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Lingual and Inferior Alveolar Nerve Damage Discussion Site

Subject: "Extraction done by a DDS??"     Previous Topic | Next Topic
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Conferences Lingual or Inferior Alveolar Nerve Damage from Tooth Extractions Topic #173
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aspirations80
Member since Aug-9-09
1 posts
Aug-09-09, 02:08 PM (CST)
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"Extraction done by a DDS??"
 
   In July I had my lower left wisdom tooth extracted at my dental office. The dentist said he would extract the tooth to save me time and money. He said it was impacted but shouldn't pose a problem. I experienced extreme pain when he gave me the Novocain shot. He also had a difficult time extracting the tooth and it broke off at some point. The next day I returned because I didn't have any feeling returning and saw another DDS at the same office. (I have NO feeling in my bottom lip, chin, gum area and my teeth hurt!) He prescribed me Tylenol 3 for pain and said it may be slight nerve damage, but nothing could be done. I went back a week later to see the DDS who pulled the tooth. He said he needed to call an oral surgeon for advice. When he returned he had a prescription for a 6 day stint of steroids. Two weeks later, and no changes other than some pain (its a burning sensation- like someone set the inside of my lip and chin on fire- but still numb to touch), he said he called in a favor to an oral surgeon who will see me for no charge. Should I go? Should I go see another oral surgeon? It will be a month on the 23rd and I haven't had any feeling return.
I contacted an attorney today at the advice of family members, but have no idea if that was the right thing to do.
Any advice from those of you who may have experienced something similar would be much appreciated!
I'm a new mom and a teacher about to return to work and this is horrible!


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  Subject     Author     Message Date     ID  
  RE: Extraction done by a DDS?? intdezyn1 Aug-09-09 1
  RE: Extraction done by a DDS?? Dr B Aug-09-09 2
     RE: Extraction done by a DDS?? pim Aug-12-09 6
  RE: Extraction done by a DDS?? charlottefr Aug-09-09 3
     RE: Extraction done by a DDS?? edgaras Aug-10-09 4
         RE: Extraction done by a DDS?? Dr B Aug-10-09 5
             RE: Extraction done by a DDS?? edgaras Aug-14-09 8
  RE: Extraction done by a DDS?? tr1921 Aug-13-09 7
     RE: Extraction done by a DDS?? edgaras Aug-14-09 9
         RE: Extraction done by a DDS?? tr1921 Aug-17-09 10
             RE: Extraction done by a DDS?? bowho Aug-17-09 11
                 RE: Extraction done by a DDS?? edgaras Aug-18-09 12
                     RE: Extraction done by a DDS?? Dr B Aug-18-09 13
                     RE: Extraction done by a DDS?? bowho Aug-18-09 14
                         RE: Extraction done by a DDS?? Dr B Aug-18-09 15
                         RE: Extraction done by a DDS?? edgaras Aug-19-09 16
                             RE: Extraction done by a DDS?? Dr B Aug-19-09 17
                                 RE: Extraction done by a DDS?? tr1921 Aug-19-09 18
                                     RE: Extraction done by a DDS?? Dr B Aug-19-09 19
                                         RE: Extraction done by a DDS?? tr1921 Aug-19-09 20
                                             RE: Extraction done by a DDS?? edgaras Aug-21-09 23
                         RE: Extraction done by a DDS?? pim Aug-20-09 22
             RE: Extraction done by a DDS?? pim Aug-20-09 21
             RE: Extraction done by a DDS?? charlottefr Aug-25-09 24
                 RE: Extraction done by a DDS?? edgaras Aug-25-09 26
                     RE: Extraction done by a DDS?? edgaras Aug-25-09 27
                         RE: Extraction done by a DDS?? edgaras Aug-25-09 28
                     RE: Extraction done by a DDS?? charlottefr Aug-25-09 29
                         RE: Extraction done by a DDS?? edgaras Aug-25-09 30
             RE: Extraction done by a DDS?? charlottefr Aug-25-09 25
                 RE: Extraction done by a DDS?? tr1921 Aug-27-09 31
                     RE: Extraction done by a DDS?? bowho Aug-27-09 38
                 RE: Extraction done by a DDS?? Bob Aug-27-09 32
                     RE: Extraction done by a DDS?? tr1921 Aug-27-09 33
                         RE: Extraction done by a DDS?? charlottefr Aug-27-09 34
                             RE: Extraction done by a DDS?? Dr B Aug-27-09 35
                                 RE: Extraction done by a DDS?? Bob Aug-27-09 37
                                     RE: Extraction done by a DDS?? bowho Aug-27-09 39
                                         RE: Extraction done by a DDS?? Dr B Aug-27-09 40
                                             RE: Extraction done by a DDS?? bowho Aug-27-09 41
  RE: Extraction done by a DDS?? tr1921 Aug-27-09 36

