Failed wisdom tooth extraction?
Hello Dr.
Lin, I am currently undergoing orthodontic treatment, but I am experiencing pain from my lower left wisdom tooth.
The orthodontist indicated that extraction was possible.
Before the extraction, an X-ray revealed that it was a horizontal wisdom tooth and would be difficult to remove.
As expected, the extraction took an hour and a half, during which the dentist left to attend to another patient for 10 minutes before returning to continue the procedure.
In the end, only a small fragment was extracted, and the wisdom tooth was not completely removed.
The dentist mentioned that they had reduced its size and only prescribed antibiotics and painkillers for two days.
By the third day, the swelling and pain were unbearable.
The original clinic was fully booked and could not schedule me for an appointment.
I called three other dental clinics, but they all refused to see me and advised me to return to the original clinic, stating that the original clinic had already applied for a complex dental extraction under health insurance, and they could not provide further treatment.
Eventually, one clinic agreed to examine me for inflammation and prescribed antibiotics and painkillers, but they also stated that they could not handle the wisdom tooth extraction.
Given my previous experiences at the orthodontic clinic and the unsuccessful wisdom tooth extraction, I am considering switching dental clinics.
I would like to ask if, since the original clinic has already applied for health insurance, I will no longer be able to have that wisdom tooth treated in the future? Besides paying out of pocket to have the wisdom tooth extracted at another hospital, can I request the original clinic to withdraw the health insurance application?
Chi, 20~29 year old female. Ask Date: 2024/05/16
Dr. Lin Jiayong reply Dentistry
Hello: If it is confirmed that the residual roots of your wisdom teeth are causing you psychological or physical discomfort, and the original clinic's dentist is unwilling to address the issue, it is recommended that you request a referral or go directly to the oral surgery department of a regional medical center to consult with an oral surgeon.
If extraction is necessary, the oral surgeon can handle it directly.
Regarding orthodontics, since it is considered an out-of-pocket cosmetic procedure, it is advisable to discuss it thoroughly with the original clinic.
Even if you switch clinics midway, the chances of successfully completing the orthodontic treatment with the new provider are quite low.
Reply Date: 2024/05/16
More Info
It sounds like you're experiencing a challenging situation with your wisdom tooth extraction, and I understand your concerns regarding the pain, swelling, and the incomplete removal of the tooth. Let's break down your questions and concerns systematically.
Firstly, it’s important to recognize that wisdom tooth extractions can sometimes be complicated, especially when the tooth is impacted or positioned horizontally, as in your case. The fact that the extraction took longer than expected and resulted in only a partial removal of the tooth can lead to complications such as infection or persistent pain.
1. Incomplete Extraction and Pain Management: The pain and swelling you're experiencing three days post-extraction could indicate that there is still a portion of the tooth remaining, or that there is an infection in the area. It's crucial to follow up with a dental professional who can assess the situation accurately. If the original clinic is unable to provide further treatment due to the complexity of the case, it might be necessary to seek a second opinion from an oral surgeon, especially one who specializes in difficult extractions.
2. Seeking Further Treatment: If the original dental clinic has already submitted a claim for the extraction under health insurance, it may complicate your ability to seek treatment elsewhere. However, you should not hesitate to communicate your concerns to the original clinic. You can request a follow-up appointment to discuss your ongoing pain and the possibility of further treatment. If they are unable to assist you, you can ask them to provide a referral to an oral surgeon or another dental professional who can handle the situation.
3. Insurance and Treatment Options: Regarding your question about whether you can request the original clinic to withdraw the insurance claim, this might depend on the policies of the clinic and your insurance provider. It’s worth discussing this with the clinic’s administrative staff. They may have specific protocols in place for such situations. If they cannot assist you, you may need to consider self-paying for the extraction at another facility, especially if you feel more comfortable with a different provider.
4. Next Steps: If you do find another clinic willing to see you, ensure that they have access to your dental records, including the X-rays taken during your previous visits. This information will help them understand the situation better and provide appropriate treatment. Additionally, if you experience any signs of infection (such as fever, increased swelling, or pus), seek immediate care.
5. Long-term Considerations: If the remaining part of the wisdom tooth is not causing any immediate issues, some dentists may recommend monitoring it rather than rushing into another extraction. However, if it continues to cause pain or if there are signs of infection, it will likely need to be addressed sooner rather than later.
In summary, while it’s frustrating to deal with complications from a dental procedure, there are steps you can take to ensure you receive the care you need. Open communication with your dental providers, seeking second opinions, and understanding your insurance options will be key in navigating this situation. Remember, your health and comfort are the top priorities, so don’t hesitate to advocate for yourself in seeking the appropriate treatment.
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