Experiencing Dental Trauma: A Patient's Struggle with Poor Care - Dentistry

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Tooth deformation after dental filling?


On July 21, I went to dentist A for a scheduled teeth cleaning, but was told it couldn't be done.
I still made an appointment for a filling.
The third molar on the lower right side had a small piece of filling that had fallen out (at this time, my tooth was fine and not painful).
The dentist simply replaced that small piece without removing the old filling, but after the procedure, she ground down the filling material of the tooth directly above it (which was fine) causing the walls of the tooth to be exposed on all four sides.
Without the protective filling, the pressure from biting caused the upper tooth to become deformed and flattened.
Not only could I not bite down properly, but it was also very uncomfortable.
Additionally, the tooth was coated with acid, causing pain for a week, making it sensitive and deformed (the use of acid to corrode the tooth was very strange.
The dentist's attitude was poor, making it feel like she was intentionally causing harm, and the instruments kept hitting my face and mouth, which was frightening).
Initially, I was told I couldn't have a cleaning, but after the appointment, I was scheduled for a cleaning on August 5 (this was supposed to be done in one visit: cleaning and filling).
After returning home, my teeth felt uncomfortable due to the acid application, but I chose to trust the dentist.
During my next visit for the cleaning, I mentioned that the filling on the upper tooth had been ground down and that my teeth were wearing down and uncomfortable, but she completely ignored my concerns, saying there was no problem, and started claiming that my teeth were sensitive.
After the cleaning, (the next part was not explained to me at all; she only said it was to address tooth sensitivity) she applied a layer of acid to my upper and lower teeth (she said it would be very acidic, and it truly was) and used a light.
Then, she applied a layer of what was presumably fluoride.
After the procedure, my teeth became sensitive and deformed due to the acid erosion.
Later, both upper and lower teeth had their filling materials shrink due to acid erosion, causing the walls of the teeth to be exposed.
Without the protective filling, the pressure from biting caused the teeth (especially the upper one) to become deformed and flattened.
My teeth were noticeably thinner, and I could not bite down properly, which was very uncomfortable.
Even my gums and cheek tissue were uncomfortably sensitive from the acid erosion.
I reported this to the clinic, and they referred me to another dentist, Dr.
Hsu Ya-Ching, on August 14.
This was another nightmare.
She kept saying, "I really want to help you, but everything is fine," and during the examination, she was very rough, hitting my face and mouth with instruments.
An X-ray was taken, and a metal frame was forcefully placed in my mouth with a scraping surface, and the film was placed in the middle.
The process was very uncomfortable, and the doctor kept saying it would be a little painful and to endure it, while scraping the metal frame into my mouth.
After taking the X-ray, she did not explain the results or address why my teeth hurt when biting.
She kept insisting, "I really want to help you, but everything is fine," claiming my gums were healthy.
I explained the condition of my teeth, but she completely ignored me and continued talking about her own observations.
Then she said she could only apply a cavity prevention treatment, first applying a yellow substance from a syringe, then a sticky layer she claimed was fluoride.
The fluoride dripped into my mouth, was sticky, and could not be wiped away, and she said, "I didn't do anything without telling you, right?" I went to the front desk, and the receptionist recommended I go to a major hospital and gave me a note with recommendations for other doctors.
I declined and left, as the experience was too terrible, pretending everything was normal, yet it was the same acid treatment that caused my teeth to hurt for a week, and the damage from the acid erosion was even greater.
Later, I made an appointment with another dentist, dentist B (who had previously treated me normally), on August 27.
From the start, the doctor's attitude was not good, and I felt like I was being treated unfairly.
I explained my dental issues, and after tapping on my teeth, he applied acid to both upper and lower teeth and used a light (this was the fourth time acid was applied; my teeth were very sore during the light exposure).
He then placed two pieces of material, pretending they were fillings, and asked me to bite down to see if it hurt less.
I said yes, and then he asked me to take an X-ray.
The process was also abnormal; I was asked to hold the film in place with my own hand.
After taking the X-ray, he did not mention any issues and told me to schedule another appointment.
I asked if it could be handled that day, but the doctor said since an X-ray had already been done, I would have to wait until the next visit, with no medical action taken.
I still chose to trust the doctor.
On September 10, during this visit, my teeth were originally fine, but due to the shrinkage of the filling and acid erosion, my teeth had noticeably thinned and shrunk.
The doctor used a device to hold my teeth in place and started to remove the old filling.
After removing it, he said, "Use vibration," and then roughly ground the inside with instruments, saying it would hurt and to raise my hand for anesthesia.
The grinding process took a long time and was painful.
During the filling process, he continuously used a red light for 20 seconds each time.
I endured it without moving.
Both upper and lower teeth underwent the same treatment, and the fillings were very high.
The process took a long time, and afterward, my jaw joints and muscles were very sore, and the corners of my mouth were injured, with pain in my temporomandibular joint.
He prescribed painkillers and then mentioned that there was a cavity under the gum of the lower tooth that needed treatment and told me to schedule another appointment for anesthesia.
After returning home, I could still feel the acid pain, as if there was acid leaking out.
Eventually, both upper and lower teeth rapidly shrank due to acid erosion, causing the walls of the teeth to be exposed.
Without the protective filling, the pressure from biting caused the teeth to become deformed and flattened.
The resin visibly sank within two days, disappearing quickly, and I could feel the shape of the cavity changing.
Worse still, the cavity in the middle of the teeth was made larger, especially at the front and back, making the teeth appear split into two halves, spreading outward and flattening against the front tooth.
My teeth were constantly painful, making it impossible to bite normally.
I felt traumatized, as if I was being maliciously bullied, and I didn't know who could help me.
It felt like I was being targeted, intentionally humiliated and made to suffer.
I had never encountered such a situation before; previously, my experiences were good, and the treatments were normal.
Recently, I have been facing these issues, which are clearly different.
I would like to ask if the above experiences are normal for a professional dentist? Is it intentional to make me wait a long time, use uncomfortable methods and language, and cause pain and damage to my teeth afterward? I am afraid to see a doctor, feeling I will be treated maliciously, and this has happened several times.
What should I do? It feels like my teeth are going to deteriorate—what was once fine has been ruined, and I am truly traumatized.
What should I do? I opened the health insurance app to check my medical records and found that many of their descriptions do not match the facts, which made me even sadder! What should I do when faced with such situations? I want to find a doctor with a sense of justice.
Throughout this process, I have seen many dark sides of humanity and feel very scared.
Please help me through this darkest time in my life! I want to regain my confidence in healthcare!

