Dentist Recommendation

[Spee]

Hello Group,

Does anyone have a recomendation for a top dentist, probably with some orthodontics capability, in the BKK or Ayutthaya area (preferably the latter)?

Just got back from seeing my fiancee's daughter for a few days. She is a really cute little kid, but is starting to cut her adult teeth and a couple of them aren't coming into place correctly. She is going to need some care very soon.

Please feel free to respond here or via PM.

TIA ....

Spee

[Blake7]

I recommend the BNH hospital on Soi Convent in Bangkok (silom area) which has a good dentist and are good with kids.

[taxexile]

but is starting to cut her adult teeth and a couple of them aren't coming into place correctly. She is going to need some care very soon.

if her secondary dentition is just starting to erupt then i assume she is about 5-7 yrs old.

these erupting teeth may come through in what appears to be malocclusion but often will correct themselves as other teeth come into occlusion and facial bone growth continues.

you should take her for an assessment with a good orthodontist who may just advise keeping an eye on things for the next few years. he may suggest some x-rays at some time to determine probable future jaw relationships and the likelyhood of malocclusion needing treatment.

if active treatment is needed in most cases it shouldnt be necessary to start until she is 11-14 yrs old and most if not all the primary dentition has been lost.

if she has to wear braces for a while then good oral hygiene is extremely important and now would be a good time to start getting her into good habits regarding toothbrushing if her toothbrushing and oral awareness is not great.

my recommendation would be the dental hospital near samitivej hospital in bkk . ...(sukhumvit 49?)

they are ethical and they are good.

the bnh dentists also have a good reputation.

one of the important things to consider is that your fiancees daughter should feel comfortable with the dentist , as orthodontic treatment can take a couple of years with visits every couple of months or so.

[thatguy]

the bangkok hospital system has dental clinics.

if they're up to the level of service that i found at the bangkok-pattaya hospital during a two day stay, i'd recommend them.

i've been using the dentist on soi 5 pattaya. apc i think it's called.

any comments from the pattaya crew?

xb

[Spee]

you should take her for an assessment with a good orthodontist who may just advise  keeping an eye on things for the next few years. he may suggest some x-rays at some time to determine probable future jaw relationships and the likelyhood of malocclusion needing treatment.

if she has to wear braces for a while then good oral hygiene is extremely important and now would be a good time to start getting her into good habits regarding toothbrushing if her toothbrushing and oral awareness is not great.

my recommendation would be the dental hospital near samitivej hospital in bkk . ...(sukhumvit 49?) 

they are ethical and they are good.

the bnh dentists also have a good reputation.

one of the important things to consider is that your fiancees daughter should feel comfortable with the dentist , as orthodontic treatment can take a couple of years with visits every couple of months or so.

<{POST_SNAPBACK}>

Thanks much ... three-fourths of her family has really good teeth and the other fourth does not. We're worried that she may have inherited some of the bad genes. Most of the side teeth look okay, but the two main ones on top in the front don't appear to be coming in properly or shaped properly.

I think your initial thought is the best ... that is to get her in to see an orthodontist and have an initial exam done.

Thanks again ...

Anyone else know anyone closer to Ayutthaya??

[taxout]

Yes, the dental clinic at Bangkok Hospital is a fine place, with lots of Thai kids running about: I think they specialise somewhat in children's dentistry. The Dental Hospital is also good, but can't say I recall ever seeing any kids in the place.

[spog]

I am a big fan of the Bangkok Christian Hospital on Silom road (near Sala Daeng BTS)

You get to see specialists in their fields

[Titus]

I'd like to ask Taxexile or anyone who could give some advice.

About a year ago I had a tooth that required a root canal (swollen gum and very sensitive), I however in my wisdom decided to simply ignore it and after a week or so the pain and disconfort went away. The tooth however started to gradually break apart to the point where now only the root is left. I'd like to know what my options are now, since the root is still there would it be possible to have a crown placed? Or does it need to be extracted and possibly fixed with a bridge? Any advice is welcome, I'd simply like to know a bit more before checking with a dentist...

[leftcross]

yeah, the christian hospital fixed my &lt;deleted&gt; (long story!). if i trust em with my love spuds then i'd recommend them for a nipper's nashers....

[No beleeeeve!]

I had a bunch of work done at St. Louis Hospital on Sathorn Soi 13 I think. Dental department was on the 2nd or 3rd floor. I was happy with their work.

[taxout]

Titus: certainly see a dentist ASAP. Even where none of the crown is left -- the part above the gumline -- there are still ways of saving a tooth, depending on its condition.

If you need a slew of treatments: root canal then gum and bone surgery then post and crown, the cost can add up, though, even in Thailand.

But waiting can only make matters worse.

