The Dental Thread

[Spock]

Are there good endodontists in Thailand? May need a couple of root canals on back lower molar and wisdom tooth. Given the jaw has lost about 50% of the bone, I'd be  paying for root canals on teeth that may not last long enough to justify a high cost. Not much chance of an implant with so little bone, but the bone has been stable for 4 years, the teeth are firm and perform a vital function. I need to keep them. Someone mentioned a relationship between jaw bone quality and other bone areas - I started getting osteoporosis at around 40 yrs of age. I am going for a 3D scan of the area next week.

[ExpatOilWorker]

Somjot, thanks for taking the time to write all this and educate us. Much needed.

Have you considered practicing at a small clinic in Thailand?

I just had my first implant, Swiss made and very happy with the result.

 

 

[Somjot]

On 9/5/2023 at 9:51 AM, owl sees all said:

I Not only feel threatened by those crude handyman's tools, I don't like putting metal in me mouth.

 

The self-extraction I do is simple. Get some twine; fishing line is no good as it stretches. Double it up and lasso the tooth. If it slips off, file a little grove in the tooth, with a nail clipper nail file. Or it could be that the knot is not securing the tooth, and slipping.

 

Then the important part. Wrap the end of the twine round a bamboo. Don't pull the bamboo. Get the twine taunt, and just twist. Keep going with the twisting til the tooth is out. Can hear the rasping noise as the tooth pulls away from the bone. But it's only for a second or two.

 

Saves time money and although a bit painful, you have not had any injections.

 

Looking at that executed … err … extracted tooth I can clearly see a lot of concrements in the subgingival area.

This tooth must have been very loose and easily to extract, as those concrements always lead to gingiva and bone recession.

But with a thorough subgingival curettage it might also tighten again and be in function by now.

Next time you might want to try to keep the tooth first.

And I doubt, that you could extract for example a hurting tooth with a deep caries but a healthy periodontal ligament, with your method.

 

[Somjot]

12 hours ago, Spock said:

Are there good endodontists in Thailand? May need a couple of root canals on back lower molar and wisdom tooth. Given the jaw has lost about 50% of the bone, I'd be  paying for root canals on teeth that may not last long enough to justify a high cost. Not much chance of an implant with so little bone, but the bone has been stable for 4 years, the teeth are firm and perform a vital function. I need to keep them. Someone mentioned a relationship between jaw bone quality and other bone areas - I started getting osteoporosis at around 40 yrs of age. I am going for a 3D scan of the area next week.

These days there seem to be so many specialists in dentistry.

Any experienced, skilled dentist with good equipment can perform a root canal treatment.

But if you have a history of failed root canal treatments or want to be 100% - there is no 100% in medicine - let's say, 98% sure that the treatment will be successful, then you have to go and see one of those endodontists.

In Bangkok I would go to the dental hospital while in Pattaya I would recommend the Bangkok hospital Pattaya.

[Somjot]

12 hours ago, ExpatOilWorker said:

Somjot, thanks for taking the time to write all this and educate us. Much needed.

Have you considered practicing at a small clinic in Thailand?

I just had my first implant, Swiss made and very happy with the result.

 

Not only have I considered it, but I am also currently working in my own dental clinic in Pattaya.

Why else would I go through that ordeal to get the Thai dental licence.

Your implant looks great. The guy who did it, knew what he was doing. The distance to the neighboring teeth is perfect.

 

[owl sees all]

1 hour ago, Somjot said:

Looking at that executed … err … extracted tooth I can clearly see a lot of concrements in the subgingival area.

This tooth must have been very loose and easily to extract, as those concrements always lead to gingiva and bone recession.

But with a thorough subgingival curettage it might also tighten again and be in function by now.

Next time you might want to try to keep the tooth first.

And I doubt, that you could extract for example a hurting tooth with a deep caries but a healthy periodontal ligament, with your method.

 

 

Sorry, double post, the website did not react for a few minutes.

 

The tooth was a little loose. It didn't come out quietly though. And I gave it a little clean for the pic.

 

A back tooth that I pulled a couple of years ago was much tougher. It's documented here on AN. That was a right sod. Twine kept slipping off. Had to do a little groove. Even with the groove, I had to use the double twist knot, from me carp fishing days, to get a good hold. But it saved me at least a 1000 baht.