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intdezyn1
Member since Jul-18-09
19 posts
Aug-09-09, 02:49 PM (CST)
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1. "RE: Extraction done by a DDS??"
In response to message #0
 
   I also had mine pulled by a dentist, my regular dentist said he coudnt do it but the other dentist in the office had experience with impacted wisdom teeth and looked at my x-rays and said he could do it....For me it was 1/2 my toungue that was numb...by week 2 I was gaining some feeling but began the weird sensations...tingling.....metallic taste(lasted a week) and the the feeling like I had burned my toungue on something hot...but never the way alot of people on here describe it..wasnt burning..just the feeling we have all felt when eating something too hot..and some electic shock kinda feelings here and there.all that has gone away, mostly by week 5, since then it has been just a gradual return of feeling...I am in week 7 now and I can tell you from much research mainly on here many will heal within 8 weeks. I am in week 7 now and would say I am around 90% healed. It isnt anything like it was 7 weeks ago but it is still slightly numb, it just feels different still, but the healing is so slow u think either u are getting used to it or imaging it feeling better...I had to track mine on a week to week basis.....changes were to small to measure daily
Please keep us posted on how u are


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Dr B
Member since Oct-6-06
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Aug-09-09, 04:27 PM (CST)
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2. "RE: Extraction done by a DDS??"
In response to message #0
 
   Yes, see the oral surgeon and see the lawyer too! If your atty needs the name of an expert witness have them email me at Jcbax@aol.com

Dr B


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pim
Member since Oct-19-06
461 posts
Aug-12-09, 09:04 AM (CST)
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6. "RE: Extraction done by a DDS??"
In response to message #2
 
   LAST EDITED ON Aug-12-09 AT 09:06 AM (CST)
 
No dentist will ever do anything in my mouth except clean my teeth and fill cavities..should I ever have another one. If I need a root canal, its an endo. If I need a tooth extracted its an oral surgeon and I don't care if the tooth is hanging by a thread and all that needs to be done is tie a string to it and yank it. There are alot of good dentists out there but there are some that aren't and you cant tell by looking at them, their office, their staff. I will use specialist from now on......no matter what.

If you need an attorney name or someone to talk to to see if you have a case, I can recommend mine who is a dentist turned attorney. send me a private message and if I don't reply post and tell me you sent it. My email associated with this board has gotten full of crap and its hard to wade thru it sometime.


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charlottefr
Member since Feb-22-08
506 posts
Aug-09-09, 09:50 PM (CST)
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3. "RE: Extraction done by a DDS??"
In response to message #0
 
   hi aspiration..I'm so sorry that you've seemed to have had damage to your inferior alveolar nerve. I had the same thing happen when I had my lower left wisdom tooth removed Jan 08...so I know what you're experiencing.

Did the dentists tell you whether it was the injection or the extraction that caused the damage? I don't think Novocaine is used much anymore. Can you find out exactly what was used?

Also, do you have any tingling in your chin and lip at all? If there is just numbness, I wonder if the nerve has been cut.

The operating dentist sure didn't follow through with his promise..to save you time and money..sigh. At least he is doing something in the way of post-care and has referred you to an oral surgeon. I don't understand why he had to call an oral surgeon for advice...he should know the risks of removing an impacted wisdom tooth and the symptoms resulting from an injury to the IA nerve. If he didn't know...he shouldn't have done the procedure, imo.

Maybe you should ask the new OS if you should be on the steroids for a longer period of time? I took an anti-inflammatory for a few weeks...and I still take Ibuprofen from time to time when I need it.

Make sure you get lots of rest before the new school term starts. I found that I tired easily from teaching..from the talking mostly and from the meds that I was on. I only worked part-time when I was first injured.

