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Excellent Experience with Budapest Dentist

1235

Comments

  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Thanks for the update. Things dont sound that stable, another tooth gone. :mad:Overdentures still not structurally stable even after its remake (likely a lack of space) Anyway so long as your happy with the frequent breakages and onerous maintenance then treatment is a great success.

    You should consider a fixed implant solution, removable prosthetics are far inferior,and are generally a treatment of compromise and economic pragmatism. Confidence comes from not taking out your teeth at night and not being worried that another denture tooth will clip off at any moment.


  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    Thanks for the update. Things dont sound that stable, another tooth gone. :mad:Overdentures still not structurally stable even after its remake (likely a lack of space) Anyway so long as your happy with the frequent breakages and onerous maintenance then treatment is a great success.

    You should consider a fixed implant solution, removable prosthetics are far inferior,and are generally a treatment of compromise and economic pragmatism. Confidence comes from not taking out your teeth at night and not being worried that another denture tooth will clip off at any moment.

    It is amusing, to say the least, that a dentist who has never seen me insists that he knows better than me (as the patient) the two Hungarian dentists who have treated me, and the German, Greek and Scottish dentists who have reviewed the Hungarian work and all declared it to be top quality.

    Hubris?


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    It is amusing, to say the least, that a dentist who has never seen me insists that he knows better than me (as the patient) the two Hungarian dentists who have treated me, and the German, Greek and Scottish dentists who have reviewed the Hungarian work and all declared it to be top quality.

    Hubris?

    All I know is what you tell me. My idea of top quality may diverge from a number of general dentists. However the fact remains that you have now had this denture remade or relined 4 times in 9 years, and there have been a number of I am sure inconvenient and unamusing breakages, . I think that in light of these facts, worth repeating, that the hubris is maybe the title of this thread. Yes removable prosthetics require maintenance, however well designed ones certainly do not require this level of repair and maintenance. I did a number of overdentures in 2011 when you had this treatment and I certainly have not remade them 3 times since. As I said before so long as your happy, but I reserve the right to comment.


  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    All I know is what you tell me. My idea of top quality may diverge from a number of general dentists. However the fact remains that you have now had this denture remade or relined 4 times in 9 years, and there have been a number of I am sure inconvenient and unamusing breakages, . I think that in light of these facts, worth repeating, that the hubris is maybe the title of this thread. Yes removable prosthetics require maintenance, however well designed ones certainly do not require this level of repair and maintenance. I did a number of overdentures in 2011 when you had this treatment and I certainly have not remade them 3 times since. As I said before so long as your happy, but I reserve the right to comment.

    Your right to comment is not in question, though your ability to count is:)

    For a profession that ought to pride itself on precision I find the carelessness with numbers and language to be more than a little disconcerting.

    It does seem to me, and perhaps to the casual observer too, that no matter what I report the chorus of Sturm und Drang from the usual suspects will quickly follow.

    But perhaps I'm doing you an injustice, so allow me to offer you a chance to say something positive about my treatment.

    According to one eminent expert, "Overdentures have an 80% abutments failure rate at 8 years when they are done very well".
    https://www.boards.ie/vbulletin/showpost.php?p=76846090&postcount=29

    Well, after 9 years I have lost just 1 of my 7 abutments, i.e. a failure rate of 14.3%. The treatment I received in Budapest must therefore, by your standards, have been of exceptional and outstanding quality. Agreed?


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    But perhaps I'm doing you an injustice, so allow me to offer you a chance to say something positive about my treatment.
    ?

    For me the best thing about your treatment has been that it has brought us all together as friends


  • Registered Users, Registered Users 2 Posts: 17,967 ✭✭✭✭Thargor



    According to one eminent expert, "Overdentures have an 80% abutments failure rate at 8 years when they are done very well".
    https://www.boards.ie/vbulletin/showpost.php?p=76846090&postcount=29

    Well, after 9 years I have lost just 1 of my 7 abutments, i.e. a failure rate of 14.3%. The treatment I received in Budapest must therefore, by your standards, have been of exceptional and outstanding quality. Agreed?
    Interesting thread, just wanted to say bravo on this retort though, 8 years in the making :D


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


    Thargor wrote: »
    Interesting thread, just wanted to say bravo on this retort though, 8 years in the making :D

    Not really. Hillman is misunderstanding the stats here...

    80% of overdentures had an abutment fail at 8 years not 80% of abutments fail!!

    So Hillman having lost one abutment falls into this 80%....


  • Posts: 0 [Deleted User]



    For a profession that ought to pride itself on precision I find the carelessness with numbers and language to be more than a little disconcerting.

