Root Canal

superhooper

Just told that blood flow in my tooth is coming close to a filling and therefore need root canal treatment for €950. Is there any other way to get around this bar extraction e.g different type filling etc.

ballsymchugh

are you in any pain/discomfort??

Samson

That sounds very expensive, I had a root canal a couple of years ago and it cost €400.00 (within the state).
My cousin has recently had a root canal performed in Newry and it cost her £210.00 stg.

ballsymchugh

Samson wrote: »

That sounds very expensive, I had a root canal a couple of years ago and it cost €400.00 (within the state).
My cousin has recently had a root canal performed in Newry and it cost her £210.00 stg.

depends on the tooth, the price quoted is pretty much what a specialist would charge for an upper molar especially.

superhooper

ballsymchugh wrote: »

depends on the tooth, the price quoted is pretty much what a specialist would charge for an upper molar especially.

Yeah its an upper molar. Pain level is quite high. Am constantly sipping water.

ballsymchugh

hmmm. when a nerve is dying off, cold liquids help to calm it down, and hot liquids will irritate the hell out of it, so it sounds like root canal treatment is the likely way to go if you don't want an extraction.
it was the whole 'blood flow in my tooth is coming close to a filling' that was slightly confusing, as i've never put it that way myself, or heard any other dentist or endodontist put it that way either.

superhooper

It was when he was showing me the xrays that he used the term "blood flow". Would an extraction be that bad.

georgieporgy

superhooper wrote: »

Just told that blood flow in my tooth is coming close to a filling and therefore need root canal treatment for €950. Is there any other way to get around this bar extraction e.g different type filling etc.

If you have a good set of teeth it would be a pity to mess things up by having extractions. If you have prsi cover you will get about €80 off the fee, plus it's a tax deductible item so you will get 20 back that way (assuming you are one of those rich people that does actually pay tax!)

950 sounds like you happened on to somebody competent. One thing you definitely don't want is a cheap root canal.

Run_to_da_hills

superhooper wrote: »

Just told that blood flow in my tooth is coming close to a filling and therefore need root canal treatment for €950. Is there any other way to get around this bar extraction e.g different type filling etc.

Dose this quote include a post and crown?

If not you could add another €100 for the post and at least €450 for a porcelain fused to metal :eek:

superhooper

Apparently i won't need a crown as the tooth is generally ok. I asked this question specifically.

PapaYankeeGirl

Wow sounds very dear. I had a root canal done about 2 months back plus 3 fillings and It was £95.

Zardoz

Looks like I might need a Root Canal treatment myself.
I had a white filling fall out of one of my lower molars and part of the tooth broke off too.
My dentist said there wasnt much of the tooth left and he drilled it out for a temporary dressing.
However after drilling he said he could see the nerve ! That didnt sound good to me.:eek:
The tooth is sensitive to cold air and liquids,hot is ok.
I must go back in a week and if the tooth is ok it can be filled otherwise it will be root canal treatment for me .1000 euro was the figure mentioned to me as the likely cost.
Hopefully I will get away with a filling but I doubt it.

res ipsa

superhooper wrote: »

Apparently i won't need a crown as the tooth is generally ok. I asked this question specifically.

Based on that comment, I would advise you to seek a second opinion.

superhooper

Got it done.Oh sweet sweet sleep!!!! Wasn't that bad actually and only very mild discomfort after anesthetic worn off. Tks for advice all.

jane86

My dentist told me I need to get a root canal on one of my back lower teeth. I get pain by cold drinks and hot drinks relieve the pain. They said it would be around €800. I really can't afford this so I will ring around for quotes South and in the North. Any reccommendations of a good Endodontist?

They put a dressing or temporary filling on it. Does this mean my tooth is ok for awhile (bar the pain) or does it mean the tooth is still decaying and I need a root canal asap?

btkm8unsl0w5r4

superhooper wrote: »

Yeah its an upper molar. Pain level is quite high. Am constantly sipping water.

Upper molars always require crowns after root canal treatment wiithout exception, if you dont you run the risk of major fracture down the line. The research backs this up over the last 60 years.

btkm8unsl0w5r4

jane86 wrote: »

I really can't afford this so I will ring around for quotes South and in the North. Any reccommendations of a good Endodontist? ?

An endodontist will cost more than a general dentist but generally a better job will be done. In the north there are few endodontists thanks to the NHS system and they cost more than the general dentists. Also you most likely will need a crown afterwards, factor in that cost also. Remember that the cheapest place may not be the best, buy cheap buy twice.

