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Is poor dental care a death sentence?

Reply from: troll
Date: 30 May 2008, 19:09
Is poor dental care a death sentence?

I have been seeing a dentist for over a yr. and we just discovered a
tooth
so decayed it really is beyond a r.c. and crown.
How could he not read my x-rays of a yr. ago.
I looked at them and he agreed that more than one tooth had decay then.
Another dentist says I need $10,000 work done soon.
How could this happen. I never balked at paying my bill. I trusted him.
What is one to do. I guess extraction of the worse one. I thought I
made it clear I wanted to prevent the loss of my teeth.
CA , I'm 65/
TIA for any suggestions.
g.
--
If Evolution is out-lawed. Only the Out-laws will evolve.

Reply from: Steven Bornfeld
Date: 30 May 2008, 20:21
Re: Is poor dental care a death sentence?

troll wrote:
> I have been seeing a dentist for over a yr. and we just discovered a
> tooth
> so decayed it really is beyond a r.c. and crown.
> How could he not read my x-rays of a yr. ago.

There are several possible explanations (other than negligence). I'd
just be speculating.
Just two--if the tooth has a crown on it or large metal restoration and
the x-ray was not angulated at just the right angle, caries present a
year ago may well have been obscured by overlap from the restoration.
Also, as we get older, the gum often recedes, exposing the root
surface. The root surface is far softer than the enamel. If decay
starts, it sometimes progresses very, very quickly. Many older people
are also on medications that tend to cause dry mouth. This also can
encourage the rapid development of decay.
If this is not some fluke you may require much closer monitoring,
meticulous oral hygiene, perhaps a prescription fluoride gel to prevent
having a similar story on other teeth.

Steve


> I looked at them and he agreed that more than one tooth had decay then.
> Another dentist says I need $10,000 work done soon.
> How could this happen. I never balked at paying my bill. I trusted him.
> What is one to do. I guess extraction of the worse one. I thought I
> made it clear I wanted to prevent the loss of my teeth.
> CA , I'm 65/
> TIA for any suggestions.
> g.

Reply from: Steven Fawks
Date: 31 May 2008, 04:06
Re: Is poor dental care a death sentence?



If meds have changed and sugar exposure has been increased (e.g.-mints
to help breath or mouth dryness), decay can happen rapidly to exposed
root surfaces.

It's also possible that the type of insurance meant that the dentist
would lose money if much treatment was actually rendered. Ignore
the work and the patient, and they are no longer an issue for the
dentist.

Steve

> There are several possible explanations (other than negligence).
> I'd just be speculating.
> Just two--if the tooth has a crown on it or large metal restoration
> and the x-ray was not angulated at just the right angle, caries present
> a year ago may well have been obscured by overlap from the restoration.
> Also, as we get older, the gum often recedes, exposing the root
> surface. The root surface is far softer than the enamel. If decay
> starts, it sometimes progresses very, very quickly. Many older people
> are also on medications that tend to cause dry mouth. This also can
> encourage the rapid development of decay.
> If this is not some fluke you may require much closer monitoring,
> meticulous oral hygiene, perhaps a prescription fluoride gel to prevent
> having a similar story on other teeth.
>
> Steve

Reply from: troll
Date: 31 May 2008, 06:08
Re: Is poor dental care a death sentence?

In article <1212187147_170928@news.newsville,com >,
Steven Fawks <tuthjockey@myturbonet,com > wrote:

> If meds have changed and sugar exposure has been increased (e.g.-mints
> to help breath or mouth dryness), decay can happen rapidly to exposed
> root surfaces.
>
> It's also possible that the type of insurance meant that the dentist
> would lose money if much treatment was actually rendered. Ignore
> the work and the patient, and they are no longer an issue for the
> dentist.
>
> Steve
>
> > There are several possible explanations (other than negligence).
> > I'd just be speculating.
> > Just two--if the tooth has a crown on it or large metal restoration
> > and the x-ray was not angulated at just the right angle, caries present
> > a year ago may well have been obscured by overlap from the restoration.
> > Also, as we get older, the gum often recedes, exposing the root
> > surface. The root surface is far softer than the enamel. If decay
> > starts, it sometimes progresses very, very quickly. Many older people
> > are also on medications that tend to cause dry mouth. This also can
> > encourage the rapid development of decay.
> > If this is not some fluke you may require much closer monitoring,
> > meticulous oral hygiene, perhaps a prescription fluoride gel to prevent
> > having a similar story on other teeth.
> >
> > Steve

no mints, little sugar and I pay cash. No insurance
and
I saw an X-ray proof that this condition was ignored. Even during a
cleaning 6 months ago. and a complaint of pain 5/25/07
that's when a desensitizing solution was applied.
the q. remains have to argue this in Mediation?
--
If Evolution is out-lawed. Only the Out-laws will evolve.

