Tooth broken in fight need crown, PRSI covered?

fifth

Hey lads,

I had a front tooth broken after a headbutt at the weekend. It looks like i need a crown, i heard this is around €750, i am not covered by a medical card.

I read something about PRSI coverage, if I have

39 paid PRSI contributions since first starting work, and either:

* 39 paid or credited PRSI contributions* in the relevant tax year on which your claim is based,
or,
* 26 paid PRSI contributions in both the relevant tax year and the tax year immediately before the relevant tax year. (1)

I think I have, I'm workin full time, been workin for 3 years where I am now.

how does it work with dental work?

& does anyone know if it will cover a crown

eth0_

Probably should think twice about getting into fights in the future because that one is going to cost you €750!

http://citizensinformation.ie/categories/health/dental-aural-and-optical-services/dental_services

Randomswinger

Get it done in the North a lot cheaper and you can claim it as a tax credit at the end of the year

Tazz T

I had one done a few years ago and it more expensive than that. €750 is probably just the price of the crown. You can look forward to around another 75 for the check up and any additional work needed.

You can claim the tax back at the end of the year. If you want it any cheaper go North young man. Just watch you don't get into any fights.

eth0_

750 for the crown alone sounds excessive, even for Ireland!
My dentist in Newry charges £200 for a porcelein jacket crown and £250 for dentine bonded. I guess you need a root canal with that too...think she is about £100-150 for that.

Don't forget you can claim back some of the cost through the Revenue with a MED1 and MED2 form, whether you get it done here or up North.

Big_G

eth0_ wrote:

750 for the crown alone sounds excessive, even for Ireland!
My dentist in Newry charges £200 for a porcelein jacket crown and £250 for dentine bonded. I guess you need a root canal with that too...think she is about £100-150 for that.

Don't forget you can claim back some of the cost through the Revenue with a MED1 and MED2 form, whether you get it done here or up North.

The difference between a porcelain jacket and a dentine bonded crown being? Because I'd love to know. I also love your diagnosis via internet regarding root canal. E750 is reasonable, particularly if it's a front tooth and aesthetics are a concern. This means the likelihood of using porcelain jacket, porcelain shouldered ceramometal crown or all ceramic crown any and all of which entail a technique sensitive procedure.

I know what it's like to loose a front tooth, it's not pleasant. Good luck with your treatment.

eth0_

Big_G wrote:

I also love your diagnosis via internet regarding root canal. E750 is reasonable, particularly if it's a front tooth and aesthetics are a concern.

Sorry? What diagnosis? Where is my diagnosis? I said "I guess", because I had a crown for cosmetic reasons a few years ago, and I can't remember if there was a root canal involved.

I love how the Irish dentists get so uppity when their charges are called into question. I was just giving the guy another option. Not everyone has the best part of 1000 euro available to them!

Big_G wrote:

The difference between a porcelain jacket and a dentine bonded crown being? Because I'd love to know.

"The dentine-bonded ceramic crown is a full coverage restoration luted to the underlying tooth tissue via a dentine bond and resin composite luting system. The main advantage of using this technique is that removal of tooth tissue can be kept to a minimum. Additionally, the final aesthetic results may be excellent."

"The most esthetic ceramic crown is the porcelain jacket crown. This type of crown is more esthetic because it is bonded to the tooth, has greater depth of color and is opalescent. Porcelain veneers are very similiar in character to a porcelain jacket crown."

lomb

hiya, dentine bonded porcelein crown and porclein jacket crown are in fact the same thing with the exception that the fitting surface of the dentine bonded crown is acid etched and the remaining tooth is also acid etched and then a glue is applied to actively bond the tooth to the crown. the porcelein jacket crown is traditionally cemented with non adhesive glue but because it is not actively bonded to the tooth means the preperation is that much more to ensure strength.
the dentine bonded would look better as it has a contact lens effect and allows more light through and the glue is see through as opposed to the cement that is an opaque white.
imo all porcelein jackets should be dentine bonded as otherwise they tend to be weak but it takes a little more time and effort. hope that helps

Big_G

The point I was trying to make, eth0, is that you don't know what you're on about. Which is proven by finding poor and basic definitions of the above mentioned from google. You think you know as much as a dentist which entitles you to criticise price. This is not the case.

eth0_

Big_G wrote:

The point I was trying to make, eth0, is that you don't know what you're on about. Which is proven by finding poor and basic definitions of the above mentioned from google. You think you know as much as a dentist which entitles you to criticise price. This is not the case.

You're being a little OTT here, Big_G. I have never claimed I know more than a dentist, I am just letting the OP know about my great experience with a dentist in Northern Ireland. Crowns *are* very expensive, and not everyone is on the wage of a medical professional such as yourself. Would you prefer people on here were censored if they mention dental treatment outside this state?

Please explain how dentists in the Republic can justify charging so much more? Please explain why on two separate occasions I have been told by two separate dentists in Dublin that I needed root canal treatment on teeth that needed a simple filling (and I presume this was the correct treatment as they are still sound, several years later)?

