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Re: RCT perforation help

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Re: RCT perforation help

LB27 Jul 2005 19:50
> I don't get having to wait 3.5 weeks for pain relief or travel 160 miles to
> get care sooner.  Is this in the UK or is this an HMO scheme?

I live in upper NYS there simply isn't that many dentists here. The dr. that
did the rct in question has developed something new. I had a problem with
another tooth and he wanted to do a rct AND grind down my bone so the cap
would more area to hold to. This caused me much concern. I went to another
young dr. She advised me I didn't need to do that but a simple rct with a
post would do just fine. She started the rct and perforated that tooth's
root and told me to see a specialist. I just about gave up and the tooth
just crumbled. Now I have three roots overgrown with gum tissue. . In
regards to this post. A quite large filling fell out and I didn't seek
immediate help from the first two dds's. Instead I sourced another new dds
in the area. That's when she took an x-ray and told me I needed rct and sent
me home with some anti-biotics and an appointment for 3 1/2 weeks later. I
didn't sleep for most of that time and I was getting sick from swallowing
Anbosol. I refused to go to ANY local dds now and just hoped for the tooth
to die on it's own. My daughter works for the US govt. and she made an appt.
for me. where she works down state. This dds had all the confidence and made
a diagnosis of a "hot nerve" and did a pulpotomy.... In 20 minuets he was
done and ALL the pain was gone. That's how I came to travel 160 miles for
treatment..... He's now my permanent dds.

> > Root perforation with a screw post attempting to rebuild a severely
> > damaged
[quoted text clipped - 29 lines]
> > Best wishes,
> > Fawks

Dr Steve27 Jul 2005 12:40
I don't get having to wait 3.5 weeks for pain relief or travel 160 miles to
get care sooner.  Is this in the UK or is this an HMO scheme?

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
> Root perforation with a screw post attempting to rebuild a severely
[quoted text clipped - 30 lines]
> Best wishes,
> Fawks

Fawks27 Jul 2005 01:18
Root perforation with a screw post attempting to rebuild a severely
damaged
tooth is certainly an unwanted complication.  If the original dentist
knew that
the 'accident' occured, he should have informed you of the situation
and
warned you of potential complications.

That said, once it happened, there wasn't a lot to be done.  If the
tooth did
not hurt, there was no infection, and nothing fell apart, leaving it
alone was
not a bad idea.  If you had known about it, it could have been checked
with
an X-ray once in a while.

As far as a bridge and extra expense, that would have happened at any
time
the tooth was lost.  That could have been when the post was originally
inserted, or now.  What's the difference?

If a dentist screws up half of the post he tries to place, that would
be terrible.
If this is one out of 100, s*** happens.  When was the post inserted?
How
much did it cost?  What did you pay out of your pocket?

We could also get into a discussion about how many posts are really
needed
anyway, but that's another issue.

Best wishes,
Fawks

LB26 Jul 2005 22:28
I'm new to this group but don't know where to go for some information. I had
a severe toothache about 6 weeks ago. I'm new to this area so I just went to
a local dentist for help. I was x-rayed and told I have a problem and needed
root canal therapy. They gave me an appointment for 3 1/2 weeks later to
have this done. The pain was severe and I couldn't wait that long. I located
another dentist that was referred to me 160 miles from where I live. I got
an emergency appointment and he did an emergency pulpotomy. That was an
instant relief. However, during the second visit he did a thorough exam and
tested for bone density. It was discovered that another dentist did a root
canal and went through the side of my tooth and the screw/post is about 1/8
inch into the bone. This caused a 50% bone loss. The dentist told me an
extraction is eminent and the sooner the better. My question is.......
Should  a dentist that perforated a tooth at least tell the patient??? Now,
I'll probably be needing bridgework causing extra expense...... Thanks for
any information.

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