How do I proceed with confronting my dentist with accusations?

Discussion in 'Dental Archive' started by P.Nichols, Jul 19, 2003.

  1. P.Nichols

    P.Nichols Guest

    You may recall the thread over the last 2 months or so titled "please
    respond to this opinion re infection after root canal".

    It was determined that my wife needed an apicoectomy after the root
    canal caused an infection.

    Well, the dentist and a partner dentist and my wife's sister who just
    graduated from dental school all said -after examining like 3 x-rays
    of the area" that it is clear that the dentist cut too deep (not sure
    this is the way to say it, my wife knows more of the language of
    dental work) and thus caused the infection leading to the need for an
    apicoectomy. They all said we should go back and get renumeration from
    the dentist who did the bad root canal.

    I am going to post the x-rays on a web site and allow you all here to
    look at them and give me your opinion before I speak with the dentist
    in question.

    However, meanwhile (assuming I WILL need to confront the dentist re
    his bad work, and ask for renumeration for both the bad root canal and
    the apicoectomy I had to pay for), how should I proceed? Should I call
    him and tell him on the phone I want to meet with him? Should I tell
    him on the phone what it is about, or be vague until I meet with him
    (with the 3-5 x-rays in hand)? And when I meet with him, what should I
    say? I want to give him a chance to respond, but frankly, unless
    someone here presents a very good argument as to why I should not, I
    plan to ask him for renumeration OR take him to court over it,
    whichever he prefers. I would rather get him to agree to settle with
    me out of court, but my wife has suffered a great deal from this, and
    we've had to spend a lot of money and time as a result of this bad
    root canal (not to mention the bad bridge work from before that caused
    the need for the root canal - though THAT was another bad dentist!)

    So how should I proceed with confronting this dentist with my
    accusation that he did a bad root canal?
    P.Nichols, Jul 19, 2003
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  2. P.Nichols

    WB Guest

    On Sat, 19 Jul 2003 22:35:27 -0400, "Dr. Steve"
    And that 90%+ of *all* exposures, pathologic or not,
    fail within 5 years.
    WB, Jul 20, 2003
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  3. On Sat, 19 Jul 2003 22:35:27 -0400, "Dr. Steve"
    I am not sure that is the problem. I will post the xrays so you can
    see what the problem was.
    Not sure WHAT the problem was, other than infection that wasn't going
    away. And the apicoectomy was advised not only here (see previous
    thread as I mentioned above) but by the two dentists who viewed the
    x-rays. Of course, as I have found, dentists can be wrong, and one
    says one thing and another says another...
    Can you explain what you mean by that? Fail in what way? Fail to get
    rid of the infection? Then what happens? What should we look out for?
    What should we do, since she already had the apicoectomy, and it seems
    to have worked, for now at least?
    Miguel B Good, Jul 20, 2003
  4. P.Nichols

    WB Guest

    On 20 Jul 2003 16:44:54 -0700, (P.Nichols) wrote:

    A tooth that has a pulpal exposure (exposed nerve) has a
    90% chance of becoming necrotic (dead) within 5 years.

    IOW the 5 year survival rate is ~10%
    Mancuso's tecnique may however have better results.
    But the Techinque has not been in use long enough
    for long term analysis.

    Note that decay that is close to the pulp but not actually
    into the pulp can also result in necrosis.
    It is now thought that the pulp can only sustain ~two
    dental procedures before pathologic changes occur
    in the pulp. This is of course highly variable between

    A pathologic exposure is caused by decay reaching the
    pulp (nerve) chamber.
    A mechanical exposure can be from an accident
    such as a sports injury, or car wreck.
    The pulp may also be exposed during tooth preparation
    in certain circumstances.
    WB, Jul 21, 2003
  5. P.Nichols

    fmn Guest

    A nice politically correct way to say screw up!
    fmn, Jul 23, 2003
  6. P.Nichols

    fmn Guest

    Shirley, what are you doing doing pulp caps? Actually, seriously, there is
    good evidence that often lateral canals can get necrotic after S and RP
    explaining seemingly unexplained periapical abscesses on no decay or no
    cracked teeth. This is another "not taught in dental school" so it is not
    considered enough.
    fmn, Jul 23, 2003
  7. P.Nichols

    P.Nichols Guest

    If apicoectomies don't work in 50% or more of the cases, why do
    dentists recommend them and do them? We were not told this, nor were
    we told of an alternative. All we heard was "She needs an apicoectomy,
    and that will get rid of the infection."

    "Dr. Steve" <> wrote in message news:<>...
    P.Nichols, Jul 24, 2003
  8. P.Nichols

    WB Guest

    On 23 Jul 2003 17:42:14 -0700, (P.Nichols) wrote:
    If you read closely Dr. Steve stated that about 1/2 of the teeth
    *planned* for apicoectomy have root fractures.
    Teeth with root fractures to the apex are non-restorable.

    If the endodontist sees that the root is fractured s/he
    will either extract the tooth then or send the patient to
    an oral surgeon.

    Dr. Steve did not say that apicoectomies don't work 1/2 the time.

    WB, Jul 24, 2003
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