PapaYankeeGirl

Sariah Tangy Snorer wrote: »

Upper molars always require crowns after root canal treatment wiithout exception, if you dont you run the risk of major fracture down the line. The research backs this up over the last 60 years.

What about upper pre-molars? I had a root canal there a couple months back, no crown.

res ipsa

PapaYankeeGirl wrote: »

What about upper pre-molars? I had a root canal there a couple months back, no crown.

ALL premolar and molar teeth, both upper and lower will need cuspal protection(usually a crown) after rct.

PapaYankeeGirl

res ipsa wrote: »

ALL premolar and molar teeth, both upper and lower will need cuspal protection(usually a crown) after rct.

What other Cuspal protection is there? You say usually a crown.

Big_G

There are a few, but the major other type of cuspal coverage is onlay.

btkm8unsl0w5r4

Root treated teeth are weaker because of the loss of the bracing cuspal inclines due to access and restoration, to strengthen them a crown of very extensive onlay is required. Molars and premolars all require cuspal coverage after RCT without exception (well if there is no opposing tooth maybe not but in general). IMHO I crown them, the ammount of tooth saved with a big onlay over a crown is minimal and the facial margin can cause aesthetic concerns on onlays.

monkeypants

I had a root canal done a few years ago. Taking a couple of valium before going to the dentist help enormously. Really takes the edge off.

PapaYankeeGirl

Sariah Tangy Snorer wrote: »

Root treated teeth are weaker because of the loss of the bracing cuspal inclines due to access and restoration, to strengthen them a crown of very extensive onlay is required. Molars and premolars all require cuspal coverage after RCT without exception (well if there is no opposing tooth maybe not but in general). IMHO I crown them, the ammount of tooth saved with a big onlay over a crown is minimal and the facial margin can cause aesthetic concerns on onlays.

Mine is just really deeply filled.:(

btkm8unsl0w5r4

PapaYankeeGirl wrote: »

Mine is just really deeply filled.:(

Root treated teeth are weaker because of the loss of the bracing cuspal inclines due to access and restoration = dentist speak for just really deeply filled, afraid probably best to get a crown. Will save you hastle in the long run

PapaYankeeGirl

Sariah Tangy Snorer wrote: »

Root treated teeth are weaker because of the loss of the bracing cuspal inclines due to access and restoration = dentist speak for just really deeply filled, afraid probably best to get a crown. Will save you hastle in the long run

But why did the dentist not even mention it? She must reckon its ok?!?!

btkm8unsl0w5r4

PapaYankeeGirl wrote: »

But why did the dentist not even mention it? She must reckon its ok?!?!

The standard advice is that all back teeth and some front teeth need crowns after root canal to prevent future fracture. Everything else is between you and your dentist. If you are worried go back and ask.

PapaYankeeGirl

Sariah Tangy Snorer wrote: »

The standard advice is that all back teeth and some front teeth need crowns after root canal to prevent future fracture. Everything else is between you and your dentist. If you are worried go back and ask.

Thanks for your advice, but Ive had enough of that place. Il leave it till my check up in 5 months.


Ta ta for now

btkm8unsl0w5r4

PapaYankeeGirl wrote: »

Thanks for your advice, but Ive had enough of that place. Il leave it till my check up in 5 months.


Ta ta for now

Fair enough, you know the risks

Big_G

Sariah Tangy Snorer wrote: »

Root treated teeth are weaker because of the loss of the bracing cuspal inclines due to access and restoration, to strengthen them a crown of very extensive onlay is required. Molars and premolars all require cuspal coverage after RCT without exception (well if there is no opposing tooth maybe not but in general). IMHO I crown them, the ammount of tooth saved with a big onlay over a crown is minimal and the facial margin can cause aesthetic concerns on onlays.

(Said in a Dutch accent) "I love goooooooollllld!".

georgieporgy

PapaYankeeGirl wrote: »

But why did the dentist not even mention it? She must reckon its ok?!?!

PapaYankee, I think you said on another recent tread that you had a root canal and a couple fillings done for approx £90. Would this be the root canal that was included in that price? I estimate the fee allotted to the root canal would therefore have been about £30. That's cheap even for 'the North'.
My guess is you didn't actually have a root canal done.