Keep in touch, ok?


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edgaras
Member since Oct-14-06
566 posts
Aug-10-09, 06:56 AM (CST)
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4. "RE: Extraction done by a DDS??"
In response to message #3
 
   after my incident with root canal, i was seen by the oral surgeon too.
Who said, no infection, nothing seems wrong - stay in soft diet...
Yeah.. that helped .. NOT!


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Dr B
Member since Oct-6-06
989 posts
Aug-10-09, 08:58 AM (CST)
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5. "RE: Extraction done by a DDS??"
In response to message #4
 
   So Edgar, you suggest she do nothing?

Dr B


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edgaras
Member since Oct-14-06
566 posts
Aug-14-09, 08:19 PM (CST)
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8. "RE: Extraction done by a DDS??"
In response to message #5
 
   Not at all, treatment is necessary.
I was pointing out that the oral surgeon provided by the dentist who might be implicit might have conflict of interest, just like in my case when I was suggested soft diet even though it should have been obvious pain is not due to a muscle strain during the procedure, as indicated by the location of pain, and furthermore, lack of OS ability to question the patient in a way so that she/he provide answers that are vague and unclear. Precise examination will not be done if doctor #1 mess-up and his friend, doctor #2 tries to HELP. (given that they take their close ties over the patients health - RARELY DOES IT HAPPEN.. you decide when I use sarcasm lol )


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tr1921
Member since Aug-13-09
7 posts
Aug-13-09, 10:26 AM (CST)
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7. "RE: Extraction done by a DDS??"
In response to message #0
 
   I have dealt with a number of these types of injuries. You probably need an Oral Surgeon who specializes in nerve damage. If you are in New York, in the City or Long Island area I can give you the name of a specialist. Too many oral surgeons and dentist just monitor the injury. If there is to be any chance of a surgical repair you will need to seek treatment within the first 6 months.


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edgaras
Member since Oct-14-06
566 posts
Aug-14-09, 08:23 PM (CST)
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9. "RE: Extraction done by a DDS??"
In response to message #7
 
   hello tr1921, welcome .. would you mind sharing your history/type of practice? I suppose Google search lead you to the site?
Kindly,
Ed


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tr1921
Member since Aug-13-09
7 posts
Aug-17-09, 09:58 AM (CST)
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10. "RE: Extraction done by a DDS??"
In response to message #9
 
   I am an attorney in New York who handles dental malpractice claims. I was researching the topic of injection injuries looking for experts to testify to malpractice in giving the injection and causing the injury. In my dealing with this injury I see that the biggest thing in treatment is getting to the correct provider as soon as possible, too many dentists and oral surgeons just monitor the situtation. When they finally do refer the patient to a specialist it is too late. I felt I should make my post in case there is anyone in my area who has not been sent to a specialist I could give them his information. There is only on doctor on Long Island that I know of that deals speciffically with these injuries. IF anyone is aware of others in the New York Metropolitan area I would like to know who they are.


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bowho
Member since Nov-26-07
925 posts
Aug-17-09, 03:52 PM (CST)
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11. "RE: Extraction done by a DDS??"
In response to message #10
 
   Oh boy, We have a $$$ sucking lawyer on board trying to do his job... Didnt you know that injection damage to the nerve is not the dentist fault? Why we have expert dentists on this site that will even tell you so.. Its a known risk and we consented to it.. There is NO repair for injection injuries,so they say... injection injury heals quick and all will be FINE.. HA... My injury was never classified as injection injury,but that damn injection was enough to kill me and so was the extraction.. I am one of the lucky ones who got into repair surgery at 6 1/2 months.. Took about 5 years to start feeling like i wanted to live... Almost 8 years later now my tongue is still numb and it is permanent.. My repair took place in Cleveland Ohio... http://www.drhauser.com/services/services.html

This is someone here who may guide you further.. www.cbaxterdmd.com
Or maybe this one can help..
http://www.toothattorney.com/

Its never too late for repair.. we have one guy on here who just had one last year..well his 4th during a 20+ year period and now hes feeling a little better FINALLY


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edgaras
Member since Oct-14-06
566 posts
Aug-18-09, 05:23 PM (CST)
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12. "RE: Extraction done by a DDS??"
In response to message #11
 
   bowho, why jump to conclusions so quick and accuse someone..


