Can a patient switch doctors after having undergone root canal treatment?
Doctor, I have a question.
In March, I felt pain in the second to last upper tooth (probably in positions 6 and 7).
I went to see the first dentist, but at that time, the pain felt uncomfortable around the gums, and it hurt when I bit down.
After examining me, the dentist told me it was gum inflammation caused by periodontal disease.
During the treatment, I kept hearing the sound of drilling and had an X-ray taken.
The dentist did not explain what treatment he was performing.
After the treatment, I noticed that the center of my tooth had been drilled and filled, even though I didn't have a cavity at that time.
I thought maybe there was a minor cavity that went unnoticed, but I didn't think much of it.
However, the treatment process made me feel very uncomfortable, and the dentist's attitude was not very good.
After the appointment, I felt even worse and became sensitive (which I wasn't before).
It took a week or two to feel a bit better.
I had a follow-up appointment scheduled for "one month" later, but I wasn't satisfied with the treatment process, so I didn't go.
After two months, I started feeling pain again when biting, so I switched to another dentist.
The second dentist said that my tooth had already been drilled into the pulp chamber and that it was a preliminary step for root canal treatment! They only packed it with cotton! (But the previous treatment did not mention this at all! There was no mention of root canal treatment.) The second dentist said that since the first dentist had already reported "endodontic treatment," he couldn't proceed and suggested I return to the first clinic.
However, I really felt uncomfortable with the first clinic (not just with my teeth, but also emotionally).
The second dentist was unwilling to treat me.
What should I do in this situation? I really don't want to go back to the first clinic.
Also, if it is indeed a root canal treatment, can I wait until a month later for a follow-up? Is the inability to proceed related to health insurance? Thank you.
Liu Xiaojie, 30~39 year old female. Ask Date: 2016/05/08
Dr. Zeng Guanghui reply Dentistry
If root canal treatment is performed due to gum inflammation and pulpitis, it requires several sessions for root canal cleaning and disinfection.
Once the root canal is thoroughly disinfected, it can be filled.
Health insurance does not mandate that these sessions be conducted by the same dentist, so it is advisable to seek further evaluation and treatment from a dental professional.
Reply Date: 2016/05/08
More Info
Changing dentists after a root canal treatment in Taiwan, or anywhere else, is certainly possible and often necessary if you feel uncomfortable with your current dental care provider. Your experience highlights several important aspects of dental care, patient rights, and the complexities of dental treatments.
Firstly, it's crucial to understand that as a patient, you have the right to seek a second opinion or change your dentist if you are dissatisfied with the treatment or the communication from your current provider. In your case, it seems that the first dentist did not adequately explain the procedures being performed, which understandably led to confusion and discomfort. Effective communication is a fundamental part of healthcare, and you should feel empowered to seek care from a provider who respects your concerns and explains treatments clearly.
Regarding your situation, it appears that the first dentist may have initiated a treatment that was not fully disclosed to you, leading to a misunderstanding about the need for a root canal. The second dentist's assessment that the first dentist had drilled into the pulp chamber without proper consent or explanation raises ethical concerns. If you feel that the first dentist did not provide adequate care or communication, you are justified in wanting to avoid returning to that practice.
In Taiwan, if you choose to switch dentists, you can do so without any legal repercussions. However, it is essential to ensure that your dental records are transferred to your new dentist. This includes any X-rays, treatment notes, and other relevant information that can help the new dentist understand your dental history and current condition. You have the right to request these records from your previous dentist.
As for the timing of your follow-up appointment, if a root canal treatment is indeed necessary, it is generally advisable not to delay treatment for too long. Waiting a month for a follow-up after a procedure that involves the dental pulp can lead to complications, such as infection or further damage to the tooth. If the second dentist indicated that a root canal was needed, it would be prudent to seek treatment as soon as possible, preferably with a dentist you feel comfortable with.
The issue of insurance or health care coverage may also play a role in your decision-making. In Taiwan, the National Health Insurance (NHI) system covers many dental procedures, but there may be specific protocols that dictate how treatments are billed and managed. If the first dentist reported your case as "dental pulp treatment," it might limit the options available to other dentists under the NHI system. However, this should not deter you from seeking the care you need. If necessary, you can discuss your situation with your new dentist to explore your options, including whether they can provide treatment under the NHI or if you would need to pay out-of-pocket.
In summary, you have every right to change dentists if you feel uncomfortable with your current provider. Ensure that your dental records are transferred, seek timely treatment for your dental issues, and communicate openly with your new dentist about your concerns and treatment options. Your oral health is important, and you deserve care that is both competent and compassionate.
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