PapaYankeeGirl

georgieporgy wrote: »

PapaYankee, I think you said on another recent tread that you had a root canal and a couple fillings done for approx £90. Would this be the root canal that was included in that price? I estimate the fee allotted to the root canal would therefore have been about £30. That's cheap even for 'the North'.
My guess is you didn't actually have a root canal done.

Oh beleive me I had it done!!!!

Fillings are only about £13 with my dentist

ballsymchugh

PapaYankeeGirl wrote: »

Oh beleive me I had it done!!!!

Fillings are only about £13 with my dentist

norn iron and scotland are still fee per item on the NHS. that price sounds about right for that.

georgieporgy

PapaYankeeGirl wrote: »

Wow sounds very dear. I had a root canal done about 2 months back plus 3 fillings and It was £95.

allow me to correct my last post. you said it on this thread. The figures are slightly different than I quoted. unless you meant you paid £95 for the root canal? I am not familiar with NHS fees and it's possible that 95 is the patient's portion of a root canal on the NHS ??:)

georgieporgy

PapaYankeeGirl wrote: »

Oh beleive me I had it done!!!!

Fillings are only about £13 with my dentist

Ah I see now!

PapaYankeeGirl

My dentist is an NHS dentist, though I do still have to pay.

I definately had the RCT done. It plus its 'big filling' and 2 or 3 other fillings was £95 pounds.

She gave me a BOGOF deal one day. 2 fillings for the price of one!! Lucky me!!

PapaYankeeGirl

Ps- had to go private for an extraction- £100!!!! AHHHHHHHHHHHHHHH

ballsymchugh

PapaYankeeGirl wrote: »

Ps- had to go private for an extraction- £100!!!! AHHHHHHHHHHHHHHH

PapaYankeeGirl wrote: »

My dentist is an NHS dentist, though I do still have to pay.

I definately had the RCT done. It plus its 'big filling' and 2 or 3 other fillings was £95 pounds.

She gave me a BOGOF deal one day. 2 fillings for the price of one!! Lucky me!!

i'd love to see how that's explained! NHS can be pretty sticky about mixing private and NHS work, although it's pretty much the norm when it comes to labwork, but extractions?? how much was the BOGOF deal?? given that the most expensive filling on the NHS was 16squid before the new contract came in...
as for the root canal, a friend of mine who's just finished specialising in endo was telling me about the quality of the root fillings that came his way from NHS practices. the main point of NHS endo is to remove pain and prolong the lifetime of the tooth by a few years, i've been to a few talks where this was discussed as being the norm. it's simple economics when you look at it. if you go to a specialist, you're pretty much guaranteed to have it for life.

PapaYankeeGirl

ballsymchugh wrote: »

i'd love to see how that's explained! NHS can be pretty sticky about mixing private and NHS work, although it's pretty much the norm when it comes to labwork, but extractions?? how much was the BOGOF deal?? given that the most expensive filling on the NHS was 16squid before the new contract came in...
as for the root canal, a friend of mine who's just finished specialising in endo was telling me about the quality of the root fillings that came his way from NHS practices. the main point of NHS endo is to remove pain and prolong the lifetime of the tooth by a few years, i've been to a few talks where this was discussed as being the norm. it's simple economics when you look at it. if you go to a specialist, you're pretty much guaranteed to have it for life.

I sorta lost you on the last bit there. Not sure what you are saying.

The BOGOF, she only used a wee bit of filling for a second tooth after doing another, so she just didnt charge for it. It was like £14 or round that.

PapaYankeeGirl

ballsymchugh wrote: »

i'd love to see how that's explained! NHS can be pretty sticky about mixing private and NHS work, although it's pretty much the norm when it comes to labwork, but extractions?? how much was the BOGOF deal?? given that the most expensive filling on the NHS was 16squid before the new contract came in...
as for the root canal, a friend of mine who's just finished specialising in endo was telling me about the quality of the root fillings that came his way from NHS practices. the main point of NHS endo is to remove pain and prolong the lifetime of the tooth by a few years, i've been to a few talks where this was discussed as being the norm. it's simple economics when you look at it. if you go to a specialist, you're pretty much guaranteed to have it for life.

I wanted sedation, so had to go private.

ballsymchugh

sedation can be done on the NHS too. what i meant in the last post was that when it comes to the NHS, sometimes it's better to go independent/private. this includes root fillings and anything involving labwork. routine fillings and extractions should be grand though. the end result is usually the same.

georgieporgy

ballsymc, I suppose it's only us dentists who know that NHS work is generally a load of crap. It's true that the odd simple small filling will be ok, and an extraction , like suicide, does have a definite measurable quality.