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Dr B
Member since Oct-6-06
989 posts
Aug-18-09, 06:38 PM (CST)
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13. "RE: Extraction done by a DDS??"
In response to message #12
 
   I think she was half way joking.

Dr B


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bowho
Member since Nov-26-07
925 posts
Aug-18-09, 09:27 PM (CST)
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14. "RE: Extraction done by a DDS??"
In response to message #12
 
   Oh come on Ed, Do you think when we hire malpractice attorneys they're interested in our injury or the money? Im not even half way joking about that part one bit..


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Dr B
Member since Oct-6-06
989 posts
Aug-18-09, 10:50 PM (CST)
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15. "RE: Extraction done by a DDS??"
In response to message #14
 
   Actually Boo Hoo, some of them are.

Dr B


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edgaras
Member since Oct-14-06
566 posts
Aug-19-09, 08:57 AM (CST)
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16. "RE: Extraction done by a DDS??"
In response to message #14
 
   that was not the point. I simply said why jump to conclusions. If it might be more appropriate to discuss the dangers of greedy attorneys it would be interesting topic. I have not encountered that, hence, lack of immediate negative response upon seeing a new visitor with yet unknown agenda.


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Dr B
Member since Oct-6-06
989 posts
Aug-19-09, 09:03 AM (CST)
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17. "RE: Extraction done by a DDS??"
In response to message #16
 
   I have worked with over 400 attys since I have been doing this. There is a range just like in every other profession. Some are rather inept, some are brilliant. Some are at it just for the money, but I have had some front money for difficult cases because they felt the plaintiff had been so wronged.

Human behavior comes in a bell shaped curve, at the bottom, the very bad possibly even evil ones, at the top the saints, and in the huge middle, the average.

Most professions are just a sampling of that same curve.

Dr B


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tr1921
Member since Aug-13-09
7 posts
Aug-19-09, 09:29 AM (CST)
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18. "RE: Extraction done by a DDS??"
In response to message #17
 
   Dr B is absolutely correct about the bell curve of human behavior. In dealing with dental malpractice case I have seen the same thing. For example take the initial post here. This person went to a general dentist who instead of referring the patient to an oral surgeon for an Impacted Wisdom tooth decided to pull it himself. The majority of extraction injuries I see are performed by general dentist who are not qualified to pull impacted wisdom teeth but do so to put money in their pockets. I joined this site to see if I could find a local expert who would testify as to malpractice in performing an injection and causing an injury. The only way I can help an injured person, other than referring them to a specialist, is by getting obtaining an award for the injury they receive. Unfortunately I have to refuse the majority of injection injury cases because I can not find an expert willing to testify to malpractice.


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Dr B
Member since Oct-6-06
989 posts
Aug-19-09, 02:44 PM (CST)
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19. "RE: Extraction done by a DDS??"
In response to message #18
 
   You are in New York, right?

Most of the injury I see has been GP's doing what should have been referred. Of the specialists I have seen a scant few cases for most of them, a few more oral surgeons than the others, but in the OS defense they commonly see way more patients.

I am afraid things will get worse with a bad economy because if a dentist is not asbusy they will tackle things they otherwise may have referred.

Dr B


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tr1921
Member since Aug-13-09
7 posts
Aug-19-09, 02:56 PM (CST)
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20. "RE: Extraction done by a DDS??"
In response to message #19
 
   Yes I am in NY. Generally we do not pursue cases against Oral Surgeons. If the tooth was causing a problem and needed to be removed it is almost impossible to get past informed consent from an oral surgeon. We would need to prove that the patient would have not gone forward with the extraction. When the defendant is a GP they rarely give informed consent and the argument to "the tooth needed to be removed" is it should have been removed by an Oral Surgeon. I think general dentist fail to give informed consent because they are afraid that the patient will then want to go to a specialist. I have been seeing more Root Canal treatments by general dentists causing nerve injury, specifically with the use of apex locators.


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edgaras
Member since Oct-14-06
566 posts
Aug-21-09, 01:19 AM (CST)
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23. "RE: Extraction done by a DDS??"
In response to message #20
 
   speaking about the apex.. mine was passed. The location method used by Gen Dentist - insert a strip and have me walk to the x-ray room while telling me not to bite down. Genius, eh?