    According to one eminent expert, "Overdentures have an 80% abutments failure rate at 8 years when they are done very well".

    Well, after 9 years I have lost just 1 of my 7 abutments, i.e. a failure rate of 14.3%.

    Agreed?

    While I don’t wish to get in the middle of your and fitzgene’s chat, I think you should look at your own mathematical proficiency.

    If 1 in 7 of your abutments fail, that is a 14.3% failure rate of your own implants, but a failure of an implant within the approximate timeframe of 8 years, would indeed place you in the 80 percentile failure rate of overdenture patient study group, it would not be 14.3% of that study group.

    Incidentally, what study are you referring to?


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Thargor wrote: »
    Interesting thread, just wanted to say bravo on this retort though, 8 years in the making :D

    The OP really has no cause for celebration, and its that 80% of overdenture have one or more teeth lost in 8 years. A terrible prognosis often rendering the overdenture very poor, never mind the well documented repairs, relines, remakes, "running repairs" and veneer breakages. Seems I was on the money. I also mentioned the space issues 8 years ago, often the reason you get so many breakages and poor appearance, all of which came to pass...but like what would I know. Unlike the OP I take no joy in this, and whether I am right or wrong, its the OP that has to live with this denture.
    Dav010 wrote: »

    Incidentally, what study are you referring to?

    Budtz-Jorgensen did a longterm study on this, . Ettinger and Taylor....Ettinger and Qian are the other definitive studies. Not much in the modern literature. Reports vary on specific survival rates and specific causes of failure, but in general the agreement is that maintenance burden is high and tooth loss if higher than for partial dentures or fixed prosthodontics. My figure is the meta amalgamation of a few, rounded for ease of communication and ignoring cause. I find when patient are looking for prognosis its best just to give a simple figure.


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  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    The OP really has no cause for celebration, and its that 80% of overdenture have one or more teeth lost in 8 years. A terrible prognosis often rendering the overdenture very poor, never mind the well documented repairs, relines, remakes, "running repairs" and veneer breakages. Seems I was on the money. I also mentioned the space issues 8 years ago, often the reason you get so many breakages and poor appearance, all of which came to pass...but like what would I know. Unlike the OP I take no joy in this, and whether I am right or wrong, its the OP that has to live with this denture.



    Budtz-Jorgensen did a longterm study on this, . Ettinger and Taylor....Ettinger and Qian are the other definitive studies. Not much in the modern literature. Reports vary on specific survival rates and specific causes of failure, but in general the agreement is that maintenance burden is high and tooth loss if higher than for partial dentures or fixed prosthodontics. My figure is the meta amalgamation of a few, rounded for ease of communication and ignoring cause. I find when patient are looking for prognosis its best just to give a simple figure.

    That is priceless, you should be in politics!

    Translation: 'I made it up".


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


    That is priceless, you should be in politics!

    Translation: 'I made it up".

    source.gif


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    That is priceless, you should be in politics!

    Translation: 'I made it up".

    I appreciate the vote, but I think I would make a terrible politician. I am:

    1. Too Honest.
    2. I give too freely of my time and information.
    3. I answer the question asked.
    4. I dont pander to populist ignorant opinion.
    5. I dislike strawman attacks.
    6. I let facts get in the way of my wishes.
    7. I tend to try convey the nuance of a problem, but often end up confusing and angering those who's beliefs feel threatened. When I boil it down to the soundbites, people think I am making things up.
    8. I think people are tired of "Experts" and balance dictates that people working on flawed intuition or non generalisable personal experiance really know as much as a trained professional, should get an equal say in things they are ill equipped to talk about. Generally this "expert" is countered with arguments from points 1-7.

    I will stick to the dentistry, I think I can make a go of that, and I am too old now to change.


  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    I appreciate the vote, but I think I would make a terrible politician. I am:

    1. Too Honest.
    2. I give too freely of my time and information.
    3. I answer the question asked.
    4. I dont pander to populist ignorant opinion.
    5. I dislike strawman attacks.
    6. I let facts get in the way of my wishes.
    7. I tend to try convey the nuance of a problem, but often end up confusing and angering those who's beliefs feel threatened. When I boil it down to the soundbites, people think I am making things up.
    8. I think people are tired of "Experts" and balance dictates that people working on flawed intuition or non generalisable personal experiance really know as much as a trained professional, should get an equal say in things the are ill equipped to talk about. Generally this "expert" is countered with arguments from points 1-7.

    I will stick to the dentistry, I think I can make a go of that, and I am too old now to change.