Mo Mo, 40~49 year old female. Ask Date: 2021/09/15

Dr. Lin Jiayong reply Dentistry


Hello: If you have already consulted with three different physicians at two clinics, and they have all explained that there are no significant issues, it is recommended to relax and not worry too much.
If you are experiencing emotional distress, it is advisable to seek counseling from a psychiatrist.
If you believe there is a medical dispute, it is suggested to first report it to the relevant supervisory authority.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/15

More Info


I'm truly sorry to hear about your distressing experiences with dental care following your trauma. It's understandable to feel overwhelmed and frustrated, especially when it seems that your concerns are not being addressed properly. Dental trauma can be a complex issue, and the treatment you receive is crucial for both your physical health and emotional well-being.

First and foremost, it's important to recognize that your feelings are valid. Dental trauma not only affects the physical state of your teeth but can also have a significant impact on your mental health. The anxiety and fear you describe, particularly regarding the treatment you received, are common among patients who feel they have not been treated with the care and respect they deserve.
From a medical perspective, dental care should always prioritize patient comfort and clear communication. If a dentist is performing a procedure, they should explain what they are doing and why, ensuring that you feel informed and comfortable throughout the process. If you felt that the dentist was dismissive of your concerns or that the procedures were causing you unnecessary pain, it is crucial to seek a second opinion.
In your case, it seems that the initial treatment did not adequately address the issues with your teeth, leading to further complications. The use of acid etching and fluoride treatments should be done carefully and with a clear understanding of the patient's dental health. If these treatments are causing pain or discomfort, it is essential to communicate this to your dentist. If they are not responsive, it may be time to find a new dental provider who will take your concerns seriously.

Here are some steps you can take moving forward:
1. Seek a Second Opinion: Find a reputable dentist who specializes in restorative dentistry or dental trauma. They can provide a thorough examination and discuss your treatment options in a way that makes you feel comfortable and informed.

2. Document Your Experiences: Keep a detailed record of your dental treatments, including dates, procedures performed, and any symptoms or pain you experienced. This documentation can be helpful if you need to file a complaint or seek legal advice.

3. Consider Counseling: If your experiences have led to significant anxiety or distress, consider speaking with a mental health professional. They can help you process your feelings and develop coping strategies.

4. Research and Advocacy: Look for dental associations or patient advocacy groups that can provide resources and support. They may also help you find qualified dental professionals who prioritize patient care.

5. Communicate Clearly: When you do find a new dentist, be open about your past experiences and your concerns. A good dentist will listen to you and work with you to develop a treatment plan that addresses your needs.

6. Trust Your Instincts: If something doesn’t feel right during a dental appointment, trust your instincts. You have the right to refuse treatment or seek a different provider if you feel uncomfortable.

It's essential to regain your trust in dental care. Remember, you deserve to be treated with respect and compassion. Your health and comfort should always come first. If you continue to feel that your concerns are not being taken seriously, do not hesitate to seek out a dental professional who will prioritize your well-being. You are not alone in this journey, and there are compassionate and skilled professionals who can help you navigate through your dental trauma and restore your confidence in dental care.

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