Root canal treatment, dentures?
In February of this year, I underwent root canal treatment and asked the doctor if I needed a crown.
He said that the tooth structure was intact and that a crown was not necessary.
After the root canal was completed, he mentioned that teeth that have undergone root canal treatment are prone to fracture and recommended placing a post for support.
I went ahead with the post (made of carbon fiber), but in addition to placing the post, he also ground down my tooth and made a temporary crown, charging me for the temporary crown at $1,000.
I told him that he hadn't mentioned this additional procedure before.
He eventually waived the $1,000 charge but stated that I would need a permanent crown later, which would cost $7,600 for the cheapest titanium option.
My concern is: why are the costs increasing? Moreover, since my tooth has been ground down, I cannot avoid getting a crown, and I was not informed about this beforehand.
Shouldn't he be responsible for covering the cost of the crown?
Wǎn Tíng, 10~19 year old female. Ask Date: 2016/04/09
Dr. Huang Zhicheng reply Dentistry
Hello, teeth that have undergone root canal treatment are generally more fragile than teeth with intact nerve and vascular supply.
To ensure the longevity and functionality of the original tooth, it is still recommended to consider a dental crown to prevent potential fractures from accidentally biting down on hard objects in the future.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/04/09
More Info
When it comes to root canal treatment (RCT) and the subsequent need for dental crowns, it’s essential to understand the underlying reasons for these procedures and the financial implications involved. Root canal treatment is performed to save a tooth that is infected or has significant decay. During the procedure, the dentist removes the infected pulp from inside the tooth, cleans and disinfects the root canals, and then fills them with a material to seal the space. After this treatment, the tooth can become more brittle and is at a higher risk of fracturing, which is why dentists often recommend placing a crown over the tooth.
In your case, it seems that after the root canal, your dentist suggested placing a post (in your case, a carbon fiber post) to provide additional support for the tooth. This is a common practice, especially when a significant portion of the tooth structure has been removed during the RCT. The post helps to retain the crown that will be placed on top of the tooth. However, it’s concerning that you were not informed about the need for a temporary crown and the associated costs beforehand. Transparency in dental treatment is crucial, and patients should be made aware of all potential costs and procedures before they are performed.
Regarding your question about the increasing costs, dental procedures can sometimes lead to unexpected expenses. This can happen for several reasons:
1. Complexity of Treatment: Each tooth and case is unique. If the dentist encounters complications during the procedure, additional treatments may be necessary, which can increase costs.
2. Material Costs: Different materials for crowns (like titanium, porcelain, or zirconia) have varying costs. The choice of material can significantly affect the final price.
3. Communication Issues: Sometimes, there may be a lack of clear communication between the dentist and the patient regarding what is included in the treatment plan. It’s essential to have a detailed discussion about what to expect before proceeding with any dental work.
4. Insurance Coverage: If you have dental insurance, it’s important to understand what is covered and what isn’t. Some procedures may not be fully covered, leading to out-of-pocket expenses.
As for the question of whether your dentist should bear the cost of the crown due to the lack of communication, it’s a complex issue. Dentists are generally expected to inform patients about all aspects of their treatment, including potential costs. If you feel that the dentist did not provide adequate information, you might consider discussing your concerns directly with them. Open communication can often resolve misunderstandings.
If you are unhappy with the treatment or the way it was handled, you might also consider seeking a second opinion from another dental professional. They can provide insight into whether the treatment you received was appropriate and what your options are moving forward.
In summary, root canal treatment is a critical procedure for saving teeth, but it often necessitates further work, such as crowns or posts, to ensure the tooth remains functional. It’s vital to have clear communication with your dentist about all aspects of your treatment, including costs, to avoid any surprises. If you feel that your concerns were not adequately addressed, don’t hesitate to seek further clarification or a second opinion.
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