[taxexile]

I'd like to ask Taxexile or anyone who could give some advice.

About a year ago I had a tooth that required a root canal (swollen gum and very sensitive), I however in my wisdom decided to simply ignore it and after a week or so the pain and disconfort went away. The tooth however started to gradually break apart to the point where now only the root is left. I'd like to know what my options are now, since the root is still there would it be possible to have a crown placed? Or does it need to be extracted and possibly fixed with a bridge? Any advice is welcome, I'd simply like to know a bit more before checking with a dentist...

your options are

1. extract the root and depending on where in the mouth it is either leave a gap or .....

2. extract the root and then when the gum has healed hide the gap with an implant or a bridge (from the teeth on either side of the gap). you could also have a plastic removable denture made , one that you can take out every night.(horrible things but cheap.... can be a temporary measure until you decide to have the bridge or implant done)

3. if there is enough root left you could use that as a base for a post retained or other type of crown , after sorting out the (probably symptomless, but would show up on an x-ray) chronic abscess at the bottom of the root. that is done by root canal treatment. then after a suitable waiting period to make sure the abscess does not recur have a crown made.

for options 2 or 3 , dont gamble on a side street dentist unless you have been recommended to them by someone who has had similar treatment , dont fall for the "oh they didnt hurt me at all ,such a nice man/woman,so cheap, so gentle etc." type of recommendation.

that really doesnt tell you anything about the dentists capabilities and knowledge.

go to one of the dental sections in a good hospital or one of the more sensible recommendations from these pages.

root canal work , crown and bridge , and especially implants are treatments that can fail if proper case assessment is not undertaken , you will be spending a lot of money on a root canal followed by a crown etc., if the root canal is not done properly, or the tooth was not suitable for root canal in the first place then the crown will eventually fail. get a couple of opinions before deciding.

compare the costs of extraction-denture-then implant against the cost of root-canal-crown, and ask the dentist the likely chance of long term success of the root canal and crown.

root canal work can fail weeks, months or years later .

where there is not much tooth above the gum , any crown will need to be retained using a metal post cemented into the root , such post retained crowns also have their disadvantages if the post has not been designed to take into account the axial and lateral forces that act upon it during chewing , sometimes the post can fracture the root.

there are a hundred things to consider , and each case is different , that is why i cant be more specific .

hope this is of help to you .

Edited January 17, 2005 by taxexile

[Titus]

Thanks a lot for all the advice.

The post retained crown sounds like a good idea (if doable). The teeth next to the gap (1st premolar) are in decent shape so I'd rather not have them crowned (for a bridge).

I'd like to know if there's any health risk involved in leaving an abscessed root untreated. Could it spread to other parts of the mouth or jeopardize the immune system in any way? I ask that because everytime I feel sick I wonder if it's the abscess that could be making me weak...

[baht&sold]

Thanks a lot for all the advice.

The post retained crown sounds like a good idea (if doable). The teeth next to the gap (1st premolar) are in decent shape so I'd rather not have them crowned (for a bridge).

I'd like to know if there's any health risk involved in leaving an abscessed root untreated. Could it spread to other parts of the mouth or jeopardize the immune system in any way? I ask that because everytime I feel sick I wonder if it's the abscess that could be making me weak...

<{POST_SNAPBACK}>

Bingo and affirmative, they are linked more than you suspect.

I just had a root canal at the Dental Hospital on Soi 49

http://www.dentalhospitalbangkok.com/english/welcome.htm

and was pleased with the treatment and result. Two treatments, 7000 baht

and feel a spring in me step as a result.

The only thing I don't like, is you have to make appts with separate disciplines like root canal spec, then crown spec and so on. I barely have time from work for appts so, would have liked to get it all done in one go but not possible.

But for others, this may be ideal as best attn is given

[taxexile]

I'd like to know if there's any health risk involved in leaving an abscessed root untreated. Could it spread to other parts of the mouth or jeopardize the immune system in any way? I ask that because everytime I feel sick I wonder if it's the abscess that could be making me weak...

any untreated chronic infection will put some strain on the immune system , and recent research seems to indicate that chronic infection can increase chances of heart problems. in the jaw , an long standing untreated chronic abscess will make succesful root canal treatment (cleaning, sterilising and filling the root canal) difficult and may deveop into a cyst. the only way to clear it up is by root canal treatment or extraction. antibiotics will not do it.

[Thai_dye]

"Bandid Goson Clinic" on the 2nd level of Sukhumwith Plaza, corner of Sukhumwit 12. Most customers're Koreans, Japanese, Farangs and Thais. I've been their customer for the past 12 years. They've been the best dentist!!

PS. Try Korean BBQ beef at one of those Korean restauratns dowstairs.

It's fantastic!!