Dental Root Canal Work

[mikesensei]

Root Canal Treatment - change of dentist mid-procedure? Possible or not?

Hi. I had a some root canal work done in Pattaya about 8 months ago but ran out of time to finish it (had to return home). So the dentist put in a temporary filling and said to come back around now to finish it. I am about to return to have it done. I have no complaints with the dentist who is doing the work - but I would prefer to continue and finish the work in Chiang Mai since apparently it will take about 2 - 3 weeks to finish it and I'd prefer to spend that time in Chiang Mai, but root canal is serious stuff so I don't want to make a mistake. It's been suggested that it's not a good idea to change dentists for this kind of work, so best to continue with the one I'm using. But I'm not so sure if that's really necessary. Does anyone have any experience with this kind of issue? Can I change mid-procedure? It sounds like good advice, but I would imagine that it is possible to change dentists during the course of a procedure. Any help or thoughts would be very welcome. And while I'm asking, any recommendations for a good dentist for root canal work in Chiang Mai? Many thanks!

[tonray]

Endodontics is a very standard procedure and I think you will  have little trouble switching dentists. I have lots of dental work....I am an expert....555

 

What he will be doing is assessing the root to see if any abscess is still there. If it is he will repeat the procedure or advice alternate therapy. If abscess has cleared he will remove temp filling and fill with gutta percha, which is basically Portland cement for dentists. Then he will recommend a crown be fitted to protect the tooth,

Edited July 15, 2017 by tonray

[dddave]

If you do decide on Chang Mai, a post in the ThaiVisa Chang Mai forum will probably get you more dentist recommendations than on this page.

[Sheryl]

Should nto be a problem to change dentists but make sure the one yo ugo to is an endodontist (specialist in root canal).

 

Endodontists in CM that have been favorable recommended by othe rTV memebers include

 

Dr. Kassara Puttamapun  - at Grace Clinic and also at Empress clinic

http://www.empressdentalclinic.com/wp/98-2/

https://www.gracedentalclinic.com/dentist-eng.html#Endodontist

 

Dr. Jutamas Malarat at Dental4u clinic  http://www.chiangmaidental4you.com/

[thaibeachlovers]

Definitely Grace in C M. Not the cheapest but I had a few done there and they seem excellent.

SHOULD get a crown after, but not necessarily straight away. I didn't for years and lost some as they dry out and a couple of mine cracked. Also they get discoloured.

 

While it isn't a problem changing dentist, they might need to repeat the root removal process just to make sure it was done properly, so might cost nearly as much as a full procedure.

 

I don't know why you say it would take two weeks. I had many of mine done in one day, and sometimes a couple of days.

[payanak]

Any dentist should be able to pick up mid-treatment in root canal started by another dentist.  It would not be a favorite thing to do by most dentists because you do not always know what you are going to find left inside by the previous dentist.  

 

You DO NOT need to go to an endodontist.  Root canal treatment has been a standard part of the dental curriculum in every school since the early 70's. Endodontists are necessary only for unusual cases or the dentist just doesn't like doing root canals.  Sheryl I have advised you of this once politely before.  You need to stop giving advise in areas that you clearly have no knowledge. JUST STOP.

 

Who the hell am I you ask?  I am a retired oral surgeon DDS/MD

 

Gutta percha is nothing like Portland cment.  Poor analogy.

[tonray]

1 hour ago, payanak said:

Any dentist should be able to pick up mid-treatment in root canal started by another dentist.  It would not be a favorite thing to do by most dentists because you do not always know what you are going to find left inside by the previous dentist.  

 

You DO NOT need to go to an endodontist.  Root canal treatment has been a standard part of the dental curriculum in every school since the early 70's. Endodontists are necessary only for unusual cases or the dentist just doesn't like doing root canals.  Sheryl I have advised you of this once politely before.  You need to stop giving advise in areas that you clearly have no knowledge. JUST STOP.

 

Who the hell am I you ask?  I am a retired oral surgeon DDS/MD

 

Gutta percha is nothing like Portland cment.  Poor analogy.

Evaluation of the apical sealability of mineral trioxide aggregate and portland cement as root canal filling cements: an in vitro study.

Rekab MS¹, Ayoubi HR.

Author information

 

Abstract

OBJECTIVE:

One of the principle purposes of root canal obturation is to obtain hermetic sealing of the root canal system. According to the development of technology, many materials are now used in root canal filling. An in vitro dye leakage study was performed to evaluate the apical sealability of White-colored Mineral Trioxide Aggregate (WMTA) and Gray-colored Portland Cement (GPC) when used alone or as a sealer with gutta-percha points in root canal filling.

MATERIALS AND METHODS:

Seventy-five single-rooted extracted human teeth were used in this study. After cleaning and shaping, the teeth were randomly divided into five equal groups of 15 teeth each based on the root canal filling material used; Group 1, (WMTA) alone; Group 2, (GPC) alone; Group 3, (Gutta-percha points + WMTA); Group 4, (Gutta-percha points + GPC); Group 5, (Gutta-percha points + AH26). Methylene blue was used to determine the apical leakage. After sectioning the teeth longitudinally, linear dye penetration was measured with a caliper under the stereomicroscope. Data were analyzed by Kruskal-Wallis and one-way ANOVA tests with (P ≤ 0.05) as the level of significance.

RESULTS:

The results showed that there were no statistically significant differences among the materials of five groups.

CONCLUSION:

(WMTA) alone, (Gutta-percha points + WMTA), (GPC) alone and (Gutta-percha points + GPC) may be used in the root canal filling.