 

This 'self-extraction' isn't for everyone. But it saves a lot of hassle and is all over in a few seconds. A word of advice/warning for any would be self-extractors out there. Do not use wire. It is very unforgiving and if you lasso the tooth badly can rip out a good part of yer gum. So use twine, it doesn't cut through flesh like wire.

 

On the other hand. If you have plenty of money and time; go see a dentist.

 

.

Edited September 6, 2023 by owl sees all

[Spock]

On 9/6/2023 at 9:59 PM, Somjot said:

These days there seem to be so many specialists in dentistry.

Any experienced, skilled dentist with good equipment can perform a root canal treatment.

But if you have a history of failed root canal treatments or want to be 100% - there is no 100% in medicine - let's say, 98% sure that the treatment will be successful, then you have to go and see one of those endodontists.

In Bangkok I would go to the dental hospital while in Pattaya I would recommend the Bangkok hospital Pattaya.

I assume that by dental hospital you are referring to is the one in Silom not the BIDH in Sukhumvit. The former doesn't get reviewed very favourably and there are few reviews compared to BIDH. Personally, I find hospital or clinic recommendations a bit difficult to truly observe because it's the individuals working within those places in whom I need to have faith rather than the overall reputation of the establishment.  With hospitals and clinics that have different people for different roles, it's almost impossible to truly establish the worth of a place as you could be dealing with so many different people. I have used BIDH in the past for simple procedures such as teeth cleaning and am suspicious of their methods. For root canals and implants you need to have some knowledge regarding the competence of the person performing the task.

Edited September 9, 2023 by Spock

[ignis]

On 9/6/2023 at 8:22 PM, owl sees all said:

The tooth was a little loose. It didn't come out quietly though. And I gave it a little clean for the pic.

 

A back tooth that I pulled a couple of years ago was much tougher. It's documented here on AN. That was a right sod. Twine kept slipping off. Had to do a little groove. Even with the groove, I had to use the double twist knot, from me carp fishing days, to get a good hold. But it saved me at least a 1000 baht.

 

This 'self-extraction' isn't for everyone. But it saves a lot of hassle and is all over in a few seconds. A word of advice/warning for any would be self-extractors out there. Do not use wire. It is very unforgiving and if you lasso the tooth badly can rip out a good part of yer gum. So use twine, it doesn't cut through flesh like wire.

 

On the other hand. If you have plenty of money and time; go see a dentist.

 

.

Will use the dentist, filling dropped out of the back upper tooth earlier this year. Government Local Hospital said no good must come out > 2 injections > tooth pulled > total bill 328 baht...  

 

 

[Sheryl]

2 hours ago, Spock said:

I assume that by dental hospital you are referring to is the one in Silom not the BIDH in Sukhumvit. The former doesn't get reviewed very favourably and there are few reviews compared to BIDH. Personally, I find hospital or clinic recommendations a bit difficult to truly observe because it's the individuals working within those places in whom I need to have faith rather than the overall reputation of the establishment.  With hospitals and clinics that have different people for different roles, it's almost impossible to truly establish the worth of a place as you could be dealing with so many different people. I have used BIDH in the past for simple procedures such as teeth cleaning and am suspicious of their methods. For root canals and implants you need to have some knowledge regarding the competence of the person performing the task.

I think he means the Dental Hospital near Onnut   http://www.dentalhospitalbangkok.com/

 

Which is where I go myself

[owl sees all]

1 hour ago, ignis said:

Will use the dentist, filling dropped out of the back upper tooth earlier this year. Government Local Hospital said no good must come out > 2 injections > tooth pulled > total bill 328 baht...  

 

 

Good for you Ignis. A bargain if ever there was one; 328 baht.

 

If you have a tooth problem get to the dentist. But if you want to pull it yourself then my method is fine. Has worked for me down the years. And cheap with it.

[Spock]

2 hours ago, Sheryl said:

I think he means the Dental Hospital near Onnut   http://www.dentalhospitalbangkok.com/

 

Which is where I go myself

It's not very well reviewed.

[Somjot]

2 hours ago, Sheryl said:

I think he means the Dental Hospital near Onnut   http://www.dentalhospitalbangkok.com/

 

This is correct.

[Somjot]

28 minutes ago, Spock said:

It's not very well reviewed.