    I was going to say that you forgot to mention your modesty, but I guess you didn't forget, it's just that you were too modest.:D


  • Moderators, Science, Health & Environment Moderators Posts: 21,666 Mod ✭✭✭✭helimachoptor


    Locked at OP's request.
    Tune back in next year.


  • Moderators, Science, Health & Environment Moderators Posts: 21,666 Mod ✭✭✭✭helimachoptor


    Re-opened for the update



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  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    So - welcome back!

    Like I guess a lot of people Covid knocked my check-up schedule out of kilter, but after the summer I booked an appointment with my local (Scottish expat) dentist.

    Anyway the news is good. I just needed a bit of a clean, and that was it. My teeth are fine and my overdentures are good. At some point over the next few years he thinks that I might need to think about implants, but not for the moment. An x-ray confirmed that there is sufficient bone to consider implants.

    So that's it, no drama, my head still hasn't exploded.

    I made an appointment for a check-up in 12 months.



  • Registered Users, Registered Users 2 Posts: 316 ✭✭Mikefitzs


    Have any of the dentists on here had Hungarians and Turks travel to Ireland for dental treatment?

    Just a passenger



  • Registered Users, Registered Users 2 Posts: 4,957 ✭✭✭kirk.


    What would be the point


    You'd have the same issue as Irish traveling over there for treatment



  • Registered Users, Registered Users 2 Posts: 316 ✭✭Mikefitzs


    Point being that the dentists here suggest the offer a better product/service. So I want to know what proportion of the Irish dentists on here treat people coming from countries such as Hungary and Turkey for that superior treatment. Nothing wrong with the question and I'm asking it to the Irish dentists on here, thanks.

    Just a passenger



  • Registered Users, Registered Users 2 Posts: 4,957 ✭✭✭kirk.


    It might be a better product and service before you factor in international travel

    Anyway your question is obvious trollbait



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  • Posts: 0 [Deleted User]


    I have a lot of Turkish patients, some Hungarians who live here and don’t travel home for treatment, does that tell you something?



  • Registered Users Posts: 1,620 ✭✭✭El Tarangu


    I came across this thread years ago, and have read it through again this morning.

    I'm amazed that the OP does not seem to be factoring in the opportunity cost of him giving up his own time when making his rationalisations.

    If the OP lives in the Middle East, I will cost a day of his time at the very conservative figure of €100 per day. So, even apart from the monetary cost of all of the flights and hotel rooms, the OP has spent spent at least €2-3k of his own time on this course of dental treatment (I haven't counted up precisely, but I think it's over 20 days counting up all of the trips).

    (for the record, I am not a dentist, and as I don't live in Ireland I don't even use Irish dentists, I have precisely zero dog in this fight).



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    You can add a zero to the price of a day of my working time😂, but I am salaried and I have leave (including medical leave which I used for the first visit) to call upon.

    Secondly, all of my trips to Budapest have been either at the start or end of a holiday in Ireland - I would guess that I have spent no more than 10-12 days in Budapest.

    Finally, I love Mitteleuropa. Austria, Hungary, Czechia and Slovakia are my favourite destinations for a holiday. You don't factor in the opportunities to visit museums and galleries, the classical music scene, nor the value of enjoying a leg of roast goose with a Hungarian red, followed by a strudel and a glass of Tokai.



  • Registered Users Posts: 1,620 ✭✭✭El Tarangu


    Thanks for your response - just to be clear, I was also counting the days spent in Ireland where you knew you would have to be back in Hungary again within x days when arriving at my figure of 20+ days for the opportunity cost

    but I am salaried and I have leave (including medical leave which I used for the first visit) to call upon.

    I am also on a salary and don't get paid for the weekend, but if I had to spend a weekend away from home waiting to see the dentist again on Monday, I would ascribe a certain opportunity cost to this time, aside from any financial costs incurred.

    Given that you earn €1,000 per day instead of €100, the 10-20ish days of travel spent either in Budapest, or travel which was dictated by your need to return to Budapest again within a certain time, would seem to me to result in a fairly substantial opportunity cost, given that the decision to travel to Hungary for dental treatment in the first place was on foot of a saving of €2k (if I understood the first posts correctly).

    You don't factor in the opportunities to visit museums and galleries, the classical music scene, nor the value of enjoying a leg of roast goose with a Hungarian red, followed by a strudel and a glass of Tokai.

    This is true, I suppose - this can be added to the benefit column when totting up the costs and benefits of the exercise. I'm glad that the teeth are going well for you, in any case.



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    Days spent in Ireland, for me, are a benefit, not a cost (opportunity or otherwise).

    I have never spent a weekend in Budapest waiting for a dentist, and any time spent in Budapest where I was not on a dentist chair I was a tourist in one of my favourite cities.

