Root canal with porcelain crown in BKK? Urgent

[Number 6]

I'm going for a consultation Sat to Dental Hospital Suk 49 for a consultation, I'm pretty certain I need a root canal.

 

This thread is for root canal info please.

 

Cost?

 

I've had issues with DH in the past few years. Tried moving on but always return. It's expensive and I feel the quality slipping. Certainly even more impersonal if that's possible.

 

I've read on this site that a Dr there is unpleasant /at DH. She's for serious work, someone even mentioned room 404.

 

∆ Old school, trustworthy and or hospital.

 

Not BIDC, Assavavant or Smile anything.

 

 

I swear it was sold to a group (Smile?) Just not the same. My regular Dentist had zero comment. She's only reason I've stayed.

 

Last week while making appt I was sent some attachment with an odd message. The appointment girl stated the email was "hacked" and not to open (only after I sent a ftw? email to her). I want to be done with the place.

 

So this is expensive and needs to be done correctly. Any recommendations? My appointment is Sat, I don't have much time.

 

OH, will I need my wife to taxi me back home or can I speak after? Anesthesia?

 

Thank you

[lopburi3]

RCT are a standard treatment and are almost always successful.  I have some dating back many decades and no issues at all.

 

I have been using the dental department at Vejthani Hospital for the last decade and happy with them - they were set up under supervision of University of Frankfurt to there standards and find price reasonable for top dental work.

https://www.vejthani.com/clinic_details.php?clinic_id=3

 

 

 

[Sheryl]

I continue to use the DH and just recently had a root canal and crown done there. No problems, in fact I was impressed at how professionally and responsibly they handled my desire for a second opinion - I got one, at no extra cost, and the second dentist did not hesitate to disagree with the first. They were also very good about giving me clear and frank information about the likelihood of success and risks ( I had a badly cracked tooth and it was unclear if the tooth could be saved; there was a risk of it further fracturing during the root canal, etc. Your case may be more straightforward).

 

The only change I have noticed is with their admin/handling of emails and appointments. There is some sort of problem and I was advised by dentists to call for appointments and not try to use the email system for now.

 

Re costs they are 2 fold: the root canal itself and then the post and crown. The root canal costs will vary with the time required (mine was a tooth with 2 roots so took 5 visits each lasting an hour or more) and the type of crown.  I do not recall exactly but I think the root canal part (as mentioned, 5 visits of >1 hr each) came to somewhere around 10-15K and the crown and post  something like 15-20 K.

[Number 6]

Thank you. I feel much comforted. Yes, the appt thing is a mess. Oddly, it's the same woman who has been sending me mail for years.

 

She's also scheduled a cleaning prior to exam, I find non standard. I had to cancel cleaning, I'm in so much pain.

 

I saw a manager berate staff in the main hall and had them pushing expensive x-rays on me too often.

 

It's just something about the place that's not the same...

 

Thank you both. With Sheryl's +1 perhaps I'll look at your dentist after the ordeal Lopburi.

Edited February 10, 2017 by Number 6

[gk10002000]

since the OP mentioned root canal and porcelain, I thought I would comment.  I have had several root canals on my back molars.  Because they were pretty deep and because I didn't want to have any future problems I went with gold crowns in the back.  The idea is they never crack and will outlive me (59).  had no problems.  Recently I had another root canal, 3rd tooth from the back and my dentist here in the USA who is really good and has one of those machines that makes the crown right in his shop with the new machine said the newer porcelains are very good and it is very very unlikely they will crack.  So I went with that.  Feels a bit better than the gold.  Is cheaper of course.  So barring major misalignment or tooth grinding, I am leaning towards recommending porcelain crowns, especially if the right compounds are used with modern making machinery

[lopburi3]

Normal porcelain crown has gold base (which fits tooth) - available in several grades/expense and I have always opted for the higher grade gold as this will be softer and make a better seal.  Although they can produce without gold or base material now - believe most people still obtain the gold base with porcelain covering it.

