There is a cavity in the tooth root?
Due to improper nerve extraction, a hole was created at the root of the tooth.
Now, for treatment, I need to have a crown placed, but the doctor said I must first repair the cavity, which will cost out of pocket between 20,000 to 30,000 NTD (excluding the cost of the crown).
Otherwise, I would have to extract the tooth.
What should I do? Why is the repair so expensive?
Xiao Chen, 50~59 year old female. Ask Date: 2019/06/27
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Xiao Chen,
Hello! Essentially, all teeth are precious! We hope to preserve them! Otherwise, extracting them will require more money for dental implants! As for repairing cavities, we should monitor for improvement before proceeding with dentures! Additionally, you may want to seek evaluations from several clinics regarding the costs!
Take care! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2019/06/27
More Info
When it comes to dental procedures, understanding the costs involved can be quite daunting, especially when faced with unexpected repairs like a root canal complication. In your case, the need to repair a hole in the root of your tooth before placing a crown (or dental cap) is a common scenario in dental practice, particularly following root canal treatments. Let's break down the situation and the associated costs.
Understanding the Repair Process
1. Root Damage and Repair: The hole in your tooth's root likely occurred due to improper root canal treatment, which can lead to further complications, including infection or structural weakness of the tooth. Repairing this damage typically involves a procedure known as "root repair" or "apicoectomy," where the dentist will clean out the infected area and seal it to prevent further issues. This process is essential to preserve the tooth and avoid extraction.
2. Cost Breakdown: The cost of 20,000 to 30,000 TWD (approximately $700 to $1,000 USD) for the repair may seem high, but it reflects several factors:
- Complexity of the Procedure: Repairing a root can be intricate and requires specialized skills and tools. The dentist must ensure that all infected tissue is removed and that the tooth is sealed properly to prevent future infections.
- Materials Used: High-quality dental materials are used for the repair, which can be costly. These materials must be biocompatible and durable to withstand the forces of chewing.
- Time and Expertise: The procedure may require significant time and expertise, particularly if the damage is extensive. Dentists often charge based on the time spent and the complexity of the case.
Treatment Options
1. Repair and Crown: The recommended approach is to repair the root and then place a crown. This option allows you to keep your natural tooth, which is generally preferable to extraction. A crown will protect the tooth and restore its function.
2. Extraction: If the repair is not feasible or if the tooth is too damaged, extraction may be necessary. However, this should be a last resort, as losing a tooth can lead to further dental issues, including shifting of adjacent teeth and loss of bone density in the jaw.
3. Seek Second Opinions: If you're concerned about the cost or the necessity of the procedure, consider seeking a second opinion from another dental professional. They may provide alternative treatment options or confirm the necessity of the proposed treatment.
Financial Considerations
- Insurance Coverage: Check with your dental insurance provider to see if any part of the repair or subsequent crown placement is covered. Many plans cover a portion of root canal treatments and crowns, which could alleviate some financial burden.
- Payment Plans: Many dental offices offer payment plans or financing options to help manage the costs of dental procedures. Discuss these options with your dentist's office to find a solution that works for you.
Conclusion
In summary, while the cost of repairing a hole in the root of your tooth may seem steep, it is often a necessary investment in your dental health. Preserving your natural tooth can save you from more extensive and costly procedures in the future, such as implants or bridges. Always communicate openly with your dentist about your concerns and explore all available options to ensure you make the best decision for your dental health and financial situation.
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