    Thirdly. I'm an economist. You clearly don't understand the concept of opportunity cost.



  • Registered Users Posts: 1,620 ✭✭✭El Tarangu


    I'm an economist. You clearly don't understand the concept of opportunity cost.

    No doubt you are correct - I suppose I mean the... non-monetary costs of the time spent travelling, and of having one's plans circumscribed by the need to go back and forth to city a few hours' away to attend to dental work.

    In your case, this isn't a problem, as you really enjoy Budapest, but perhaps it is something that prospective patients should take into account when booking a procedure.



  • Posts: 0 [Deleted User]


    Hillman I’m not going to read this whole thread again, but I’ve a vague recollection of you posting that you went back a few years after you had the work done to have your overdentures remade when a few teeth fell off them. Could you remind me who paid for that trip/treatment.

    Also, it is a bit disingenuous to claim that the fact you go there for leisure should be construed as the travel/time for dentistry being without cost. If this was the travel forum and you claimed you had a bit of dentistry while describing your holiday, we all could understand your viewpoint. But this is the dental forum and you are extolling the benefits of dental tourism, so of course cost/time of travel is of primary importance to the discussion.

    Post edited by [Deleted User] on


  • Registered Users Posts: 2,744 ✭✭✭marieholmfan


    Yes it does. It tells me that those people regard it as making more sense to just go to the dentist rather than structure their trip home around going to the dentist.


    In general Hungarians seem to have v good teeth. In your experience do they have good dental hygeine?



  • Posts: 0 [Deleted User]


    To be honest I haven’t noticed that they have very good teeth. A number of Hungarians have said to me that domestic patients do not tend to go to the clinics dental tourists tend to attend as they are to expensive for them. I suppose the assumption is that because treatments are cheaper there, there would be no reason why all Hungarians don’t have good teeth, but the reality is that their average wage does not make dentistry at that price point, affordable.



  • Registered Users, Registered Users 2 Posts: 4,031 ✭✭✭spaceHopper


    My take away from this is that Hillmanhunter1 is happy with the work done and has stopped neglecting his teeth and now goes to the dentist. But doesn't like Irish dentist or at least their prices. You can't blame the dentist in hungry if his teeth were in poor condition and one had to be pulled.

    I had braces, oral surgery and an implant done here and given how involved it was I'd personally preferer to have it done here and pay a bit more.

    Saying that I've switched dentist recently as the one I was going to did a big job on their building and then suddenly all my fillings which they had renewed 5 years before needed redoing.

    Any dentist reading this a sofa from Ikea in the simple waiting room is fine I don't expect a boutique hotel reception, keep the funds for better equipment



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  • Registered Users, Registered Users 2 Posts: 316 ✭✭Mikefitzs


    Can anyone recommend a good dentist in Ireland that costs are on par with the cost of Hungarian dentists or maybe up to 20% more. I’d stay at home but I hate being overcharged just for the sake it.

    Just a passenger



  • Posts: 0 [Deleted User]


    There is a Clinic in Carlow owned and operated by Hungarian Dentists, their prices are actually higher than many Irish owned Clinics. Hopefully the irony of that is not lost on you. Google is your friend.

    If you feel you are being overcharged, I would urge you to travel abroad. You will be happier.



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    Yes. After about 5 years a couple of veneers fell off, which is about the normal standard for overdentures.

    I don't go to Budapest specifically for leisure, but I do enjoy leisure time when there, and it is a city that I like. So that goes in the plus column.



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    I think you are spoofing here.

    How many Hungarian patients do you have? How many conversations have you had with Hungarians concerning the dental standards in that country?

    I seems to me that such comparative data as exists suggests that the standard ordinary dental services in both countries is about the same:

    Healthiest Teeth Index | Qunomedical



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    You say that their prices are "actually higher than many Irish owned clinics". I'm sure that you are right that there may be some Irish clinics with lower prices, but that may not give a complete picture. As suggested, I googled their prices:

    Fees | carlowdentalcentre

    Who do you think would be a fair comparator?



  • Registered Users, Registered Users 2 Posts: 3,536 ✭✭✭HBC08


    You're not being over charged for the sake if it.

    Ireland is a more expensive country than Hungary. Pints,taxis,meals,hotels are all cheaper.If you did whatever job you do here in Hungary you would get paid less.

    It baffles me when people cant understand this and complain about the likes of staycationing here or dental procedures etc being cheaper in cheaper countries.



  • Posts: 0 [Deleted User]


    No Hillman, it really isn’t normal standard for veneers to fall off after a couple of years. So when you are updating about the “success” of your treatment abroad, please include that parts of it failed after 5 yrs and lead to you going back to Hungary to have it remade, I’m going to assume at your cost as you haven’t clarified who paid for that.

