Choosing the Right Dental Clinic for Root Canal Treatment After Filling

Q: Choosing the Right Dental Clinic for Root Canal Treatment After Filling

Hello： It is recommended to visit Clinic B and inform them that the lower right second molar is uncomfortable after a filling, and since you have more trust in Clinic B, you would like their physician to assist with the diagnosis and treatment plan. <br>If there is indeed a need

Choosing a clinic for root canal treatment after dental filling?

Hello Doctor:
I visited Clinic A for a dental cleaning at the end of June and discovered a cavity in my lower right second molar.
The dentist filled it and informed me that the cavity was close to the nerve, and if I experienced any pain in the future, I would need a root canal treatment.
Now, nearly a month and a half later, I still experience significant sensitivity in that tooth when it comes into contact with cooler water (which resolves on its own within about 5-10 seconds).
Therefore, I am mentally prepared for the possibility of needing a root canal treatment.
Additionally, last year I went to Clinic A to address a broken tooth, and I completed the root canal and crown placement procedures there.
However, during that experience, I was concerned about the clinic's hygiene, the unclear division of responsibilities between the dentist and the dental assistant, and the fact that the dentist often had to leave mid-procedure to handle other matters at the front desk.
More importantly, I had to wait nearly an hour after checking in for every appointment (it felt like there was no difference between having an appointment and not having one).
Furthermore, during my dental cleaning appointment at the end of June, I discovered that the dentist had forgotten to clean the tartar on the other side of my lower teeth after the filling.
All these factors led to a loss of trust in that clinic.
In July of this year, based on a friend's recommendation, I went to Clinic B for the extraction of my upper and lower right wisdom teeth, and my experiences there have been quite positive.
I am considering receiving all my future treatments at this clinic.
However, I am currently experiencing discomfort in my lower right second molar, and due to the insurance claim for the filling (item: 89015C), I cannot use insurance for any follow-up treatment related to that filling at Clinic B.
Under the current circumstances (with 89015C not yet expired), the claim for root canal treatment should not conflict with the filling.
Therefore, I would like to ask if I can directly schedule an appointment at Clinic B, and if they can diagnose (e.g., through X-rays) whether there is any pulp inflammation.
If so, can I proceed with the root canal treatment at Clinic B?

Mr. Chen, 20~29 year old female. Ask Date: 2023/08/15

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to visit Clinic B and inform them that the lower right second molar is uncomfortable after a filling, and since you have more trust in Clinic B, you would like their physician to assist with the diagnosis and treatment plan.
If there is indeed a need for immediate root canal treatment, the physician at Clinic B should inform you after their evaluation.
If a re-filling is necessary but the physician at Clinic B is unwilling to take over, you may request a referral from Clinic A to seek further treatment at a medical center.
If it is simply a matter of observation and follow-up, it is suggested to take medication and monitor the situation.

Reply Date: 2023/08/15

More Info

When considering the right dental clinic for root canal treatment, especially after experiencing discomfort following a filling, there are several factors to take into account. Your situation, where you have had a filling that is causing sensitivity and potential need for further treatment, is not uncommon. Here’s a comprehensive approach to your concerns.

Understanding Your Symptoms
The sensitivity you are experiencing in your lower right second molar when exposed to cold water suggests that the nerve may still be irritated or that there is an underlying issue that could require root canal therapy. It’s important to note that sensitivity can sometimes be a normal response after a filling, especially if the cavity was deep and close to the nerve. However, if the sensitivity persists or worsens, it may indicate that the pulp (nerve) of the tooth is inflamed or infected.

Choosing the Right Clinic
Given your previous experiences at Clinic A, where you felt the hygiene and service were lacking, it’s understandable that you would seek treatment elsewhere. Clinic B, which you found to provide a better experience, seems like a promising option. Here are some steps to consider:
1. Consultation at Clinic B: You can certainly schedule an appointment at Clinic B for an evaluation of your sensitive tooth. During this visit, the dentist can take X-rays to assess the condition of the tooth and determine if there is any pulp inflammation or infection.

2. Insurance and Treatment Options: You mentioned concerns about insurance coverage for the root canal treatment at Clinic B due to the previous filling. Generally, root canal treatment is a separate procedure and should not conflict with the filling in terms of insurance claims. It’s advisable to discuss this directly with the administrative staff at Clinic B to clarify what is covered and how to proceed.

3. Diagnosis and Treatment: If the dentist at Clinic B determines that a root canal is necessary, they can proceed with the treatment. It’s crucial to have a dentist who communicates well and explains the process, as you have experienced in your recent visits.

4. Follow-Up Care: After the root canal treatment, you will likely need a crown to protect the tooth, especially since it has already been filled. Ensure that the clinic has a good follow-up care plan in place.

Importance of Trust and Comfort
Trust in your dental provider is paramount. Since you have had a positive experience at Clinic B, it may be beneficial to establish a long-term relationship there. A good dental practice should prioritize patient comfort, hygiene, and clear communication. If you feel comfortable and confident in their care, it can significantly enhance your overall treatment experience.

Conclusion
In summary, it is advisable to make an appointment at Clinic B for an evaluation of your sensitive tooth. Discuss your previous treatment and concerns openly with the dentist. They can provide you with a thorough examination and determine the best course of action, including whether a root canal is necessary. Remember, your dental health is important, and finding a clinic where you feel safe and well-cared for is essential for your ongoing dental needs.

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