Maybe I have been exceptionally unlucky with Irish dentists, but my experiences have been so appalling that I would go out of my way to avoid them.

Big_G

eth0_ wrote:

You're being a little OTT here, Big_G. I have never claimed I know more than a dentist, I am just letting the OP know about my great experience with a dentist in Northern Ireland. Crowns *are* very expensive, and not everyone is on the wage of a medical professional such as yourself. Would you prefer people on here were censored if they mention dental treatment outside this state?

Please explain how dentists in the Republic can justify charging so much more? Please explain why on two separate occasions I have been told by two separate dentists in Dublin that I needed root canal treatment on teeth that needed a simple filling (and I presume this was the correct treatment as they are still sound, several years later)?

Maybe I have been exceptionally unlucky with Irish dentists, but my experiences have been so appalling that I would go out of my way to avoid them.

You shouldn't assume anything about how much money I make. You don't know me or where I work.

I would not advocate censorship except in the case of a non-professional giving treatment advice. I don't care where you go to get your treatment or how much you pay for it. I have seen mostly horrible dentistry from abroad, but some fabulous cases. The opposite is true of dentistry in the Republic (for the most part).

Dentists in the Republic can justify charging more because we pay so much more for everything - materials, staff, insurance, buildings/rent, equipment, VAT/tax rate, lab fees, the list goes on and on. Prime example; my first year out of college my indemnity insurance was E600, the equivalent graduate in N. Ireland payed E100, or nothing if they did VT (AFAIK). That is 6x the price.

I will answer your question about fillings vs. RCT (let me just say that 2 dentists said you needed one, who told you you didn't and why did you believe them over the others? Was it because they were telling you what you wanted to hear? Just because they are still there and asymptomatic does not mean that they are not infected or that they won't need further treatment in the future btw) when you answer me what professional qualifications entitle you to give treatment advice over the internet. Because I am not qualified to do so, and nobody really is.

The purpose of this forum is to make people more aware of the possibilities in dentistry. The purpose of this forum is NOT to discuss the financial issues surrounding dentistry in the Republic vs. anywhere else. It has never bothered me about prices in dentistry, because I know (and I am in the business) that generally speaking, the more you pay the better treatment you get. Yes I could charge E250 for a crown, but in order to make it financially feasible for me, I would have to cut 2+ every hour (if you want a breakdown I can give it to you - pm me). I would prefer to charge more and spend 1hr30mins - 2hrs cutting a crown, getting impressions and making my temp, rather than possibly sacrificing quality for output.

All I'm saying is please don't give treatment advice such as 'don't bother with braces, just get a crown' or suggest 'you're probably going to need a root canal' because you are not qualified to do so. TBH, I don't fully feel comfortable doing so, and I will never make a diagnosis over the internet.

Rant over.

fifth

Well...... thanks for you're advice..

I've an appointment to be seen on the 24th, 'til then I will have to look like Cletus!

jdivision

Having said that, dentist outside of Dublin is way less expensive and only part of that is attributable to rent. As for indemnity insurance, are you saying e600 or e600,000. Cos if it's e600 then then difference of e500 cannot be justified given difference in price and profit difference over the year. I get my teeth fixed in RoI, always have done and have a great dentist but having said that I've a root canal coming up and cost appalls me.

PS Big_G, the guy doing my root canal is American qualified and his business card says he's basically only qualified to do that. Is this semi-normal or what's the story.

Big_G

Yes. There is no specialist register in Ireland for endodontists (root canal specialists) but what commonly happens is that they limit their practice to endodontics. Personally, I consider them specialists, even if the postgraduate medical and dental board doesn't technically agree. You should be in good hands.

Big_G

jdivision wrote:

Cos if it's e600 then then difference of e500 cannot be justified given difference in price and profit difference over the year. I get my teeth fixed in RoI, always have done and have a great dentist but having said that I've a root canal coming up and cost appalls me.

That is only one example amongst possibly hundreds, and that is only in the first year. The difference gets larger as time goes by. Lets just say that there is a dramatic price increase after your first year, and another after your second year. The main point is that everything is more expensive in Ireland. This argument gets tiresome. The catch 22 here is that only a dentist can truly understand the difference between dentistry in the North/UK and in the Republic (and that is a generalisation, I know). All I can say is go where you are comfortable, the clinician treats you with respect, and you feel you are getting good treatment. Things will fall into place for you after that.

Root canal is expensive, it is extremely technique sensitive (imagine cleaning between the strings of the harp on the back of a twenty cent piece with a blindfold on). It requires expensive equipment, and oftentimes extra training.

btkm8unsl0w5r4

These price threads are getting somewhat tiresome. Anyone wishing treatment abroad should go through similar threads before posting. The public will always be suspicious when the dental profession defend their price list. Big G's advice is good.
Go to a properly qualified dentist (specialist is you think you need it).
Go to a dentist that can speak English properly.
Get a quote before treatment starts.
Get honest recommendations from your friends, advertising is more common now than ever despite dental council guidelines. Any dentist who needs to advertise or claims specialty in an advertisement must be treated with some suspicion.
Treat advice on Internet forums with suspicion also.