Cremona - 04 Sep 2007 14:44 GMT
"Provider List"    Why do most of the un-happy patients seem to all have HMO
plan's?

Signature

/

Amatus

/

> Thanks for the advice. I appreciate the link to aae, but I discovered
> I may have some insurance coverage for this, and they gave me a
[quoted text clipped - 41 lines]
>>
>> >David
 
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