Please keep in mind that you have been asking for an endodontist, aka root canal specialist.

 

Now as I wrote, most root canal treatments can be successfully performed by experienced dentists but if there is a high chance for complications, the root canal specialist is the person you want to visit.

 

In most cases they have a couple of months if not years of additional education and experience and the much better equipment than the normal dentist.

 

For example they work with a dental microscope, a huge piece of equipment, normally fixed on the wall with prices starting 20,000,- € and more, not to mention the special motors for the treatment.

 

As far as I know, the dental hospital has this equipment same as the Bangkok hospital Pattaya.

 

However, generally I tried to avoid any kind of recommendations no matter if according to clinics, restaurants or hotels as one man's heaven is the next man's hell.

 

And I would be a bit careful with those reviews. It is easy to ask friends and relatives for a good review without them ever having experienced your services but on the other hand side, some customers use this as a lever.

 

Last year a guy came for a professional tooth cleaning, which was performed perfectly by my colleague within 50 minutes; after that he was handed a mirror to check the result.

 

The guy was very happy, even complimented my doctor for his great and totally painless job, paid at the counter and left.

 

Next morning, he called us by WhatsApp and complained, that after rechecking his teeth at home, he had noticed that 2 teeth are not completely clean.

 

I apologised and offered him to come to my place immediately, so we can re-check and if necessary, re-treat.

 

He said that he had lost his trust in us, was now traumatized and wants us to wire his money back.

 

I asked: “We cleaned 26 teeth, which took us 50 minutes and because of 2 allegedly not perfectly cleaned teeth you want your complete money back?”

 

“Smart guy.” He answered arrogantly and if I would refuse, he would write many horrible reviews about my clinic on Google Maps and many other social media, “so that you can close your dental <deleted>house within a month.”

 

[Somjot]

On 9/6/2023 at 8:22 PM, owl sees all said:

The tooth was a little loose. It didn't come out quietly though. And I gave it a little clean for the pic.

 

A back tooth that I pulled a couple of years ago was much tougher. It's documented here on AN. That was a right sod. Twine kept slipping off. Had to do a little groove. Even with the groove, I had to use the double twist knot, from me carp fishing days, to get a good hold. But it saved me at least a 1000 baht.

 

This 'self-extraction' isn't for everyone. But it saves a lot of hassle and is all over in a few seconds. A word of advice/warning for any would be self-extractors out there. Do not use wire. It is very unforgiving and if you lasso the tooth badly can rip out a good part of yer gum. So use twine, it doesn't cut through flesh like wire.

 

On the other hand. If you have plenty of money and time; go see a dentist.

 

.

 

Now that you're advertising your without any doubt very unusual method, I'd like to ask some questions:

 

How did you get that grooves in the tooth so that your twine wouldn't slip off, especially without injuring neighboring soft tissue or teeth?

 

How do you sterilize your twine and whatever instrument you use for creating those grooves. For a proper sterilization they must be exposed to heat for 20 minutes and a temperature of 121 °C with a pressure of 2 bar or for 5 minutes and 134 °C with 3 bar but you knew that already.

 

What do you do in case of complications, just to name a few:

 

1. A wound infection, which can easily turn into a life-threatening osteomyelitis?

 

2. The twine I have seen on your picture will pull only on one side of the tooth comparable to the rope on the neck of a person sentenced to death, which in most cases will result in a broken neck. The effect on your tooth is that it is not only pulled but also tilted to one side at the same time which may result in a good part of the alveolar bone being ripped out too.

 

3. As the roots of the upper molars are very close to the sinuses, their extraction leads to a connection between mouth and maxillary sinus in many cases, which must be treated with a plastic maxillary sinus occlusion immediately.

 

I have no doubt, you`ll concur that these complications must be attended to and cannot be ignored.

 

How do you proceed in these cases?

[Spock]

27 minutes ago, Somjot said:

Please keep in mind that you have been asking for an endodontist, aka root canal specialist.

 

Now as I wrote, most root canal treatments can be successfully performed by experienced dentists but if there is a high chance for complications, the root canal specialist is the person you want to visit.

 

In most cases they have a couple of months if not years of additional education and experience and the much better equipment than the normal dentist.

 

For example they work with a dental microscope, a huge piece of equipment, normally fixed on the wall with prices starting 20,000,- € and more, not to mention the special motors for the treatment.