Reply from: Steven Fawks
Date: 31 May 2008, 15:23
Re: Is poor dental care a death sentence?


> no mints, little sugar and I pay cash. No insurance
> and
> I saw an X-ray proof that this condition was ignored. Even during a
> cleaning 6 months ago. and a complaint of pain 5/25/07
> that's when a desensitizing solution was applied.
> the q. remains have to argue this in Mediation?

Don't know what the guy was thinking to let this happen then.
No matter how bad the news on a first exam, I try to let
patients know where they stand. Of course the crystal ball
can be a little fuzzy. I see what they look like 'today'.
I may not know what they looked like 2, 5, or 10 years ago.
That can have a big impact on how fast problems are evolving
and how aggressive treatment needs to be implemented, or
maybe if it is even feasable.

I would get another 'second opinion'. I suspect that you can
get things corrected for less than ten grand, but maybe the
neglect was occuring even before the latest dentist.

However, I doubt that it will make financial sense to pursue
this guy for neglect. It's expensive, difficult to prove,
and time consuming.

Better to cut your losses, find a good dentist, and get things
straightened out.

JMO,
Steve

Reply from: troll
Date: 31 May 2008, 04:13
Re: Is poor dental care a death sentence?

In article <eK2dnSk0s_Ao2N3VnZ2dnUVZ_tjinZ2d@earthlink,com >,
Steven Bornfeld <dentaltwinmung@earthlink,net > wrote:

> There are several possible explanations (other than negligence). I'd
> just be speculating.
> Just two--if the tooth has a crown on it or large metal restoration and
> the x-ray was not angulated at just the right angle, caries present a
> year ago may well have been obscured by overlap from the restoration.
the major problem is a tooth with only fillings.
> Also, as we get older, the gum often recedes, exposing the root
> surface. The root surface is far softer than the enamel. If decay
> starts, it sometimes progresses very, very quickly. Many older people
> are also on medications that tend to cause dry mouth. This also can
> encourage the rapid development of decay.
My gums are receding, actually I had him treat for sensitive gums and
he then had another chance to examine my teeth , which clearly showed
decay on an
X-ray long ago. He admits to seeing them now. Me too.
> If this is not some fluke you may require much closer monitoring,
> meticulous oral hygiene, perhaps a prescription fluoride gel to prevent
> having a similar story on other teeth.
> I really want to know explains such poor attention to detail
george
--
If Evolution is out-lawed. Only the Out-laws will evolve.

Reply from: Mark & Steven Bornfeld
Date: 31 May 2008, 16:57
Re: Is poor dental care a death sentence?

troll wrote:
> In article <eK2dnSk0s Ao2N3VnZ2dnUVZ tjinZ2d@earthlink,com >,
> Steven Bornfeld <dentaltwinmung@earthlink,net > wrote:
>
>> There are several possible explanations (other than negligence). I'd
>> just be speculating.
>> Just two--if the tooth has a crown on it or large metal restoration and
>> the x-ray was not angulated at just the right angle, caries present a
>> year ago may well have been obscured by overlap from the restoration.
> the major problem is a tooth with only fillings.
>> Also, as we get older, the gum often recedes, exposing the root
>> surface. The root surface is far softer than the enamel. If decay
>> starts, it sometimes progresses very, very quickly. Many older people
>> are also on medications that tend to cause dry mouth. This also can
>> encourage the rapid development of decay.
> My gums are receding, actually I had him treat for sensitive gums and
> he then had another chance to examine my teeth , which clearly showed
> decay on an
> X-ray long ago. He admits to seeing them now. Me too.

Well, obviously the decay should have been spotted and treated if possible.
The dentist has been open and honest. If the issue is money, I can't
give specific legal advice. It is tough to put a numerical value on the
loss of the tooth; it may not have been possible to save months ago in
any case--we can't know that. Furthermore, I don't know the condition
of the rest of your mouth.
You can call the local dental society and see if there is a peer review
committee where you are. My recommendation is that if the dentist seems
otherwise competent and honest, you may wish to discuss this further
with him and give him the opportunity to make it right.

Good luck,
Steve


>> If this is not some fluke you may require much closer monitoring,
>> meticulous oral hygiene, perhaps a prescription fluoride gel to prevent
>> having a similar story on other teeth.
>> I really want to know explains such poor attention to detail
> george


--
Mark & Steven Bornfeld DDS
http :// www .dentaltwins,com
Brooklyn, NY
718-258-5001

Reply from: Robert
Date: 31 May 2008, 02:31
Re: Is poor dental care a death sentence?

"troll" <georgewkspam@humboldt1,com > wrote in message
news:georgewkspam-AF4BAE.10093530052008@sn-ip.vsrv-sjc.supernews,net ...

Losing a tooth is hardly a death sentence. In fact, removing a severely
infected tooth will prolong your life.



Reply from: troll
Date: 31 May 2008, 04:19
Re: Is poor dental care a death sentence?

