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Ryan P. Perry, DDS
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Archives for October 2020

What to do about a repeatedly rude dentist

Posted on October 31, 2020 by AllSmiles.

After the anesthetic wore off from a root canal, the pain was horrible. Swelling and terrible pain lasted three days. My dentist prescribed Flagyl. I saw my dentist a week later, and he told me to keep staying the medication because the root looks fine.

My pain didn’t stop, so I had an emergency appointment with another dentist. They recommended that I see a neurologist. The neurologist says I have trigeminal neuralgia and should let my dentist know. I called my dental office, and they said that the dentist wanted to talk to me in person. He spoke rudely and told me that he had nothing to do with my nerve pain.

When I scheduled my dental crown appointment, the nurse said I need clearance to see the dentist, and without it, I won’t get a crown from their office. I’m waiting to hear from my dentist, but I wonder why I’m being treated so rudely. I didn’t accuse my dentist of anything. Should I trust him to place the crown? Thank you. Heather

 

Heather,

What you describe is odd and rude behavior from your dentist. We suggest that you switch to another dentist and ask for a refund for incomplete work. Although emergency dental visits are appropriate in many cases, you need a doctor who will take time to identify the source of your pain.

Doctors usually prescribe Flagyl for the lower GI tract and vaginal infections. It is an alternative antibiotic when other types won’t work for oral infection. Flagyl has a limited spectrum and is usually combined with amoxicillin or another.

Man frowning and holding the side of his face; for Baton Rouge emergency dentistry from Dr. Ryan Perry.
Sometimes, an emergency dental appointment isn’t enough

Trigeminal neuralgia causes extreme facial pain when an area of the face is touched or stimulated. Strangely, a neurologist diagnosed your case based on your dental incident alone. But why would your dentist become rude and defensive? We can’t answer that, but your dentist’s office doesn’t seem like a trustworthy place to get a new crown.

You can report the “non-visit” to your dental insurance company. You can ask for a refund. If your dentist doesn’t cooperate, you can report the incident to the state dental board.

 

Ryan Perry DDS, a Baton Rouge family dentist, sponsors this post.

Filed Under: Emergency Dentist Tagged With: Dental emergency, dentist prescribed Flagyl, root canal, root canal failure, rude dentist, switch dentist, Trigeminal neuralgia

My dental crown keeps falling off

Posted on October 9, 2020 by AllSmiles.

My dentist did a root canal on an upper right tooth about 12 years ago. Two years ago, the crown fell off, and my dentist replaced it. Since that time, the crown fell off three times, and my dentist cemented it back on. But my crown still feels a little loose. Not much tooth is left beneath the crown. Is this recementing something that I need to accept? The next time it falls off, I’m tempted to find a completely different dentist who takes urgent appointments to see if they can do any better than my dentist.

Thanks. Rebeka from Virginia

Rebeka,

When a crown keeps falling off, the problem is usually the design of the crown preparation. If that’s true in your case, you might need a new crown.

When a Root Canal Tooth Is Badly Broken

When a root canal tooth doesn’t have much structure left, a dentist can’t prepare the tooth properly. Some dentists use this method to improve crown retention:

  • Remove some of the root canal filler material
  • Place a flexible fiberglass post about 2/3 the tooth length into the canal and cement it in place
  • Bond core material to the post and tooth
  • Bond the crown to the built-up tooth

A flexible post in a rooth canal tootth to build it up in preparation for a dental crownIt won’t help to see another dentist for an emergency appointment because your situation can’t be corrected that quickly. The resolution takes forethought, time, and skill. The photographs on this page, courtesy of Dentistry Today, are an example of a treatment option that might work for your case.

If a dentist builds up your tooth with a post and composite, the tooth should retain a crown. But you need some remaining tooth structure for this to work. If crown retention only comes from the post, normal function and twisting stress will break the post, and the crown will fall off.

Bonding built up a tooth and postLook for an experienced dentist, schedule a consultation, and ask about treatment options.

 

 

Ryan Perry DDS, a Baton Rouge family dentist, sponsors this post.

Filed Under: Emergency Dentist Tagged With: dental crown falls off, emergency dentist, emergency dentist crown, root canal, root canal fiberglass post

Phone number: 225-275-5910
9094 Jefferson Hwy
Baton Rouge, LA 70809
Ryan P. Perry, DDS
Phone: 225-275-5910
Ryan P. Perry, DDS
9094 Jefferson Hwy Baton Rouge, LA 70809
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  • Home
  • About Us
    • About Our Office
    • Meet Dr. Perry
    • Meet Dr. Nielsen
    • Request an Appointment
    • Office Hours
    • Map and Directions
    • Financial Policies
    • Free Initial Exam
  • Payment
  • Cosmetic Dentistry
    • Porcelain Veneers
    • Porcelain Crowns
    • Teeth Whitening
    • Dental Bonding
    • CEREC Crowns
    • White Fillings
  • ^
  • General Dentistry
    • Gum Disease
    • Root Canal Treatment
    • TMJ Dentist
    • Mercury Free Dentist
    • Gentle Dentistry
    • Emergency Dentist
    • Sedation Dentist
    • Pediatric Dentistry
    • Sleep Apnea
  • Reconstructive Services
    • Dental Implants
    • Dental Implants Cost
    • Affordable Dental Implants
    • Dental Bridges
    • Dental Bridge vs Implant
    • Dentures
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