Teeth filling cracks and missing

Teeth filling cracks and missing

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Discussion

vrooom

Original Poster:

3,763 posts

274 months

Friday 12th November 2010
quotequote all
My back teeth had a filling while back, now they have cracked, and started to loose bit of it. I am not in pain for now. It need be filled in, or worse case, extraction.

My biggest problem is my fear of dentist. I can loose sleep for having a thought of calling a dentist.
I rather to suffer in pain than going to see dentist because all of the thought of needles and sinster sharp tools and not being in control scares me.

is there anything i can have before going to dentist? like drinking gallon of vodka or something to take the 'fear' away?

And can i get tooth implant done on NHS ? because I couldnt afford tooth implant.

ShadownINja

77,477 posts

289 months

Friday 12th November 2010
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They'll probably just have to refill it after checking for any decay (may involve application of drill to remove decay) rather than an implant. I don't think they do implants on the NHS... incidentally, it would cost 3 times what I paid for my car... when I was quoted for one, I laughed and said "that's more than my car's worth"... why exactly does something so small cost £2-3k? Are dental practices run by them greedy bankers? wink

Anyway, to get over the fear and pain, while you're sitting there, choose one of the following thoughts:
1) keep your eyes open and imagine the drill going in and slicing half your jaw off causing you to bleed to death in agony while the dentist laughs with glowing red eyes before going off to kill your family; or...
2) close your eyes, imagine you're on a tropical beach on a sun lounger, the waves gently lapping the shore, the sun beating down on you

wink

Edited by ShadownINja on Friday 12th November 11:56

Ultuous

2,252 posts

198 months

Friday 12th November 2010
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Dunno if this will help you, but speaking as someone who was in a very similar position last year, all I can say is just suck up your fear, find a 'caring' dentist on personal recommendation and get it sorted....

My girlfriend dragged me to her dentist upon finding I hadn't been for 10 years... I knew I had a bad tooth (it fell apart during a lads holiday years before - I just drank through the pain) but was too petrified to do anything about it... Had it ripped out and 3 other deep fillings - none of the work 'hurt' and I wish I'd gone a lot earlier and not let my teeth fall victim of neglect!"

Honestly, you'll sleep much better without the (unnecessary) worry - just get one with it and get your teeth sorted!

Cupramax

10,608 posts

259 months

Friday 12th November 2010
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I had a terrible fear of dentists and hence hadn't been for ages (about 10 years) until recently, had a tooth break and also managed to chip a crown on my front teeth. 7 fillings, 2 root canals and two crowns later I'm quite at home with my dentist now biggrin Seriously, get some help from your doc if it freaks you out, mine gave me some sedatives which helped hugely.

audidoody

8,597 posts

263 months

Saturday 13th November 2010
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Seriously, there is NO pain these days. Apart from the tiniest split second sting to numb the nerve.


If that worries you, you can be prescribed a sedative like Temazepan to take an hour before. You'll be drowsy and won't care what they do.

If you are REALLY nervous find a dentist who can administer an intravenous tranquilizer during treatment. Or nitrous oxide laughing gas.

Any toothache you have will be MUCH worse than anything a dentist can do to you.

ShadownINja

77,477 posts

289 months

Saturday 13th November 2010
quotequote all
audidoody said:
Apart from the tiniest split second sting to numb the nerve.
I think your watch is broken.

