silly_cleo: black and white image of Elizabeth Taylor as Cleopatra, text: an almost all greek thing (Default)
[personal profile] silly_cleo
Two posts in the space of a month! Gosh! ;D But anyway I do have reason.

I can’t remember how extensively I was on DW/LJ at the time, but just after I moved to London I had a few fillings and root canals done. Some of you may recall. The biggest root canal never really settled right, I often felt a weird pressure in it, not quite pain, but also definitely something I was aware of. I got it x-rayed a few times, it was never infected, just…I was always v aware of it. I was advised to get it crowned and I never really got round to it. Well, on Saturday I was eating a crisp sandwich (I feel so betrayed by Nice’n’Spicy Nic-Nacs!) and I felt something…not right happen. So I investigated and found PART of the tooth was…wiggly. Which is a peculiar sensation I haven’t felt in a good 20 years. I left it well enough alone and managed to get an emergency dentist appointment this morning.

The dentist told me she’d have to remove the snapped off bit, and that it was cracked all the way up into the gum, so it was super likely the rest of the tooth would have to come out at a later date too. As I said on twitter, a week that starts with surprise local anaesthetic and tooth removal is totally a keeper, right?

So this is all pretty rubbish, but the reason I’m telling YOU all about it, beyond whining, is I want some advice.

I can’t keep the tooth in my mouth, it’s just got some temporary filling on it, and I can’t chew on that side till it’s sorted. (On the plus side, I CAN keep it like this until after the ID Showcase and choir performance, so that’s something. Though god knows I sure needed another reason to be hyper-aware of everything I put in my mouth right now. ;p)

I could:

a) just leave a gap, which would obv be free, minus the cost of the appt to remove it, which is about £20
b) get a wee denture that I’d have to take in and out every day, which would cost about £220
c) get a crown for one of the teeth next to it, which needs it anyway, and have an extra attachment that looks like a tooth next to it, which would also cost about £220 (I think this is called a bridge)
d) get a permanent implant that would be stuck right in, which would cost about £2,000

Spoilers, I can’t afford the implant. My favourite option that I *can* afford is def c), but the dentist said that after the tooth is removed I’ll have to wait 3 months for the bones to settle and heal after before I can progress with option c) or d). She said it’s better to have a temporary implant (b)) in the interim, so that you keep the gap where the bridge would go, but I can just have a gap for 3 months. It’s largely cosmetic but I think also means the bridge will fit better and so you will have less worry with things like food getting caught, which obviously can lead to decay issues etc.

The problem is I’m not sure about paying like £440, for both a temporary denture and then a bridge, and I REALLY don’t want a permanent denture at 30. Like, the bright side of living with dad is I do HAVE it right now, which is great, and obv if it’s the best thing to do it’s the best thing to do, but I can’t tell if the dentist is actually recommending that course of action as more medically/dentally sound or just wants me to spend more money?

The other thing is, my smile is one of the things I fairly consistently like about my appearance, which, with my mental health ~stuff~ is not an insignificant consideration right now. That sounds silly, but it’s true. So that might be worth the temporary denture?

The other thing I need to consider is I’m off to NZ right in the middle of the 3 months so need to consider a) not getting major dental work too soon before either the flight OUT or once there, the flight back and b) is it cheaper to do part of it over there? (Prooooobably not as I’m not sure what they’re national health deal is? I need to talk to my mother.)

The other option is dental tourism to Hungary. ;D

Like basically I need to do more research on this, but if any of you have any relevant experiences to share, I’d appreciate it!

Date: 2015-11-09 03:01 pm (UTC)
goodbyebird: Sarah Connor Chronicles: Jesse looks back before abandoning the SS Carter. (SCC huru)
From: [personal profile] goodbyebird
oof that is one sucky deal :( and liking your smile doesn't sound silly at all. I've been fortunate enough not to have much in the way of tooth woes - though I should actually be going in to get a crown myself *koff* - but if your system works at all like the Norwegian one, dental care is stupidly expensive and not really covered by the state. So I would def recommend you snoop around and see if Australia is cheaper, and if not, dental holiday it is.

I still don't understand how we can live in countries where you always get stuff covered for other illnesses so you can get the treatment you need, but dental care is total highway robbery.

Date: 2015-11-09 04:29 pm (UTC)
sylvaine: Dark-haired person with black eyes & white pupils. (Default)
From: [personal profile] sylvaine
Hmm. Can you get a temp denture now and then save up for a bridge eventually?

Date: 2015-11-09 07:42 pm (UTC)
antediluvian: (Default)
From: [personal profile] antediluvian
Whereabouts in your mouth is it? I have a bridge for my left lateral incisor and it's been an absolute gem, so I would definitely recommend (c). You do have to floss around it, but mine has been rock solid and I've had no other issues. Could they give you a placeholder tooth at a discount if you're doing that? 3 months is quite a long time to wait and I guess there is some risk of your teeth shifting.

