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re-root canal, oral surgery extraction of root canal/implant

User Level:
Patient
Posted by: telephoneco  (1 years ago)
when do you do which of the following: Get a re-root canal, or have oral surgery on a root canal tooth No. 20, and then have an implant?

I have seen an endodontic dentist and he wants to try re-root canal, but it is so expensive. If it doesn't work I have to spend several hundred dollars to have the tooth extracted. And then get a partial or an implant.

When you are on financial assistance and social security retirement what is the best way to handle it. I have no insurance but Medicare/Medicaid and they don't pay for these treatments. It has to be paid out-of-pocket.

I am 77 years old.
User Level:
Dentist
when do you do which of the following: Get a re-root canal, or have oral surgery on a root canal tooth No. 20, and then have an implant?

I have seen an endodontic dentist and he wants to try re-root canal, but it is so expensive. If it doesn't work I have to spend several hundred dollars to have the tooth extracted. And then get a partial or an implant.

When you are on financial assistance and social security retirement what is the best way to handle it. I have no insurance but Medicare/Medicaid and they don't pay for these treatments. It has to be paid out-of-pocket.

I am 77 years old.


Well, of course the cheapest solution is to extract the tooth and not replace it, although it is a real shame to lose a tooth.

Root canal retreatments have about an 80% success rates. I redid one this week. Don't ask me why it was successful for over 10 years and then failed. I only redo them when I see an obvious reason for failure, such as an unfilled root, or short-filled root.

On the other hand, extracting, grafting, implant, and implant crown is a lot more expensive. The success rate is about 94%.

I guess if I were you, I would ask the endodontist if he sees an obvious reason why the root canal failed. If he did, I would redo it. If not, I would be more inclined to extract the tooth.
Posted 1 years ago
User Level:
Patient
Posted by: telephoneco  (1 years ago)
Yes, I saw an Endodontist last June and he wanted to do a re-root canal for approximately $1,400.00, and then of course there is the cost of a crown and post. He didn't know the reason for why however. The tooth next to it was extracted (19). Since then I mostly have no pain, but every once in a while it becomes symptomatic with either flossing my teeth or perhaps eating an Almond Kiss. This information cost me $100.00. If I have two teeth on the bottom that are missing it is more noticeable and hard to chew food when the teeth on the top are missing as well. The problem is after a something like 20 year lawsuit is resolved in a final review, I might opt for the implants. I have a lot of teeth otherwise, as has been pointed out to me. So it is a $3,000 re-root canal chance, or a $465 extraction, and an implant. Today it looks like there isn't much difference in the pricing for one implant. But I really need many implants (3) and another root-canal. That is too much money on Medicare/Medicaid (will not pay for the crown and post on a molar root-canal). Medicaid usually pays an adult tooth crown and post. Anyway I am finding some help with appeals because the appeals are covered by warranties when they are over 90 days. I am a CPA Litigant and don't like going around without teeth, but unfortunately the contest is self-sufficiency (not a team sport). I just may find an employer sympathetic to my situation because I have been a fan of their neighborhood business. That might help if they offer dental coverage. Then again, I was told it is still going to cost me a lot of money. Thank you so much for your good response. I appreciate it. When you have old dental work re-root canal/s might mean decay? What do you think: Right or Wrong.
User Level:
Dentist
Yes, I saw an Endodontist last June and he wanted to do a re-root canal for approximately $1,400.00, and then of course there is the cost of a crown and post. He didn't know the reason for why however. The tooth next to it was extracted (19). Since then I mostly have no pain, but every once in a while it becomes symptomatic with either flossing my teeth or perhaps eating an Almond Kiss. This information cost me $100.00. If I have two teeth on the bottom that are missing it is more noticeable and hard to chew food when the teeth on the top are missing as well. The problem is after a something like 20 year lawsuit is resolved in a final review, I might opt for the implants. I have a lot of teeth otherwise, as has been pointed out to me. So it is a $3,000 re-root canal chance, or a $465 extraction, and an implant. Today it looks like there isn't much difference in the pricing for one implant. But I really need many implants (3) and another root-canal. That is too much money on Medicare/Medicaid (will not pay for the crown and post on a molar root-canal). Medicaid usually pays an adult tooth crown and post. Anyway I am finding some help with appeals because the appeals are covered by warranties when they are over 90 days. I am a CPA Litigant and don't like going around without teeth, but unfortunately the contest is self-sufficiency (not a team sport). I just may find an employer sympathetic to my situation because I have been a fan of their neighborhood business. That might help if they offer dental coverage. Then again, I was told it is still going to cost me a lot of money. Thank you so much for your good response. I appreciate it. When you have old dental work re-root canal/s might mean decay? What do you think: Right or Wrong.