 

As far as I know, the dental hospital has this equipment same as the Bangkok hospital Pattaya.

 

However, generally I tried to avoid any kind of recommendations no matter if according to clinics, restaurants or hotels as one man's heaven is the next man's hell.

 

And I would be a bit careful with those reviews. It is easy to ask friends and relatives for a good review without them ever having experienced your services but on the other hand side, some customers use this as a lever.

 

Last year a guy came for a professional tooth cleaning, which was performed perfectly by my colleague within 50 minutes; after that he was handed a mirror to check the result.

 

The guy was very happy, even complimented my doctor for his great and totally painless job, paid at the counter and left.

 

Next morning, he called us by WhatsApp and complained, that after rechecking his teeth at home, he had noticed that 2 teeth are not completely clean.

 

I apologised and offered him to come to my place immediately, so we can re-check and if necessary, re-treat.

 

He said that he had lost his trust in us, was now traumatized and wants us to wire his money back.

 

I asked: “We cleaned 26 teeth, which took us 50 minutes and because of 2 allegedly not perfectly cleaned teeth you want your complete money back?”

 

“Smart guy.” He answered arrogantly and if I would refuse, he would write many horrible reviews about my clinic on Google Maps and many other social media, “so that you can close your dental <deleted>house within a month.”

 

I asked about root canal and also read on the BIDH website that they only have one endodontist and appointments are very difficult. However, having read all the reviews of the Dental hospital, if I was flying in and out of Bangkok for booked treatment, I am not sure I could trust the dental hospital. The vast majority of bad reviews are of management and reception as well as deceptive pricing, though there are several that are critical of the dentists too. The most negative reviews are post 2018 since their move to On Nut. Many people complaining about long waits for treatment and for their bill, as well as treatment not being completed within the planned time frame. On the basis of the many reviews I read, I could not trust this place if I was not a resident of Bangkok. 

[Somjot]

14 minutes ago, Spock said:

I asked about root canal and also read on the BIDH website that they only have one endodontist and appointments are very difficult. However, having read all the reviews of the Dental hospital, if I was flying in and out of Bangkok for booked treatment, I am not sure I could trust the dental hospital. The vast majority of bad reviews are of management and reception as well as deceptive pricing, though there are several that are critical of the dentists too. The most negative reviews are post 2018 since their move to On Nut. Many people complaining about long waits for treatment and for their bill, as well as treatment not being completed within the planned time frame. On the basis of the many reviews I read, I could not trust this place if I was not a resident of Bangkok. 

Listen, I was not trying to advertise for them. I just knew, they had a microscope for root canal treatment, which is the proper equipment for a specialist.

 

But of course, I have no idea about their staff.

 

Generally spoken I would be careful with any place, which has 100% good reviews with maximum points (good reviews can be created or bought; bad reviews can be removed by a good lawyer), same as places, which have mostly bad reviews (speaks for itself).

 

The reviews of those places are reliable, which are 95% good and the rest being bad.

 

But this is just my personal experience.

 

I have heard things similar to those, which you describe but you have to understand, I am the only foreign dentist in Thailand running his own clinic and I must be extremely careful, how I comment any other clinics, as I am - how do I express this? - permanently under a microscope myself, not a dental one as you can imagine.

 

There are people just waiting for me to make a wrong move; I have no intention to grant them this favor.

[Spock]

11 minutes ago, Somjot said:

Listen, I was not trying to advertise for them. I just knew, they had a microscope for root canal treatment, which is the proper equipment for a specialist.

 

But of course, I have no idea about their staff.

 

Generally spoken I would be careful with any place, which has 100% good reviews with maximum points (good reviews can be created or bought; bad reviews can be removed by a good lawyer), same as places, which have mostly bad reviews (speaks for itself).

 

The reviews of those places are reliable, which are 95% good and the rest being bad.

 

But this is just my personal experience.

 

I have heard things similar to those, which you describe but you have to understand, I am the only foreign dentist in Thailand running his own clinic and I must be extremely careful, how I comment any other clinics, as I am - how do I express this? - permanently under a microscope myself, not a dental one as you can imagine.

 

There are people just waiting for me to make a wrong move; I have no intention to grant them this favor.