MacGee

2,513 posts

237 months

Sunday 14th November 2010
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ShadownINja said:
They'll probably just have to refill it after checking for any decay (may involve application of drill to remove decay) rather than an implant. I don't think they do implants on the NHS... incidentally, it would cost 3 times what I paid for my car... when I was quoted for one, I laughed and said "that's more than my car's worth"... why exactly does something so small cost £2-3k? Are dental practices run by them greedy bankers? wink

Anyway, to get over the fear and pain, while you're sitting there, choose one of the following thoughts:
1) keep your eyes open and imagine the drill going in and slicing half your jaw off causing you to bleed to death in agony while the dentist laughs with glowing red eyes before going off to kill your family; or...
2) close your eyes, imagine you're on a tropical beach on a sun lounger, the waves gently lapping the shore, the sun beating down on you

wink

Edited by ShadownINja on Friday 12th November 11:56
they cost so much cos the bloody manufacturers charge a fortune for those little titanium things. all precision cutting and coatings 'n all. then there the fees for the surgeon/crown/nurses/insurance/equipment/CQC/receptionist/heating/light/accountants..........flamin'eck........go to Poland and get a cheap crap one. India even better...I've seen pics of one screwed into gum with a good old wood screw...so why not do-it-yourself. How hard can it be !!!!

ShadownINja

77,477 posts

289 months

Sunday 14th November 2010
quotequote all
MacGee said:
they cost so much cos the bloody manufacturers charge a fortune for those little titanium things. all precision cutting and coatings 'n all. then there the fees for the surgeon/crown/nurses/insurance/equipment/CQC/receptionist/heating/light/accountants..........flamin'eck........go to Poland and get a cheap crap one. India even better...I've seen pics of one screwed into gum with a good old wood screw...so why not do-it-yourself. How hard can it be !!!!
Your argument isn't that great - some of the costs you mentioned are relevant to fillings and basic check ups...

How much is a filling outside of the NHS? And a crown? Compare that to a titanium tooth.

Driller

8,310 posts

285 months

Sunday 14th November 2010
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ShadownINja said:
MacGee said:
they cost so much cos the bloody manufacturers charge a fortune for those little titanium things. all precision cutting and coatings 'n all. then there the fees for the surgeon/crown/nurses/insurance/equipment/CQC/receptionist/heating/light/accountants..........flamin'eck........go to Poland and get a cheap crap one. India even better...I've seen pics of one screwed into gum with a good old wood screw...so why not do-it-yourself. How hard can it be !!!!
Your argument isn't that great - some of the costs you mentioned are relevant to fillings and basic check ups...

How much is a filling outside of the NHS? And a crown? Compare that to a titanium tooth.
Shadow, the trouble is most people are totally ignorant of what is involved in placing an implant and as MacGee says the costs (for the dentist) are outrageous.

You probably think that the dentist just numbs up the mouth and then just screws a metal screw into the gum right?

Well it is nowhere near as simple as that! It involves a LOT of planning and time and special equipment and people and materials and risk sometimes.

Placing an implant is a surgical procedure on bone and soft tissue, it is not a simple procedure.

You also probably think that all the dentist has to pay for is the implant itself. Again there is a multitude of other bits and peices.

Just one small example. After the implant is placed and has osteointegrated and the superstructure is fitted to the implant (not always done this way, just an example) the dentist can then place a temporary crown.

One of the bits needed to do this a plastic cowling. It's just a tiny bit of plastic, a bit like a tiny plastic coffee cup like you get from a vending machine. They stamp these out by the thousand in factories.

Well this little piece of plastic is £40. And remember this is just one of many, many parts needed. Another part is a tiny little screw we sometimes use to screw the crown onto the implant.

This is like a tiny little grub screw, about £50. here are many of these bits and pieces needed. Other parts are many hundreds of poundsd each and that doesn't included all of the ancillary equipment, staff, lab bills and time the dentist spends on all the planning stages.

Of course the general public cannot know all this but this is why it is so expensive and is why it is so frustrating when people complain about the cost of implants.

Edited by Driller on Sunday 14th November 11:59

MacGee

2,513 posts

237 months

Sunday 14th November 2010
quotequote all
its down to numbers....how many /how much per hour. simple business. after costs guess how much profit is made per hour on an implant. takes several visits for examination/cat scan/consent/operating/review visits/making crown/fitting crown/more review visits.

a check-up takes 10-20 mins. no real extra materials costs. thats why its cheap.
crowns on the NHS are approx £198. prices privately could range from 150 up to 2k depending on difficulty/quality and the operator. If a highly skilled/qualified guy does it he will charge more..and why not. If you use the chief of PCW for your annual accounts you will pay more than if you use the guy froma small office in a back street. May get the same reult..but thats business..

