Reply With QuoteI may be wrong but you must have some time? But I agree, I wouldn’t want a tooth removed unless absolutely necessary.Originally Posted by Linocut
No, without further action to stabilise the rest of the teeth eg a bridge or implant that would be the worst of all worlds at present.
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I may be wrong but you must have some time? But I agree, I wouldn’t want a tooth removed unless absolutely necessary.
Yes it's not an emergency, plenty of time to consider. After reading the advice here and a couple of DM's I think I'm going to have it done, the cost isn't unreasonable in terms of the market rate. The specialist reckons it may be good for 5 years
Don't wait too long and let it become an emergency. I did and had a few nights of excruciating pain recently.
I have also appreciated the advice, experience and opinion in the thread in making the decision about getting it done by an endodontist.
Quite a few people have taken the time to offer advice so I thought I'd update the thread.
I had the work done last Friday week, 90-odd minutes of drilling and filing, the only discomfort was the actual chair itself over that time.
The endodontist showed me before and after x rays that really showed how far down the tooth she'd managed to get. She warned that it may get worse before it gets better, and initially there was zero improvement but around Wednesday the long standing sensitivity in the gum began to fade and seems to be getting less every day. If I bite down accidentally it still feels tender but massive improvement.
Thanks to all who advised, particularly Luckyhands for the insights.
Had mine started, find the tooth is cracked so they had to close it up and schedule an extraction instead.
Just had a root canal yesterday cost 533 quid.
Crown in two weeks is costing 650.
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My turn in the dentist's chair this week for root canal due to a cracked tooth.
Had horrible tooth ache last week, seems to have calmed down a bit now etc.
Quick question for those that have had the procedure done, did you take painkillers beforehand or not? I know they'll numb the area locally, but wondering if I should take some pain relief before I arrive?
Cheers
It shouldn’t be necessary.
Thanks, good to know.
I didn't expect to see this thread again but to update...it's not got worse but it's still a 'grumbling' issue so I'm off to the endodontist on Monday.
My previous NHS dentist stopped doing root canal treatment and said they would refer me to a private specialist. Luckily I managed to get in with another NHS dentist who had done it over 3 separate treatments ( 3 1/2 hours). I asked him to not be shy with the injections and never felt a thing. Total cost £75
I paid over £100 just for the consultation with the specialist! Lucky you!
Nothing. Got it frozen and 5 minutes later. Working away. So calm and relaxed I almost fell asleep.
Can't recall if I took anything later
I went to a specialist that deals in root canals. My dentist did the crown
Last edited by DONGinsler; 8th November 2023 at 00:43.
If anyone has qualms about the cost of private dentistry, please consider Googling: "Tooth decay, and gum disease related dementia"
"Well they would say that ... wouldn't they!"
Another timely thread on TZ. My wife has just returned from her 6 months check up with the need to have a crown. £700 was a bit of a shock but it seems about right reading this.
Root canal work seems a bit hit and miss talking to people. I had one done in 2007 and it wasn't a success. Interesting to hear of a grumbling low level infection, I think I had the same. It never felt neutral and in 2009 it went from a grumble to agony. It was removed and I now have a gap at the back I can tolerate. Once it settled down I realised it was never right from day one.
I had a "deep clean" in August and since then one of my molars has been painful.
Went back to the dentist who found a bit of a gap between tooth and gum and he covered it with a dressing which is still there.
I wish I had not taken up the offer of the "deep clean", which was very painful with the road drill they were using as my teeth were perfectly fine before and it seems like they just graunch your teeth up for some extra cash.
Cheers,
Neil.
If your tooth is painful after a "deep clean", then there's going to be an underlying problem. Possibly bone loss/periodontal disease.
Oh Gawd, that's all I need.
Cheers,
Neil.
Blimey, that seems pessimistic!
Fingers crossed the aforementioned clean didn't do any damage, it may simply be that the clean exposed part of your tooth which was previously covered and is now a bit sensitive.
I had a deep clean too, which was rather unpleasant, but I thought that the prevention is better than the cure, and it highlighted to me that I need to take better care of my teeth, which I now do. I'm glad I did it.