    As it is 5 yrs since you traveled back to Hungary to have the cosmetic part replaced due to fracture, you are saying it would be “normal” for you to soon travel back to have it all replaced again?

    Again, if you are making a point about the benefits of dental tourism, it seems odd that you ignore the costs and time involved in travel because you enjoy the city/country. For virtually everyone else, and you don’t need to be an economist for this, the cost and time involved in travel is an important consideration when travelling for treatment.

    Post edited by [Deleted User] on


  • Posts: 0 [Deleted User]


    Do you think there are no Hungarians outside Hungary?, or maybe you think they don’t go to the Dentist. That is about as logical as an Arab assuming a Dentist in Qatar is spoofing when he/she says Irish people attend their Clinic. Hillman, you never seem to tell the truth and are constantly being caught out.



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  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    Google tells me that on average dentures last between 5 and 10 years, so they were in the ballpark. It looks as if my second set will last much longer🤞

    As for the cost, perhaps you've noticed that the title of the thread is "Excellent Experience with Budapest Dentist" and not "Cheap Dentists in Hungary"?

    Cost considerations were a factor in my decision of go to Budapest, but my purpose in starting this thread was to say that (contrary to the collective "wisdom" of the cabal of scaremongering dental practitioners on this sub-forum) it is certainly possible to travel to another country and get excellent dental treatment.



  • Posts: 0 [Deleted User]


    ”Average dentures” most often need to be replaced due to changes in the patients tissues which lead to them becoming loose, not because they fall apart.

    Hillman, you didn’t travel to Hungary for “average dentures”, if you did, that would make you an idiot, at least tell the truth.



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    You're great at firing off questions, but not so good at answering them. There are approx. 9,000 Hungarians in Ireland and approx. 2,000 dentists. Unless you're specialising in Hungarians 😀 the average dentist will have less than a handful of Hungarian patients.

    So let me ask again. How many Hungarian patients do you have? How many conversations have you had with Hungarians concerning the dental standards in that country?



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    Another dodge!

    Who do you think would be a fair price comparator for the Carlow practice?



  • Posts: 0 [Deleted User]


    Okay, I’m going to have to spell it out for you. The irony is that here we have a Clinic run by Hungarian Dentists, but just as expensive as ones run by Irish Dentists, perhaps it has to do with the jurisdiction and costs of doing business.

    Considering they provide all general and some specialist treatments, you can compare there general dental fees with any Clinic that provides routine dentistry, and their specialist treatment fees with any clinic that provides those treatments.

    A case in point, you mention an “average denture” above, which is an acrylic denture, that clinic charges €1200 for a full upper denture, that is very much at the higher end of prices in Ireland.



  • Posts: 0 [Deleted User]


    Are you assuming the Hungarian population is spread evenly throughout the country?. But going back to the relevant post, the poster asked what my experience with Hungarian patients is, not what the general level of dental health is in Hungary. I’m afraid I do not have a search function by nationality on my practice software, so I’m going to guess more than 30, but less than 50.



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  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    10 times the mathematical average! Is there a "little Budapest" somewhere near your practice?😂

    And you did opine on the general level of dental health in Hungary. You said that you hadn’t noticed that Hungarians have very good teeth and that the average wage in Hungary does not make dentistry at that price point affordable.

    Which of course is BS.



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    No need to spell anything out - that is just an attempt to dodge the question.

    So for the third time, who do you think would be a fair price comparator for the Carlow practice?

    Post a like to a price list, like I did.



  • Registered Users Posts: 310 ✭✭Hillmanhunter1


    I have invited the moderator to close this thread again at a time of his/her choosing.



  • Posts: 0 [Deleted User]


    My Clinic is close to a densely populated area and also has GPs/health services, so attracts a lot of patients, of all nationalities.

    Before this thread closes, I’d like to summerise.

    • You asked for the thread to me opened to update on the 10 yr success of your dental treatment.

    • Your treatment began to fall apart after 5 yrs, you returned to have it redone, at your cost, and you accepted when told that it was normal for veneers to fall off after 5 yrs, so you were happy to return for re-treatment at your expense.

    • And now you seem happy that the re-treated veneers/overdenture seem to be lasting longer than the last one.

    • You don’t believe travel costs/time are considered a factor in getting treatment in Hungary, cause you like the country.

    How could you possibly be a qualified economist?



  • Posts: 0 [Deleted User]


    Same town, general dental fees.

    Hillman, most clinics now have websites, it is not difficult to look up a few to compare prices.

    Post edited by [Deleted User] on


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