BTW..I'm 99% NHS as are all of my 9 assocaites....so no implants at our surgeries.

ShadownINja

77,477 posts

289 months

Sunday 14th November 2010
quotequote all
Thanks for both of your replies. I think it would make sense to make such costs open, then, as being presented with a quote for ~£2k would be easier to stomach.

vrooom

Original Poster:

3,763 posts

274 months

Sunday 14th November 2010
quotequote all
How can you really tell the difference high quality dental work and joe from back street work, if they both charge same price and has nice friendly dental ladies working in there ?

Driller

8,310 posts

285 months

Sunday 14th November 2010
quotequote all
vrooom said:
How can you really tell the difference high quality dental work and joe from back street work, if they both charge same price and has nice friendly dental ladies working in there ?
Believe me this is just as frustrating for those who do decent work for a fair price.

audidoody

8,597 posts

263 months

Sunday 14th November 2010
quotequote all
Always amazes me how people will swipe the plastic for £2k-plus for a two week holiday and then baulk at paying the same amount for something that has to look good in their mouths and withstand 25 years of chewing and biting.

Edited by audidoody on Sunday 14th November 16:20

MacGee

2,513 posts

237 months

Sunday 14th November 2010
quotequote all
Mmmmmmm!!!!

retreat

326 posts

226 months

Tuesday 16th November 2010
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Macgee, I feel your pain brother

Couldn't help noticing that's the second post you've mentioned the CQC- a little off topic, I know but I've just come from a meeting with a cleaning company who have quoted this obscene government missive at me, now "How hard can it be to clean a dental practice" I hear you ask.

Well I'll tell you-
1) Devise a schedule of cleaning
2) Devise a risk management protocol
3) Supply COSHH paperwork for cleaning chemicals
4) Supply training for cleaning operative in situ
5) Audit results
6) Compare audit to CQC guidelines- (eg all internal windows cleaned once a month)

Now, that is what is involved in cleaning the loo, dusting the surfaces and hoovering- nothing to do with cleaning surgeries/equipment or sterilisation.

This is just a tiny example of the regulation that dentists have to comply with, which of course costs such a lot of money (and incidentally employs rather a lot of people!)

Now I've got that off my chest I'm off to GDP-UK to join the other moaning dentists!

MacGee

2,513 posts

237 months

Tuesday 16th November 2010
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Well I've just returned from meeting at Westminster with all the big knobs. Jimmy Steele, dep CDO, big BDA, lords n ladies re new NHS contracts. I'm knackered. So much red tape. Big changes afoot!

broken biscuit

1,633 posts

208 months

Tuesday 16th November 2010
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I hate dentists. As in properly hate them, not just 'don't like'. I put off going so much, I ended up having 3 teeth removed rather than filled as I ignored the pain and knowing that i needed fillings.

I got a new dentist on the NHS - she's great. Wrote me up a prescription for my anxiety - valium or similar i think - I go in, put ipod on, open gob and lay there. I dont feel what she's doing, I just get poked when it's over, and I leave. She is fantastic. Previous bloke was an arse - used to sit there talking about trading his porsche in for a new one, whilst charging me £150 to do sod all.

ShadownINja

77,477 posts

289 months

Tuesday 16th November 2010
quotequote all
MacGee said:
Well I've just returned from meeting at Westminster with all the big knobs. Jimmy Steele, dep CDO, big BDA, lords n ladies re new NHS contracts. I'm knackered. So much red tape. Big changes afoot!
Should I get all my teeth filled as a pre-emptive before costs double, then?

vrooom

Original Poster:

3,763 posts

274 months

Tuesday 16th November 2010
quotequote all
Sound like i need big barrel of valium or something.