In article <48409c8d$0$11632$607ed4bc@cv,net >,
"Robert" <guyinct17@NOSPAMyahoo,com > wrote:

> "troll" <georgewkspam@humboldt1,com > wrote in message
> news:georgewkspam-AF4BAE.10093530052008@sn-ip.vsrv-sjc.supernews,net ...
>
> Losing a tooth is hardly a death sentence. In fact, removing a severely
> infected tooth will prolong your life.

For want of nail , a horse was lost, for want of a Horse, a battle was
lost, For want of a win , a kingdom was lost.

And I thought I had an agreement with my dentist that we would do the
best to keep my original teeth for a bit longer that 65 yrs.
It could have been done with a better attention to reading X-rays.
Prevention is a goal I cherish . You?
--
If Evolution is out-lawed. Only the Out-laws will evolve.

Reply from: Robert
Date: 02 Jun 2008, 18:22
Re: Is poor dental care a death sentence?

>> "troll" <georgewkspam@humboldt1,com > wrote in message
>> news:georgewkspam-AF4BAE.10093530052008@sn-ip.vsrv-sjc.supernews,net ...
>>
> And I thought I had an agreement with my dentist that we would do the
> best to keep my original teeth for a bit longer that 65 yrs.
> It could have been done with a better attention to reading X-rays.
> Prevention is a goal I cherish . You?

Absolutely, but I think you are ascribing to your dentist (and that goes for
any medical practitioner) more power than they actually have.

Incidentally, why would an extraction cost you $10K?




Reply from: johnsonn.thomas@googlemail,com
Date: 31 May 2008, 10:52
Re: Is poor dental care a death sentence?

On May 31, 5:31 am, "Robert" <guyinc...@NOSPAMyahoo,com > wrote:
> "troll" <georgewks...@humboldt1,com > wrote in message
>
> news:georgewkspam-AF4BAE.10093530052008@sn-ip.vsrv-sjc.supernews,net ...
>
> Losing a tooth is hardly a death sentence. In fact, removing a severely
> infected tooth will prolong your life.

Yes,removing a infected tooth is to secure ur life otherwise it may
affect your more teeth that would be a cause
of more oral diseases..

Regards
Thomas
http :// www .indian-medical-center,com

Reply from: Amatus Cremona
Date: 02 Jun 2008, 14:33
Re: Is poor dental care a death sentence?

Probably under a metal crown/

--
/

Amatus

/
"troll" <georgewkspam@humboldt1,com > wrote in message
news:georgewkspam-AF4BAE.10093530052008@sn-ip.vsrv-sjc.supernews,net ...
>I have been seeing a dentist for over a yr. and we just discovered a
> tooth
> so decayed it really is beyond a r.c. and crown.
> How could he not read my x-rays of a yr. ago.
> I looked at them and he agreed that more than one tooth had decay then.
> Another dentist says I need $10,000 work done soon.
> How could this happen. I never balked at paying my bill. I trusted him.
> What is one to do. I guess extraction of the worse one. I thought I
> made it clear I wanted to prevent the loss of my teeth.
> CA , I'm 65/
> TIA for any suggestions.
> g.
> --
> If Evolution is out-lawed. Only the Out-laws will evolve.



Reply from: Robert
Date: 04 Jun 2008, 16:23
Re: Is poor dental care a death sentence?

"troll" <georgewkspam@humboldt1,com > wrote in message
news:georgewkspam-AF4BAE.10093530052008@sn-ip.vsrv-sjc.supernews,net ...
>I have been seeing a dentist for over a yr. and we just discovered a
> tooth
> so decayed it really is beyond a r.c. and crown.
> How could he not read my x-rays of a yr. ago.
> I looked at them and he agreed that more than one tooth had decay then.
> Another dentist says I need $10,000 work done soon.
> How could this happen. I never balked at paying my bill. I trusted him.
> What is one to do. I guess extraction of the worse one. I thought I
> made it clear I wanted to prevent the loss of my teeth.

btw - if it wasn't showing up on an xray how did you determine you had a
problem with it, and how did he determine that it was so far gone?



Reply from: georgepds
Date: 10 Jun 2008, 23:56
Re: Is poor dental care a death sentence?

On Fri, 30 May 2008 10:09:35 -0700, troll <georgewkspam@humboldt1,com >
wrote:

>I have been seeing a dentist for over a yr. and we just discovered a
>tooth so decayed it really is beyond a r.c. and crown.
>How could he not read my x-rays of a yr. ago.

My guess is sometimes decay happens quickly

>I looked at them and he agreed that more than one tooth had decay then.
>Another dentist says I need $10,000 work done soon.
>How could this happen.

Again, my best guess is different dentists have different "standards",
What is acceptable to one is not to another. Try getting an opinion of
work needed from three dentists.. and it will all differ. if you are
strapped fro cash, just do what all three recommend in common






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