(They actually have 6 microscopes) I understand you and appreciate your advice and opinions. The onus is on me to then do my own research and not blame anyone but myself if I make the wrong decision. With Thailand's harsh defamation laws I can fully understand you not wanting to be critical of other practices. Your information actually helps me select a dental option in my own country, such as selecting an endodontist over a dentist for a root canal on a tooth where there is not much back up in my mouth if anything goes wrong. Keep up the good work. I find this thread really useful.

Edited September 9, 2023 by Spock

[Sheryl]

6 hours ago, Spock said:

I asked about root canal and also read on the BIDH website that they only have one endodontist and appointments are very difficult. However, having read all the reviews of the Dental hospital, if I was flying in and out of Bangkok for booked treatment, I am not sure I could trust the dental hospital. The vast majority of bad reviews are of management and reception as well as deceptive pricing, though there are several that are critical of the dentists too. The most negative reviews are post 2018 since their move to On Nut. Many people complaining about long waits for treatment and for their bill, as well as treatment not being completed within the planned time frame. On the basis of the many reviews I read, I could not trust this place if I was not a resident of Bangkok. 

Bear in mind that people tend to post reviews only if they have an axe to grind.

 

I have been using that place for some 30+ years. Go there at least  twice a year. Over the years, I havd had multiple RCTs there.

 

Never had the problems you mention.  Doesn't mean they never happen.  But they are certainly not the norm. 

[Spock]

9 hours ago, Sheryl said:

Bear in mind that people tend to post reviews only if they have an axe to grind.

 

I have been using that place for some 30+ years. Go there at least  twice a year. Over the years, I havd had multiple RCTs there.

 

Never had the problems you mention.  Doesn't mean they never happen.  But they are certainly not the norm. 

There are over 150 reviews and only a 3.2 average, which is way below any other dental establishment. The poor reviews are largely concerned with poor communication, administration, waiting times rather than the dentists, though even they don't escape criticism with a few names mention (who I would avoid or be wary of). The move to On Nut really seems to have expose some of the flaws. There is actually a really good apartment place in which to stay nearby, and I like the situation of On Nut, but I would definitely book myself to stay in the area a week beyond the appointment time, such was the negativity I read in the comments about the organisation rather than its practitioners. 

[Sheryl]

5 minutes ago, Spock said:

There are over 150 reviews and only a 3.2 average, which is way below any other dental establishment. The poor reviews are largely concerned with poor communication, administration, waiting times rather than the dentists, though even they don't escape criticism with a few names mention (who I would avoid or be wary of). The move to On Nut really seems to have expose some of the flaws. There is actually a really good apartment place in which to stay nearby, and I like the situation of On Nut, but I would definitely book myself to stay in the area a week beyond the appointment time, such was the negativity I read in the comments about the organisation rather than its practitioners. 

I have never had any problem with communication with the admin (though I do speak  Thai, so can't say how it would be jor a non-Thai speaker).   and my waits have not been excessive.  

[Spock]

18 minutes ago, Sheryl said:

I have never had any problem with communication with the admin (though I do speak  Thai, so can't say how it would be jor a non-Thai speaker).   and my waits have not been excessive.  

The criticism of poor communication relates largely to that between the dentist and staff (resulting in the wrong kind of dentist being assigned to a case), including when it come to making up the bill, but also includes the difficulty of making an appointment because no one picks up the phone. I accept your good experience as the norm. I take the criticism on board and plan around the worst happening, but ultimately it's the skill of the practitioners with which I am concerned.

[Yellowtail]

1 hour ago, Spock said:

The criticism of poor communication relates largely to that between the dentist and staff (resulting in the wrong kind of dentist being assigned to a case), including when it come to making up the bill, but also includes the difficulty of making an appointment because no one picks up the phone. I accept your good experience as the norm. I take the criticism on board and plan around the worst happening, but ultimately it's the skill of the practitioners with which I am concerned.

Why not go somewhere with better reviews? 

[Somjot]

4 hours ago, Yellowtail said:

Why not go somewhere with better reviews? 

Exactly, dear @spock

 

Or to use a phrase from the movie 300:

 

“You Spartans Vulcans take pride in your logic. I suggest you imply it.”

 

Sorry I'm a cineast.

 

There are so many dental clinics in Bangkok; just Google them, find one of your taste and be done with it.