Thank you for your input tr1921, I am glad you here to discuss things not discussed..


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pim
Member since Oct-19-06
461 posts
Aug-20-09, 08:10 PM (CST)
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22. "RE: Extraction done by a DDS??"
In response to message #14
 
   LAST EDITED ON Aug-20-09 AT 08:53 PM (CST)
 
I have nothing but good to say about my attorney. There are good ones out there...although I'm not sure any are better than mine!! I used to believe the stereotype of an attorney. After going thru a malpractice suit, my personal opinion is that the problem isn't the attorneys, its the insurance companies and judicial and policital systems. Lawyers don't argue right vs wrong, they argue the game....because that is the world they are given to work in.

There are exceptions...as with all professions.


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pim
Member since Oct-19-06
461 posts
Aug-20-09, 08:01 PM (CST)
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21. "RE: Extraction done by a DDS??"
In response to message #10
 
   LAST EDITED ON Aug-20-09 AT 08:42 PM (CST)
 
Be on the look out for dentists who use Sargenti Paste (aka Sargenti Cement, N2, N2 Universal, RC2B, RC2W, etc..). Their patients need lawyers even if not injured. The dentist likely won't volunteer that Sargenti Paste was used. Get those records. Ask any client who has a nerve injury or infection.

Sargenti Paste = Dental Malpractice (IMO)

www.worstrootcanalever.com


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charlottefr
Member since Feb-22-08
506 posts
Aug-25-09, 06:29 AM (CST)
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24. "RE: Extraction done by a DDS??"
In response to message #10
 
   'There is only on doctor on Long Island that I know of that deals speciffically with these injuries. IF anyone is aware of others in the New York Metropolitan area I would like to know who they are."

hi tr1921...if you, as a lawyer in NY, have a problem finding someone who deals with injectional nerve injuries, imagine how hard it is for injured patients to find one when they are advised to do that on their own. The other day, I asked MaverickDMD to list five "nerve specialists" in Canada...he hasn't replied yet.


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edgaras
Member since Oct-14-06
566 posts
Aug-25-09, 04:13 PM (CST)
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26. "RE: Extraction done by a DDS??"
In response to message #24
 
   On the defense of Maverick, I assume he, in part avoided naming names due to conflict of interest and possible accusations that he is pushing the names of his colleagues. I do agree, that there is no such specialty as nerve damage, however! I have read, a journal of dental practice that was fully accessible written by few authors in Canada back in the day, I could possible find that by googling "dental journals, Canadian" and using phrases such as oral/lingual nerve injury. I think the peer reviewed article focused on the cases of negative consequences of couple procedures, root canals, extractions, and perhaps even injections. So to imply, that there are no doctors who investigate this in Canada, I think is invalid point, it would seem that Canada actually has more open atmosphere (freely accessible journal, I promise a link), and a government that, I assume, funds dental care more and provides support for publications of adverse events.

Charlotte, the grass always looks greener on the other side... and while I do agree, that the free marketing and inflow of large amounts of cash has provided US with more MRI, CT scan machines, Canada has it's benefits. You might be forced to wait in line for months to see a specialist, but will not go through bankruptcy because of medical bills.

Do you know how horrible it is to be judged by future employers based on the credit history report, which is often ruined just because of incomprehensible amount of medical bills, even if you have insurance, claims get misfiled, not filed at all, and you're left to resolve the financial mess while already being incapacitated to a level where arguing with insurance company over a bill is often traumatic and pain provoking that you avoid it at all cost. I worked for a collection agency, and I remember a couple, an old couple who were in US and had some emergency visit, and I had to call them to request the money, when they heard of the figure, they freaked out, being in their retirement. They were charged 10 times more would they would have been charged in Canada. Who knows, maybe they left Canada due to waiting times and ended up in the ER in the USA...

There is no reason to think, however, that Canada is lacking in dental care/knowledge. Please correct me.
I also have honest desire to know how much is an average filling in Canada? Root canal? Not making any point here, this time. Just curiosity.

I heard that in Australia, a person received treatment for TMJ for a third of cost of what it would minimally cost in US.


There is some good of dentist/doctors being financial secure to buy equipment, but at the same time, money can ruin judgment...