[scoutman360]

I am in Bangkok and I have had 2 consultations from different hospitals that told me I needed a root canal and crown. I went to Bangkok Dental Hospital soi 49 and they said all I needed was a ceramic inlay. I got it done 2 yrs ago and I am happy as a clam.

 

[Number 6]

I went to DC and looks like I'm getting a root canal. The RCT will be 15k no matter how many visits. Recommended crown 20k. My other crown from here has held up well but I might upgrade.

 

I need to get on the Internet and sort out the virtues as described above.

 

I'd go for second opinion but looking at the situation appears I do need a RC only question is price. I've been coming here 15 years, perhaps not the time to mess about.

 

Thank you all.

[lopburi3]

There are often 3 charges - the RCT and then a PIN (to streghten what is remaining of tooth) and then the crown.  They may be including the PIN price in the RCT quote if they feel required.  

[taxout]

I'm always reluctant to mention particular clinics-- different people of course have different experiences at different times with different dentists -- but when it comes to crowns and the like, Dental Design has the advantage of having an on-site lab, so turn-around is good. It's also very convenient, but it's not a large clinic like Dental Hospital.

[Number 6]

I spent 1:20 in the chair. Dr said she was surprised at all the infection as the tooth was not all that sensitive or did not have other serious telltale signs. My jaw was really hurting, but its a but better now. I need to go back in two weeks so she can tidy up, check infection and I can get a crown.

 

20k for post and crown, I guess I could how its broken down. My hunch is its oart if the crown fee. Bloody expensivebut I do feel Im in good hands.

 

The procedure after four injections of novacaine was only discomforting, nit really painful. +3 for her there.

 

Ill update the experience for others as I go.

 

I wonder what this would have costbme in states...

Edited February 13, 2017 by Number 6

[Flustered]

I am amazed at the cost.

 

I use a private dentist in the UK. She is superb, you do not even feel the needle injecting you and no pain at all. She uses Lidocaine  as the numbing agent.

 

Cost of a root canal and crown last year was equivalent to 14,000 baht.

 

I thought Thailand was meant to be cheap for dental work?

[lopburi3]

Price will vary by type of tooth and facility used - we are talking the highest priced places here normally - you can get most things done a lot cheaper at local Soi dentist but Thailand has never been cheap for top facility dental care IMO (and have been using for more than 40 years as primary).  But most work is done by specialists at larger establishments with much less pain than I experienced in USA.  A good option for cheaper would be to use teaching hospitals.

[tifino]

Once you have shortlisted your dentists, it's still worth having them quote how much more it will cost to extract the tooth remains in toto,

and install a post directly into the bone.

 

RootCanal, in removing the nerve's life, is effectively killing the tooth.

The tooth's carcass will go brittle, and you are lucky for it to last 7 years before something snaps off again.

 

I was actually warned of this when the 1st one was done, and, give or take a year or so,

 the advice was pretty accurate (in my case).

The work was re-done, and again it lasted the handful of years...

Next, the remains of the root collapsed from all that torture.

Extraction, and now a plate is in use, in waiting for a final post job into the bone...

[lopburi3]

The 7-15 years is normal life of crown (making good seal) - not the RCT.  And if you check and replace crown when leakage first starts it is likely no extra RCT work will be required.  The RCT should last a lifetime if you are a bit careful - mine are well along that path.  

[Sheryl]

43 minutes ago, tifino said:

Once you have shortlisted your dentists, it's still worth having them quote how much more it will cost to extract the tooth remains in toto,

and install a post directly into the bone.

 

RootCanal, in removing the nerve's life, is effectively killing the tooth.

The tooth's carcass will go brittle, and you are lucky for it to last 7 years before something snaps off again.

 

I was actually warned of this when the 1st one was done, and, give or take a year or so,

 the advice was pretty accurate (in my case).

The work was re-done, and again it lasted the handful of years...

Next, the remains of the root collapsed from all that torture.

Extraction, and now a plate is in use, in waiting for a final post job into the bone...

 

My oldest root canal dates back about 25 years and I have many more that are 20+ years old. (For that matter,  haven't had to replace the crowns either, knock on wood).

 

None have encountered this problem.