 

Oops, again (GOT).

 

In the medical field things work quite differently in Thailand. We westerners prefer to look for a good doctor or dentist and once we have found one, we stay with him or her “till death do us part”.

 

In Thailand many doctors don't want to bother opening a clinic with all the risks and costs, so they work in hospitals, many times even in two or three different hospitals at the same time spending one or two days in one and then moving on to the next.

 

That can be quite confusing for us as we want to see our doctor at any day of the week.

 

I think that you might be more comfortable with a smaller clinic employing not more than 5 or 8 dentists with two or three general practicians and the rest being specialists.

[Yellowtail]

I use Bangkok Hospital Dental Center, and I have seen the same dentists for almost twenty years.

 

My son (now 19) has seen the same dentist since his first visit. She is so good he actually liked going to the dentist. 

 

 

 

 

[Spock]

4 hours ago, Somjot said:

Exactly, dear @spock

 

Or to use a phrase from the movie 300:

 

“You Spartans Vulcans take pride in your logic. I suggest you imply it.”

 

Sorry I'm a cineast.

 

There are so many dental clinics in Bangkok; just Google them, find one of your taste and be done with it.

 

Oops, again (GOT).

 

In the medical field things work quite differently in Thailand. We westerners prefer to look for a good doctor or dentist and once we have found one, we stay with him or her “till death do us part”.

 

In Thailand many doctors don't want to bother opening a clinic with all the risks and costs, so they work in hospitals, many times even in two or three different hospitals at the same time spending one or two days in one and then moving on to the next.

 

That can be quite confusing for us as we want to see our doctor at any day of the week.

 

I think that you might be more comfortable with a smaller clinic employing not more than 5 or 8 dentists with two or three general practicians and the rest being specialists.

Gee you people take things the wrong way. The original point of my post was that I need an endodontist and and the Dental hospital was mentioned. I checked reviews and found a lot of negative comments about the organisational side of the place but said I would still go there for the availability of specialists and microscope equipment. Reviews are a useful guide to the quality of services - I always read 100s of them when choosing a hotel, an airline, an insurance company or a restaurant. My concern here is the quality of dentistry and the equipment availability for complicated procedures rather than whether I am going to be likely to wait an hour or two for an appointment  or 25 minutes for my bill. I totally agree that generally a small clinic with an ongoing  relationship with a single dentist would suit me far better long term - but not for two root canals.

[n00dle]

On 9/5/2023 at 9:51 AM, owl sees all said:

I Not only feel threatened by those crude handyman's tools, I don't like putting metal in me mouth.

 

The self-extraction I do is simple. Get some twine; fishing line is no good as it stretches. Double it up and lasso the tooth. If it slips off, file a little grove in the tooth, with a nail clipper nail file. Or it could be that the knot is not securing the tooth, and slipping.

 

Then the important part. Wrap the end of the twine round a bamboo. Don't pull the bamboo. Get the twine taunt, and just twist. Keep going with the twisting til the tooth is out. Can hear the rasping noise as the tooth pulls away from the bone. But it's only for a second or two.

 

Saves time money and although a bit painful, you have not had any injections.

 

Seriously mate, WTF?

[roo860]

On 9/5/2023 at 9:51 AM, owl sees all said:

I Not only feel threatened by those crude handyman's tools, I don't like putting metal in me mouth.

 

The self-extraction I do is simple. Get some twine; fishing line is no good as it stretches. Double it up and lasso the tooth. If it slips off, file a little grove in the tooth, with a nail clipper nail file. Or it could be that the knot is not securing the tooth, and slipping.

 

Then the important part. Wrap the end of the twine round a bamboo. Don't pull the bamboo. Get the twine taunt, and just twist. Keep going with the twisting til the tooth is out. Can hear the rasping noise as the tooth pulls away from the bone. But it's only for a second or two.

 

Saves time money and although a bit painful, you have not had any injections.

 

The hat quite suits you Owl!

[owl sees all]

1 hour ago, n00dle said:

Seriously mate, WTF?

Extracted my first one in the desert, when I was in Special Forces.  The teeth were OK then for quite a few years, Then a car door hit my mouth is Spain, and loosened a tooth. I pulled it that night.

 

Pulled four since coming to Thailand. It's not a big deal. The real secret is once you start twisting; don't stop.

