Root Canal Treatments - New Farang Pricing Tricks?

[Kf6vci]

Hi All,

just wondering if there is a medical reason for not completing a root canal in one session?

After several successful 1-session treatments, I had pain after a rather short one, where no "thin rasps" are used to clear out nerve matter. The tooth was very sensitive to hot and cold temperatures. AFAIK, there was no reason not to complete the job, like previously. Hope someone knows a bit about dentistry.

The price for a farang mysteriously more than doubles. Is this what this is all about?

Chris

[KhaoNiaw]

I've had a couple of root canals that took four or five sessions. But the price was always set at the beginning and they just took some from that amount each time. So even when more sittings than expected were needed, it didn't add to the price. I think the price can vary on which tooth it is, exact work to be done, size of filling etc.

Edited September 22, 2009 by KhaoNiaw

[phetaroi]

Hi All,

just wondering if there is a medical reason for not completing a root canal in one session?

After several successful 1-session treatments, I had pain after a rather short one, where no "thin rasps" are used to clear out nerve matter. The tooth was very sensitive to hot and cold temperatures. AFAIK, there was no reason not to complete the job, like previously. Hope someone knows a bit about dentistry.

The price for a farang mysteriously more than doubles. Is this what this is all about?

Chris

Where exactly is the "trick"?

[Sheryl]

I've had a number of root canals over the years, in bioth the US and Thailand, and they all required multiple sessions. I've never known why but apparently this is usuall the case. Perhaps one of our dentist members could elucidate...

[chiang mai]

I hope so since I had one last year that was completed in just one sitting and the result was that the combination of root canal and crown was far less than good - this was done at the Phuket International Hospital Dentist. Previously a root canal had required three sittings with the best dentist in the entire world, at CM Ram.

[Kf6vci]

Where's the trick? Well, this dentist is excellent - the best I ever had.

The session get shorter and the price doubles. Previously, he would do an excellent

one-session job. Cleaning out all the nerve matter etc.

in one session.

This particular tooth is an upper right one, in the middle of the upper right half of teeth.

Another dentist specializes in pins and crowns etc. The treatment isn't over.

This doctor only does root canals (so far).

Thanks for your feedback! I thought this is all about charging more than double, a special farang price.

[Camelot]

I've had two root canals in the last 18 months. One at St Louis Hospital which took three visits and the other at BNH which took two. I would be worried if each session had been reduced to one. Awful problems can result from a rushed job.

Good endodontists are never short of patients here and waiting times for appointments are common. They have a limited time available for each patient which rules out marathon sessions.

My advice would be to trust the dentist you have (you say he's good). Don't complain or he might "forget" the anaesthetic.

Good luck.

[PeaceBlondie]

No, the world's best root canal rooter-outer may have been my specialist in Houston, an older Iranian lady who charged US$550 in the early 1990's. She took two hours and only one sitting. Crowns separately, later. Unlike Cheryl, all my RC's were one-stop; all 15 or more. My first rooter, who sang himself thru dental school and wasn't a specialist, said his technique was the modified Sargenti method. Wow, things remembered from Moore, Oklahoma in the 1970's. I hear the Thais can take 5 or more appointments.

[cloudhopper]

Hi All,

just wondering if there is a medical reason for not completing a root canal in one session?

After several successful 1-session treatments, I had pain after a rather short one, where no "thin rasps" are used to clear out nerve matter. The tooth was very sensitive to hot and cold temperatures. AFAIK, there was no reason not to complete the job, like previously. Hope someone knows a bit about dentistry.

The price for a farang mysteriously more than doubles. Is this what this is all about?

Chris

Reasons for multiple session RC include inability to control bleeding, internal drainage of active infection and sheer complexity (e.g. multiple curved roots) resulting in a longer session than can be comfortable. Single session when possible is always preferred IMO, even in conjunction with a surgical approach. If a tooth is still sensitive to cold after the initial session it usually indicates the presence of an extra root canal that was not discovered, or more commonly a misdiagnosis resulting in the wrong tooth being treated.

[ricardofel]

It should take 3 sessions with a good dentist.....Grace in CM....cost is 8000 baht compared to $1500 in the US

[Latindancer]

It sounds like you had a pulpotomy ratner than a pulpectomy with root canal work. A pulpotomy is undertaken when time constraints or economic reasons prevent immediate conventional root canal therapy. It's just the upper part of the pulp which is removed, and you are left with nerves so can feel hot/cold, as the metal in the crown transmits heat/cold.

As for the price difference, who knows ?

[hhgz]

"just wondering if there is a medical reason for not completing a root canal in one session?"

Assuming that your dentist speaks English, why don't you ask him directly? You could also bring up the fact that his price almost doubled, and you want an explanation. Pretty simple.

[stevehaigh]

I've had a number of root canals over the years, in bioth the US and Thailand, and they all required multiple sessions. I've never known why but apparently this is usuall the case. Perhaps one of our dentist members could elucidate...

i'm not a dentist but i've had my fair share of root canals.

i think they need to put some kind of antiseptic treatment in the hole the first time to kill and sanitise the roots and nerves. then the 2nd time is to fill it. all of mine have been 2 sessions.