Dentaltown November 2020 - 28
message board
Thrown Under the Bus
A patient five years removed from a root canal comes back with a bone to pick,
but this Townie can see the problem lies in another dentist's shoddy work
teethdood
Member Since: 12/29/05
Post: 1 of 14
Patient presented in 2015 with this:
I completed RCT #14 and a new bridge in 2015. Patient
has since gone to someone else. Today she presented with mild
percussive pain #14 and #15:
Her current DDS did the #15-MO amalgam. She said that
the discomfort is from #14 because it has an abscess, and that
it needs to be extracted along with the bridge. So, the patient is
upset at me for a root canal that was done five years ago. I don't
see any abscess on #14. Is she clueless as to what a sinus looks
like? I do see a #15 amalgam placed without a wedge, resulting
in a non-ideal contour, food trap, and slight bone loss between
#14 and #15. In other words, the current DDS was willing to
throw me under the bus by recommending extraction of #14
and bridge, but she refused to see the most probable cause of the
issue. Sorry, I had to rant. Thanks for letting me vent. I feel a bit better now. ■
9/3/2020
Indie0uting
Member Since: 05/30/14
Post: 2 of 14
Damn, that sucks. I hope she's smart enough to listen to you and she sees that filling. Good
luck and it's a long weekend. Grab a beer and forget it. ■
9/3/2020
dentalben98
Member Since: 07/10/02
Post: 4 of 14
I agree that the SA on #15 is not good by any stretch of the imagination. To play devil's
advocate, I'm a bit suspicious of the MB apex on #14. A CBCT would put everyone's mind at
ease, but don't be surprised if you see a lesion on that root. ■
9/3/2020
teethdood
Member Since: 12/29/05
Post: 6 of 14
According to my notes, I two-stepped it, and both times could only locate MB1. Preop
PA shows how calcified those canals were. I like the CBCT suggestion. I will scan it. I highly
doubt the current dentist did a CBCT scan to come up with that diagnosis, though. Whatever
happened to RCT re-treat or endo consult if you don't feel comfortable re-treating yourself?
Why recommend extraction along with the bridge is what I don't get. The lesion, if present,
doesn't look bad enough to warrant extraction. ■
9/3/2020
ppsaul
Member Since: 12/15/05
Post: 9 of 14
I would give her options.
Do nothing.
Replace #15 (you do it) and eva.
Go to endo and re-treat (you can refund a portion of the RCT fee if you so desire).
Call up the other dentist and ask then what she told the patient. Then depending on her
tone, let her know what a [bad] job she did on #15. ■
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9/3/2020
28
NOVEMBER 2020 // dentaltown.com
DT1120_MB2_Bus.indd 28
10/20/20 12:51 PM
http://www.dentaltown.com
Dentaltown November 2020
Table of Contents for the Digital Edition of Dentaltown November 2020
Dentaltown November 2020 - Intro
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Dentaltown November 2020 - 1
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Dentaltown November 2020 - Cover3
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