 

I don't trust anyone who wears a long white coat. Be they scientist, doctor or dentist.

 

Of course, if you have a tooth problem; see a dentist. But if you are in the desert, and a camel has just kicked you in the gob, you have to make some quick decisions.

 

 

[Somjot]

2 hours ago, Spock said:

Gee you people take things the wrong way. The original point of my post was that I need an endodontist and and the Dental hospital was mentioned. I checked reviews and found a lot of negative comments about the organisational side of the place but said I would still go there for the availability of specialists and microscope equipment. Reviews are a useful guide to the quality of services - I always read 100s of them when choosing a hotel, an airline, an insurance company or a restaurant. My concern here is the quality of dentistry and the equipment availability for complicated procedures rather than whether I am going to be likely to wait an hour or two for an appointment  or 25 minutes for my bill. I totally agree that generally a small clinic with an ongoing  relationship with a single dentist would suit me far better long term - but not for two root canals.

I think it is you who is taking things the wrong way

 

I recommended a clinic „employing not more than 5 or 8 dentists with two or three general practicians and the rest being specialists“, which implies that at least one of them is specialized on root canal treatment.

 

And @Yellowtail recommended Bangkok hospital dental centre, which sounds like a big place, where you normally confined many dentists with different fields of expertise.

 

You see, we perfectly understood, what you are looking for.

 

[owl sees all]

On 9/9/2023 at 3:56 PM, Somjot said:

 

Now that you're advertising your without any doubt very unusual method, I'd like to ask some questions:

 

How did you get that grooves in the tooth so that your twine wouldn't slip off, especially without injuring neighboring soft tissue or teeth?

 

How do you sterilize your twine and whatever instrument you use for creating those grooves. For a proper sterilization they must be exposed to heat for 20 minutes and a temperature of 121 °C with a pressure of 2 bar or for 5 minutes and 134 °C with 3 bar but you knew that already.

 

What do you do in case of complications, just to name a few:

 

1. A wound infection, which can easily turn into a life-threatening osteomyelitis?

 

2. The twine I have seen on your picture will pull only on one side of the tooth comparable to the rope on the neck of a person sentenced to death, which in most cases will result in a broken neck. The effect on your tooth is that it is not only pulled but also tilted to one side at the same time which may result in a good part of the alveolar bone being ripped out too.

 

3. As the roots of the upper molars are very close to the sinuses, their extraction leads to a connection between mouth and maxillary sinus in many cases, which must be treated with a plastic maxillary sinus occlusion immediately.

 

I have no doubt, you`ll concur that these complications must be attended to and cannot be ignored.

 

How do you proceed in these cases?

Firstly; only twice have I had to put grooves in the tooth to stop the twine from slipping. The first time I used a ladies nail file. That was 30+ years ago. Last time I used the file attached to a decent pair of nail clippers. I think they were '777' make clippers.

 

I did use wire once, but it was very direct, and hurt a lot. Never done it that way since. Imagine a bungee jump. If you use wire, it could rip ya leg off. Have to have a little give. But not fishing line. I've tried it. Useless!

 

'''What do you do in case of complications, just to name a few: A wound infection, which can easily turn into a life-threatening osteomyelitis?'''

 

I don't sterilize anything. Just wash me hands. If the twine looks a bit grubby; I use a cleaner bit.

 

Some teeth narrow as they get into the gum.. Get the fixing as low as possible. A good knot is essential. Fortunately I have done some fishing so I know a good knot.

 

'''The twine I have seen on your picture will pull only on one side of the tooth comparable to the rope on the neck of a person sentenced to death, which in most cases will result in a broken neck. The effect on your tooth is that it is not only pulled but also tilted to one side at the same time which may result in a good part of the alveolar bone being ripped out too.'''

 

Try to pull straight up. Otherwise the tooth might influence the tooth sitting next to it, and cause problems.

 

'''As the roots of the upper molars are very close to the sinuses, their extraction leads to a connection between mouth and maxillary sinus in many cases, which must be treated with a plastic maxillary sinus occlusion immediately.'''

 

Don't know about that stuff. I just twist the buggers out.

 

As I have said; if you have a tooth problem, go see a dentist. If you want to try self-extraction. my way is OK for me.

 

What method would you suggest for self-extraction?