Filling without Root Canal

lastlaugh

Hi,

A colleague of mine of mine was recently complaining of a tooth ache in a wisdom tooth. He was quite worried about it so he arranged to have an 'emergency' dental appointment.
The dentist told him there was decay under an existing filling and he needed a root canal.
He removed the filling and put a temporary filling in.
This appointment cost him 200 euro. Aswell as that, the dentist said he would refer him to someone else for the root canal which would cost 800 euro!
Does this seem a bit exorbitant? I mean 200 for the removal of an old filling and a temp one put in, and then the referral?
My colleague was a bit distressed over having to pay this much, I told him to contact my dentist whose price is 650 for the root canal.
Then today, the dentist called him back and was less 'pushy' and told him he would just put a filling in it and see how it went. Granted, my coleague is unable to afford the root canal and made this clear to him.

But is it very dodgy to just put as filling over a hole in the pulp cavity?

I guess this will inevitably lead to the 'death' of his tooth/pain/infection and the need for a root canal?

Thanks.

btkm8unsl0w5r4

best not to speculate on the clinical situation of a friend, there are a lot of variables and 3rd hand, the details and nuance may be getting lost.

The price is on the higher side of average. If it is indeed a wisdom tooth (3rd molar) and your friend is not missing a lot of other teeth maybe extraction would be best if it does flare up again.

Oral Surgeon

Chad Shy Superman wrote: »

best not to speculate on the clinical situation of a friend, there are a lot of variables and 3rd hand, the details and nuance may be getting lost.

The price is on the higher side of average. If it is indeed a wisdom tooth (3rd molar) and your friend is not missing a lot of other teeth maybe extraction would be best if it does flare up again.

Indeed, most dentists would not root canal a wisdom tooth as they are usually too far back, maybe impacted and have unusual root canal anatomy...

If missing many other teeth it may be deemed necessary to try to save it....

If it needs a root canal- a filling just won't cut it....

OS

davo10

lastlaugh wrote: »

Hi,

A colleague of mine of mine was recently complaining of a tooth ache in a wisdom tooth. He was quite worried about it so he arranged to have an 'emergency' dental appointment.
The dentist told him there was decay under an existing filling and he needed a root canal.
He removed the filling and put a temporary filling in.
This appointment cost him 200 euro. Aswell as that, the dentist said he would refer him to someone else for the root canal which would cost 800 euro!
Does this seem a bit exorbitant? I mean 200 for the removal of an old filling and a temp one put in, and then the referral?
My colleague was a bit distressed over having to pay this much, I told him to contact my dentist whose price is 650 for the root canal.
Then today, the dentist called him back and was less 'pushy' and told him he would just put a filling in it and see how it went. Granted, my coleague is unable to afford the root canal and made this clear to him.

But is it very dodgy to just put as filling over a hole in the pulp cavity?

I guess this will inevitably lead to the 'death' of his tooth/pain/infection and the need for a root canal?

Thanks.

Lastlaugh, it sounds like the dentist carried out a primary root canal treatment. When a patient attends in extreme pain and an inflammed nerve/abcess is diagnosed, the aim is to remove the cause of the pain (the nerve) and prevent progression of the infection. To do this, the dentist would have removed the filling, removed the decay then accessed the pulp system of the tooth and removed the nerves from the three roots. The canals would then be dressed with a medicament to prevent infection and aid healing of the inflammed tissues around the roots. This would take quite a bit of time and would indeed cost in the region of €200. The second stage of root canal treatment on a third molar can be extremely difficult due to problems with access and root morphology, I do not think I have ever done one in 20 years, I would refer to an endodontist if the retention of the tooth is vital or remove if it isnt. Usually the only reason to retain a third molar by root canal treatment is if the molars in front of it have a poor prognosis or are absent.

Oral Surgeon

KassidyDown wrote: »

You need to save your health. The essay writing services can find the good doctor for you.

Jesus!!!