KEYWORDS:

Apical Sealability; Mineral Trioxide Aggregate (MTA); Portland Cement (PC); Root Canal Filling

PMID:

 

21998797

 

PMCID:

 

PMC3184762

Edited July 17, 2017 by tonray

[payanak]

Tonray.  Nice article to try but inappropriate here.  The tests were done on extracted teeth.  In this instance there is no significance clinically.  MPortland cememt was just a passing fad over ten years ago.  It never caught on and is the subject of ridicule today.  MTA is used for the surgical treatment of failed root canals.  In this application it is very successful.  It is not used with gutta percha as a sealer in the mouth.    Current treatment involves rotary instrumentation with very flexible nickel-titanium files and chemically disinfected with sodium hypochlorite followed by filling with injected warm, soft gutta percha compressed toward the root tip as it cools.  Sealer is normally a form of zinc-oxide.

[Sheryl]

On 7/17/2017 at 8:28 PM, payanak said:

 

 

....You DO NOT need to go to an endodontist.  Root canal treatment has been a standard part of the dental curriculum in every school since the early 70's. Endodontists are necessary only for unusual cases or the dentist just doesn't like doing root canals.  Sheryl I have advised you of this once politely before.  You need to stop giving advise in areas that you clearly have no knowledge. JUST STOP.

 

Who the hell am I you ask?  I am a retired oral surgeon DDS/MD...

 

Thai medicine and dentistry are both highly specialized and the sort of GP practice one finds in the west is not what you find here.

 

I have yet to encounter a Thai dentists not on endodontist who does root canals. Whether it was part of their basic curriculum I can't say, but they don't do them/have no experience with them and this even holds at dental clinics within government hospitals under the national health schemes, where they have every incentive to avoid unnecessary referrals to specialists.

 

 

[DeeG111]

On 7/17/2017 at 6:28 AM, payanak said:

Any dentist should be able to pick up mid-treatment in root canal started by another dentist.  It would not be a favorite thing to do by most dentists because you do not always know what you are going to find left inside by the previous dentist.  

 

You DO NOT need to go to an endodontist.  Root canal treatment has been a standard part of the dental curriculum in every school since the early 70's. Endodontists are necessary only for unusual cases or the dentist just doesn't like doing root canals.  Sheryl I have advised you of this once politely before.  You need to stop giving advise in areas that you clearly have no knowledge. JUST STOP.

 

Who the hell am I you ask?  I am a retired oral surgeon DDS/MD

 

Gutta percha is nothing like Portland cment.  Poor analogy.

So..... my dentist here in the states isn't comfortable digging into a previous root canal that now has a small abscess, and he referred me to an endodontist.  His fees, along with a new crown, are going to run over $2000US. Since I'm going to be in CM in December and January, I thought...why not get it done there.  Is my guy being overly cautious? (He done one for me before, so its not like he shies away from doing them).  Or can I just go to a regular dentist and have them make that decision?  (and yes, i have crappy teeth.....probably should have taken better care of them as a child...)

 

[payanak]

On 9/19/2017 at 11:24 PM, Sheryl said:

Thai medicine and dentistry are both highly specialized and the sort of GP practice one finds in the west is not what you find here.

 

If this is true then it is actually an indictment of the whole dental profession in Thailand.  If a procedure that has been routine for decades in America or other Western countries is still highly specialized, how could you allow a dentist to place an osseo-integrated implant into a patients bone?  Implant placement is also technical, and much newer technology,  and offers much greater potential harm to the patient if done poorly.  If what you say is true then you should be advising all people to see only an oral surgeon (or possibly a periodontist) for implant placement.  I believe such is not the case, however.  You are actually saying that dentistry is out of date in Thailand.  Not necessarily sure this is the case but should give anyone cause for concern.

[lopburi3]

I will visit the dentist here with a lot more confidence than I ever did in USA - knowing I will be referred to the best doctor for what I require - procedures are done by those with specialized experience here (as is the case for all medical and dental work) and has nothing to do with being out of date..  And the difference can be not only better work but a lot less pain.  My grandfather and two uncles were Tufts dentists.  

[Sheryl]

4 hours ago, payanak said:

 

If this is true then it is actually an indictment of the whole dental profession in Thailand.  If a procedure that has been routine for decades in America or other Western countries is still highly specialized, how could you allow a dentist to place an osseo-integrated implant into a patients bone?  Implant placement is also technical, and much newer technology,  and offers much greater potential harm to the patient if done poorly.  If what you say is true then you should be advising all people to see only an oral surgeon (or possibly a periodontist) for implant placement.  I believe such is not the case, however.  You are actually saying that dentistry is out of date in Thailand.  Not necessarily sure this is the case but should give anyone cause for concern.

Implants in Thailand are indeed almost always done by periodontists.

 

As explained, both medical and dental care in Thailand are highly specialized.

[briando]

"As explained,both medical and dental care in Thailand are highly specialised"

I don't know what world you live in or where you come from but the above description is straight out not true.You didn't explain anything, you simply made a statement without any evidence.That description could be applied to Australian doctors and dentists, but not to hardly any doctors and dentists I have come across here in Thailand.I could give you many instances of ineptitude of doctors and dentists here as I'm too busy,but I couldn't let that statement go without a comment.

[lopburi3]

3 hours ago, briando said:

"As explained,both medical and dental care in Thailand are highly specialised"

That quote is correct as stated.  There are almost no GP type doctors in Thailand - almost all specialize and are sent to such specialist when needing treatment.  Although this is less so at small dental clinics it is the norm at larger places.  And I know what I am talking about.  And Sheryl knows a whole lot more.  

Edited August 18, 2018 by lopburi3

[Sheryl]

The poster appears not to understand what "specialized" means.

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