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Insightful if you aren’t a dentist. A ‘deep clean’ isn’t a technical term. The highlighted part of your post is the most likely cause of the postoperative discomfort in my experience. There are other possibilities though.
Not a dentist. I think I had a "root plane", but it was sold to me as a "deep clean", which made more sense to me as to what they were doing!
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Oh yeah, I would always talk about gums not gingivae…& gum disease, not chronic periodontitis etc. etc. when discussing things with a patient.
I often observe my dental students explaining things at length & in technical terms to their patient. The patient is nodding along & making all the right noises. Then I might butt in & ask the patient whether they know what the student is talking about. The response is usually a sheepish smile & a shake of the head from the patient…& a perplexed look from the student.
2 hours to go before I’m in the chair. Can’t say I’m looking forward to it, but it will be good to get rid of the pain and discomfort.
Reminds me of my divorce hearing
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Well it wasn’t too bad - more uncomfortable than painful.
Need to go back to regular dentist to get a crown next.
Quick question for those in the know - what’s the consensus about drinking after root canal, but before the crown is fitted?
Forgot to ask after the procedure and fancy a glass of red tonight…
Purely medicinal I’d have thought
Oh absolutely. No pleasure in it whatsoever.
Another update...
I had the first stage this afternoon. The endodontist has gone in through the existing crown and got all the 'necrotic stuff' out taking a few x-rays along the way. The cavity has been treated with anti-bacterial and a temporary filling put in place. The only issue is that he's observed two very small cracks in the tooth, one front, one back so there is a chance the work done today will not 'settle down' and I might need it extracting anyway. I had a second appointment booked in a fortnight but that's been replaced with a telephone consult to see how things have progressed.
Apart from the first anesthetic prick, the treatment today was all painless at the time but it's quite painful now. Paracetamol and Ibuprofen before bed I reckon.
I have a NHS dentist, but a soreness in my molar has been around for well over a year…. It’s not a constant pain…. Just sensitivity when brushing, but I want it sorted, so booked a £150 consultation with a periodontist (seemed expensive)
Anyway, root canal and a follow up with crown required…. Sounds both expensive and painful!! But, hopefully I can sort through the NHS…
Did the endodontist give you, a full prognosis ref the cracks? If he didn't, please consider requesting same.
"Well they would say that ... wouldn't they!"
He did 'sort of'. He told me they were 'minor' (that's not the term he used but I can't remember what he said), that it was difficult to determine whether they are recent or historic and also difficult to determine whether they will (a) get worse or (b) allow reinfection. He told me that they do reduce the chances that the work done today would be successful and that's why the next appointment has been replaced by a telephone consult to see how things are going and discuss options. He also gave me a leaflet specifically related to this situation but I haven't read it yet - I left it in the car but will read it tomorrow.
It depends on how far the crack has progressed. If there's no bone loss associated (which it's unlikely if he's still treating), and there's no flexing, then using a bio ceramic sealer gives you a decent chance of it working. (I'm sure he'll already be doing this).
I was diagnosed with cracked roots 16 years ago. I requested and obtained a hospital appointment where more thorough Xrays were taken – and they better revealed the extent of the damage. This was at a time when the hospital was still using Xray plates and not digital Xrays. I then decided to seek treatment with another dental surgeon who is also an endodontist – and pleased that I did. A consequent full scan prior to dental implants then revealed a broken root canal drill lodged in another molar, requiring a special tool / procedure to remove same. I'm still not sure which of two previous dental surgeons failed to 'advise / own-up / admit', to the botched root canal procedure leaving the broken drill lodged in my root.
Leaflets advising of the risk are not necessarily the answer.
Last edited by sundial; 15th November 2023 at 00:14.
"Well they would say that ... wouldn't they!"
I too was told that due to two small cracks the prognosis for the tooth was ‘guarded’ - as in if the cracks get worse it may need extracting.
Appointment to start getting the crown fitted later this week.
Had root treatment today, a lovely way to spend an hour or so. £150 on the NHS, which was up from the standard fee due to a composite filling.
Other than the usual residual pain from the injections, it was relatively pain free.
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