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edgaras
Member since Oct-14-06
566 posts
Aug-25-09, 04:30 PM (CST)
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27. "RE: Extraction done by a DDS??"
In response to message #26
 
   Here is one of the links - most of such US based journals are not accessible from home and there is a fee to pay, unless you visit medical library.


Journal of the Canadian Dental Association December 2002, Vol. 68, No. 11

Question 1 What should I do if my patient complains of a numb lip after third molar surgery?


To find this in American published journal I would have to dig through tens and hundred of articles to see which one's are hopefully leacked on university library pages (.edu) and not held on procession locked up by the fee based access to such journals.

What do you think Charlotte? I don't want to argue, or diminish the validity of your point, please do not misunderstand - for me, Canada appears to have greener grass, just like America for you...


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edgaras
Member since Oct-14-06
566 posts
Aug-25-09, 04:38 PM (CST)
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28. "RE: Extraction done by a DDS??"
In response to message #27
 
   LAST EDITED ON Aug-25-09 AT 04:42 PM (CST)
 
Apologies for small image, here is what is says under:
Fig 1. Simple neurosensory testing using the back of the dentl probe to asses blunt senstion

Fig 2. Sharp sensation is elicited by gentle pressure of the tip of the dental probe

Fig 3. A digital image can be used to chart patient's ability to perceive sensation. Plus signs (+) indicate that the patient distinguishes between sharp and blunt sensations. The sites where there is no sensory discrimination are marked with a minus sign (-).


http://www.cda-adc.ca/_files/members/clinical_information/point_of_care/2002/December_2002.pdf


Name of article - "Point of Care"

"JCDA is pleased to introduce “Point of Care,” a new section that answers everyday clinical questions by providing practical
information that aims to be useful at the point of patient care. The responses do not purport to set forth standards of care or clinical
practice guidelines. Readers are encouraged to do more reading on the topics covered. If you would like to submit or answer a
question, contact editor-in-chief Dr. John O’Keefe at jokeefe@cda-adc.ca"

Journal of the Canadian Dental Association December 2002, Vol. 68, No. 11, p. 701.


---

This is not the same web page I have seen a while ago, that one even had audio interview with the doctor about the aspect of dental nerve injuries, and the comment section, where I applauded the publication of such material without any fee for access.


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charlottefr
Member since Feb-22-08
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Aug-25-09, 04:42 PM (CST)
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29. "RE: Extraction done by a DDS??"
In response to message #26
 
   Hi Ed..I wasn't implying that there is a huge lack of research in Canada. I just think that to tell someone who is injured to find an oral surgeon who specializes in nerve damage in any country is easier said than done. I guess I don't really understand why it would be a 'conflict of interest' to provide names of doctors who specialize in the repair of nerve injuries?

Here's the link to the Journal of Canadian Dental Association...is this the one you had read? I agree with you...I'm glad that the articles from this journal seem to be accessible by everyone to read.
http://www.cda-adc.ca/jcda/


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edgaras
Member since Oct-14-06
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Aug-25-09, 05:10 PM (CST)
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30. "RE: Extraction done by a DDS??"
In response to message #29
 
   well for one, doctor can name the names of his friends, refer to someone he personally knows, in hopes that they get business (ie - money), and in return they get something back. But that's just me being too consumed by the fears that money overpowers honest desire to help people. Did you know how much business is compromised of referral based visits? In Canada, it might not be such a big issue, but here, it is all about money and ability to survive in harsh economic environment.

I don't know how this problem can be mitigated, perhaps reviewing online reports of doctors, but even those can be falsified by staff posting an obvious bogus claims such as "This is by far the best doctor!!!". And when you try to post something negative on sites such as Dr. Oogle or other sites that reviews MDs, you often get backlash - clear indication that doctors are nowadays very concerned about any negative comments, even of they might be true!


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charlottefr
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Aug-25-09, 06:41 AM (CST)
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25. "RE: Extraction done by a DDS??"
In response to message #10
 
   "In my dealing with this injury I see that the biggest thing in treatment is getting to the correct provider as soon as possible, too many dentists and oral surgeons just monitor the situtation. When they finally do refer the patient to a specialist it is too late."

Also, too many injured patients are often just told to wait for the situation to resolve and there isn't any monitoring by the dentist or oral surgeon. The patient goes home and is left to try to find answers on his or her own.

