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Being told different things..

  • 09-11-2017 11:02pm
    #1
    dealhunter1985
    Registered Users, Registered Users 2 Posts: 523 ✭✭✭


    Went to <snip> last week as the gum close to my wisdom tooth was inflammed. Dentist said it needs to be surgically removed, no question. Went back to Smiles today for a cleaning and complete exam and (different dentist to last week) told me the wisdom tooth isn't in bad shape at all and a filling could sort it out.. so what's the deal.. I don't want to spend 370 to have a tooth removed that doesn't really need to come out.. the tooth grew out through the gum completely but one side of it, is resting up against the gum. Could it be an option to remove a bit of the gum to give the tooth the space it needs? Seems like that's something the regular dentist couldn't answer and would need to see the specialist...


Comments

  • #2
    Oral Surgeon
    Registered Users, Registered Users 2 Posts: 3,240 ✭✭✭Oral Surgeon


    dealhunter1985 wrote: »
    Went to <snip> last week as the gum close to my wisdom tooth was inflammed. Dentist said it needs to be surgically removed, no question. Went back to Smiles today for a cleaning and complete exam and (different dentist to last week) told me the wisdom tooth isn't in bad shape at all and a filling could sort it out.. so what's the deal.. I don't want to spend 370 to have a tooth removed that doesn't really need to come out.. the tooth grew out through the gum completely but one side of it, is resting up against the gum. Could it be an option to remove a bit of the gum to give the tooth the space it needs? Seems like that's something the regular dentist couldn't answer and would need to see the specialist...

    Sounds like you need the tooth removed. I'd take the opinion of the dentist who saw it whilst inflamed/infected as more relevant than the dentist who saw it when it had calmed down.....
    Removal of a piece of gum (operculectomy) is more often than not an inadequate treatment for this problem....

    I'd see the oral surgeon and go from there....


  • #3
    dealhunter1985
    Registered Users, Registered Users 2 Posts: 523 ✭✭✭dealhunter1985


    Oral Surgeon wrote: »
    Sounds like you need the tooth removed. I'd take the opinion of the dentist who saw it whilst inflamed/infected as more relevant than the dentist who saw it when it had calmed down.....
    Removal of a piece of gum (operculectomy) is more often than not an inadequate treatment for this problem....

    I'd see the oral surgeon and go from there....

    Well the gum was inflamed yesterday (and still is..)
    I was all planned to get the tooth removed with the specialist in the coming days, but when the dentist yesterday said it may not be necesary..

    Also, is 370 the usual costs of a wisdom tooth surgical removal?
    A friend mentioned getting one removed by a specialist for around 200...?


  • #4
    Oral Surgeon
    Registered Users, Registered Users 2 Posts: 3,240 ✭✭✭Oral Surgeon


    dealhunter1985 wrote: »
    Well the gum was inflamed yesterday (and still is..)
    I was all planned to get the tooth removed with the specialist in the coming days, but when the dentist yesterday said it may not be necesary..

    Also, is 370 the usual costs of a wisdom tooth surgical removal?
    A friend mentioned getting one removed by a specialist for around 200...?

    Depends....

    Some are easier than others... A wisdom tooth could take 5-30 mins and involve very little effort or a great deal, it could involve risks that the clinician would be adopting by doing the job too.... The 370, does it include the consultation, xray, extraction, sedation etc etc...


  • #5
    btkm8unsl0w5r4
    Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    I think this tread bring up an interesting point with regard to Dental Treatment plans and one patients often ask me.

    In dentistry and I am sure other medical areas, there are a number of valid ways to treat and issue or a number of ways to approach prevention. There are also differing styles of treatment planning.

    These differences do not mean that one plan is valid while another is not. It really is a reflection of the different dentists philosophy on treatment, the diagnostic information they have, their experiance with various treatments.

    For example say you have a painful tooth. You go to one dentist and they suggest a root canal, and you go to another and they suggest only a filling. The first dentists suggest is vaild, the decay will likely kill the tooth and that dentist is not into taking risks and allowing you to suffer more pain. Its more treatment but it has a more predictable outcome. The second might think that there is a chance that the nerve will recover after a filling and "save" you the root canal. This has more risk but it involves less treatment.

    What I am getting at is that dentistry is quite complex. There are a lot of combinations and permutations involved. These days, the amount of information patients have is greater than ever, however the information patient are given is very basic, and often more skewed to marketing a treatment than explaining it. This information deals in certainty, lack of risk and totally underestimates the nuances of biology. A experienced and well trained dentist will make decisions based on all the factors, but the algorithm is s complex that the end treatment can be quite different.


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