I was told I needed all 4 wisdom teeth out and my dentist said he would do it in his surgery as he thought it best to avoid a general aneasthetic (or however you spell it !). He has removed two of them in his surgery but wants me to go to hospital for one of the remaining ones. He said it's close to the nerve, which is why he doesn't want to do it. Is he going back on what he said about gen aneasthetics or do the hospital just have a diff way of getting them out ? Also my dentist is a private one (I'm in the UK), will I have to pay to have this treatment in hospital ? Anyone know what the cost in comparison to having it done at the dentist is ? I think I paid about 拢120 for each tooth out so far. Any advice much appreciated. Thanks.
Answer:
im a certified dental assistant.you need to find yourself an ORAL SURGEON,(sorry for large caps) they are professionals at what they do and will help you,making you feel more comfortable because they specialize in the profession of removing teeth and overall mainly wisdow teeth removal...oral sergeons are professional at removing wisdom teeth they do all the time probably 20 times a day...they specialize in removing hard to remove wisdom teeth.i would recommend you see one than go to the hospital...ive worked with oral sergeons so i know they are great at what they do...hospitals ARE expensive see if you can make an appointment with an oral sergeon..look one up if you have any trouble see if your dentist can refer you to an oral sergeon...hope this helped
I'm a plaintiff's lawyer who has handled dental malpractice cases. The main danger with the dentist's local anesthesia (your spelling was a variation, but you Spoonerized the "a" and "e") is that the needle will hit a nerve in the jaw or its joint. This can result in loss of feeling or motor functions in facial muscles. However, your dentist was properly engaging in "conservative treatment", which means the treatment should be the least which will solve the problem.
This is because a general anesthesia can result in death!
Either case has a low probability of occuring, but you should always choose the action with the least damage possibility.
Just as all faces are different, so the placement of people's muscles and the nerve pathways which serve them are also different. I'm not sure how your dentist determined that THIS nerve was close to the tooth. Perhaps he noticed where he had to place the needle(s) when he gave you the shots for the other two tooth extractions. In any case, he is right to refer you to a hospital if he feels the extraction is beyond the capabilities of his office. I give him high marks for knowing his limitations.
I doubt if the hospital has a different way of getting the tooth out. My guess is that the advantage is the hospital does many more surgeries than your dentist. Also, if he feels there is a good chance of damage, he will not be the one being sued.
I live in New Orleans, so I have no knowledge of whether your Socialized Medicine in the UK will cover this. However, even if it doesn't normally cover dental work, such taxpayer payment may be available to you anyway because the job can't be done by a regular dentist. You'll have to check with the government plan people - - they always have someone who can explain their product because they want more customers to justify their jobs. Unfortunately, from what I hear there is always a long wait for government services in every country which furnishes them. Canadians regularly come across the border to get medical services in the US, even though they must pay for them personally. Socialized Medicine has always reduced the number of doctors. They don't like operating under government bureaucrats.
Personally, before I went to a hospital I would try a different dentist. I wouldn't tell him about the first, I'd just see if I really needed the teeth out, or if the first dentist was just running the meter.
The main difference is the experience that the practicioner has,that will make the procedure shorter time wise therefor less traumatic,less pain,The need of general anethesia or not dependes on if your molars are partially impacted, fully impacted or erupted,a panorex x-ray will tell. If the clinician has the experience it could be done in the office.
A few things:
1. I'm not worried about damaging a nerve with a needle, or even a blade, I'm more worried about hitting the nerve with a drill bit or insulting/lacerating one while taking a tooth out (sometimes the roots can wrap around a nerve or be right on top of one, where the possibility of nerve damage, although usually temporary, can be quite high).2. I agree with your dentist. If he does not feel comfortable taking a certain tooth out and wants to refer it, more power to him/her. I know my limits, you should be glad he/she knows theirs.3. Having a tooth extracted by on oral surgeon in a hospital setting will be more expensive than having your usual dentist take it out, but since they are the specialists and do it all the time, you would be in good hands.
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