Decay under crown margins can cause root canals to fail, but failing root canals don't often mean decay.

I don't know much about your mouth. If you are missing many teeth and don't have a lot of money, perhaps you should sacrifice this tooth, let the socket heal, and spend your money on a partial denture would replace all your missing teeth. Having implants an implant crowns to replace all your missing teeth will be a very expensive project! Around my neighborhood, each tooth replaced by an implant and implant crown will set you back about $3700, and that is if you don't needed any bone grafting.

Don't know what you are talking about with appeals. If you are talking about Medicaid, I don't understand why you think other taxpayers should have to pay for all this expensive dental treatment, when they have a hard enough time affording it for themselves.

As for as employer-based dental coverage, most plans do not cover implants, and the maximum benefits are pretty low for all this treatment you are describing.

These fees are very high. You must live in California or New York City.
Posted 1 years ago
User Level:
Patient
Posted by: telephoneco  (1 years ago)
I left abruptly. This is corrected response.

Clerical errors made by dhs are appealed whether they are underpaying or overpaying. If the appeal isn't resolved in 90 days through no fault of your own, and you have been successful with the appeal process and can spot the errors, there is a warranty paid if the appeal is not finalized in 90 days.

It has nothing to do with taxpayers paying for dental treatments. However, it can offset your dental treatments when and if the warranty arrives a few years later. You cannot count on it, but it is sizeable. One year, perhaps in 2010, I received $3,000 in warranties, when a branch office was closing and the appeal process was delayed.

Taxpayers would be happy to see clerical errors in overpayments resolved.

Taxpayers might not be happy to see clerical errors in underpayments resolved unfortunately, by the welfare recipient would, thank providence.

I can't imagine why the outrage over appeal errors! That is the law! Some good person fought for rights to have the state be responsible for its process and won the case in court. The state lost and had to pay up for delaying justice. Remember "Justice Delayed is Justice Denied."

The legislature saw it fit to make this available to welfare recipients as their right to protest and access to the court - First Amendment, US Constitution, Incorporated 13th, 1st through 14th. It is also known as wire and mail fraud of Medicaid benefits.
User Level:
Patient
Posted by: telephoneco  (1 years ago)
CORRECTED as well - I had to leave quickly.

I wouldn't be able to afford implants now but one probably. I don't have a good molar to attach a partial since they are long gone. One hangs on but it needs a root canal, and as it as been pointed out to me - it won't last for long.

My fees for the endodontic reference was not necessary allegedly, after I saw a dentist and had her referral. The oral surgeon I went to - to extract tooth No. 19 pulled another $96.00 just to evaluate the tooth before he extracted through allegedly using guise. I have brought the dispute up with the Illinois Department of Financial and Professional Regulations based on the fact the oral surgeon had no assurance in some personal facts involving pre-medication or not. I will speak on this if and when it becomes resolved. A police officer can ask for a driver's license to avoid the risk of error but a dental professional takes the patient's word for last surgery date. There is no third party providing assurance that such an event occurred.

Then the oral surgeon wanted another $345.00 for the extraction on a second office visit.

He is not in downtown Chicago. He is near the suburbs but still in the city - boon-docks.

I don't mind the $345 for an oral surgeon to extract a root canal tooth if I think he has a good record with the IDFPR and on Yelp. But I do object to paying another evaluation that he was too busy with other matters to give me and sends me to an endodontic professional for his evaluation after my dentist gave me a referral to have that tooth No. 19 extracted.

Well, when you are isolated with financial hardship it is hard to be prepared for a dental procedure when it comes your way. I am learning what I didn't learn before when I went to Northwestern Dental Clinic (in the ole' days it was a good send). Now that I have pre-medication problems or no problem at all - the Dental School at UIC was not helpful for me. Besides I was too educated as an auditor to tolerant that nonsense of 5 dental students per teacher. Like I said, I am learning how to do it. I don't want to be cheap, just honest.

When and if my lawsuit is final settled - dental implants will not be a problem - just my old age. Still I have trouble chewing without teeth near No. 19, and no good molars. My teeth in front are great. My lower teeth have molars. The Gold in my teeth wore the best. Unfortunately dental professionals don't do that now $$$$$$. Thank you about answering the decay. I think the decay is under tooth No. 20. It just isn't a problem today.

Civil Rights Litigant in both Federal and County Court, CPA (auditor), Financial consultant, and NY Stock Exchange Series 7 Broker and Real Estate Sales person. And I am unemployed and too poor to work as a sole proprietor any more. I just have to wait it out....I was sent the wrong right-to-sue-letter by EEOC instead of the DOJ so I and my co-workers lost. Only one won and he was from Pakistan and got the DOJ right to sue letter (right agency).
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