The topic of Injectional Injuries has the most posts on this forum. Alot of people are and have been looking for relief and answers for the last seven years since this forum was created.


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tr1921
Member since Aug-13-09
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Aug-27-09, 08:11 AM (CST)
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31. "RE: Extraction done by a DDS??"
In response to message #25
 
   The problem is that dentists may not know of the specialist to sned patients to, most dentist refer the patient to an oral surgeon. I imagine the reason for this is that most dentist do not deal with these injuries on a regular basis and do not do the research to find the specialist to refer the patient to. The oral surgeon on Long Island, Dr Salvatore Ruggerio, deals almost exclusivley with nerve injury patients. I would say that more than 65% of the clients I see have been refered to Dr Ruggerio prior to coming to my office. If they have not been I give them his name. Those are the people who have the best chance for some sort of recovery.


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bowho
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Aug-27-09, 10:10 PM (CST)
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38. "RE: Extraction done by a DDS??"
In response to message #31
 
   What percentage of clients, were told by their dentists that its an injection injury? And how many of them actually had repair surgery for an injection injury?


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Bob
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Aug-27-09, 08:21 AM (CST)
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32. "RE: Extraction done by a DDS??"
In response to message #25
 
   Yes that is true but the real problem is that there really is no solution to it. Once it happens you either recover or you don't. Those that don't seem to improve in various degrees over time (years it appears). The only real solution is prevention... that is why in my opinion dental anesthesia should be refused by most if not all patients. I was shocked to learn that my present dentist undergoes all his dental work without anesthesia due to the risk of damage. The same holds true for his assistant. Injury from dental anesthesia is far more pervasive than we're led to believe.

Bob


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tr1921
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Aug-27-09, 08:58 AM (CST)
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33. "RE: Extraction done by a DDS??"
In response to message #32
 
   Yes that is true, I refuse anesthesia when ever the dentist request it. There is no solution, but if treated early there is a possibility that the damage can be limited or decreased.


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charlottefr
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Aug-27-09, 11:25 AM (CST)
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34. "RE: Extraction done by a DDS??"
In response to message #33
 
   I wonder how many dentists choose to have injections when they have dental work done? And, I wonder how many of those dentists who do have injections choose Articaine? (Or Sargenti paste for root canals?)

I think there's a solution..

a) Prevention through adequate continuing education of dentists and particularly of students in dental schools across the world?
b) Education of the general public and adequate (truthful) information about risks and alternatives on the informed consent form?
b) Increased research?
c) Using products that have a reasonable safety 'record'...i.e. Get rid of formaldehyde paste for root canals or anesthetics like Articaine that have been proven to cause nerve damage more than other products?
d) One or two successful suits against dentists who have had a continuous record of patients leaving their offices with oral nerve damage resulting from injectional injury? (I might not be around to see that happen )


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Dr B
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Aug-27-09, 02:24 PM (CST)
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35. "RE: Extraction done by a DDS??"
In response to message #34
 
   I just had work done yesterday with a mandibular block. I'd say about 99.9% of dentist have locals for anything done.

Dr B


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Bob
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Aug-27-09, 07:31 PM (CST)
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37. "RE: Extraction done by a DDS??"
In response to message #35
 
   Not mine.

Bob


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bowho
Member since Nov-26-07
925 posts
Aug-27-09, 10:14 PM (CST)
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39. "RE: Extraction done by a DDS??"
In response to message #37
 
   From what i felt!! I really would NOT recommend going numb free during an extraction


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Dr B
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Aug-27-09, 10:51 PM (CST)
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40. "RE: Extraction done by a DDS??"
In response to message #39
 
   Yeah, that would be like Gitmo when Cheney was in charge....

Dr B


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bowho
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Aug-27-09, 11:23 PM (CST)
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41. "RE: Extraction done by a DDS??"
In response to message #40
 
   Yeah,only this was terrorism in the dental chair in the USA..


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tr1921
Member since Aug-13-09
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Aug-27-09, 02:31 PM (CST)
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36. "RE: Extraction done by a DDS??"
In response to message #0
 
   Where are you? I would go see the oral surgeon. Hopefully he has more knowledge then your dentist. If your attorney deals with dental malpractice he should know of a specialist for you to see, ask your attorney for a specialist. If you look at the posts on this site you may be able to find a specialist near you.


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