This is not to pass judgement on the honourable NHS dentist. I was one once. It's just that there is no free lunch. A person may be lucky and happen on a real zealous dentist who is doing charity work for a brief period in his/her life whilst trying to find hiself.

The best value for money I ever got was my first dentist's bill (not nhs). I was so impressed that I decided to become a dentist. 40 years later I have all his original fillings in my mouth plus 2 more new ones. I have all my teeth, never had a toothache. He is dead but I remember him often with fondness.

ballsymchugh

georgie i totally agree. i was an NHS dentist up until 6 months ago. officially i still am!!
i remember reading dentistry magazine once when they were doing a few things on endo, and how things had changed in the past few years. i thought the best part was where a seemingly young lad had written a letter wondering why the series was aimed at NHS dentists when clearly following a private/specialist regimen. his killer line was something like 'by the time the author has got the rubber dam fitted, he's made as much as the NHS would pay one of us for completing the endo, filling and crown.'

res ipsa

NHS dentists are well paid, I earned more as an NHS dentist in 2002 than as a referral endodontist in the republic in 2009.

http://www.telegraph.co.uk/health/healthnews/5972474/Nearly-400-NHS-dentists-earn-more-than-300000.html

ballsymchugh

res ipsa wrote: »

NHS dentists are well paid, I earned more as an NHS dentist in 2002 than as a referral endodontist in the republic in 2009.

http://www.telegraph.co.uk/health/healthnews/5972474/Nearly-400-NHS-dentists-earn-more-than-300000.html

maybe true, but when dealing strictly with endo, you would wonder what's the point in doing a root filling for £70 as it was about 2002 when an endodontist is (deservedly) charging about £500. i've had a buddy of mine on the phone dying for referrals so i don't envy your position a bit. i'd be extremely annoyed if i spent the last 4 years working my ass off only to find the market is drying up after it all.
the article from the telegraph is misleading though, i'm pretty sure it didn't take into account that it's just gross payments, which haven't had practice costs taken out, and under the new contract, the payments are usually paid to the practice before being sorted with associates. not to mention if the dentists own more than one practice. south eastern dental is a chain owned be a guy a bit younger than me, but he's got at least 25 practices to his name. and given that he's still a largely-not-working-too-much) nhs dentist, he still is one.

PapaYankeeGirl

Im not going to dis my dentist, as she is a Doctor of the profession.

ballsymchugh

nobody's expecting you to, this just developed into a conversation between myself and georgie about how root fillings were done on the NHS. like i said earlier, there were people who gave talks about the rules and regulations that we needed to comply with and what they explained a good NHS root filling was far from that of the standard that would be expected of a specialist like res would do. i'm sure the statistics are there, comparing the 5 year success rate of specialist to private dentist to NHS dentist.
if anyone wants to dis someone, have a go at our receptionist who didn't call me yesterday to say that no one was in til 9.30, making me miss out on another hour of sleep. grrrrrrrrr.

PapaYankeeGirl

ballsymchugh wrote: »

nobody's expecting you to, this just developed into a conversation between myself and georgie about how root fillings were done on the NHS. like i said earlier, there were people who gave talks about the rules and regulations that we needed to comply with and what they explained a good NHS root filling was far from that of the standard that would be expected of a specialist like res would do. i'm sure the statistics are there, comparing the 5 year success rate of specialist to private dentist to NHS dentist.
if anyone wants to dis someone, have a go at our receptionist who didn't call me yesterday to say that no one was in til 9.30, making me miss out on another hour of sleep. grrrrrrrrr.

You just cant get the staff. :rolleyes:

Sure it gave you time to get caught up on running behind schedule!!!;):p:D

ballsymchugh

PapaYankeeGirl wrote: »

You just cant get the staff. :rolleyes:

Sure it gave you time to get caught up on running behind schedule!!!;):p:D

are you mad?? dental chairs can make perfect beds. any dentist who hasn't slept in the chair is telling lies.

PapaYankeeGirl

ballsymchugh wrote: »

are you mad?? dental chairs can make perfect beds. any dentist who hasn't slept in the chair is telling lies.

Have you ever seen My Family?? ( I know its a BBC programme)

Whippersnapper

I have to get a root canal treatment on a lower molar. My other option is to get an extraction. The root canal treatment will cost over €2,000.

What are the drawbacks to just getting a simple extraction and having a gap?