Nothing However The Cleft Of The Enamel: Might Be Time To Discover One other Dentist – Opinion – Aurora Advertiser – Aurora, MO
Columns share an author’s personal perspective.
Q: I hope for some advice. I have a molar that has been falling out since October. The temperature prepared for the molar dropped out after three days. A crown was inserted two weeks later and fell out after three days. Every time I ate soft foods. It was built with a bond that fell off in three days. The special adhesive filling fell off in three days. I paid $ 650 for half a crown. Insurance no longer pays. I am fixed income, retired, 72 years old. Help.
– E. Jane
A: I have advice and it will be pretty strong and direct.
Unless you have a specific reason not to follow what I’m about to say, I would ask for your deposit and leave the dentist. (If you do, take your records and films with you for the new dentist. These records and films are legally yours.)
The reason I’m so blunt is that any competent dentist can control the retention of a crown. I say this for the following reasons:
If your remaining tooth structure is very short, it can usually be difficult to hold back a crown. But all the dentist needs is more time to build up the short piece of remaining tooth structure using a variety of materials available. It is known as the “core structure”. It may be more expensive, but if necessary, the cost is justified. There are times when a core build-up requires root canal treatment first, but these times are rare. Sometimes even using a more retentive cement helps, but this isn’t as good as the other options. Cement doesn’t retain a cap or crown, the design does. That is under the control of the dentist.
Now it is possible that the dentist, having already spent a lot of time (albeit a lack of time), may object to the return of your deposit. In this case, your only choice is to do the final restoration. If this fails (falls off), you will be asked for a full refund.
If the dentist objects, I would write a letter to your state health department explaining what happened. I believe that all states have a way to deal with this type of claim. Either they have a peer-reviewed group (other dentists) or they have a legal group that can force the dentist to do the right thing when they are not ready. In fact, the dentist could lose his state license because of such a problem.
You can show my letter to the dentist if you like, or you can just discuss with the dentist what you think after reading my letter. I don’t like to be that straightforward, but I am generally upset with the way dentistry is practiced these days. That’s basically why I’m doing this column. Good questions deserve good answers.
Dr. Richard Greenberg, of Ipswich, practiced dentistry for 45 years after attending dental school at Columbia University, where he was later Associate Clinical Professor of Restorative Dentistry and moderator of the ethics course. Do you have a dental question or a comment on the column? Email to [email protected]