SiSaket Dentist for Root Canal

[srowndedbyh2o]

Does anyone know of a good dentist in the SiSaket area?

If I just needed a cleaning/checkup I’d go to whatever dentist is nearest to where I live (Phayu), but I’m in need of a root canal and want to be sure I go to a dentist that is experienced in doing this procedure and won’t just try and sell me an implant.

Thank you.

[TroubleandGrumpy]

No - but I have some advice.  IMO Thailand dentists resort to root canal treatment far too quickly (money?).

Years ago in Chiang Mai I saw a dentist for a clean/check and he said I needed root canal treatment.

I had no pain and there was no obvious signs of root infection.

I had already planned to return home for a few weeks later, so I said maybe after I get back from my trip.

 

Went to see my dentist back home - he said the tooth was decayed and needed filing/crown, but not root canal treatment.

Because I have Sjrogens it is common for my teeth to need filing/crowns - but root infections have never been a problem.

 

Seems to me that Thai dentists believe/taught that most tooth decay is caused by a bacterial infection in the root.

Get a second/third opinion maybe - look for a dentist who has trained overseas.

[DILLIGAD]

PM sent

[youreavinalaff]

7 hours ago, DILLIGAD said:

PM sent

Why all the secrecy?

 

The OP is asking about dentists. Lots of other members viewing. If they are viewing, they are interested in the conversation and outcome.

 

Why can't dentist details be posted on the open forum?

[Moneyhonour]

Nice Dental in Sisaket City

[GinBoy2]

Be very careful with root canals, especially if it's a molar.

 

I had just gone through this in the US, and with molars you have four canals which need to be cleared out and properly filled, or the initial infection will just rear it's ugly head again and you're heading for extraction.

 

Make sure they show you the post op xray, where you can see that they totally filled the root

[DILLIGAD]

On 11/3/2023 at 3:57 PM, youreavinalaff said:

Why all the secrecy?

 

The OP is asking about dentists. Lots of other members viewing. If they are viewing, they are interested in the conversation and outcome.

 

Why can't dentist details be posted on the open forum?

It was a reply to his PM to me. No secrecy.

[The Fugitive]

I broke a tooth and went to a local general dentist who told me filling was not possible and gave me two options; 1) Extraction 2) Root canal, post and crown. She would have been able to perform the extraction but as I opted for the root canal I was referred to a specialist dentist in our next larger town. Fortunately, he decided he could fill the tooth. He could, of course, have gone the root canal route especially because I was already prepared for it. Or, he could have recommended extraction followed by an implant. Ironically, two years later, the same tooth broke again. This time he told me there wasn't enough remaining to do a root canal, post and crown and referred me to his general dentist for extraction. I came away afterwards with a leaflet about implants!    

[youreavinalaff]

4 hours ago, DILLIGAD said:

It was a reply to his PM to me. No secrecy.

Nice try.

[GinBoy2]

On 10/30/2023 at 11:01 PM, TroubleandGrumpy said:

No - but I have some advice.  IMO Thailand dentists resort to root canal treatment far too quickly (money?).

Years ago in Chiang Mai I saw a dentist for a clean/check and he said I needed root canal treatment.

I had no pain and there was no obvious signs of root infection.

I had already planned to return home for a few weeks later, so I said maybe after I get back from my trip.

 

Went to see my dentist back home - he said the tooth was decayed and needed filing/crown, but not root canal treatment.

Because I have Sjrogens it is common for my teeth to need filing/crowns - but root infections have never been a problem.

 

Seems to me that Thai dentists believe/taught that most tooth decay is caused by a bacterial infection in the root.

Get a second/third opinion maybe - look for a dentist who has trained overseas.

If they show you the xray it's pretty easy to tell if you have a root infection.

 

From my xray I could see a large shadow at the base of the root which was the source of my pain

 

I would also agree that a proper endodontist is a must, or you're probably throwing away money

[TroubleandGrumpy]

4 hours ago, GinBoy2 said:

If they show you the xray it's pretty easy to tell if you have a root infection.

From my xray I could see a large shadow at the base of the root which was the source of my pain

I would also agree that a proper endodontist is a must, or you're probably throwing away money

 

Yes and No. While I agree with what you are saying, I will also say that there are often other issues involved.

If the tooth is less than 90% perfect, there is no point in 'saving it' unless you are young - it will be trouble again in a few years.

The cause of the infection is critical - was it through the tooth or via the gums - exactly what caused the infection and how.

Is it a teeth wide and/or gum wide issue, or is it isolated to that one tooth?  How is the teeth's bone structure and density etc etc.

Will a repair and antibiotics do enough of a job? Etc etc etc.

 

I have had a LOT of involvement with Dentists since a very young age (Sjrogens), and my Brother studied to be a Dentist (didnt work out), and a close mate of mine was a Dentist. When I was told the same thing as you by a Dentist in Chiang Mai, with absolutely no explanation other than 'you need root canal' - I was dubious - and when I examined the XRay it was only a small amount - and the fact was I went in there to get that tooth treated.  When I advised the Dentist what I wanted them to do, though the Thai wife, he said 'no no no - root canal first'.   I declined.

