It's hard to decide?
Recently, I received laser treatment for periodontal disease (costing 70,000 TWD), and the treatment has concluded (saying that laser treatment is painless is really misleading).
However, there was no improvement (my teeth were very painful the week after the procedure), so I transferred to Kaohsiung Medical Center for treatment.
Recently, my original dental clinic urged me to bring money (another 5,000 TWD for a follow-up visit).
The original dentist said it would take a year and a half to see results, so I would need to schedule about six more sessions at 5,000 TWD each (30,000 TWD total) to achieve that.
Of course, to stabilize my teeth, I could undergo root canal treatment on the loose teeth and also treat the adjacent ones, which would help stabilize them.
This would involve about six teeth (totaling 70,000 TWD for the cheapest materials).
So my question is: should I listen to my original dentist or continue treatment at the teaching hospital? The medical center said that the original dentist didn't even perform the basic cleaning properly, so how could he treat periodontal disease? I'm really distressed because the original dentist claims he can fix it, but it will take time and money.
The medical center said I should choose for myself.
Currently, I have completed a cleaning treatment with a resident at Kaohsiung Medical Center, and I have also had X-rays taken.
Two of my teeth are loose, and next week the attending physician will evaluate the next steps for treatment.
What should I do? T_T
julia WU, 30~39 year old female. Ask Date: 2006/06/08
Dr. Wu Jinjun reply Dentistry
Hello: The treatment for periodontal disease currently relies on traditional methods such as plaque control, debridement of periodontal tissues, and effective oral hygiene education and training for better outcomes.
The efficacy of lasers in the treatment of periodontal disease has not yet been proven (please refer to the website of the Periodontal Society of the Republic of China).
Therefore, it is recommended that you seek treatment at a medical center.
Dr.
Wu Jin-jun, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2006/06/08
More Info
Deciding between dental treatments can be a daunting task, especially when faced with conflicting opinions from different dental professionals. In your case, it seems you are caught between the recommendations of your original dentist and the evaluations from the medical center. Here’s a breakdown of the situation and some guidance on how to proceed.
Firstly, it’s essential to understand the nature of your dental issues. You mentioned undergoing laser treatment for periodontal disease, which did not yield the expected results. This is not uncommon, as the effectiveness of laser treatments can vary based on the severity of the condition and the specific techniques used. If you experienced significant pain following the treatment, it may indicate that the underlying issues were not adequately addressed.
Your original dentist has proposed a lengthy treatment plan that includes multiple visits and additional procedures like root canal treatments for several teeth. While it’s true that root canal therapy can stabilize teeth that are loose due to periodontal disease, it’s also important to consider the overall health of your gums and the potential for further complications if the periodontal disease is not effectively managed.
On the other hand, the medical center has raised concerns about the adequacy of the care you received from your original dentist, particularly regarding basic procedures like cleanings. This is a critical point, as proper periodontal care is foundational to any further treatment. If the medical center believes that your original dentist did not perform necessary cleanings or assessments, it may be wise to heed their advice.
Here are some steps you can take to make an informed decision:
1. Seek a Second Opinion: If you haven’t already, consider consulting another dentist or a periodontist for a third opinion. This can provide you with additional perspectives on your treatment options and the necessity of the proposed procedures.
2. Evaluate the Treatment Plans: Compare the treatment plans from both your original dentist and the medical center. Look for clarity on the expected outcomes, the timeline, and the costs involved. Ask questions about the rationale behind each recommendation.
3. Consider Your Comfort and Trust: It’s crucial to feel comfortable with your dental care provider. If you have doubts about the original dentist’s approach or feel pressured to continue with their plan, it may be worth considering a switch to a provider you trust more.
4. Assess Financial Implications: Dental treatments can be expensive, and it’s important to consider your budget. If the costs from your original dentist are significantly higher without a clear guarantee of success, weigh that against the potential benefits of continuing treatment at the medical center.
5. Focus on Long-term Health: Ultimately, your goal should be to achieve long-term dental health. If the medical center can provide a more comprehensive approach to managing your periodontal disease and stabilizing your teeth, it may be worth pursuing their recommendations.
6. Follow Up on Treatment Progress: If you decide to continue with the medical center, ensure that you follow up regularly and communicate openly with your healthcare providers about your concerns and any changes in your condition.
In conclusion, the decision between continuing with your original dentist or pursuing treatment at the medical center should be based on a combination of professional advice, your comfort level, and the potential for achieving lasting dental health. Remember, it’s your health and your mouth, so take the time to make a decision that feels right for you.
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