 

Possibly it may depend on one's age at the time time of the RCT and the condition of the teeth?

[Flustered]

Your restored tooth after root canal therapy could last a lifetime, if you continue to care for your teeth and gums. However, regular checkups are necessary. As long as the root(s) of a treated tooth are nourished by the tissues around it, your tooth will remain healthy. 95% of the time, for your whole life.

 

https://www.google.co.uk/search?q=how+long+does+a+tooth+last+after+root+canal&ie=utf-8&oe=utf-8&client=firefox-b&gfe_rd=cr&ei=gJ6hWMvkMbLA8gfq3rygBg

[Number 6]

I take good care of my teeth and was really disappointed to find out I need this root canal. I've never minded paying more to avoid corner clinics despite having hepB vaccine. Yes, many competent dentists all over BKK but I've become attached to the DH after nearly fifteen years.

 

I have a crown on a tooth now, 10+ years. I seriously doubt a RCT is done in 7 years, no one would bother.

 

My tooth hurts, I'm a bit headache.y but the pain is already largely gone.

 

Doctor said it would no promises the tooth would not remain infected but it would be a crime to pullt based on the x-ray she saw. I feel positive about it all based on how my tooth feels.

 

Enough scams in Thailand, don't need a cut rate dentist. No corner dentist is going to have a scope or latest panoramic x-ray equipment.

 

Yeah, it's expensive. Be happy for good medical care. Life goes on.

 

Absolutely no way on God's green earth that I'd be able to have a root canal in Huntington Beach CA for b14k lol. No way.

 

My experience these days is DH is 66% cost of similar treatment in US. Can you do it for half that here? Sure, YOU can.

Edited February 15, 2017 by Number 6

[taxout]

Crowns and posts -- in Thailand and elsewhere -- vary a great deal in cost depending on the particular metal used. Most dentists in Bangkok show you an escalating fee schedule and it's up to you to pick the metal. I have to say, though, that I have real doubts whether you get what you order.

 

Point is, when you quote a fee for a crown, it's useful to know just what metal you ordered.

Edited February 16, 2017 by taxout

[thai3]

I would never recommend that place, several years ago they charged me 6k for one filling on a front tooth. When queried they said 4 surfaces so 6k. It would have been cheaper at home and they wanted to carry out lots of expensive work on wisdom teeth I still have not been told by another needs doing. My local dentist on rama2 charged me 6k last year for a porcelain crown, no root canal work, often not needed anyway.

[Number 6]

On 02/16/2017 at 5:29 PM, thai3 said:

I would never recommend that place, several years ago they charged me 6k for one filling on a front tooth. When queried they said 4 surfaces so 6k. It would have been cheaper at home and they wanted to carry out lots of expensive work on wisdom teeth I still have not been told by another needs doing. My local dentist on rama2 charged me 6k last year for a porcelain crown, no root canal work, often not needed anyway.

Fair enough. That is ridiculous but you stated it was a front tooth so maybe some magic with that filling to save the tooth.

 

My dentist at DH did a really great job saving a back tooth of mine, really good work. It's never been cheap, that's why I came here to ask. On my experience and Sheryl's I just went with what I know. The more I thought about it the more I wasn't going to shop it around to save 4k - on the weekends, when I'm already in pain.

 

I wish people would stop saying though, IF I really even need it. I too was a dreamer and wisher and a hoper.  That's how you lose teeth, mucking about. I asked if there was not some other way such as antibiotics (I detest) and the dentist said even with the RCT she'd still shoot antibiotics into the tooth to get rid of infection. Hope it can be saved. My teeth are way too important to me.

 

I may try Lopburi's dentist next go round but this is degenerating same old TV shoulda, woulda, coulda price of everything value of nothing pissing match.

 

I essentially have zero pain at the moment. 1 week ago tomorrow I could not do much stand the slightest temperatures, hit or cold. Even a bowl of warm noodles...

 

The only way you'd get me into a small clinic is knowing the dentist graduated from one of the top three universities here.

 

Thanks for your opinions

Edited February 17, 2017 by Number 6