 

Next trip back home I went and saw my mate - he immediately said WTF - no way - not needed.  He said the infection was small and came though the lower side of the tooth that was the problem. He repaired/drilled out the tooth, and gave it a crown, and gave me some antobiotics. All done on the same day using that CEREC system - and that was almost 10 years ago and the tooth is still fine. Back then there was very few Dentists in Thailand using the CEREC system - there are more nowadays - and it has improved too - now last as long as most 'lab made crowns'.  

[TroubleandGrumpy]

On 11/5/2023 at 11:35 AM, The Fugitive said:

I broke a tooth and went to a local general dentist who told me filling was not possible and gave me two options; 1) Extraction 2) Root canal, post and crown. She would have been able to perform the extraction but as I opted for the root canal I was referred to a specialist dentist in our next larger town. Fortunately, he decided he could fill the tooth. He could, of course, have gone the root canal route especially because I was already prepared for it. Or, he could have recommended extraction followed by an implant. Ironically, two years later, the same tooth broke again. This time he told me there wasn't enough remaining to do a root canal, post and crown and referred me to his general dentist for extraction. I came away afterwards with a leaflet about implants!    

I rest my case (see my earlier post above).

Dentists in Thailand have been for a long time been pushing Expats for root canal treatment, when in fact that is often not the best most suitanble treatment needed for them.  While Thais usually have very strong and well developed teeth, that is not the case for most Caucasian Expats - our teeth are often crap.  Many decades of bad diets and minimal serious biting (Thais can crunch through soft bones) and genetic 'inheritances' mean older Expats's teeth are often best treated by drilling and either filling, covering with crowns, or removing and implants - unless you are a lucky one and have parents and grandparents that kept most/all of their teeth.  And even then it depends on your bone structure and density - you cant fix what cant 'hold' - dentures are sometimes the best last option. 

[srowndedbyh2o]

23 hours ago, youreavinalaff said:

On 11/5/2023 at 8:41 AM, DILLIGAD said:

It was a reply to his PM to me. No secrecy.

Nice try.

Since I hadn’t gotten any positive responses to my two original posts, I pm’d ‘DILLIGAD’ since he had helped me out in the past, and he responded with the info I needed in his pm. Thank you very much.

[youreavinalaff]

38 minutes ago, srowndedbyh2o said:

Since I hadn’t gotten any positive responses to my two original posts, I pm’d ‘DILLIGAD’ since he had helped me out in the past, and he responded with the info I needed in his pm. Thank you very much.

So, would you care to share the info? 

 

In that way, next time any poster would be more likely to get the info they require.

[GinBoy2]

4 hours ago, TroubleandGrumpy said:

 

Yes and No. While I agree with what you are saying, I will also say that there are often other issues involved.

If the tooth is less than 90% perfect, there is no point in 'saving it' unless you are young - it will be trouble again in a few years.

The cause of the infection is critical - was it through the tooth or via the gums - exactly what caused the infection and how.

Is it a teeth wide and/or gum wide issue, or is it isolated to that one tooth?  How is the teeth's bone structure and density etc etc.

Will a repair and antibiotics do enough of a job? Etc etc etc.

 

I have had a LOT of involvement with Dentists since a very young age (Sjrogens), and my Brother studied to be a Dentist (didnt work out), and a close mate of mine was a Dentist. When I was told the same thing as you by a Dentist in Chiang Mai, with absolutely no explanation other than 'you need root canal' - I was dubious - and when I examined the XRay it was only a small amount - and the fact was I went in there to get that tooth treated.  When I advised the Dentist what I wanted them to do, though the Thai wife, he said 'no no no - root canal first'.   I declined.

 

Next trip back home I went and saw my mate - he immediately said WTF - no way - not needed.  He said the infection was small and came though the lower side of the tooth that was the problem. He repaired/drilled out the tooth, and gave it a crown, and gave me some antobiotics. All done on the same day using that CEREC system - and that was almost 10 years ago and the tooth is still fine. Back then there was very few Dentists in Thailand using the CEREC system - there are more nowadays - and it has improved too - now last as long as most 'lab made crowns'.  

Thats an interesting point.

 

On my xray there was a pretty obvious infection going on.

 

Now how you can determine where the infection is coming from, that I don't know.

 

But after several days I just wanted the pain to stop, and I probably could have bought in to anything.

 

The tooth was already crowned and in pretty decent shape, apart from the unholy infection and pain, so I was pretty motivated to save it

[TroubleandGrumpy]

17 hours ago, GinBoy2 said:

Thats an interesting point.

 

On my xray there was a pretty obvious infection going on.

 

Now how you can determine where the infection is coming from, that I don't know.

 

But after several days I just wanted the pain to stop, and I probably could have bought in to anything.

 

The tooth was already crowned and in pretty decent shape, apart from the unholy infection and pain, so I was pretty motivated to save it

Fair enough.  And to answer you question - my dentist did that by closely examining the tooth and looking at the far far better XRay picture on his computer screen and pointing things out to me while I was sitting in his chair. 

 

By the way - that is one of the best signs of a decent dentist.  Not guaranteed - but useful - check out their chair/s. Do they have all the latest gear, including including a funnel/zoomed intral-oral x ray arm attached, and a computer screen either on an arm or attached nearby.