Switching Dentists: Key Considerations for Dental Prosthesis Replacement - Dentistry

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Dentist for Denture Replacement


What should I pay attention to and inform the new doctor about my current situation? Current condition: I have undergone tooth reshaping and am currently wearing a temporary crown that extends slightly into the tooth (right lower second molar).
I hope to avoid grinding down the natural tooth and instead redo the crown or restore it with a resin-based crown.
Medical history: The previous crown was aesthetically unpleasing, had an over-contoured margin (which trapped dental floss and food), and my gums have been persistently inflamed.
The dentist recommended that I see a prosthodontist.
The nurse referred me to a doctor who suggested making an "endocrown" that extends slightly into the tooth to prevent the temporary crown from dislodging and to ensure the final crown is more stable (although I did not have any issues with dislodging previously).
This type of crown is said to be irreversible if not done correctly, so I was advised to wear a temporary crown that simulates the final one to confirm the shape before fabrication.
However, I experienced unexpected distress during the process, leading to symptoms such as shortness of breath, inability to speak when seeing the doctor, and even feelings of nausea, chest tightness, and insomnia when I returned home.
I have never experienced this before in my life when visiting a dentist.
After discussion, I have decided to change doctors.

Niming, 20~29 year old female. Ask Date: 2023/12/12

Dr. Lin Jiayong reply Dentistry


Hello: After changing your dentist, it is essential to communicate any concerns or issues you may have to the dentist before starting treatment.
Only proceed with the treatment after receiving satisfactory responses.
Most dental procedures are considered "irreversible," and failing to ask questions beforehand and then having regrets can be troubling for both parties.
If you have dental anxiety, you may inquire at a medical center's special needs dentistry department about the possibility of sedation anesthesia for treatment.

Reply Date: 2023/12/12

More Info


Switching dentists, especially when dealing with dental prostheses, is a significant decision that requires careful consideration and communication. Given your current situation, where you are wearing a temporary crown that has penetrated slightly into the tooth structure, and your previous experiences with discomfort and dissatisfaction with the aesthetics and fit of your dental work, here are some key considerations and steps to take when transitioning to a new dentist.


Key Considerations When Switching Dentists
1. Medical History and Previous Treatments: Ensure that you provide your new dentist with a comprehensive medical history, including details about your previous dental work, any complications you experienced, and the reasons for your dissatisfaction. This includes specifics about the temporary crown, the issues with the previous prosthesis, and any ongoing symptoms like gum inflammation or discomfort.

2. Expectations and Goals: Clearly communicate your expectations and goals for your dental treatment. Discuss what you did not like about the previous dental work, such as aesthetics, fit, and comfort. This will help the new dentist understand your preferences and tailor their approach accordingly.

3. Understanding of Current Issues: Explain the current condition of your temporary crown and any symptoms you are experiencing. If the temporary crown is causing discomfort or if there are concerns about its fit, make sure to highlight these issues. This information is crucial for the new dentist to assess the situation accurately.

4. Treatment Options: Inquire about the proposed treatment options. You mentioned the suggestion of an "Endocrown," which is a type of crown that extends into the tooth structure for better retention. Ask the new dentist to explain the benefits and risks associated with this type of crown, as well as alternative options that may be available.

5. Communication Style: Since you experienced anxiety and discomfort during your previous dental visits, it’s essential to find a dentist whose communication style makes you feel comfortable. Discuss your concerns about anxiety and any past experiences that have contributed to this. A good dentist will take the time to address your fears and ensure you feel at ease during treatment.

6. Follow-Up Care: Discuss the follow-up care and maintenance that will be required after the placement of the new prosthesis. Understanding the aftercare process can help alleviate concerns about future visits and ensure that you are prepared for any necessary adjustments.

7. Financial Considerations: Be aware of the financial implications of switching dentists. Check if your new dentist accepts your insurance and what the costs will be for the proposed treatments. It’s important to have a clear understanding of the financial aspects before proceeding.

8. Trust Your Instincts: If you feel uncomfortable or anxious about a particular dentist, trust your instincts. It’s essential to find a dental professional who makes you feel safe and respected. Don’t hesitate to seek a second opinion if necessary.


Conclusion
Switching dentists can be a daunting process, especially when dealing with complex dental issues like prostheses. However, by being open and communicative about your history, expectations, and concerns, you can facilitate a smoother transition. Remember that your comfort and satisfaction are paramount in dental care. A good dentist will listen to your needs and work collaboratively with you to achieve the best possible outcomes for your oral health. Don’t hesitate to ask questions and seek clarification on any aspect of your treatment plan. Your dental health is important, and finding the right professional to support you is crucial.

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