I think if having a gap will make you self-conscious, or if there's a risk of the teeth moving around a lot, then absolutely pay the extra money. Teeth do have a tendency to try to close up spaces and it's annoying if you're planning on populating that space.

Date: 2015-11-11 07:21 pm (UTC)
antediluvian: (Default)
From: [personal profile] antediluvian
I'm glad it was helpful! <3 My bridge isn't on a tooth fragment, it's a whole fake tooth mounted on metal which is affixed to the back of the adjacent tooth.

Date: 2015-11-12 08:20 pm (UTC)
antediluvian: (Default)
From: [personal profile] antediluvian
I literally love teeth questions because I spent SO MANY YEARS getting mine sorted out, so never fear, question away!

So did you have the existing tooth removed first?
Yep! I had six baby teeth with no adult teeth underneath and I did Aikido at a very high level, so decided to get the teeth pulled out and gaps closed over (I had enough teeth to be able to do that) before they got punched out in sparring.

Do you remember what advice you were given? Like how long before they put the bridge in, did you have anything in there in the interim?
With the other five teeth, they just moved my adult teeth into the gaps - I have a lot of teeth apparently - but with my lateral incisor the gap was too large. I had to wait while the gum healed and it was SO VISIBLE but because it wasn't a molar or an adult tooth, it didn't take as long because there's minimal bone trauma. I had a false tooth mounted on my train track braces and then when the tracks came off I had a false tooth on a temporary denture. So for me it was years before I switched from false tooth to bridge, but I think the actual healing for the gum was a couple of weeks?

How is the bridge now? How long have you had it?
I love the bridge. I'm careful not to bite directly into something with it, but it feels pretty damn solid. I have to floss around the top of it to keep it clean though. I've had it for about five years and haven't had any problems with it, not even a scare. The temporary denture was a bit of a pain - my brace wire kept snapping and I got to be a dab hand at gluing it back together - and once or twice the tooth came off the wire, which was pretty unsettling. Also it took awhile to adjust to having the plate at the top of my mouth and I found it really hard to speak with it in for a bit, and once or twice it came loose while I was eating and I had to click it back into place. But from a self-confidence point of view, it was invaluable, and totally worth the hassle.

Date: 2015-11-10 01:16 am (UTC)
umadoshi: (Agent Carter - tears (nadya149))
From: [personal profile] umadoshi
Yikes. :/ I have no experience with any of this, but wish you luck in getting it sorted. *hugs*

Date: 2015-11-11 05:47 pm (UTC)
brokenmnemonic: (Serenity Anima)
From: [personal profile] brokenmnemonic
You definitely have my sympathies - I border on terrified when it comes to going to the dentist, and I have pretty much the nicest dentist in the world with years of experience at dealing with nervous patients.

Between my parents and grandparents I've seen a fair amount of dental work done for missing teeth, although never an implant. I'd recommend going for c) with the temporary implant in the interim, particularly if it's not a molar. Dentures have gotten better and better over the years, but they still come with a degree of maintenance, and no matter how good the dentures have been, my family members tend to suffer periodic ulcers from them rubbing at one time or another. The temporary implant should stop your teeth either side from shifting too much as your jaw heals.

I would offer a word of caution on bridges, though - my mum has found that bridges leave the teeth they rest on a bit weaker than they were before the bridge was fitted, and because her teeth became more brittle than normal after she'd had my youngest brother, she lost another tooth because of the bridge (the tooth basically disintegreated over time) and had to go for a small denture afterwards to close the larger gap left by two missing teeth. I don't know how common that is, though.

Whatever you choose, I hope it's as swift and painless as possible!

Date: 2015-11-17 05:26 am (UTC)
From: [identity profile]
Which tooth is it? Have you tried smiling all sorts of ways in the mirror to see how visible it is?

It's a sucky situation for sure. I had a root canal done very badly last year and somehow didn't realize I needed it crowned? But it needed to be crowned, really you should do it almost immediately so the teeth don't shift. Anyway I got it crowned after a year and it was infected and I lost a week of my life to excruciating pain. So then I got another root canal that took two visits, and another crown, and spent thousands of dollars that I thankfully had, but still. A nightmare. Like you I didn't want a fake tooth or denture in my 30s. So I have a crown and the dentist thinks it should last for ten years, we HOPE. Implants aren't actually a failproof procedure, I learned, so I wouldn't feel especially bad about not being able to afford it.

Um, anyway, that was just my cautionary story about other root canals and getting your crown. Haha.

Perhaps your dentist can reduce the fee if you agree to both things? It's worth a shot to ask. I do think it's not great to leave the gap for long - my teeth are shifted from my root canal gap and that's even with (fake) roots still in there.

Good luck!!


silly_cleo: black and white image of Elizabeth Taylor as Cleopatra, text: an almost all greek thing (Default)

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